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					  LAB                  OE
                                                        TEST                        REFERENCE                     SPECIMEN
 ORDER                ORDER
                                                     PROCEDURE 1 of 342
                                                             Page                     RANGE                     REQUIREMENTS
MNEMONIC              NAME
                                  ABORH GROUP (BLOOD TYPE)
                                  Methodology: Tube agglutination
    BB                            Set up: Daily, as ordered
              ABO/RH - BLOOD TYPE                                                                      6.0 mL whold blood (Pink)
  ABORH                           Report available: Same day

                                      CPT Code: 86900, 86901

                                      ACA or ACLA -
                                      See Anti-Cardiolipin Antibodies


                                      ACE - see Angiotensin-1 Converting
                                      Enzyme


                                      ACETAMINOPHEN, SERUM
                                      Methodology: Immunoassay                                         1 mL blood (Gn -Li (PST))
                                      Set up: Daily, as ordered                                                or
    LAB         ACETAMINOPHEN                                                     Accompanies report
                                      Report available: Same day                                       1 mL serum (SS)
   ACET
                                                                                                       Minimum: 0.5 mL
                                      CPT Code: 82003


                                      ACETONE, SERUM OR PLASMA
                                      Methodology: Nitroprusside color
                                      complex
   LAB              ACETONE           Set up: Daily, as ordered                        Negative        0.2 mL serum or plasma (R or L)
 ACETONE                              Report available: Same day

                                      CPT Code: 82009


                                      ACETONE, URINE - See urinalysis


                                  ACETYLCHOLINE RECEPTOR                                               0.5 mL serum (SS)
                                  BINDING ANTIBODIES
                                  (QUEST 8842)                                                         Minimum: 0.2 mL
              ACETYLCHOLINE RECEP Methodology: RIA
    LAB                                                                           Accompanies report
                     BIND         Set up: Mon-Fri                                                      Allow serum to clot at room
ACETYL BIND
                                  Report available: 3 days                                             temperature. Serum should be
                                                                                                       separated from cells within 1
                                      CPT Code: 83519                                                  hour of collection.


                                      ACETYLCHOLINE RECEPTOR
                                      BLOCKING ANTIBODIES
                                      (QUEST 61952)                                                    0.2 mL serum (SS) centrifuge
                 ACETYLCHOLINE        Methodology: RIA                                                 with 1 hr of collection
   LAB                                                                            Accompanies report
                RECEPT BLOCKING       Set up:Mon, Wed, Fri
ACETYL BLO
                                      Report available: Next day                                       Minimum:0.2 mL

                                      CPT Code: 83519


                                 ACETYLCHOLINE RECEPTOR
                                 MODULATING ANTIBODY (QUEST 121932)
                                 Methodology: RIA                                                      1 mL serum (SS)
   LAB        ACETYLCHOL REC MOD Set up: Mon, Thursday                            Accompanies report
ACTEYL MOD                       Report available: 4 days                                              Minimum: 0.3 mL

                                      CPT Code: 83519


                                   ACETYLCHOLINESTERASE,
                                   QUALITATIVE, GEL
                                   ELECTROPHORESIS
                                   (QUEST 1853)
                                   This test is automatically performed on all                         1 mL Amniotic fluid, ROOM
                                   Alpha-Fetroprotein amniotic fluidswith a MoM                        TEMP
   LAB        ACETYLCHOLINESTERASE                                                     Negative
                                   greater then 2.0
  ACETYL
                                   Methodology: Gel Electrophoresis                                    Minimum: 0.5 mL
                                   Set up: Tues, Thurs
                                   Report available: Next Day

                                      CPT Code: 82013



                                                                  Page 1 of 342
    LAB                  OE
                                                             TEST                           REFERENCE                       SPECIMEN
   ORDER                ORDER
                                                          PROCEDURE 2 of 342
                                                                  Page                        RANGE                       REQUIREMENTS
  MNEMONIC              NAME


                                          ACETYLSALICYLIC ACID
                                          (SALICYLATE)                                  Therapeutic range:0-
                                          Methodology: Colormetric                           30 mg/dL        1 mL serum (SS) or
     LAB              SALICYLATE          Detection Limit: 3.9 mb/dL
    SALIC                                 Set up: Daily                                 Toxic: Greater then 41 1 mL blood (Gn-Li (PST))
                                          Report available: Same day                            mg/dL

                                          CPT Code: 80196


                                          ACID-FAST (TB) CULTURE - See
                                          Culture, Acid-Fast (TB)


                                          ACID-FAST (TB) SMEAR
                                          Methodology: Smear
                                          Set up: Sun-Sat 9:00AM - 3:00PM                                       Minimum: Primary specimen
                                                                                         No acid-fast bacilli
     LAB                                  Reports available: Next day if clinically                             (sputum, exudates, hear-fixed
                                                                                             observed
    AFBST                                 indicated                                                             smear,or complete first morning urine)

                                          CPT Code: 87206


                                   ACID MUCOPOLYSACCHARIDES
                                   QUANTITATIVE (Glycosaminoglycans,
                                   Urine (GAGS))
                                   (QUEST 3087)                                                                 20 mL random urine, FROZEN*
     LAB         GYLCOSAMINOGLYCAN
                                   Methodology: Colorimetric                             Accompanies report
    GAGS              S, URINE
                                   Set up: Thurs                                                                Minimum: 10mL
                                   Report available: 4 days

                                          CPT Code: 83864


                                          ACID PHOSPHATASE, PROSTATIC (PAP)
                                          (QUEST 7812)
                                          Methodology: Immunoassay                                              1mL serum (SS), FROZEN*
      LAB           PROSTATIC ACID
                                          Set up: Mon-Fri                                Accompanies report
ACID PHOS -PAP       PHOSPHATASE
                                          Report available: Next day                                            Minimum: 0.3 mL

                                          CPT Code: 84066


                                          ACID PHOSPHATASE, TOTAL
 DISCONTINUED
    2/16/09                               (QUEST 15580)
                                          This test has been discontinued by Quest as
      LAB
                                          of 2/16/09 and has no replacement
  ACID PHOS
                                          alternative.


                                                                                                                1.5 mL EDTA plasma (L)
                                                                                                                FROZEN*
                                          ACTH ADRENOCORTICOTROPIC
                                                                                                                Maintain collection tube in as ice bath
                                          HORMONE
                                                                                                                before and after
                                          (QUEST 211)
                                                                                                                collection of blood. Mix well and
                                          Methodology: Immunoassay
     LAB                 ACTH                                                            Accompanies report     centrifuge at 4 C, separate plasma
                                          Set up: Mon-Fri
    ACTH                                                                                                        from cells, store and ship plasma
                                          Report available: 2 days
                                                                                                                frozen in plastic vial.
                                          CPT Code: 82024
                                                                                                                Minimum: 0.3 mL



                                          ACTH STIMULATION PANEL
                                          Collect Baseline specimen, Collect 1 hour
                                          specimen post 1 hour administration of 250    Cortisol,Baseline: >5 1 ml blood (Gn -Li (PST))
                                          mg Cortrosyn                                          ug/dL                  or
     LAB         ACTH STIMULATION PANEL                                                                       1 mL serum (SS)
  ACTH STIM                               Methodology: Chemiluminescence                Cortisol,1 Hour: >20
                                          Set up: Daily                                         ug/dL
                                          Report available: Same Day
                                          CPT Code: 80400




                                                                        Page 2 of 342
     LAB                   OE
                                                               TEST                        REFERENCE                        SPECIMEN
    ORDER                 ORDER
                                                            PROCEDURE 3 of 342
                                                                    Page                     RANGE                        REQUIREMENTS
   MNEMONIC               NAME
                                                                                                               Pure isolate of organism on
                                           ACTINOMYCETES IDENTIFICATION
                                                                                                               appropriate medium. AN
                                           (QUEST 4490)
                                                                                                               ISOLATION CHAGE WILL BE ADDED
                                           Methodology: Biochemicals
     LAB             ACTINOMYCETES                                                                             FROM ORGANISMS SUBMITTED IN
                                           Set up: Mon-Fri                              Accompanies report
ACTINOMYCETES        IDENTIFICATION                                                                            MIZED CULTURE.
                                           Report available: 28 days
                                                                                                               ROOM TEMP
                                           CPT Code: 87081



                                           ACTIVATED PARTIAL THROMBOPLASTIN
                                           TIME (APTT) Methodology: Optical detection
                                           clotting assay                                                      2.7 mL plasma (LB)
                                           Set up: Daily                                                       FROZEN
                                           Report available: Same day
                                                                                                             Draw blood into light blue top tube,
                       PARTIAL
      LAB                             NOTE: Drawing blood through an indwelling         23.2 to 27.1 seconds filling tube to the blue line indicted on
                  THROMBOPLASTIN TIME
      PTT                             catheter risks heparin contamination of the                            the tube label. Centrifuge, remove
                                      specimen. Flush the line with saline and draw                          plasma, and freeze if not tested within
                                      5 mL blood before Coagulation specimens                                4 hours of collection.
                                      are drawn

                                           CPT Code: 85610



                                           ADAPIN-See Doxepin


                                     ADENOSINE DEAMINASE, PLEURAL
                                     FLUID                                                                     1 mL pleural fluid in sterile, plastic,
                                     (QUEST 17696)                                                             screw-capped vial
                      ADENOSINE
     LAB                             Methodology: Kinetic                                                      FROZEN
                  DEAMINASE, PLEURAL                                                    Accompanies report
   ADA FLUID                         Set up: Mon - Fri
                          FL
                                     Report available: 1 day                                                   Minimum: 0.5 mL

                                           CPT Code: 84311

                                      ADENOVIRUS ANTIBODY GROUP
                                      (QUEST 0382)
                                                                                                               1 mL serum (SS)
                                      Methodology: CF
     LAB
                  ADENOVIRUS ANTIBODY Set up: Mon-Fri                                   Accompanies report
ADENOVIRUS AB                                                                                                  Minimum: 0.5 mL
                                      Report available: 3 days

                                           CPT Code: 86603


                                           ADENOVIRUS CULTURE
                                                                                                               3 mL Conjunctival swab in VCM
                                           (QUEST 759)
                                                                                                               transport tube, 5 mL nasal aspitate in
                                           Methodology: Rapid Culture
     LAB                                                                                                       sterile container, 3 mL stool in viral
                   ADEOVIRUS CULTURE       Set up: Daily                                Accompanies report
ADENOVIRUS CULT                                                                                                transport media, or 3 mL throat swab
                                           Report available: 4 days
                                                                                                               in M4 Multiuse viral transport medium,
                                                                                                               or 50 mL urine in sterile contrainer.
                                           CPT Code: 87252


                                           AFB Culture - See Culture, Acid-
                                           Fast


                                           AFB Smear - See Acid-Fast (TB)
                                           Smear. Smear is included in AFB Culture


                                           AFP - See Alpha-Fetoprotein


                                           AIDS - See HIV


                                           ALA - See Delta-Aminolevulinic Acid


                                           ALANINE TRANSAMINASE (ALT) (SGPT)
                                                                                                               1 ml blood (Gn -Li (PST))
                                           Methodology: Kinetic
                                                                                                                        or
                        ALANINE            Set up: Daily
      LAB                                                                               Accompanies report     1 mL serum (SS)
                   AMINOTRANSFERASE        Report available: Same day
     SGPT
                                                                                                               Minimum: 0.5 mL
                                           CPT Code: 84460
                                                                        Page 3 of 342
     LAB                OE
                                                       TEST                         REFERENCE                      SPECIMEN
    ORDER              ORDER
                                                    PROCEDURE 4 of 342
                                                            Page                      RANGE                      REQUIREMENTS
   MNEMONIC            NAME

                                     ALBUMIN
                                                                                                       1 ml blood (Gn -Li (PST))
                                     Methodology: Colorimetric
                                                                                                                or
                                     Set up:Daily
      LAB              ALBUMIN                                                    Accompanies report   1 mL serum (SS)
                                     Report available: Same day
      ALB
                                                                                                       Minimum: 0.5 mL
                                     CPT Code: 82040


                                                                                                       1 mL serum (SS)
                                     ALCOHOL, ETHYL (SERUM)
                                                                                                       Minimum 0.5 mL
                                     Methodology: Enzymatic
                                     Set up: Daily
     LAB              ALCOHOL                                                       None detected      When collecting blood , the arm
                                     Report available: Same say
   ALCOHOL                                                                                             should be cleansed with a non-alcohol
                                                                                                       cleansing agent.
                                     CPT Code: 82055



                                     ALCOHOL, ETHYL (URINE)
                                     (QUEST 1386)
                                     Detection Limit: 0.02 g/dL
                                                                                                       20 mL urine
                                     Methodology: Enzymatic
       LAB         URINE ALCOHOL                                                    None detected
                                     Set up: Mon-Fri
   U ALCOHOL                                                                                           Minimum: 5 mL
                                     Report available: 3 days

                                     CPT Code: 80101

                                     ALCOHOL, ETHYL, URINE BY GCMS FOR
                                     RANDOM URINE
                                     (QUEST 19938)
                                     Detection Limit: 20 mg/dL                                         10 mL random urine
                   ALCOHOL, ETHYL,
     LAB                             Methodology: GC                              Accompanies report
                    RANDOM URINE
  ALCOHOL UR                         Set up: Mon-Fri                                                   Minimum: 1 mL
                                     Report available: 2 days

                                     CPT Code: 82055

                                   ALCOHOL, ISOPROPYL, BLOOD
                                                                                                       5 mL blood (Gy), urine, or gastic
                                   (QUEST 7821)
                                                                                                       contents
                                   Includes acetone, if present
                                   Methodology: GC
                                                                                                       Minimum: 1 mL
      LAB       ISOPROPANOL, BLOOD Detection Limit: 0.005 g/DI                    Accompanies report
ISOPROPANOL BLD                    Set up: Mon - Fri
                                                                                                       When collecting blood, the arm should
                                   Report available: 2 days
                                                                                                       be cleansed with a non-alcohol
                                                                                                       cleansing agent.
                                     CPT Code: 84600


                                     ALCOHOL, METHYL (METHANOL)
                                                                                                       5 mL blood (Gy)
                                     (QUEST 430)
                                     Methodology: GC
                                                                                                       Minimum: 1 mL
                                     Detection Limit: 0.005 g/dL
      LAB             METHANOL                                                    Accompanies report
                                     Set up : Daily
   METHANOL                                                                                            When collecting blood, the arm should
                                     Report available: Next day
                                                                                                       be cleansed with a nonalcohol
                                                                                                       cleansing agent.
                                     CPT Code: 84600

                                     ALDOLASE (QUEST 021)
                                                                                                       2.0 mL serum (SS), centrifuge within 1
                                     Methodology: Enzymatic
                                                                                                       hour of collection to avoid hemolysis
                                     Set up: Mon-Fri
      LAB             ALDOLASE                                                    Accompanies report   FREEZE
                                     Report available: Next day
   ALDOLASE
                                                                                                       Minimum: 1 mL
                                     CPT Code: 82085


                                     ALDOLAT- see Nifedipine


                                     ALDOSTERONE (QUEST 53532)
                                     Methodology: LC/TMS
                                                                                                       1 mL serum (R)
                                     Set up: Mon-Fri
      LAB           ALDOSTERONE                                                   Accompanies report
                                     Report available: 3 days
  ALDOSTERON                                                                                           Minimum: 0.5 mL
                                     CPT Code: 82088




                                                                  Page 4 of 342
    LAB                  OE
                                                         TEST                          REFERENCE                     SPECIMEN
   ORDER                ORDER
                                                      PROCEDURE 5 of 342
                                                              Page                       RANGE                     REQUIREMENTS
  MNEMONIC              NAME
                                                                                                         100 mL aliquot of 24-hr urine,
                                        ALDOSERONE, 24 HR URINE
                                                                                                         collected without preservatives and
                                        (QUEST 13856)
                                                                                                         maintained at 4 C.
                                        Methodology: Extraction, RIA
                 ALDOSTERONE, 24 HR                                                                      Before storing or shipping, add 1 g
     LAB                                Set up: Tues, Thurs, Sun                    Accompanies report
                       URINE                                                                             boric acid/100 mL urine and ship
ALDOSTERONE UR                          Report available: 7 days
                                                                                                         refrigerated.
                                        CPT Code: 82088
                                                                                                         Minimum: 0.8 mL

                                        ALKALINE PHOSPHATASE (ALP)                                       1 ml blood (Gn -Li (PST))
                                        Methodology: Kinetic                                                      or
                      ALKALINE          Set up: Daily                                                    1 mL serum (SS)
     LAB                                                                            Accompanies report
                    PHOSPHATASE         Report available: Same day
     ALP
                                                                                                         Minimum: 0.5 mL
                                        CPT Code: 84075


                                        ALKALINE PHOSPHATASE
                                        FRACTIONATION (TOTAL AND
                                        THEMOSTABLE) (QUEST 142)
                                                                                                         2 mL serum (SS)
                  ALK PHOSPHATASE       Methodology: Kinetic
     LAB                                                                            Accompanies report
                     FRACTIONS          Set up: Daily
  ALKPHOSFR                                                                                              Minimum: 1.0 mL
                                        Report available: Next day

                                        CPT Code: 84075, 84078


                                        ALKALINE PHOSPHATASE, BONE
                                        SPECIFIC
                                                                                                         1 mL serum (SS)
                                        (QUEST 70452)
                     ALKALINE           Methodology: Chemimmunoluminescent
                                                                                                         Minimum: 0.3 mL
     LAB         PHOSPHATASE, BONE      Assay, Enzymatic                            Accompanies report
ALK PHOS BONE         SPECIFIC          Set up: Mon - Fri
                                                                                                         Grossly hemolyzed specimens will
                                        Report available: Next day
                                                                                                         be rejected.
                                        CPT Code: 84075


                                    ALKALINE PHOSPHATASE
                                    ISOENZYME ELECTROPHORESIS
                                    (QUEST 643)
                                    Report includes alkaline phosphatase                                 2 mL serum (SS)
     LAB         ALK PHOS ISOENZYME Methodology: Electrophoresis                    Accompanies report
   ALK ISO                          Set up: Mon-Fri, Sat                                                 Minimum: 1 mL
                                    Report available: Next day

                                        CPT Code: 84075, 84080


                                        See Appendix A for Allergy Panel Testing available through Quest Diagnostics.

                                        Use Appendix A to determine correct panel. If correct panel cannot be determined, order each allergen
                                        separately using Quest test code 534 and specify name of allergen


                                     ALPHA-1 ANTITRYPSIN
                                     (QUEST 448)
                                                                                                         1 mL serum (SS)
                                     Methodology: Nephelometric
     LAB         ALPHA-1-ANTITRYPSIN Set up: Mon - Sat                                 83-199 mg/dL
                                                                                                         Minimum: 0.5 mL
  ALP 1 ANTI                         Report available: Next day

                                        CPT Code: 82103

                                     ALPHA-1 ANTITRYPSIN (AAT)
                                     QUANTITATION AND PHENOTYPE
                                     (QUEST 116732)
                                                                                                         2 mL serum (SS)
                                     Methodology: Nephelometric, Isoelectric
                 ALPHA-1-ANTITRYPSIN
     LAB                             focusing                                       Accompanies report
                     QNT&PHENO                                                                           Minimum: 0.6 mL
  AAT QUANT                          Set up: Mon, Wed, Fri
                                     Report available: 4 days

                                        CPT Code: 82103, 82104




                                                                  Page 5 of 342
   LAB                  OE
                                                        TEST                          REFERENCE                      SPECIMEN
  ORDER                ORDER
                                                     PROCEDURE 6 of 342
                                                             Page                       RANGE                      REQUIREMENTS
 MNEMONIC              NAME

                                      ALPHA-1 ANTITRYPSIN, 24 HOUR FECES
                                      (QUEST 535115)
                                                                                                         24 hour feces in 24 hour container
                                      Methodology: Nephelometric
                 ALPHA-1-ANTITRYPSIN,                                                                    FROZEN
    LAB                               Set up: Mon-Fri                               Accompanies report
                        FECES
 A1A FECES                            Report available: 2 days
                                                                                                         Minimum: 2 grams
                                      CPT Code: 82103

                                     ALPHA-1 ANTITRYPSIN, RANDOM FECES
                                     (QUEST 535118)                                                      10 grams random feces in plain
                                     Methodology: Nephelometric                                          container
                 ALPHA 1 ANTITRYPSIN
     LAB                             Set up: Mon-Fri                                Accompanies report   FROZEN
                       FECES
ALP 1 ANTI STL                       Report available: 2 days
                                                                                                         Minimum: 2 grams
                                      CPT Code: 82103


                                     ALPHA-1 ANTITRYPSIN (AAT) MUTATION
                                     ANALYSIS
                                     (QUEST 15441)
                                     Methodology: Flourescent Restriction                                5 mL whole blood ( L)
                 ALPHA-1-ANTITRYPSIN Fragment Length Polymorphism
     LAB                                                                            Accompanies report
                     MUTATION        Set up: Mon, Wed, Fri
AAT MUTATION
                                     Report available: 6 days                                            Minimum: 2 mL

                                      CPT Code: 83891, 83892(x2), 83900, 83909,
                                      83912



                                                                                                         2 mL serum (SS) refrigerated FREEZE
                                                                                                         if greater then 24 hour delay in
                                                                                                         transporting to the laboratory.
                                                                                                         It is essential that complete and
                                      ALPHA-FETOPROTEIN TRIPLE SCREEN                                    accurate patient information be
                                      PROFILE (AFP, hCG, uE3)                                            included with each test request.
                                      (QUEST 29452)                                                      Required patient information is as
                                      Methodology:Calculation & Immunoassay                              follows:
                                      Set up: Mon-Fri                                                    1. Expectant mothers date of birth
     LAB                                                                            Accompanies report
                    TRIPLE SCREEN     Report available: Next day:                                        2. Date/time of sample collection
TRIPLE SCREEN
                                      Patient must be between 16-20 weeks                                3. Maternal weight (in pounds)
                                      gestation                                                          4. Number of fetuses
                                                                                                         5. Race
                                      CPT Code: 82105, 82677, 84702                                      6. Specify if mother is insulin-
                                                                                                         dependent diabetic
                                                                                                         7. Family history of NTD
                                                                                                         8. Accurate and complete gestional
                                                                                                         age.



                                      ALPHA-FETOPROTEIN, TUMOR MARKER
                                      Do not use this Test Code for Evaluation of
                                      open neural tube defects and Down
                                      Syndrome. Use for Males and Non-pregnant                           1 mL serum (SS) , refrigerated
                                      females.                                                           FREEZE if greater then 24 hour delay
    LAB           AFP TUMOR (CPAL)    Performed at CPAL                               0.0-14.9 ng/mL     in transporting to the laboratory.
 AFP TUMOR                            Methodology: Chemluminescence
                                      Set up: Mon-Fri                                                    Minimum: 0.2mL
                                      Report available: 48 hours

                                      CPT Code: 82105


                                    ALPHA-FETOPROTEIN FOR EVALUATION
                                    OF OPEN NEURAL TUBE DEFECT AND
                                    DOWN SYNDROME ON MATERNAL
                                                                                                         0.5 mL serum (SS), refrigerated
                                    SERUM
                                                                                                         FREEZE if greater than 24 hour delay
                                    (Quest 18512)
     LAB         MATERNAL SERUM AFP                                                 Accompanies report   in transporting to the laboratory.
                                    Methodology: Immunoassay
   AFP NTD
                                    Set up: Mon - Fri
                                                                                                         Minimum: 0.2 mL
                                    Report available: 24-48 hours

                                      CPT Code: 82105




                                                                 Page 6 of 342
    LAB                  OE
                                                           TEST                         REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                        PROCEDURE 7 of 342
                                                                Page                      RANGE                      REQUIREMENTS
  MNEMONIC              NAME


                                     ALPHA-FETOPROTEIN FOR EVALUATION
                                     OF OPEN NEURAL TUBE DEFECT AND
                                     DOWN SYNDROME ON AMNIOTIC FLUID
                                     (QUEST 7993)
                                     If the amniotic fluid AFP MoM is greater then                         0.5 mL amniotic fluid
                ALPHA FETO PROTEIN - 2.0, an acetylcholinesterase is automatically                         ROOM TEMP
     LAB                                                                              Accompanies report
                       AMNIO         performed at an additional charge.
  AFPAMNIO
                                     Methodology: Chemiluminescent                                         Minimum: 0.2 mL
                                     Set up: Daily
                                     Report available: Next Day

                                         CPT Code: 82106


                                         ALPHA-GALACTOSIDASE , SERUM
                                         (QUEST 83692)
                      ALPHA-             Methodology: Fluorometric
    LAB           GALACTOSIDASE,         Setup: Tues                                  Accompanies report   2 mL serum (SS) FROZEN
ALPHA GALACT          SERUM              Report Available: 9 days

                                         CPT Code: 84311


                                         17 ALPHA-HYDROXYPROGESTERONE -
                                         See Progesterone, 17 Alpha-Hydroxy


                                         ALPHA-SUBUNIT
                                         (QUEST 78232)
                                         Methodology: RIA                                                  2 mL serum (R )
     LAB           ALPHA-SUBUNIT         Set up: Mon, Wed                             Accompanies report
ALPHA-SUBUNIT                            Report Available: 3 days                                          Minimum: 0.3 mL

                                         CPT Code: 83519

                                         ALPRAZOLAM (QUEST 2159)
                                         Methodology: HPLC                                                 2 mL serum (DB,R);
                                         Detection Limit: 5 ng/mL                                          protect from light
                                         Set up:Mon, Wed, Fri                                              ROOM TEMP
    LAB             ALPRAZOLAM                                                        Accompanies report
                                         Report available: 4 days
ALPRAZOLAM
                                                                                                           Minimum: 1.0 mL
                                         CPT Code: 80154


                                         ALUMINUM (QUEST 2958)
                                         Methodology: Atomic Spectroscopy
                                                                                                           2 mL serum (DB)
                                         Set up: Mon, Wed, Fri
     LAB              ALUMINUM                                                        Accompanies report
                                         Report available: 3 days
  ALUMINUM                                                                                                 Minimum: 1 mL
                                         CPT Code: 82108

                                         AMA - See Anti-Mitochondrial
                                         Antibodies


                                         AMEBIC ANTIBODIES - See
                                         Entamoeba histolytica Antibodies

                                         AMIKACIN (QUEST 236)
                                         Methodology: Immunoassay
                                                                                                           1 mL serum (R)
                                         Detection Limit: 0.9 µg/mL
                                                                                                           ROOM TEMP
    LAB               AMIKACIN           Set up:Mon - Sat                             Accompanies report
  AMIKACIN                               Report available: Next day
                                                                                                           Minimum: 0.2 mL
                                         CPT Code: 80150

                                         AMINO ACIDS, QUALITATIVE
                                         (QUEST 36183X)                                                    2 mL unpreserved random urine
                                         Methodology: HPLC                                                 (sterile, leakproof container)
    LAB           AMINO ACID, QUAL       Set up: Tues, Thurs,Fri                      Accompanies report
 AMINO ACID                              Report available: 9 days
                                                                                                           Minimum: 0.5 mL
                                         CPT Code: 82128


                                                                      Page 7 of 342
     LAB                  OE
                                                             TEST                            REFERENCE                      SPECIMEN
    ORDER                ORDER
                                                          PROCEDURE 8 of 342
                                                                  Page                         RANGE                      REQUIREMENTS
   MNEMONIC              NAME

                                       AMINO ACIDS ANALYSIS, PLASMA
                                       (QUEST 0233)
                                                                                                                2 mL plasma (Gn Na-Hep)
                                       Methodology: LC/TMS
                  AMINO ACID ANALYSIS,                                                                          FROZEN
     LAB                               Set up: Mon - Fri                                   Accompanies report
                        PLASMA
 AMINO ACID PL                         Report available: 7 days
                                                                                                                Minimum: 0.3 mL
                                           CPT Code: 82128



                                           AMINO ACID QUANTITATION,
                                           PLASMA
                                           Referral test for QUEST
  QUEST 767X                               Methodology: LCMS
                   Universal Requisition                                                   Accompanies report   2 mL plasma (Gn) FROZEN
   Univ. Req.                              Set up: Mon - Fri
                                           Report available: 11 days

                                           CPT Code: 82139



                                           ANIMOPHYLLINE -See Theophylline


                                           AMIODARONE (CARDARONE)
                                           (QUEST 36721X)
                                           Includes desethylamiodarone
                                           Methodology: HPLC                                                    3 mL serum (R or DB)
      LAB         AMIODARONE GROUP         Detection limit: 0.1 µg/mL                      Accompanies report
  AMIODARONE                               Set up: Mon - Fri.                                                   Minimum: 1 mL
                                           Report available: 2 days

                                           CPT Code: 82492


                                       AMITRIPTYLINE (ELAVIL) (QUEST 423X)
                                       Includes nortriptyline
                                       Methodology: HPLC
                                       Detection limit: 5 ng/mL
     LAB          AMITRIPTYLINE, SERUM                                                     Accompanies report   3.0 mL serum (R)
                                       Set up: Mon - Fri.
    AMITRIP
                                       Report available: 3 days

                                           CPT Code: 80152

                                           AMMONIA
                                                                                                                3 mL plasma (Gn). Place on
                                           Methodology: glutamate dehydrogenase
                                                                                                                ice, centrifuge immediately.
                                           Set up: Daily
     LAB                AMMONIA                                                              17 - 60 umol/L     Keep stoppered at all times.
                                           Report available: Same day
     AMM                                                                                                        Draw at Hospital lab only.
                                           CPT Code: 82140


                                           AMNIOSTAT
                                           Rapid semi-quantitative assay for
                                           phosphatidlglycerol (PG) in amniotic
                                           fluid. Available on a STAT basis at
                                           Lancaster General Hospital.
   Univ. Req.
                   Universal Requisition                                                   Accompanies report   2 mL amniotic fluid
   LAB MISC                                Methodology: slide agglutination
                                           Set up: On request
                                           Report available: Phone report available from
                                           LGH on completion

                                           CPT Code: 84081


                                     AMOBARBITAL
                                     (QUEST 12261)
     LAB                                                                                                        2 mL whole blood (L)
                                     Methodology: GCMS
AMOBARBITAL BLD
                  AMOBARBITAL, BLOOD Set up: Mon,Wed,Fri                                   Accompanies report
                                     Report available: 5 days
                                                                                                                Minimum: 0.5 mL
                                           CPT Code: 82205




                                                                       Page 8 of 342
    LAB                  OE
                                                            TEST                         REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                         PROCEDURE 9 of 342
                                                                 Page                      RANGE                      REQUIREMENTS
  MNEMONIC              NAME
                                          AMP CYCLIC
                                          (ARUPTC 0070485)
 QUEST 4713                               Methodology: RIA
                  Universal Requisition                                                Accompanies report   1 mL random urine, FROZEN
  Univ. Req.                              Set up: Wed
                                          Report available: 2 days


                                    AMPHETAMINE PRESUMPTIVE
                                    SCREEN (QUEST 14697X)
                                    Methodology: Immunassay                                                 30 mL urine
                 AMPHETAMINE SCREEN
    LAB                             Set up: Mon - Sat.                                   None detected
                       URINE
  AMP SC UR                         Report available: Next day                                              Minimum: 10 mL

                                          CPT Code: 80101

                                          AMPHETAMINE VERIFICATION
                                          Methodology: GCMS                                                 15 mL random urine
                                          Detection limit: 200 ng/mL                                          -or-
 QUEST 1912
                  Universal Requisition   Set up: Daily                                Accompanies report   5 mL serum (DB)
  Univ. Req.
                                          Report available: 3 days
                                                                                                            Minimum: 5 mL
                                          CPT Code: 82145

                                          AMYLASE, SERUM                                                    1 ml blood (Gn -Li (PST))
                                          Methodology: Enzymatic                                                     or
                                          Set up: Daily                                                     1 mL serum (SS))
    LAB                AMYLASE                                                         Accompanies report
                                          Report available: Same day
  AMYLASE
                                                                                                            Minimum: 0.5 mL
                                          CPT Code: 82150


                                    AMYLASE, PLEURAL FLUID
                                    Methodology: Enzymatic
                                                                                            Less than
                                    Set up: Daily
    LAB          AMYLASE,BODY FLUID                                                    simultaneous serum   1 mL fluid, no preservative
                                    Report available: Same day
 BFAMYLASE                                                                                    values
                                          CPT Code: 82150

                                          AMYLASE, URINE
                                          Methodology: Enzymatic
                                                                                                            Timed or random specimen; no
                                          Set up: Daily
                    AMYLASE,URINE                                                                           preservative
     LAB                                  Report available: Same day                   Accompanies report
                       RANDOM
    UAMY                                  For 8 hour order UAMY8
                                                                                                            Minimum: 1 mL
                                          CPT Code: 82150


  QUEST 646                               AMYLASE/CREATININE
   Univ. Req.                             CLEARANCE RATIO
 (Discontinued                            This test has been discontinued by Quest
   10/14/08)                              effective 10/14/08.


                                          AMYLASE ISOENZYMES
                                          (FRACTIONATED)
                                          (QUEST 8142)
                                                                                                            1.5 mL serum (SS)
                    FRACTIONATED          Methodology: Enzymatic
     LAB                                                                               Accompanies report
                      AMYLASE             Set up: Mon - Fri
AMYLASE FRACT                                                                                               Minimum: 0.5 mL
                                          Report available: Next day

                                          CPT Code: 82150, 84999


                                          AMYTAL - See Amobarbital


                                          ANA - See Antinuclear Antibodies




                                                                       Page 9 of 342
  LAB                OE
                                                      TEST                            REFERENCE                      SPECIMEN
 ORDER              ORDER
                                                   PROCEDURE 10 of 342
                                                           Page                         RANGE                      REQUIREMENTS
MNEMONIC            NAME


                                    ANAEROBIC IDENTIFICATION
                                    When unable to identify an anaerobic isolate,
                                    organism will be sent to Quest Diagnostics                           Send pure culture of organism in
                                    Lab on request.                                                      suitable anaerobic transport system or
   LAB             LAB ONLY         Methodology: Biochemical and microscopic        Accompanies report   thioglycollate broth. An isolation
  ANA ID                            Set up: Mon - Fri.                                                   charge will be added for oprganisms
                                    Report available: 1 week                                             submitted in mixed culture.

                                    CPT Code: 87076


                                    ANAFRANIL - See Clomipramine


                                    ANALYZER PANEL
                                    (No longer available as of 11/20/07 - order
                                    tests seperately)
                                    Includes:
                                    Anti-Parietal Antibody (2092)
                                    SM and SM/RNP Antibodies (4272)
                                    Thyroid Peroxidase Ab(5292)
                                    Double Strand DNA Ab (5962)
                                    Mitochondrial M2 Ab IgG (6932)
                                    Anti-Reticulin Ab (8962)
                                    Actin Ab IgG (15043)
                                    Anti-Myocardial Ab (42682)
                                    Anti-Skeletal Muscle (0282)
                                    Scleroderma Ab (0542)
                                    SS-A and SS-B (0752)



                                 ANAPLASMA PHAGOCYTOPHILIUM
                                 ANTIBODIES (IgG, IgM)
                                 (QUEST 68972)
                                                                                                         1 mL serum (SS)
                                 Methodology: Indirect Immunoflorescence
             A. PHAGOCYTOPHILIUM
    LAB                          Assay                                              Accompanies report
                  ANTIBODIES                                                                             Minimum: 0.2 mL
A PHAGO AB                       Set up: Tues, Thurs
                                 Report available : Next day

                                    CPT Code: 86666X2



                                    ANCA - See Anti-PR3 and
                                    Anti-Myeloperoxidase Antibodies



                                    ANCA PROFILE #1 (QUEST 70159X)
                                    Includes: ANCA screen, Anti-PR3 &
                                    Anti-Myeloperox and reflexes to the
                                    c-ANCA, p-ANCA and/or atypical                                       1 mL serum (SS)
                                    p-ANCA titers as indicated.
   LAB           ANCA PROFILE                                                       Accompanies report
                                    Methodology: Immunoassay                                             Minimum: 0.5 mL
ANCA PROF
                                    Set up: Mon - Fri
                                    Report available : 3 days

                                    CPT Code: 86021 X3


                                    ANDROSTENEDIONE (QUEST 17182)
                                    Methodology: RIA
                                                                                                         0.5 mL serum (R)
                                    Set up: Sun - Fri
   LAB        ANDROSTENEDIONE                                                       Accompanies report
                                    Report available : 6 days
ANDROSTEN                                                                                                Minimum: 0.1 mL
                                    CPT Code: 82157


                                    ANEMIA, SICKLE CELL - See Sickle Cell
                                    Anemia Screen




                                                               Page 10 of 342
    LAB                    OE
                                                            TEST                              REFERENCE                       SPECIMEN
   ORDER                  ORDER
                                                         PROCEDURE 11 of 342
                                                                 Page                           RANGE                       REQUIREMENTS
  MNEMONIC                NAME

                                         ANEMIA PANEL
                                         Includes: FE, TIBC, TRANSFERRIN,
                                         FERRITIN, FOLATE, VITB12                                                2 Gn -Li (PST) tubes
                                         Methodology: Various                                                             or
     LAB              ANEMIA PANEL       Set up: Daily                                      Accompanies report   2 serum (SS) tubes
 ANEMIA PANEL                            Report available: Same day
                                                                                                                 Minimum: 3.0 mL
                                         CPT Codes:
                                         83540,84466,82746,82607,82728


                                         ANERGY PANEL (SKIN TEST) - Not
                                         performed by Laboratory

                                         ANGIOTENSIN-1-CONVERTING
                                         ENZYME, SERUM (QUEST 563)                                               1 mL serum (RED)
                                         Methodology: Kinetic
                      ANGIOTENSIN-1
     LAB                                 Set up: Mon - Sat.                                 Accompanies report   Minimum: 0.5 mL
                     CONVERTING ENZ
  ANGIOTEN1                              Report available : Next day

                                         CPT Code: 82164


                                         ANGIOTENSIN-1-CONVERTING ENZYME,
                                         CSF
                                         (QUEST 34692)
                      ANGIOTENSIN                                                                                1.0 mL CSF
                                         Methodology: Kinetic
      LAB          CONVERTING ENZYME                                                        Accompanies report
                                         Set up: Mon - Sun
ANGIOTENSIN CSF           CSF                                                                                    Minimum: 0.2 mL
                                         Report available : Next day

                                         CPT Code: 82164

                                         ANTIBODY ELUTION
                                         Performed as indicated when a patient has a
     BB                 LAB ONLY         positive Direct Coombs.                                                 4 mL whole blood (Pink)
     ELU
                                         CPT Code: 86860

                                         ANTIBODY IDENTIFICATION, RED CELL
                                                                                                                 6.0 mL whole blood (Pink)
                                         Methodology: Hemagglutination
                                         Set up: Daily, as indicated
      BB                LAB ONLY                                                            Accompanies report   Please include clinical history, e.g.
                                         Report available : Next day
     ABID                                                                                                        dates of Rh immune globulin
                                                                                                                 administration, medication history.
                                         CPT Code: 86870


                                         ANTIBODY SCREEN (INDIRECT COOMBS)
                                         Methodology: Hemagglutination
                     ANTIBODY SCRN -     Set up: Daily
      BB                                                                                      None detected      6.0 mL whole blood (Pink)
                    INDIRECT COOMBS      Report available : Same day
     ABSC
                                         CPT Code: 86850


                                         ANTIBODY SCREEN AND TITER IF
                                         INDICATED
                                         If antibody screen is positive, a charge will be
                                         added for antibody titer.
     BB              ANTIBODY TITER      Methodology: Hemagglutination                                           6.0 mL whole blood (Pink)
   ABTITER                               Set up: Daily, as needed
                                         Report available :24 - 48 hours

                                         CPT Code: 86886


                                      ANTIBODY TO PM - Scl
                                      (QUEST 37103)
                                                                                                                 1 mL serum (R )
                                      Methodology: ID
      LAB         ANTI PM SCLERODERMA
                                      Set up: Sun - Tues, Thurs                             Accompanies report
  ANTI PM SCL           ANTIBODY                                                                                 NOTE: Serum separator tubes will be
                                      Report available : 6 days
                                                                                                                 REJECTED as of 1/17/2011
                                         CPT Code: 86235




                                                                      Page 11 of 342
    LAB                   OE
                                                            TEST                         REFERENCE                    SPECIMEN
   ORDER                 ORDER
                                                         PROCEDURE 12 of 342
                                                                 Page                      RANGE                    REQUIREMENTS
  MNEMONIC               NAME

                                          ANTI-CARDIOLIPIN ANTIBODIES PANEL 1
                                          (IgG, IgM)
                                          (QUEST 1915)                                                     1 mL serum (SS)
                    ANTI-CARDIOLIPIN      Methodology: EIA
     LAB                                                                              Accompanies report
                        PANEL 1           Set up: Mon - Fri, Sun.                                          Minimum: 0.5 mL
  CARD PAN 1
                                          Report available : Next day

                                          CPT Code: 86147x2

                                          ANTI-CARDIOLIPIN ANTIBODIES PANEL 2
                                          (IgG, IgA, IgM)
                                          (QUEST 3485)
                                                                                                           1 mL serum (SS)
                    ANTI-CARDIOLIPIN      Methodology: EIA
     LAB                                                                              Accompanies report
                        PANEL 2           Set up: Mon - Fri, Sun.
  CARD PAN 2                                                                                               Minimum: 1.0 mL
                                          Report available : Next day

                                          CPT Code: 86147x3

                                       ANTI-CARDIOLIPIN IgA
                                       (QUEST 4661)
                                                                                                           1 mL serum (SS)
                                       Methodology: EIA
     LAB          ANTI-CARDIOLIPIN IGA Set up: Mon - Fri                              Accompanies report
                                                                                                           Minimum: 0.5 mL
  CARDIO IGA                           Report available : Next day

                                          CPT Code: 86147


                                       ANTI-CARDIOLIPIN IgG
                                       (QUEST 4662)
                                       Methodology: EIA                                                    1 mL serum (SS)
     LAB          ANTI-CARDIOLIPIN IGG Set up: Mon - Fri                              Accompanies report
  CARDIO IGG                           Report available : Next day                                         Minimum: 0.5 mL

                                          CPT Code: 86147


                                       ANTI-CARDIOLIPIN IgM
                                       (QUEST 4663)
                                                                                                           1 mL serum (SS)
                                       Methodology: EIA
     LAB          ANTI-CARDIOLIPIN IGM Set up: Mon - Fri                              Accompanies report
                                                                                                           Minimum: 0.5 mL
  CARDIO IGM                           Report available : Next day

                                          CPT Code: 86147

                                          ANTI-CCP ANTIBODY - See CCP
                                          ANTIBODY

                                          ANTI-CENTROMERE ANTIBODIES
                                          (QUEST 16088)
                                                                                                           1 mL serum (SS)
                   ANTI-CENTROMERE        Methodology: Immunoassay                                         Fasting Speimen Preferred
      LAB                                                                             Accompanies Report
                         ANTIB            Set up: Mon - Sat.
   ANTI-CENT
                                          Report available : Next day                                      Minimum: 0.5 mL

                                          CPT Code: 86038


                                       ANTI-COCKLEAR ANTIBODIES TO INNER
                                       EAR ANTIGEN (68kD)(HSP-70 Antibody)
                                       (QUEST 36734)
      LAB       HSP-70 ANTIBODY/ ANTI- Methodology: WB
                                                                                      Accompanies report   2 mL serum (SS)
HSP-70 ANTIBODY        68 kD AG        Set up: Tues, Fri
                                       Report available : 5 days

                                          CPT Code: 84181

                                          ANTI-CYCLIC CITRULLINATED PEPTIDE -
                                          See CCP Antibody




                                                                     Page 12 of 342
   LAB                  OE
                                                           TEST                                REFERENCE                     SPECIMEN
  ORDER                ORDER
                                                        PROCEDURE 13 of 342
                                                                Page                             RANGE                     REQUIREMENTS
 MNEMONIC              NAME


                                                                                                                 2 mL EDTA plasma (L)
                                     ANTI-DIURETIC HORMONE (ADH)
                                                                                                                 FROZEN or 2 mL heparinized plasma
                                     (Arginine Vasopressin)
                                                                                                                 (Gn) FROZEN. Patient should be
                                     (QUEST 8243)
                                                                                                                 fasting and supine during blood
     LAB                             Methodology: Extraction, RIA
                ARGININE VASOPRESSIN                                                        Accompanies report   collection. Collect blood in prechilled
ARGININE VASO                        Set up: Mon, Wed, Fri
                                                                                                                 EDTA or heparin tube. Centriguge
                                     Report available : 8 days
                                                                                                                 within 1 hour of collection.
                                       CPT Code: 84588
                                                                                                                 Minimum: 1.1 mL



                                       ANTI-dsDNA SCREEN (double-stranded)
                                       If screen is positive, a titer will be performed.
                                       Performed at CPAL.
                      ANTI-DNA         Methodology: IFA
    LAB                                                                                          Negative        1 mL serum (SS)
                   ANTIBODY(CPAL)      Set up: Mon, Wed, Fri..
  ANTI-DNA
                                       Report available : Next day

                                       CPT Code: 86255



                                       ANTI-ssDNA IgG ANTIBODIES (single
                                       stranded)
                                       (QUEST 45972)
                                                                                                                 1 mL serum (SS)
     LAB         SINGLE STRAND DNA     Methodology: EIA
                                                                                           Accompanies report
ANTI DNA IGG        IGG ANTIBODY       Set up: Tues, Thurs
                                                                                                                 Minimum: 0.5 mL
                                       Report available : Next day

                                       CPT Code: 86226


                                       ANTI-ENA ANTIBODIES
                                       Includes antibodies to Smith antigen (Sm), an
                                       acidic nuclear protein, and to
                                       ribonucleoprotein (RNP).
                                       Performed at CPAL.
    LAB            ANTI-ENA (CPAL)                                                               Negative        1 mL serum (SS)
                                       Methodology: Ochterlony gel
  ANTI-ENA
                                       Set up: Wed, Sat.
                                       Report available : 3 days

                                       CPT Code: 86235x2


                                       ANTI-ENDOMYSIAL ANTIBODIES
                                       Refer to ENDOMYSIAL ANTIBODY SCREEN
                                                                                                                 5 mL whold blood (Pink)
                                       ANTIGEN TESTING, RBC
                                                                                                                 Minimum: 2 mL
     BB                                Methodology: Hemagglutination
                      LAB ONLY                                                              Accompanies report
    AGID                               Set up: Daily
                                                                                                                 Please specify antigen to be tested for
                                       Report available : Same day
                                                                                                                 under Special instructions on request
                                                                                                                 form.

                                       ANTI-GLIADIN/GLUTEN PANEL
                                       (QUEST 3502)
                                       Includes IgG and IgA
                                                                                                                 1 mL serum (SS)
                 ANTI-GLIADIN/GLUTEN   Methodology: EIA
     LAB                                                                                    Accompanies report
                        PANEL          Set up: Mon - Fri.
  GLIAD PAN                                                                                                      Minimum: 0.5 mL
                                       Report available : Next day

                                       CPT Code: 83516x2

                                       ANTI-GLUTEN/GLIADIN ANTIBODIES, IgA
                                       (QUEST 11228X)
                                       Methodology: EIA                                                          1 Ml Serum (SS)
                 ANTI GLIADIN/GLUTEN
     LAB                               Set up: Mon - Fri.                                   Accompanies report
                          IGA
  GLIAD IGA                            Report available : Next day                                               Minimum: 0.5 mL

                                       CPT Code: 83516




                                                                     Page 13 of 342
  LAB                 OE
                                                         TEST                             REFERENCE                     SPECIMEN
 ORDER               ORDER
                                                      PROCEDURE 14 of 342
                                                              Page                          RANGE                     REQUIREMENTS
MNEMONIC             NAME

                                       ANTI-GLUTEN/GLIADIN ANTIBODIES, IgG
                                       (QUEST 7973)
                                       Methodology: EIA                                                     0.5 mL serum (SS)
              ANTI GLIADIN/GLUTEN
    LAB                                Set up: Mon - Fri.                              Accompanies report
                      IGG
 GLIAD IGG                             Report available : Next day                                          Minimum: 0.5 mL

                                       CPT Code: 83516

                                       ANTI-GLOMERULAR BASEMENT
                                       MEMBRANE ANTIBODIES (ANTI-GBM)
                                       (QUEST 257X)
                                       Methodology: EIA                                                     1 mL serum (SS)
               ANTI-GLOMERULAR
   LAB                                 Set up: Mon - Sat.                              Accompanies report
                  BASEMENT
 ANTI-GBM                              Report available : Next day                                          Minimum: 0.5 mL

                                       CPT Code: 83520


                                       ANTI-HEPATITIS ANTIBODIES - See
                                       Hepatitis Tests

                                       ANTI-HISTONE ANTIBODIES
                                       (QUEST 37056X)                                                       1 mL serum (SS)
                                       Methodology: EIA                                                     FREEZE
                  ANTI-HISTONE
   LAB                                 Set up: Mon, Wed., Fri.                        Accompanies report    Overnight fasting is preferred
                   ANTIBODY
ANTI-HISTO                             Report available : Next day
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 83516

                                       ANTI-Hu - See Hu Autoantibody (Western
                                       Blot)

                                       ANTI-Hu ANTIBODY TYPE 1- See
                                       NEURONAL NUCLEAR (Hu) ANTIBODY

                                       ANTI-ISLET CELL ANTIBODIES
                                       Methodology: IFA
                                                                                                            1 mL serum (SS)
QUEST 36741                            Set up: Mon - Thurs
               Universal Requisition                                                   Accompanies report
 Univ. Req.                            Report available : 5 days
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 86341

                                       ANTI-Jo-1 ANTOBODIES
                                       (QUEST 5810X)
                                       Methodology: EIA                                                     1 mL serum (SS)
   LAB         ANTI-JO1 ANOTBODY       Set up: Mon Sat                                 Accompanies report
 ANTI-JO1                              Report available : Next day                                          Minimum: 0.5 mL

                                       CPT Code: 86235


                                       ANTI-LKM - See Liver-Kidney Microsomal
                                       Antibodies

                                       ANTI-MICROSOMAL ANTIBODIES - See Anti-Thyroid Microsome
                                       (TPO) (Thryoid Peroxidase Antibodies)


                                       ANTI-MITOCHONDRIAL ANTIBODIES
                                       (QUEST 30321X)
                                       Methodology: EIA                                                     1 mL serum (SS)
              ANTI-MITOCHONDRIAL
   LAB                                 Set up: Mon, Wed, Fri.                          Accompanies report
                   ANTIBODY
   AMA                                 Report available : Next day                                          Minimum: 0.5 mL

                                       CPT Code: 83520


                                 ANT-MYELOPEROXIDASE (pANCA
                                 COMPONENT) ANTIBODIES
                                 (QUEST 8796)
                                                                                                            1 mL serum (SS)
                     ANTI-       Methodology: EIA
   LAB                                                                                 Accompanies report
              MYELOPEROXIDASE AB Set up: Mon - Fri.
ANTI-MYELO                                                                                                  Minimum: 0.5 mL
                                 Report available : Next day

                                       CPT Code: 86021



                                                                     Page 14 of 342
    LAB                  OE
                                                              TEST                         REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                           PROCEDURE 15 of 342
                                                                   Page                      RANGE                      REQUIREMENTS
  MNEMONIC              NAME

                                          ANTI-NEURONAL ANTIBODIES
                                          (NEURONAL NUCLEAR Hu ANTIBODY) -
                                          See Hu Antibody



                                          ANTI-NEUROPHIL CYTOPLASMIC
                                          ANTIBODIES - See ANTI-PR3



                                          ANTINUCLEAR ANTIBODIES (ANA)
                                          Performed at CPAL.
                                          If screen is positive, pattern and titer are
                                          reported and charged.                                               1 mL serum (SS)
     LAB             ANA SCREEN           Methodology: IFA                                    Negative            -or-
   ANA SCR                                Set up: Mon - Fri.                                                  1 mL pleural fluid
                                          Report available : Next day

                                          CPT Code: 86038


                                     ANTIPHOSPHOLIPED ANTIBODY PANEL
                                     (QUEST 148908)
                                     Methodology: EIA                                                         5 mL serum (SS)
      LAB        ANTIPHOSPHOLIPED AB Set up: Tues, Thurs                                 Accompanies report
ANTIPHOS PANEL          PANEL        Report available : Next day                                              Minimum: 2.3 mL

                                          CPT Code: 86146X3, 86147X3, 86148X3


                                          ANTI-PR3 (cANCA) ANTIBODIES
                                          (QUEST 34151X)
                                          Included in ANCA Profile #1
                                                                                                              1 mL serum (SS)
                  ANTI-NEUTRO CYTO
     LAB                                  Methodology: EIA                               Accompanies report
                      ANTIBODY
  ANTI-NEUTR                              Set up: Mon - Fri.                                                  Minimum: 0.5 mL
                                          Report available : Next day

                                          CPT Code: 86021

                                          ANTIRETICULIN IgG AND IgA ANTIBODIES
                                          Methodology: IFA
                                                                                                              1 mL serum (SS)
  QUEST 8962                              Set up: Mon - Fri.
                  Universal Requisition                                                  Accompanies report
   Univ. Req.                             Report available : Next day
                                                                                                              Minimum: 0.5 mL
                                          CPT Code: 86255x2


                                          ANTI-RNP, ANTI-Sm - See Anti-ENA


                                          ANTI-Ro (SS-A), ANTI-La (SS-B) - See
                                          Sjögrens Syndrom Antibodies

                                          ANTI-SCLERODERMA (Scl-70)
                                          ANTIBODIES - See Scleroderma (Sci-70)
                                          Antibodies


                                          ANTI-SJöGREN'S SYNDROME
                                          ANTIBODIES SS-A (RO), ss-b(La)- See
                                          Sjögrens Syndrom Antibodies

                                          ANTI-SKELETAL MUSCLE ANTIBODIES -
                                          See Striated Muscle Antibody with Reflex
                                          to Titer

                                          ANTI-SKIN ANTIBODIES - See Skin
                                          Antibodies

                                          ANTI-SMITH -See Anti-ENA




                                                                        Page 15 of 342
   LAB                OE
                                                        TEST                             REFERENCE                    SPECIMEN
  ORDER              ORDER
                                                     PROCEDURE 16 of 342
                                                             Page                          RANGE                    REQUIREMENTS
 MNEMONIC            NAME

                                 ANTI-SMOOTH MUSCLE ANTIBODIES
                                 (ACTIN ANTIBODY)
                                 (QUEST 15043)
                                                                                                           1 mL serum (R)
              ANTO-SMOOTH MUSCLE Methodology: ELISA
     LAB                                                                              Accompanies report
                   ANTIBODY      Set up: Mon - Fri.
ANTI-SMOOTH                                                                                                Minimum: 0.3 mL
                                 Report available : Next day

                                      CPT Code: 83516


                                      ANTI-SPERM ANTIBODY TYPING -
                                      INDIRECT (IgG, IgA)
                                      (QUEST 19492)
                                                                                                           1 mL serum (R)
                SPERM ANTIBODY        Methodology: Immunobeads
    LAB                                                                               Accompanies report
                    IGG/IGA           Set up: Wed, Fri.
 SPERM AB                                                                                                  Minimum: 0.3 mL
                                      Report available : 3 days

                                      CPT Code: 89325x2



                                      ANTI-STREPTOCOCCAL Dnase B
                                      (STREPTODORNASE) ANTIBODIES
                                      (QUEST 2952)
                                                                                                           1 mL serum (SS)
   LAB          STREPTOCOCCAL         Methodology: Nephelometry
                                                                                     Accompanies report
DNASE-B AB     DNASE-B ANTIBODY       Set up: Mon - Fri
                                                                                                           Minimum: 0.4 mL
                                      Report available : 3 days
                                      Reference Send Out Test for Quest
                                      CPT Code: 86215



                                      ANTI-STREPTOCOCCAL EXOENZYME
                                      SCREEN
                                      (QUEST 6992)
                                      Screen for antibodies to streptolysin,
                                      streptokinase, hyaluronidase, Dnase B, and
                                      NADase. If positive, assays for ASO and Anti-
                                                                                                           1 mL serum (SS)
   LAB          STREPTOCOCCAL         Streptococcal Dnase B can be helpful.
                                                                                    Accompanies report
ANTI-STREP     EXOENZYME AB SCR       Positive screens are quantitated.
                                                                                                           Minimum: 0.5 mL
                                      Methodology: Agglutination
                                      Set up: Mon - Sat
                                      Report available : Next day

                                      CPT Code: 86403


                                      ANTI-STREPTOLYSIN O ANTIBODIES
                                                                                     0 - 5 years    0-
                                      Performed at CPAL.
                                                                                     100 IU/mL
                                      Methodology: Nephelometry
                ANTI-STREP TITER                                                     6 - 18 years   0-
    LAB                               Set up: Mon - Sat.                                                   1 mL serum (SS)
                     (CPAL)                                                          250 IU/mL
    ASO                               Report available : 24 - 48 hours
                                                                                     >18 years      0-
                                                                                     117 IU/mL
                                      CPT Code: 86060

                                      ANTITHROMBIN III (QUEST 216)
                                      Methodology: Chromogenic
                                                                                                           1 mL plasma (LB) FROZEN
                                      Set up: Mon - Fri.
   LAB          ANTITHROMBIN III                                                      Accompanies report   Specimens received thawed or
                                      Report available : Next day
 ANTITH III                                                                                                hemolyzed are unacceptable.
                                      CPT Code: 85300

                                 ANTI-THYROGLOBULIN ANTIBODIES
                                 Performed at CPAL.
                                 Included in Anti-Thyroid Antibody Profile.
              ANTI-THYROGLOBULIN Methodology: Chemiluminescence
    LAB                                                                                    < 41 IU/mL      1 mL serum (SS)
                     (CPAL)      Set up: Mon - Sat
 ANTI TG AB
                                 Report available : Next day

                                      CPT Code: 86800




                                                                    Page 16 of 342
  LAB                  OE
                                                        TEST                            REFERENCE                       SPECIMEN
 ORDER                ORDER
                                                     PROCEDURE 17 of 342
                                                             Page                         RANGE                       REQUIREMENTS
MNEMONIC              NAME

                                      ANTI-THYROID ANTIBODY PROFILE
                                      Anti-Thyroglobulin and Anti-Thyroid
                                      microsomal (TPO) antibodies.
                                      Performed at CPAL.
               ANTI-THYROID ANTIB
   LAB                                Methodology: Chemiluminescence                 See individual tests   2 mL serum (SS)
                   GRP (CPAL)
 ANTI-THY                             Set up: Mon - Sat
                                      Report available: Next day

                                      CPT Code: 86376


                                      ANTI-THYROID MICROSOMAL / THYROID
                                      PEROXIDASE (TPO) ANTIBODIES
                                      Performed at CPAL.
                  ANTI-THYROID        Methodology: Chemiluminatescence
   LAB                                                                                    35 IU/mL          1 mL serum (SS)
               MICROSOMAL (CPAL)      Set up: Mon - Sat
 ANTI-TPO
                                      Report available : Next day

                                      CPT Code: 86376


                                      ANTITRYPSIN -See Alpha-1 Antitrypsin


                                      AOPLIPOPROTEIN A-1
                                      (QUEST 22252)                                                         2.0 mL serum (SS)
                                      Methodology: Nephelometry                                             Fasting at least 12 hours is
   LAB
              APOLIPOPROTEIN A-1      Set up: Mon - Sat.                             Accompanies report     required.
APOLIPO A-1
                                      Report available : Next day
                                                                                                            Minimum: 0.5 mL
                                      CPT Code: 82172


                                      APOLIPOPROTEIN B-100
                                      (QUEST 22262)                                                         2.0 mL serum (R)
                                      Methodology: Nephelometry                                             Fasting at least 12 hours is
   LAB
               APOLIPOPROTEIN B       Set up: Mon - Sat.                             Accompanies report     required.
APOLIPO B
                                      Report available : Next day
                                                                                                            Minimum: 0.2 mL
                                      CPT Code: 82172

                                      APT TEST
                                      (QUEST 030)
                                                                                                            Bloody stool, bloody vomitus or bloody
                                      Methodology: Colormetric
   LAB         FETAL HEMOGLOBIN                                                                             diaper
                                      Set up: Mon - Fri.                             Accompanies Report
 APT TEST          APT TEST
                                      Report available : Next day
                                                                                                            Minimum: 1 Ml
                                      CPT Code: 85460


                                      APTT - See Activated Partial
                                      Thromboplastin Time



                                  ARBOVIRUS IgG ANTIBODY PANEL
                                  (QUEST 13522)
                                  For antibodies to St. Louis, Western Equine,
                                  and Eastern Equine Encephalitits and the
                                                                                                            1 mL serum (SS)
                                  California Encephalitits group.
   LAB        ARBOVIRUS IGG PANEL                                                    Accompanies report
                                  Methodology: IFA
ENCEP IGG                                                                                                   Minimum: 0.2 mL
                                  Set up: Mon - Fri
                                  Report available : 3 days

                                      CPT Code: 86651, 86652, 86653, 86654




                                                                    Page 17 of 342
     LAB                   OE
                                                             TEST                               REFERENCE                      SPECIMEN
    ORDER                 ORDER
                                                          PROCEDURE 18 of 342
                                                                  Page                            RANGE                      REQUIREMENTS
   MNEMONIC               NAME


                                      ARBOVIRUS IgM ANTIBODY PANEL
                                      (QUEST 14532)
                                      For antibodies to St. Louis, Western Equine,
                                      and Eastern Equine Encephalitits and the
                                                                                                                   1 mL serum (SS)
                                      California Encephalitits group.
      LAB         ARBOVIRUS IGM PANEL                                                         Accompanies report
                                      Methodology: IFA
   ENCEP IGM                                                                                                       Minimum: 0.2 mL
                                      Set up: Tues, Thurs
                                      Report available : Next day

                                          CPT Code: 86651, 86652, 86653, 86654



                                          ARSENIC (QUEST 035)
                                          Seafood and herbal supplements should not
                                          be consumed for at least 3 days before
                                          specimen collection.
                                          Methodology: ICP-MS                                                      5 mL whole blood (L)
      LAB            ARSENIC, BLOOD       Detection limits: Urine: 10 µg/L                    Accompanies report
    ARSENIC                                                Blood: 0.3 µg/dL                                        Minimum: 2 mL
                                          Set up: Mon, Wed, Fri.
                                          Report available : 3 days

                                          CPT Code: 82175



                                          ARYLSULFATASE A
                                          (QUEST 34694)
                                          Methodology: Enzymatic                                                   20 mL random urine
      LAB           ARYLSULFATASE A       Set up: Thurs                                       Accompanies report
ARYLSULFATASE A                           Report available : 2 days                                                Minimum: 5 mL

                                          CPT Code: 84311


                                          ASCORBIC ACID - See Vitamin C


                                          ASMA - See Anti-Smooth Muscle
                                          Antibodies


                                          ASO - See Anti-streptolysin O Antibodies


                                          ASPARTATE TRANSAMINASE (AST)
                                          (SGOT)                                                                   1 ml blood (Gn -Li (PST))
                                          Methodology: Enzymatic                                                            or
                    ASPARTATE AMINO
      LAB                                 Set up: Daily                                       Accompanies report   1 mL serum (SS)
                      TRANSFERASE
     SGOT                                 Report available : Same day
                                                                                                                   Minimum: 0.5 mL
                                          CPT Code: 84450

                                          ASPERGILLUS BATTERY - See
                                          Hypersensitivity Pneumonitis Aspergillus
                                          Battery


                                          ASPERGILLUS ANTIBODIES SCREEN
                                          (QUEST 20341X)
                                          Fro detection of antibodies to either
                                          Aspergillus fumigatus, A. flavus, or A. niger.
                                          To distinguish reactivity for individual antigens
                                                                                                                   1 mL serum (SS)
                      ASPERGILLUS         of Aspergillus species, see Hypersensitivity
      LAB                                                                                     Accompanies report
                    ANTIBODY SCREEN       Pneumonitis Aspergillus Battery.
    ASP SCR                                                                                                        Minimum: 0.2 mL
                                          Methodology: ID
                                          Set up: Tues, Thurs, Sat.
                                          Report available : 3 days

                                          CPT Code: 86606x3




                                                                       Page 18 of 342
    LAB                   OE
                                                            TEST                          REFERENCE                      SPECIMEN
   ORDER                 ORDER
                                                         PROCEDURE 19 of 342
                                                                 Page                       RANGE                      REQUIREMENTS
  MNEMONIC               NAME

                                     ASPERGILLUS FUMIGATIS ANTIBODIES
                                     (QUEST 2962)
                                     CF is less sensitive than immunodiffusion;
                                     however, CF reactivity is more indicative of
                                     recent infection than ID reactivity. See fungal                         1 mL serum (SS)
                     ASPERGILLUS
     LAB                             Antibody Screen ID.                                Accompanies report   Fasting Specimen Preferred
                  FUMIGATUS ANTIBODY
  ASP FUM AB                         Methodology: CF                                                         Minimum: 0.5 mL
                                     Set up: Mon - Fri
                                     Report available : 2 days

                                          CPT Code: 86606


                                          ASPERGILLUS IgG Antibodies
                                          (QUEST 117402)
                                          Referral test for Quest
                                                                                                             1 mL serum (R)
     LAB            ASPERGILLUS IGG       Methodology: EIA
                                                                                        Accompanies report
ASPERGILLUS IGG       ANTIBODIES          Set up: Wed and Sat
                                                                                                             Minimum: 0.8 mL
                                          Report available : 3 days

                                          CPT Code: 86606


                                   ASPERGILLUS ANTIGEN
                                   (QUEST 14950)
                                                                                                             2 mL serum (SS)
                                   Methodology: Immunoassay
     LAB             ASPERGILLUS                                                                             FREEZE
                                   Set up: Mon - Fri                                    Accompanies report
   ASPER AG       GALACTOMANNAM AG
                                   Report available : Next day
                                                                                                             Minimum: 1 mL
                                          CPT Code: 87305


                                          ASPIRIN - See Salicylate

                                          AVITAN - See Lorazepam

                                          AVENTYL - See Nortriptyline

                                          B27 - See HLA-B27 Histocompatibility
                                          Antigen



                                          B CELLS (CD20)                                                     10 mL whole blood (Gn Na-Hep)
                                          (QUEST 20731)                                                                    -AND-
                                          Methodology: FCM                                                   5 mL whole blood (EDTA -LAV)
      LAB             B-CELLS CD20        Set up: Mon -Sat                              Accompanies report   Minimum: 1 mL
 B CELLS (CD20)                           Report available: Next day
                                                                                                             ROOM TEMP
                                          CPT Code: 86356                                                    .



                                          BACLOFEN
                                          (QUEST 7265)
                                          Referral test for QUEST.
                                                                                                             2 mL plasma (L)
      LAB              BACLOFEN,          Methodology: LC/TMS
                                                                                        Accompanies report
   BACLOFEN          SERUM/PLASMA         Set up: Mon, Wed, Fri.
                                                                                                             Minimum: 0.4 mL
                                          Report available : 3 days

                                          CPT Code: 80299


                                       BABESIA DNA BY PCR
                                       (QUEST 112451)
                                                                                                             1 mL whole blood (L or Y).
                                       Methodology: RT-PCR
      LAB         BABESIA MICROTI DNA,                                                                                   OR
                                       Set up: Daily                                    Accompanies report
 B MICROTI DNA            PCR                                                                                1 tick submitted in ETOH in sterile
                                       Report available: 3 days
                                                                                                             container
                                          CPT Code: 87798




                                                                       Page 19 of 342
    LAB                      OE
                                                              TEST                         REFERENCE                     SPECIMEN
   ORDER                    ORDER
                                                           PROCEDURE 20 of 342
                                                                   Page                      RANGE                     REQUIREMENTS
  MNEMONIC                  NAME

                                             BABESIA MICROTI IgG, IgM ANTIBODY
                                             PANEL
                                             Methodology: IFA                                                1 mL serum (SS)
     LAB               BABESIA MICROTI
                                             Set up: Tuesday                            Accompanies report
BABESIA AB PAN         ANTIBODY PANEL
                                             Report available: 8 days                                        Minimum: 0.5 mL

                                             CPT Code: 86753x2




       LAB                                   BACTERIAL MENINGITIS ANTIGENS,
     BACAG                                   AGGLUTINATION
Test discontinued                            Test discontinued 7/1/10.
      7/1/10.




                                             BARBITURATES, serum
                                             (QUEST 18977)                                                   7 mL plasma (Gy) or serum (R or DB)
                                             Methodology: Immunoassay                                        Centrifuge and separate
    LAB                                      Detection limit: 100 ng/mL                                      plasma/serum from cells and place in
                        BARBITURATES                                                   Accompanies report
BARBITURATES                                 Set up: Mon - Fri                                               plastic screw_capped vial.
                                             Report available :1 day
                                                                                                             Minimum: 1 mL
                                             CPT Code: 80101



                                        BARBITURATES, IDENTIFICATION WITH
                                        QUANTITATION - PLASMA
                                        (amobarbital, butabarbital, butalbital,
                                                                                                             2 mL plasma (L) or serum (R or DB)
                                        pentobarbital, phenobarbital, and
                                                                                                             Centrifuge and separate plasma from
                                        secobarbital)
     LAB            BARBITURATES,PLASMA                                                                      cells and place plasma in plastic
                                        Methodology: GCMS                              Accompanies report
BARBITURAT PL            ID W/QUANT                                                                          screw_capped vial.
                                        Detection limit: 0.1 µg/mL
                                        Set up: Mon - Sat
                                                                                                             Minimum: 1 mL
                                        Report available : 3 - 4 days

                                             CPT Code: 82205

                                        BARBITURATES, IDENTIFICATION WITH
                                        QUANTITATION - URINE
                                        (amobarbital, butabarbital, butalbital,
                                        pentobarbital, phenobarbital, and                                    20 mL random urine in plastic,
                                        secobarbital)                                                        leakproof container
      LAB           BARBITURATES, URINE
                                        Methodology: GCMS                              Accompanies report
BARBITURATE UR          ID W/QUANT
                                        Detection limit: 0.1 µg/mL
                                        Set up: Mon - Sat                                                    Minimum: 5 mL
                                        Report available : 3 - 4 days

                                             CPT Code: 82205


                                             BARBITUATE PRESUMPTIVE SCREEN,
                                             URINE
                                             Methodology:Immunoassay                                         20 mL random urine
 QUEST 17452X
                     Universal Requisition   Set up: Mon - Fri.                         Accompanies report
   Univ. Req.
                                             Report available : Next day                                     Minimum: 10 mL

                                             CPT Code: 80101


                                        BARTONELLA ANTIBODY PANEL
                                        (IgG, IgM) W/ REFLEX TO TITERS
                                        (QUEST 34251X)
                                                                                                             1 mL serum (R)
                    BARTONELLA ANTIBODY Methodology: IFA
     LAB                                                                                Accompanies report
                          PANEL         Set up: Tues, Thurs
 BARTONELLA                                                                                                  Minimum: 0.2 mL
                                        Report available : Next day

                                             CPT Code: 86611x4




                                                                      Page 20 of 342
     LAB                   OE
                                                              TEST                            REFERENCE                       SPECIMEN
    ORDER                 ORDER
                                                           PROCEDURE 21 of 342
                                                                   Page                         RANGE                       REQUIREMENTS
   MNEMONIC               NAME

                                           BARTONELLA IGG ANTIBODIES, IFA (B.
                                           HENSELAE & B. QUINTANA)
                                           (QUEST 87582)
                                                                                                                  1 mL serum (SS)
                    BARTONELLA IGG         Methodology: IFA
     LAB                                                                                   Accompanies report
                      ANTIBODIES           Set up: Tues, Thursday
BARTONELLA IGG                                                                                                    Minimum: 0.2 mL
                                           Report available : Next day

                                           CPT Code: 86611x2


                                           BARTONELLA HENSELAE ANTIBODY
                                           (IgG, IgM) W/ REFLEXS TO TITERS
                                           (QUEST 144062)
                                                                                                                  1 mL serum (R)
                      BARTONELLA           Methodology: IFA
      LAB                                                                                  Accompanies report
                   HENSELAE AB PANEL       Set up: Tues, Thurs
  BART HEN AB                                                                                                     Minimum: 0.2 mL
                                           Report available : Next day

                                           CPT Code: 86611x4



                                           BASIC METABOLIC PANEL
                                           (Includes: Calcium, Creatinine, Electrolytes,
                                                                                                                  1 ml blood (Gn -Li (PST))
                                           Glucose, Urea Nitrogen (BUN).
                                                                                                                           or
                    BASIC METABOLIC        Methodology: Various
      LAB                                                                                  See individual tests   1 mL serum (SS))
                         PANEL             Set up: Daily
     BASIC
                                           Report available: Same day
                                                                                                                  Minimum: 0.5 mL
                                           CPT Code: 80048




                                      BENCE-JONES PROTEIN
                                      (QUEST 17405)
                                      Includes electrophoresis and immunofixation                                 10 mL 24-hour urine, collected without
                                      Methodology: Varied                                                         preservative
     LAB          BENCE JONES PROTEIN                                                      Accompanies report
                                      Set up: Mon - Fri.
  BENCE JONE
                                      Report available : Next day                                                 Minimum: 5 mL

                                           CPT Code: 83883x2, 84156, 84166, 86335


                                           BENZODIAZEPINE PRESUMPTIVE
                                           SCREEN
                                           (QUEST 36388X)
                                                                                                                  30 mL random urine
                    BENZODIAZEPINE         Methodology: EMIT
     LAB                                                                                      None detected
                       SCREEN              Set up: Mon - Fri
   BENZ SCR                                                                                                       Minimum: 10 mL
                                           Report available : Next day

                                           CPT Code: 80101


                                           BENZODIAPEPINEPANEL, BLOOD
                                           (QUEST 23095)
                                           Referred test for Quest.
                                           Contains: Diazepam, Nordiazepam,
                                           Oxazepam, Temazepam, Clobazam,
                                           Chlordiazepoxide, Lorazepam, Clonazepam,
                                           7-amino Clonazepam, Alprazolam, Alpha-
     LAB            BENZODIAZEPINES,                                                                              4 mL whole blood (L)
                                           Hydroxyalprazolam, Midazolam, Triazolam,        Accompanies report
BENZODIAZEPINES         BLOOD
                                           Hydroxytriazolam, Hydroxyethylflurazepam,
                                                                                                                  Minumim: 0.4 mL
                                           Desalkylflurazepam, Flurazepam, Estazolam.
                                           Methodology: LC/TMS
                                           Set up: Mon, Wed, Fri
                                           Report available : 5 days

                                           CPT Code: 80154


                                           BENZODIAZEPINE VERIFICATION
                                           Methodology: EMIT
                                           Detection limit: 100 ng/mL                                             20 mL random urine
 QUEST 14967X
                   Universal Requisition   Set up: Mon - Fri                               Accompanies reportA
   Univ. Req.
                                           Report available : 4 days                                              Minimum: 5 mL

                                           CPT Code: 80154
                                                                       Page 21 of 342
   LAB                OE
                                                         TEST                           REFERENCE                     SPECIMEN
  ORDER              ORDER
                                                      PROCEDURE 22 of 342
                                                              Page                        RANGE                     REQUIREMENTS
 MNEMONIC            NAME

                                       BERYLLUM                                                           4 mL urine in an acid-washed plastic
                                       Methodology: Colorimetric                                          container. Avoid exposure to
QUEST 6057X                            Set up: Thurs                                                      gadolinium based contrast media for
               Universal Requisition                                                 Accompanies report
 Univ. Req.                            Report available : 3 days                                          48 hours prior to collection

                                       CPT Code: 82570,83018                                              Minimum: 1.8 mL

                                  BETA-2 GLYCOPROTEIN
                                  (QUEST 1000)
                                  Methodology: EIA                                                        3.0 mL serum (SS)
              BETA-2 GLYCOPROTEIN
    LAB                           Set up: Tues, Thurs                                Accompanies report
                  ANTIBODIES
 BETA-2 GLY                       Report available : Next day                                             Minimum: 1.5 mL

                                       CPT Code: 86146x3

                                       BETA-2 MICROGLOBULIN
                                       (QUEST 852X)
                                                                                                          1.0 mL serum (R ) fasting
                     BETA-2            Methodology: Nephelometric
                                                                                                          ROOM TEMP
    LAB          MICROGLOBULIN         Set up: Mon - Sat                             Accompanies report
 BETA-2 MIC          SERUM             Report available : Next day
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 82232

                                       BETA HCG (Females) - See HCG, Beta-
                                       Quantitative


                                       BETA HCG (Males ) - See Chorionic
                                       Gonadotropin, Quantitative



                                       BETA HYDROXYBUTYRATE
                                       (QUEST 49182)
                                                                                                          1.0 mL serum (SS)
                                       Methodology: Enzymatic
    LAB             BETA-
                                       Set up: Sun - Thurs                           Accompanies report
BETAHYDROXY    HYDROXYBUTYRATE
                                       Report available : 4 days
                                                                                                          Minimum: 0.3 mL
                                       CPT Code: 82010


                                       BETA STREP - See Streptococcus Group A
                                       Screen (Throat Only)


                                       BETA STREP (Vaginal) - See Culture for
                                       Group B Strep

                                       BILE ACIDS (Cholylglycine)
                                       (QUEST 14801X)
                                                                                                          0.5 mL serum (SS) drawn after 8 hr
                                       Methodology: Enzymatic
                                                                                                          fast
    LAB            BILE ACIDS          Set up: Mon - Fri                             Accompanies report
 BILE ACIDS                            Report available : Next day
                                                                                                          Minimum: 0.2 mL
                                       CPT Code: 82239

                                       BILIRUBIN, DIRECT                                                1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric                    < 1 month 0.0 - 0.8          or
                                       Set up: Daily                                       mg/dL        1 mL serum (SS)
    LAB         BILIRUBIN DIRECT
                                       Report available : Same day                  > 1 month 0.0 - 0.3 protect from light
   BILID
                                                                                           mg/dL
                                       CPT Code: 82248                                                  Minimum: 0.5 mL


                                       BILIRUBIN INDIRECT - Order Bilirubin,
                                       Total and Bilirubin, Direct


                                       BILIRUBIN, NEONATAL (TOTAL)
                                       Intended for newborns 0 - 21 days
                                       Methodology: Colorimetric
              BILIRUBIN, NEONATAL                                                   < 1 month 0.0 - 11.6 1 full serum separator-microtainer
    LAB                                Set up: Daily
                     TOTAL                                                                 mg/dL         tube; protect from light
  BILINEO                              Report available : Same day

                                       CPT Code: 82247



                                                                   Page 22 of 342
   LAB               OE
                                                        TEST                            REFERENCE                     SPECIMEN
  ORDER             ORDER
                                                     PROCEDURE 23 of 342
                                                             Page                         RANGE                     REQUIREMENTS
 MNEMONIC           NAME

                                      BILIRUBIN, TOTAL                                                   1 ml blood (Gn -Li (PST))
                                      Methodology: Colorimetric                     < 1 month 0.0 - 11.6          or
                                      Set up: Daily                                        mg/dL         1 mL serum (SS);
   LAB         BILIRUBIN,TOTAL
                                      Report available : Same day                   > 1 month 0.2 - 1.2 protect from light
   BILIT
                                                                                           mg/dL
                                      CPT Code: 82247                                                    Minimum: 0.5 mL

                                      BILIRUBIN NET ABSORBANCE, AMNIOTIC
                                      FLUID
                                                                                                          4 mL amniotic fluid, protected from
                                      Methodology: Spectrophotometric
QUEST 289X                                                                                                light
              Universal Requisition   Set up: Mon - Fri                              Accompanies report
 Univ. Req.
                                      Report available : Next day
                                                                                                          Minimum: 3 mL
                                      CPT Code: 82143


                                      BILIRUBIN, QUALITATIVE, URINE
                                      Included in Urinalysis, Routine


                                      BK VIRUS DNA, QUANTITATIVE PCR
                                      (QUEST 112748)
                                                                                                          0.7 mL plasma (L)
                                      Methodology: Real-time PCR
              BK QUANT DNA PCR                                                                            FROZEN
    LAB                               Set up: Daily                                  Accompanies report
                  (PLASMA)
BK QUANT PL                           Report available : Next day
                                                                                                          Minimum: 0.3 mL
                                      CPT Code: 87799


                                      BK VIRUS DNA, QUANTITATIVE PCR
                                                                                                          0.7 mL random urine without
                                      (QUEST 16581X)
                                                                                                          preservative
                                      Methodology: Real-time PCR
              BK QUANT DNA PCR                                                                            FROZEN
    LAB                               Set up: Daily                                  Accompanies report
                   (URINE)
BK QUANT UR                           Report available : Next day
                                                                                                          Minimum: 0.3 mL
                                      CPT Code: 87799


                                                                                                          0.7 mL random urine without
                                      BK VIRUS DNA, QUALITATIVE PCR
                                                                                                          preservative
                                      (QUEST 15296)
                                                                                                          FROZEN
                                      Methodology: Real-time PCR
                                                                                                                   or
   LAB        BK QUAL DNA PCR         Set up: Daily                                  Accompanies report
                                                                                                          0.7 mL plasma (L)
 BK QUAL                              Report available : Next day
                                                                                                          FROZEN
                                      CPT Code: 87798
                                                                                                          Minimum: 0.3 mL


                                      BLASTOMYCES ANTIBODY, CF
                                      (QUEST 11908)
                                      Methodology: CF                                                     1 mL serum (ss)
                BLASTOMYCES
   LAB                                Set up: Mon - Fri                              Accompanies report
                  ANTIBODY
BLASTO AB                             Report available : 4 days                                           Minimum: 0.1 mL

                                      CPT Code: 86612


                                      BLEEDING TIME
                                      Methodology: Simplate
                                                                                                          Performed by laboratory staff.
                                      Performed as ordered
   LAB          BLEEDING TIME                                                         2.0 - 9.5 minutes   Must complete Bleeding Time
                                      Report Available: Same day
BLEEDTIME                                                                                                 Patient History form.
                                      CPT Code: 85002

                                      BLOOD BANK CONSULT
    BB             LAB ONLY           Ordered by Blood Bank staff as indicated by
  SPEC BB                             the consulting Pathologist.


                                      BLOOD BANK HOLD
              BLOOD BANK HOLD
    BB                                Ordered by nursing for possible Blood Bank                          6.0 mL whole blood (Pink)
                 SPECIMEN
  BBHOLD                              orders.

                                      BLOOD BANK POST-PARTUM HOLD
              POSTPARTUM HOLD
    BB                                Ordered by FMU for possible Blood Bank                              6.0 mL whole blood (Pink)
                  SPECIMEN
  BBPOST                              orders.


                                                                 Page 23 of 342
     LAB                        OE
                                                                 TEST                       REFERENCE                       SPECIMEN
    ORDER                      ORDER
                                                              PROCEDURE 24 of 342
                                                                      Page                    RANGE                       REQUIREMENTS
   MNEMONIC                    NAME


                                                 BLOOD TYPE - See ABORH Group


                                           BLOOD UREA NITROGEN (BUN)
                                           Methodology: Enzymatic
                                                                                                               1 ml blood (Gn -Li (PST))
                                           Set up: Daily
                                                                                                                        or
                                           Report available : Same day
       LAB             BLOOD UREA NITROGEN                                                Accompanies report   1 mL serum (SS)
                                           Order BUNPRE or BUNPOST for Dialysis
       BUN
                                           patients.
                                                                                                               Minimum: 0.5 mL
                                                 CPT Code: 84520


                                                                                                               1 mL whole blood (L)
                                                 B NATRIURETIC PEPTIDE (BNP)
                                                                                                               Whole blood may be stored at room
                                                 Methodology: Chemiluminesence
                                                                                                               temp or refrig for up to 24 hours
                        B-TYPE NATRIURETIC       Set up: Daily
       LAB                                                                                   < 100 pg/ml       prior to testing. Plasma my be
                             PEPTIDE             Report available : Same day
       BNP                                                                                                     stored for 8 hours at room temp or
                                                                                                               up to 24 hours refrig prior to
                                                 CPT Code: 83880
                                                                                                               testing.


                                               BODY FLUID CELL COUNT AND
                                               DIFFERENTIAL
                          BODY FLUID CELL      Methodology: Microscopic exam,
          LAB
                               COUNT           Cytocentrifugation if indicated.
   BFCELLCT
                                -or-           Set up: Daily                              Accompanies report   2 mL fluid (L)
          OR
                       BF CELL CT WITH DIFF IF Report available : Next day
 BFCELLCTDIFF
                                IND
 (diff if indicated)
                                               CPT Code: cell count - 89050
                                                             diff - 89051

                                                 BODY FLUID CRYSTALS - POLARIZING
                                                 MICROSCOPY - See Synovial Fluid
                                                 Crystals Analysis

                                                 HEMATOCRIT, MANUAL (PCV), BODY
                                                 FLUID
                                                                                                               3 mL fluid (L)
       LAB               HEMATOCRIT, BODY        Order if spun Hct is requested.
                                                                                          Accompanies report
      BFHCT                   FLUID              Methodology: Centrifugation
                                                                                                               Minimum: 1 mL
                                                 Set up: Daily
                                                 Report available: Same day

                                                 BONE RESORPTION MARKER - See
                                                 Osteomark


                                                 BORDETELLA PERTUSSIS/
                                                 PARAPERTUSSIS, DFA
                                                 MUST ACCOMPANY CULTURE FOR
                                                 BORDETELLA
                                                 (See CU8LTURE,BORDETELLA) - DO NOT
   QUEST 533
                         Universal Requisition   ORDER AS A STAND ALONE TEST              Accompanies report   Air-dry and heat-fix two slides from
   Univ. Req.
                                                 Methodology: Direct Immunoflourescence                        nasopharyngeal swab.
                                                 Set up: Daily afternoon                                       ROOM TEMP
                                                 Report available : Next day

                                                 CPT Code: 87265x2



                                          BORDETELLA PERTUSSIS/
                                                                                                               Nylon or rayon swab in
                                          PARAPERTUSSIS, DNA, QL RT-PCR
                                                                                                               Viral transport medium (VCM); NO
                                          (QUEST 17136)
                                                                                                               FOAM SWABS ARE ACCEPTABLE
                           B PERTUSSIS/   Methodology: RT-PCR
      LAB                                                                                 Accompanies report   OR
                        PARAPERTUSSIS DNA Set up: Mon - Fri
B PERT-PARA DNA                                                                                                Nasophargngeal wash, aspirate, or
                                          Report available : Next day
                                                                                                               turbinate in leakproof sterile container
                                                 CPT Code: 87798X2




                                                                         Page 24 of 342
    LAB                OE
                                                         TEST                        REFERENCE                       SPECIMEN
   ORDER              ORDER
                                                      PROCEDURE 25 of 342
                                                              Page                     RANGE                       REQUIREMENTS
  MNEMONIC            NAME

                                        BORDETELLA PERTUSSIS IgG, IgA
                                        ANTIBODY
                                        (QUEST 12966)
                                                                                                        1 mL serum (R)
                   BORDATELLA           Methodology: Immunoassay
     LAB                                                                           Accompanies report
                PERTUSSIS (IGG,IGA)     Set up: Mon - Thurs
  BORD PERT                                                                                             Minimum: 0.5 mL
                                        Report available : 3 days

                                        CPT Code: 88615x4


                                        BORRELIA BURGDORFERI - See Lyme
                                        Antibodies

                                        BORRELIA C6 PEPTIDE - See LYME C6
                                        PEPTIDE


                                        BOTULISM TOXINS (TYPE A)
                                        Referral test for QUEST
                                        Methodology: WB
 QUEST 74062
                Universal Requisition   Set up: Mon, Wed                           Accompanies report   2 mL serum (R)
  Univ. Req.
                                        Report available : 14 days

                                        CPT Code: 84182

                                                                                                        One stained, cover slipped and
                                                                                                        marked slide and eight unstained (no
                                                                                                        cover slip) serial sections of paraffin
                                                                                                        embedded formalin fixed tissue on
                                                                                                        slides. The portion of tissue on slide to
                                        B-RAF MUTATION ANALYSIS                                         be sampled (tumor) for testing must
                                        Performed by CPAL                                               be clearly indicated on the stained
                                        Methodology: PCR and DNA sequencing                             slide. Blocks will not be accepted.
                                        Set up: Mon, Wed
     LAB             LAB ONLY                                                      Accompanies report
                                        Report available: 3-5 days                                      Specimens in which no desired
    BRAF
                                                                                                        sampling area (tumor) is indicated will
                                        CPT Code: 83907, 83892, 83891x2, 83898                          be returned to the client so that the
                                        x2, 83904, 83909 x2, 83912, 88381, 81210                        proper region of interest can be
                                                                                                        indicated and resubmitted to CPAL.

                                                                                                        Tissue type should be indicated
                                                                                                        (colon, lung, etc).


                                                                                                        One stained, cover slipped and
                                                                                                        marked slide and eight unstained (no
                                                                                                        cover slip) serial sections of paraffin
                                                                                                        embedded formalin fixed tissue on
                                                                                                        slides. The portion of tissue on slide to
                                        B-RAF V600 MUTATION TEST                                        be sampled (tumor) for testing must
                                        (MELANOMA ONLY)                                                 be clearly indicated on the stained
                                        Performed by CPAL                                               slide. An estimation of neoplastic cell
                                        Methodology: Cobas 4800 BRAF V600                               content of the selected tumor area
                                        Mutation Test                                                   MUST be indicated.
      LAB            LAB ONLY                                                      Accompanies report
                                        Set up: Mon-Fri
BRAF MELANOMA
                                        Report available: 3-5 days                                      Specimens in which no desired
                                                                                                        sampling area (tumor) is indicated will
                                        CPT Code: 83907, 83892, 83891, 83898,                           be returned to the client so that the
                                        83896 x2, 83912, 88381, 83914, 81210                            proper region of interest can be
                                                                                                        indicated and resubmitted to CPAL.

                                                                                                        Specimens should be transported and
                                                                                                        stored at room temperature.



                                        BRUCELLA ABORTUS ANTIBODY PANEL,
                                        IFA
                                        Methodology: IFA                                                1 mL serum (R)
 QUEST 30423X
                Universal Requisition   Set up: Mon - Fri                          Accompanies report
   Univ Req.
                                        Report available :3 days                                        Minimum: 0.2 mL

                                        CPT Code: 86622x2




                                                                 Page 25 of 342
    LAB                OE
                                                           TEST                         REFERENCE                      SPECIMEN
   ORDER              ORDER
                                                        PROCEDURE 26 of 342
                                                                Page                      RANGE                      REQUIREMENTS
  MNEMONIC            NAME

                                        BRUCELLA ANTOBODY IgG, IgM
                                        (QUEST 10566X)
     LAB                                Methodology: ELIA                                                  2 mL serum (SS)
 BRUCELLA AB         LAB ONLY           Set up: Mon, Wed, Fri                         Accompanies report
                                        Report available :3 days                                           Minimum: 0.8 mL

                                        CPT Code: 86622x2


                                        BUN -See Blood Urea Nitrogen
                                        Order BUN PRE or BUN POST for Dialysis
                                        patients


                                        BUPRENORPHINE AND METABOLITE
                                        SCREEN - FREE, BLOOD
                                        (QUEST 4323)
     LAB                                                                                                   4 mL serum (R)
                BUPRENORPHINE &         Methodology: LC/TMS
BUPRENORPHINE                                                                         Accompanies report
                 METABOLITE SCR         Set up: Mon, Wed, Fri
                                                                                                           Minimum: 1.4 Ml
                                        Report available :5 days

                                        CPT Code: 80101


                                        BUPROPRION (WELLBUTRIN)
                                        Reporting Limit: 10 ng/mL
                                        Methodology: GC
 QUEST 8592Z                                                                                               2.0 mL serum (R)
                Universal Requisition   Set up: Wed,Sun AM                            Accompanies report
  Univ. Req.                                                                                               FROZEN
                                        Report available : 4 days

                                        CPT Code: 80299


                                        BUTABARBITAL
                                                                                                           3.0 mL plasma (L) or serum (R) or
                                        Methodology: GCMS
                                                                                                           gastric contents. Collect as a trough
 QUEST 5022                             Set up: Mon - Fri
                Universal Requisition                                                 Accompanies report   just prior to next dose.
  Univ. Req.                            Report available : 4 days
                                                                                                           Minimum: 0.5 mL
                                        CPT Code: 82205

                                        BUTALBITAL
                                        Methodology: GCMS                                                  3.0 mL serum (R) or plasma (L) or
                                        Detection limit: 0.1 µg/mL                                         gastric contents or 15 mL random
 QUEST 4413X
                Universal Requisition   Set up: Mon - Fri                             Accompanies report   urine
  Univ. Req.
                                        Report available : 4 days
                                                                                                           Minimum: 0.5 mL
                                        CPT Code: 82205


                                        BUTISOL - See Butabarbital



                                        C6 PEPTIDE - See LYME C6 PEPTIDE



                                        C1 ESTERASE INHIBITOR - See
                                        Complement, C1 Esterase Inhibitor



                                        C1q BINDING ASSAY - See Immune
                                        Complex Detection by C1q Binding Assay


                                        C3b BINDING ASSAY (Raji Cell
                                        Replacement Assay) - See Immune
                                        Complex Detection by C3b Binding Assay


                                        C-ANCA - See Anti-PR3




                                                                     Page 26 of 342
   LAB                 OE
                                                          TEST                             REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 27 of 342
                                                               Page                          RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                        C-TELOPEPTIDE (CTx)
                                        (QUEST 17406)
                                                                                                              1 mL serum (SS)
                                        Methodology: Immunoassay
                 COLLAGEN TYPE I                                                                              FROZEN
     LAB                                Set up: Mon, Wed, Fri                            Accompanies report
                  C0TELOPEPTIDE
C-TELOPEPTIDE                           Report available: Next day
                                                                                                              Minimum: 0.5 mL
                                        CPT Code: 82523

                                        CA-125
                                        Test performed at CPAL
                                        Methodology: CIA                                                      1 mL serum (SS)
                                                                                          0 - 21 U/mL Adult
    LAB            CA-125 (CPAL)        Set up: Mon - Sat                                                     FROZEN
                                                                                                female
   CA-125                               Report available: Next day                                             Minimum: 0.4 mL

                                        CPT Code: 86304


                                        CA 19-9
                                        (QUEST 4698)
                                        Methodology: Immunoassay                                              1.0 mL serum (SS)
    LAB               CA 19-9           Set up: Daily                                    Accompanies report
   CA 19-9                              Report available: Next day                                            Minimum: 0.5 mL

                                        CPT Code: 86301



                                        CA 27-29 (QUEST 29493X)
                                        Useful for early detection or recurrence of
                                        stage II or III breast cancer. Values obtained
                                        with different assay methods or kits cannot be
                                        used interchangeably.                                                 1.0 mL serum (SS)
     LAB              CA 27-29          Methodology: Immunoassay                         Accompanies report
   CA 27-29                             Set up: Daily                                                         Minimum: 0.5 mL
                                        Report available: Next day
                                        Detection limit: 3.5 U/mL

                                        CPT Code: 86300


                                        CADMIUM, BLOOD
                                        (QUEST 299)
                                        Detection limit: 0.5 µg/L                                             4 mL EDTA whole blood (L or DB with
    LAB                                 Methodology: ICP-MS                                                   EDTA)
                 CADMIUM, BLOOD                                                          Accompanies report
  CADMIUM                               Set up: Mon - Fri
                                        Report available: Next day                                            Minimum: 2 Ml

                                        CPT Code: 82300


                                        CADMIUM, URINE
                                        Methodology: ICP-MS                                                   7 mL random urine specimen
                                        Set up: Tues, Thurs                                                   collected in acid-washed container
 QUEST 672X
                Universal Requisition   Report available: Next day                       Accompanies report   (supplied by Lab)
  Univ. Req.
                                        Detection limit: 0.2 ng/mL
                                                                                                              Minimum: 5 mL
                                        CPT Code: 82300, 82570


                                                                                                              4.0 mL EDTA whole blood (DB with
                                        CADMIUM EXPOSURE PANEL
                                                                                                              EDTA)
                                        Includes blood cadmium, urine cadmium,
                                                                                                                            AND
                                        beta-2-microglobulin, urine creatinine.
                                                                                                              10 mL urine: Empty bladder, drink a
QUEST 8887X                             Methodology: Various
                Universal Requisition                                                    Accompanies report   large glass of water and collect urine
 Univ. Req.                             Set up: Daily
                                                                                                              sample in sterile container. Aliquot
                                        Report available: Next day
                                                                                                              one-half of specimen to an acid-
                                                                                                              washed container. Refrigerate urine
                                        CPT Code: 82232, 82300x2, 82570
                                                                                                              samples.


                                        CAFFEINE
                                        Methodology: EIA
                                                                                                              1 mL serum (SS)
                                        Set up: Daily
    LAB          CAFFEINE, SERUM                                                         Accompanies report
                                        Report available: Same Day
  CAFFEINE                                                                                                    Minimum: 0.2 mL
                                        CPT Code: 80299


                                                                     Page 27 of 342
  LAB                 OE
                                                        TEST                            REFERENCE                        SPECIMEN
 ORDER               ORDER
                                                     PROCEDURE 28 of 342
                                                             Page                         RANGE                        REQUIREMENTS
MNEMONIC             NAME


                                                                                                             1 mL serum (R), FROZEN*
                                      CALCITONIN (QUEST 30742X)
                                                                                                             (fasting specimen preferred). Please
                                      Methodology: Immunoassay
                                                                                                             note on the request form whether the
                                      Set up: Mon - Fri
   LAB            CALCITONIN                                                          Accompanies report     patient has received a pentagastrin
                                      Report available: Next day
CALCITONIN                                                                                                   stimulation or calcium infusion.
                                      CPT Code: 82308
                                                                                                             Minimum: 0.5 mL


                                      CALCIUM
                                      Methodology: ISE                                                       1 ml blood (Gn -Li (PST))
                                      Set up: Daily                                                                   or
   LAB              CALCIUM           Report available: Same day                      Accompanies report     1 mL serum (SS)
   CA
                                      CPT Code: 82310                                                        Minimum: 0.5 mL


                                  CALCIUM CREATININE RATIO
                                  Includes urine calcium and urine creatinine
                                  Methodology: Colormetric/ISE
   LAB       URINE CA CREAT RATIO Set up: Daily                                       See individual tests   5 mL urine
 UCACREA                          Report available: Same day

                                      CPT Code: 82310

                                      CALCIUM, IONIZED (FREE CALCIUM)
                                                                                                             2 mL serum (SS); Tube must be filled
                                      (QUEST 306)
                                                                                                             completely. Allow blood to clot and
                                      Methodology: ISE
                                                                                                             centrifuge with stopper in place. Keep
   LAB         IONIZED CALCIUM        Set up: Daily                                   Accompanies report
                                                                                                             sample anaerobic.
 CA IONIZ                             Report available: Next day
                                                                                                             ROOM TEMP
                                                                                                             Minimum: 1 mL
                                      CPT Code: 82330

                                      CALCIUM, URINE                                                         0.5 mL aliquot of 24-hour urine
                                      Methodology: ISE                                                       collection preserved with 10 mL of 6 N
               URINE CALCIUM 24       Set up: Daily                                                          HCl during collection. Specify total 24-
   LAB                                                                                Accompanies report
                    HOUR              Report available: Same day                                             hr volume on request form.
  UCA24
                                      CPT Code: 82340, 81050                                                 Minimum: 0.2 mL


                                      CALCIUM, URINE RANDOM
                                      Methodology: ISE
                CALCIUM, URINE        Set up: Daily
   LAB                                                                                Accompanies report     5.0 mL of random urine
                   RANDOM             Report available: Same day
   UCA
                                      CPT Code: 82310


                                      CALCULUS ANALYSIS (KIDNEY STONE
                                      (QUEST 30260)
                                      Report includes a physical description
                                      (weight, size, shape, color, and surface
                                      appearance); fracturing to detect presence of
                                      nidus; microscopic semi-quantitative
                                      identification of compounds by crystalline                             Calculus. To ensure the integrity of
                                      structure using regular and polarized light.                           the sample, please do not use any
   LAB          STONE ANALYSIS                                                          Not applicable
                                      Testing performed by Specialty Laboratories,                           type of adhesive tape to secure the
STONE ANAL
                                      Inc.                                                                   calculi.
                                      Methodology: FTIR- Infa-Red
                                                        Spectrophotometry
                                      Set up: Mon - Sat
                                      Report available: 5 days

                                      CPT Code: 82365



                                      CALIFORNIA ENCEPHALITIS GROUP - See Arbovirus Antibodies




                                                                   Page 28 of 342
   LAB                 OE
                                                          TEST                           REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 29 of 342
                                                               Page                        RANGE                      REQUIREMENTS
 MNEMONIC             NAME


                                   CALPROTECTIN, STOOL
                                   (QUEST 16796)                                                         1 gram stool, unpreserved in sterile,
                                   Methodology: IA                                                       plastic, leakproof contatiner
    LAB        CALPROTECTIN, STOOL Set up: Mon anf Friday                             Accompanies Report FREEZE
CALPROTECTIN                       Report available: 3 days
                                                                                                            Minimum: 0.3 g
                                        CPT Code: 83993



                                        CAMPYLOBACTER PYLORI ANTIBODIES - See Helicobacter
                                        pylori IgG Antibodies



                                        CANDIDA ALBICANS ANTIBODIES
                                        (QUEST 939X)
                                        Methodology: ID                                                     1 mL serum (SS)
    LAB        CANDIDA ANTIBODIES       Set up: Mon - Sat                               None detected
 CANDIDA AB                             Report available: 3 days                                            Minimum: 0.5 mL

                                        CPT Code: 86628


                                        CARBAMAZEPINE (TEGRETOL)
                                                                                                            1 ml blood (Gn -Li (PST))
                                        Methodology: Immunoassay
                                                                                                                     or
                                        Set up: Daily                                 Therapeutic: 6 - 12
    LAB                                                                                                     1 mL serum (SS)
                                        Report available: Same day                         µg/mL
   CARB
                                                                                                            Minimum: 0.3 mL
                                        CPT Code: 80156

                                        CARBAMAZEPINE, FREE
                                        Methodology: FPIA
                                                                                                            1 mL serum (R) or sodium heparin
                                        Detection limit: 0.5 µg/mL
QUEST 37512X                                                                                                plasma (Gn)
                Universal Requisition   Set up: Mon -Fri                              Accompanies report
  Univ. Req.
                                        Report available: Next day
                                                                                                            Minimum: 0.5 mL
                                        CPT Code: 80157

                                    CARBAMAZEPINE-10,11-EPOXIDE,
                                    SERUM/PLASMA (CARBATROL)                                                2 mL serum (R )
                                    Methodology: LC/TM                                                          or
               CARBAMAZEPINE-10,11-
    LAB                             Set up: Mon - Fri                                 Accompanies report    2 mL plasma (L)
                    EPOXIDE
CARB EPOXIDE                        Report available: 2 days
                                                                                                            Minimum: 1 mL
                                        CPT Code: 83789

                                        CARBON DIOXIDE (Bicarbonate)
                                                                                                            1 ml blood (Gn -Li (PST))
                                        Methodology: ISE
                                                                                                                     or
                                        Set up: Daily
    LAB           CARBON DIOXIDE                                                      Accompanies report    1 mL serum (SS)
                                        Report available: Same day
    CO2
                                                                                                            Minimum: 0.5 mL
                                        CPT Code: 82374


                                        CARBON MONOXIDE - See pH, venous



                                        CARBOXYHEMOGLOBIN - See pH, venous



                                        CARDIAC ENZYMES - See CPK, LDH, AST


                                        CARDIO CRP - See C-Reactive Protein
                                        Highly Sensitive


                                        CARDIOLIPIN - See Anti-Cardiolipin

                                        CAROTENE (QUEST 311X)
                                                                                                            2 mL serum (SS), fasting; protect from
                                        Methodology: HPLC
                                                                                                            light.
                                        Set up: Mon - Fri
    LAB             CAROTENE                                                          Accompanies report
                                        Report available: 3 days
 CAROTENE                                                                                                   FREEZE
                                                                                                            Minimum: 0.5 mL
                                        CPT Code: 82380
                                                                     Page 29 of 342
  LAB              OE
                                                 TEST                         REFERENCE                     SPECIMEN
 ORDER            ORDER
                                              PROCEDURE 30 of 342
                                                      Page                      RANGE                     REQUIREMENTS
MNEMONIC          NAME

                                CARNITINE, FREE AND TOTAL
                                (QUEST 30299X)
                                Methodology: Spectrophotometric                                 3 mL serum (R); FREEZE
   LAB       CARNITINE. SERUM   Set up: Mon - Fri                          Accompanies report
 CARNITINE                      Report available: Next day                                      Minimum: 2 mL

                                CPT Code: 82379


                                CATECHOLAMINES, FRACTIONATED,
                                PLASMA (NOREPINEPHRINE,
                                                                                                4 mL plasma drawn in chilled tube
                                EPINEPHRINE, AND DOPAMINE) (QUEST
                                                                                                (Gn) ; FROZEN*, Patient should fast
                                314X)
             CATECHOLAMINES,                                                                    for 12 hr and avoid tobacco, coffee,
   LAB                          Methodology: HPLC                          Accompanies report
                 PLASMA                                                                         tea, alcohol, and strenuous exercise.
CATE PLASM                      Set up: Mon, Wed, Fri
                                Report available: 2 days
                                                                                                Minimum: 2.5 mL
                                CPT Code: 82384


                                CATECHOLAMINES, FRACTIONATED,
                                URINE
                                (QUEST 464)                                                     10 mL aliquot of 24-hr urine preserved
                                Includes Norepinephrine, epinephrine,                           with 25 mL of 6 N HCl during
             CATECHOLAMINES,    dopamine.                                                       collection. Specify total 24-hr volume
    LAB                                                                    Accompanies report
                  URINE         Methodology: HPLC                                               on request form.
CATECHOLUR
                                Set up: Mon - Fri
                                Report available: Next day                                      Minimum: 4.5 mL

                                CPT Code: 82384

                                CAT SCRATCH DISEASE - See Bartonella
                                Antibody Panel


                                CBC - See Complete Blood Count (CBC)


                                CCP ANTIBODY - CYCLIC CITRULLINATED
                                PEPTIDE ANTIBODY
                                Performed at CPAL                                               1 mL serum (SS)
                                Methodology: EIA
   LAB        CCP ANTIBODY                                                 Accompaniesreport
                                Set up: Wed and Sat                                             FREEZE
   CCP
                                Report available: Next day

                                CPT Code: 86200

                                CCP ANTIBODY - CYCLIC CITRULLINATED
                                PEPTIDE ANTIBODY IgG
                                (QUEST 13860)                                                   1 mL serum (SS)
                                Methodology: EIA
   LAB       CCP ANTIBODY IGG                                              Accompaniesreport
                                Set up: Mon - Fri                                               Minimum: 0.5 mL
CCP AB IGG
                                Report available: Next day

                                CPT Code: 86200




                                CEA (CARCINOEMBRYONIC ANTIGEN)

                                Methodology: Chemilluminsence
   LAB             CEA          Set up: Daily                             Serum: 0.0 - 3.1 ng/mL 1 mL serum (SS)
   CEA                          Report available: Same Day

                                CPT Code: 82378




                                                         Page 30 of 342
     LAB                      OE
                                                              TEST                         REFERENCE                       SPECIMEN
    ORDER                    ORDER
                                                           PROCEDURE 31 of 342
                                                                   Page                      RANGE                       REQUIREMENTS
   MNEMONIC                  NAME

                                            CELIAC DISEASE ANTIBODY PANEL
                                            (QUEST 65522)
                                            Panel includes Gliadin/Gluten IgG, IgA
                                            Antibodies, Tissue Transglutaminase IgA
                                                                                                              2 mL serum (SS) FROZEN
                                            Antibody, and Reticulin IgA Antibody.
     LAB                 CELIAC AB PANEL                                                 Accompanies report
                                            Methodology: EIA/IFA
  CELIAC PAN                                                                                                  Minimum: 1 mL
                                            Set up: Mon - Fri
                                            Report available: Next day

                                            CPT Code: 83516x3, 86255



                                            CELIAC DISEASE ANTIBODY PANEL #2
                                            (QUEST 79782)
                                            Panel includes Gliadin/Gluten IgG, IgA
                                            Antibodies, Tissue Transglutaminase IgA
                                                                                                              2 mL serum (SS)
                                            Antibody, and Reticulin IgG and IgA Panel.
     LAB                CELIAC AB PANEL 2                                                Accompanies report
                                            Methodology: EIA/IFA
  CELIAC PA2                                                                                                  Minimum: 1 mL
                                            Set up: Mon - Fri
                                            Report available: Next day

                                            CPT Code: 83516x3, 86255x2


                                            CELIAC PLUS
                                            (QUEST)
                                            Referred to Prometheus (6301)
                                                                                                              2 mL serum (R)
                                            Panel includes Celiac Genetics (HLA
                                                                                                              and
                                            DQ2/DQ8) and Celiac Serology.
                       PROMETHEUS CELIAC                                                                      5 mL blood (L)
     LAB                                                                                 Accompanies report
                             PLUS
 CELIAC PLUS                                Methodology: Various
                                            Set up: Mon - Fri
                                                                                                              Minimum: 1 mL
                                            Report available: 11 days

                                            CPT Code: 82784, 83520x3, 86255



                                            CELLCEPT - See Mycophenolic Acid


                                             CEREBROSPINAL FLUID CELL COUNT
          LAB                                AND DIFFERENTIAL
   CSFCELLCT             CSF CELL COUNT      Methodology: Microscopic exam
          and                   -or-         Set up: Daily
                                                                                         Accompanies report   Minimum: 1mL CSF
CSFCELLCTDIFF          CSF CELL CT WITH DIFF Report available: Same day
 (diff if indicated)          IF IND
                                             CPT Code: cell count - 89050
                                                           diff - 89051

                                            CEREBROSPINAL FLUID CHLORIDE - See
                                            Chloride, CSF

                                            CEREBROSPINAL FLUID, IgG
                                            (QUEST 6444)
                                            Methodology: Nephelometric                                        1 mL CSF
                       IMMUNOGLOBULIN G,
      LAB                                   Set up: Mon - Sat                            Accompanies report
                             CSF
    IGG CSF                                 Report available: Next day                                        Minimum: 0.5 mL CSF

                                            CPT Code: 82784


                                            CEREBROSPINAL FLUID , IgG SYNTHESIS
                                            RATE
                                                                                                              2 mL CSF
                                            (QUEST 13924)
                                                                                                                -and-
                                            Includes Synthesis Rate, CSF IgG, IgG CSF
                                                                                                              1 mL serum (R)
      LAB                                   Index, Albumin serum.
                       IGG SYNTHESIS RATE                                                Accompanies report
 IGG SYN RATE                               Methodology: Nephelometric
                                                                                                              Minimum: 1 mL CSF
                                            Set up: Mon - Sat
                                                                                                                           -and-
                                            Report available: Next day
                                                                                                                       0.5 mL serum
                                            CPT Code: 82040, 82042, 82784x2




                                                                        Page 31 of 342
     LAB                    OE
                                                             TEST                         REFERENCE                       SPECIMEN
    ORDER                  ORDER
                                                          PROCEDURE 32 of 342
                                                                  Page                      RANGE                       REQUIREMENTS
   MNEMONIC                NAME

                                             CEREBROSPINAL FLUID, TOTAL PROTEIN
                                             Methodology: Colorimetric
                                                                                                             1 mL CSF
                                             Set up: Daily
      LAB            TOTAL PROTEIN, CSF                                                   15 - 45 mg/dL
                                             Report available: Same day
    CSF PROT                                                                                                 Minimum: 0.5 mL CSF
                                             CPT Code: 84157

                                             CERULOPLASMIN (QUEST 076)
                                             Methodology: Nephelometric
                                                                                                             1 mL serum (SS)
                                             Set up: Mon - Sat
       LAB            CERULOPLASMIN                                                     Accompanies report   Fasting specimen preferred
                                             Report available: Next day
     CERULO                                                                                                  Minimum: 0.5 mL
                                             CPT Code: 82390

                                             CH50 - See Complement, Total, CH50 Units



   QUEST 6899
    Univ. Req.
      TEST                                   CHLAMYDIA DIRECT ANTIGEN
DISCONTINUED BY                              DETECTION
QUEST 5/20/09 - NO
ALTERNATE TEST
   AVAILABLE.



                                             CHLAMYDIA IgG ANTIBODIES
                                             (PSITTACOSIS) (QUEST 2017)
                                             Methodology: IFA                                                1 mL serum (SS)
                         AHLAMYDIA
     LAB                                     Set up: Mon - Sat                          Accompanies report
                         ANTIBODIES
  CHLAM ANTB                                 Report available: 3 days                                        Minimum: 0.5 mL

                                             CPT Code: 86631, 86632


                                             CHLAMYDIA PNEUMONIAE (TWAR) IgG
                                             ANTIBODIES
                                             Methodology: MIA                                                1 mL serum (SS)
  QUEST 143172
                     Universal Requisition   Set up: Mon - Sat                          Accompanies report
    Univ. Req.
                                             Report available: 1 - 2 days                                    Minimum: 0.5 mL

                                             CPT Code: 86631

                                             CHLAMYDIA PNEUMONIAE (TWAR) IgM
                                             ANTIBODIES
                                             (QUEST 38481X)
                                                                                                             1 mL serum (SS)
                        CHLAMYDIA            Methodology: MIA
      LAB                                                                               Accompanies report
                      PNEUMONIAE IGM         Set up: Mon - Sat
   CHLAM IGM                                                                                                 Minimum: 0.5 mL
                                             Report available: 1 -2 days

                                             CPT Code: 86632


                                             CHLAMYDIA PNEUMONIAE ANTIBODY
                                             APNEL (IgG, IgA, IgM)
                                             Methodology: IFA                                                1 mL serum (SS)
 QUEST 37111X
                     Universal Requisition   Set up: Mon - Sat                          Accompanies report
   Univ. Req.
                                             Report available: 2 days                                        Minimum: 0.1 mL

                                             CPT Code: 86631x2, 86632



                                             CHLAMYDIA SPECIES ANTIBODY PANEL
                                             (IgG, IgA, IgM)
                                             Methodology: IFA                                                1 mL serum (R)
 QUEST 29479X
                     Universal Requisition   Set up: Mon - Sat                          Accompanies report
   Univ. Req.
                                             Report available: 2 days                                        Minimum: 0.1 mL

                                             CPT Code: 86631x6, 86632x3




                                                                      Page 32 of 342
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                                                           TEST                             REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                        PROCEDURE 33 of 342
                                                                Page                          RANGE                      REQUIREMENTS
  MNEMONIC              NAME


                                      CHLAMYDIA TRACHOMATIS ANTIBODIES
                                      (IgG, IgA, IgM)
                                      (QUEST 143262)
                                                                                                              1 mL serum (SS)
                      CHLAMYDIA       Methodology: MIA
     LAB                                                                                 Accompanies report
                 TRACHOMATIS AB G,A,M Set up: Mon - Sat
CHLAM AB G,A,M                                                                                                Minimum: 0.1 mL
                                      Report available: Next day

                                         CPT Code: 86631X2,86632




                                         CHLAMYDIA TRACHOMATIS BY PCR for                                     Recommended specimens:
                                         CERVICAL SPECIMEN                                                    Female: Endocervical swab. Use kits
                                         Performed at CPAL                                                    provided from CPAL.
                                         NOTE: The DNA test for N. gonorrhoeae can
                                         be run from the same specimen (endocervical                          Specimens collected from other body
                    CHLAMYDIA DNA        or endourethral sources only). If both tests                         sites will be rejected.
     LAB                                                                                      Negative
                      CERVICAL           are desired, order STD PROBE Panel.
  CHLAM CER
                                         Methodology: PCR                                                     **For collection and testing of
                                         Set up: Mon - Fri                                                    specimens from non-genital or urine
                                         Report available: 3 days                                             samples see CHLAMCULT**

                                         CPT Code: 87491




                                     CHLAMYDIA TRACHOMATIS BY PCR for
                                     URINE SPECIMEN
                                     Performed at CPAL
                                     NOTE: The DNA test for N. gonorrhoeae can                                Recommended specimens:
                                     be run from the same specimen (endocervical
                                     or endourethral sources only). If both tests                             Male: Minimum 20 mL random urine
    LAB          CHLAMYDIA DNA URINE                                                          Negative
                                     are desired, order STD PROBE Panel.
 CHLAM URIN
                                     Methodology: PCR                                                         CPAL will perform on a urine from a
                                     Set up: Mon - Fri                                                        female but it is not recommended.
                                     Report available: 3 days

                                         CPT Code: 87491




                                         CHLAMYDIA TRACHOMATIS BY PCR for
                                         URETHRAL SPECIMEN                                                    Recommended specimens:
                                         Performed at CPAL
                                         NOTE: The DNA test for N. gonorrhoeae can                            Male: Urethral specimen
                                         be run from the same specimen (endocervical
                    CHLAMYDIA DNA        or endourethral sources only). If both tests                         Specimens collected from other body
    LAB                                                                                       Negative
                      URETHRAL           are desired, order STD PROBE Panel.                                  sites will be rejected.
CHLAM URETH
                                         Methodology: PCR
                                         Set up: Mon - Fri                                                    **For collection and testing of
                                         Report available: 3 days                                             specimens from non-genital or urine
                                                                                                              samples see CHLAMCULT**
                                         CPT Code: 87491



                                                                                                              Swab (endocervical, urethral, rectal,
                                                                                                              conjunctival), fresh biopsy, fluids
                                                                                                              (pleural, peritoneal, body), pelvic
                                                                                                              washing.

                                                                                                              INSTRUCTIONS
                                         CHLAMYDIA TRACHOMATIS CULTURE
                                                                                                               -Do not use wood or cotton
                                         (QUEST 877)
                                                                                                               swabs.
                                         Methodology: Culture
                                                                                                               -Use M4( V-C-M) for all specimen
    LAB           CHLAMYDIA CULTURE      Set up: Mon - Sat                              No Chlamydia isolated
                                                                                                                 types.
 CHLAMCULT                               Report available: 3 days
                                                                                                               -Break or bend swabs to fit
                                                                                                                inside tube. Immerse biopsy
                                         CPT Code: 87110, 87140
                                                                                                                in M4 medium.

                                                                                                               -After aseptic collection of fluid,
                                                                                                               transfer 3 mL to M4 in equal
                                                                                                               volume (i.e. 3 mL fluid + 3 mL
                                                                                                                M4).
                                                                   Page 33 of 342
   LAB                OE
                                                         TEST                           REFERENCE                      SPECIMEN
  ORDER              ORDER
                                                      PROCEDURE 34 of 342
                                                              Page                        RANGE                      REQUIREMENTS
 MNEMONIC            NAME

                                       CHLORAMPHENICOL
                                       Methodology: HPLC
                                                                                                          Minimum: 1 mL serum (R or DB) or
QUEST 30541X                           Set up: Monday
               Universal Requisition                                                 Accompanies report   plasma (L). No SS tubes. Protect
  Univ. Req.                           Report available: 3 days
                                                                                                          from light.
                                       CPT Code: 82415

                                       CHLORDIAZEPOXIDE (LIBRIUM)
                                       Methodology: GCMS                                                  2 mL plasma (L) or serum (R or DB).
                                       Detection limit: 0.1 µg/mL                                         No SS tubes
QUEST 10912X
               Universal Requisition   Set up: Mon - Sat                             Accompanies report   ROOM TEMP
  univ. Req.
                                       Report available: 5 days
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 80154


                                       CHLORIDE, CSF
                                       Methodology: ISE
                                                                                                          1 mL CSF
                                       Set up: Daily
    LAB          CHLORIDE, CSF                                                       Accompanies report
                                       Report available: Same day
   CSF CL                                                                                                 Minimum: 0.5 mL CSF
                                       CPT Code: 82438

                                       CHLORIDE, SERUM
                                                                                                          1 ml blood (Gn -Li (PST))
                                       Methodology: ISE
                                                                                                                   or
                                       Set up: Daily
    LAB             CHLORIDE                                                         Accompanies report   1 mL serum (SS)
                                       Report available: Same day
     CL
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 82435

                                       CHLORIDE, URINE
                                       Methodology: ISE
                                                                                                          20 mL random urine
    LAB         CHLORIDE, URINE        Set up: Daily
    UCL            RANDOM              Report available: Same day
                                                                                                          Minimum: 5 mL
                                       CPT Code: 82436


                                       CHOLEDYL - See Theophylline


                                       CHOLESTEROL, TOTAL                            Desirable: Less than
                                                                                                          1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric                          200 mg/dL
                                                                                                                   or
                                       Set up: Daily                                 Borderline: 200-239
    LAB          CHOLESTEROL                                                                              1 mL serum (SS)
                                       Report available: Same day                           mg/dL
   CHOL
                                                                                      Elevated: Greater
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 82465                                 than 240 mg/dL



                                       CHOLINESTERASE AND DIBUCAINE
                                       NUMBER - See Dibucane Number and
                                       Cholinesterase



                                                                                                          5 mL whole blood (L)
                                                                                                          AND
                                                                                                          1 mL EDTA plasma (L)
                                       CHOLINESTERASE, RBC
                                       Methodology: Kinetci/Spectrophotometric                            Draw 2 Lavender-top EDTA tubes.
QUEST 17430X                           Set up: Mon - Fri                                                  Spin one tube and separate plasma
               Universal Requisition                                                 Accompanies report
  Univ. Req.                           Report available: Next day                                         into plastic tube. Ship both whole
                                                                                                          blood and plasma aliquot. Specimen
                                       CPT Code: 82482                                                    will be rejected if only whold blood is
                                                                                                          received.
                                                                                                          Hemolyzed and icteric specimens
                                                                                                          are unacceptable




                                                                    Page 34 of 342
    LAB                  OE
                                                             TEST                          REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                          PROCEDURE 35 of 342
                                                                  Page                       RANGE                      REQUIREMENTS
  MNEMONIC              NAME


                                          CHOLINESTERASE, SERUM
                                          (Pseudocholinesterase)
                                                                                                              2 mL serum (SS) or plasma (EDTA)
                                          (QUEST 37965)
                                                                                                              Hemolyzed specimens are
                                          Methodology: Kinetci/Spectrophotometric
     LAB           CHOLINESTERASE                                                        Accompanies report   unacceptable
                                          Set up: Mon - Fri
    CHOLIN
                                          Report available: Next day
                                                                                                              Minimum: 0.5 mL
                                          CPT Code: 82480



                                          CHORIONIC GONADOTROPIN, SERUM OR
                                                                                                              1.0 mL serum (SS)
     LAB                                  URINE, QUALITATIVE (Pregnancy test)
                                                                                                                    -or-
   (Serum)                                Methodology: EIA
                   HCG,QUAL SERUM                                                                             10.0 mL of first morning urine
  HCGQUALS                                Set up: Daily
                         -or-                                                            Accompanies report
      OR                                  Report available: Same day
                   HCG,QUAL URINE                                                                             Minimum: 0.5 mL serum
    (Urine)
                                                                                                                           -or-
  HCGQUALU                                CPT Code: serum - 84703
                                                                                                                      5.0 mL urine
                                                     urine - 81025


                                    CHORIONIC GONADOTROPIN,
                                    QUANTITATIVE (CPAL)
                                    Detects both whole molecule hCG and beta-
                                    hCG fragments (tumor marker).
                   HCG CHORIONIC
     LAB                            Methodology: Chemiluminescence                       Accompanies report   1 mL serum (SS) FROZEN
                 GONADOTROPIN (CPAL
   HCG CPAL                         Set up: Monday - Friday
                                    Report available: Next day

                                          CPT Code: 84702


                                          CHONDROITIN SULFATE - See Acid
                                          Mucopolysaccharides, Quantitative



                                                                                                              4 mL whole blood (DB EDTA)
                                                                                                              To avoid contamination, use
                                          CHROMIUM, BLOOD
                                                                                                              powderless gloves. DO NOT
                                          (QUEST 6085)
                                                                                                              ALIQUOT SPECIMEN. Draw one
                                          Methodology: Inductively Coupled Plasma-
                                                                                                              vacutainer of blood (1-2 mL) and
                                          Mass Spectrometry with Dynamic Reaction
     LAB                                                                                                      discard. Draw second vacutainer (2-4
                  CHROMIUM, BLOOD         Cell                                           Accompanies report
 CHROMIUM BLD                                                                                                 mL in royal blue, EDTA) for
                                          Set up: Mon-Fri
                                                                                                              submission. Patient should refrain
                                          Report available: 2 days
                                                                                                              from taking mineral supplements, and
                                                                                                              multi-vitamin 3 days prior to specimen
                                          CPT Code: 82495
                                                                                                              collection
                                                                                                              Minimum : 2 mL


                                          CHROMIUM,URINE
                                          Methodology: AA
                                          Detection limit: 0.10 ng/mL                                         2 mL random urine specimen
 QUEST 11278X
                  Universal Requisition   Set up: Tues, Thurs                            Accompanies report
   Univ. Req.
                                          Report available: 7 days                                            Minimum : 0.5 mL

                                          CPT Code: 82495

                                          CHROMOGRANIN A
                                          (QUEST 16379)
                                          Methodology: Electrochemiluminescent                                1 mL serum (SS)
                                          Immunoassay
     LAB          CHROMOGRANIN A                                                         Accompanies report
                                          Set up: Mon-Fri
CHROMOGRANIN A
                                          Report available: 4 days                                            Minimum: 0.3 mL

                                          CPT Code: 86316

                                          CHRONIC URTICARIA (CU) INDEX ™*
                                          (QUEST 16838)
                                                                                                              1.0 mL serum (R)
                                          Methodology: Cell culture, Immunoassay
                  CHRONIC URTICARIA
     LAB                                  Set up: Tues , Thurs                           Accompanies report
                     (CU) INDEX
   CU INDEX                               Report available: 3 days
                                                                                                              Minimum: 0.5 Ml
                                          CPT Code: 86343



                                                                        Page 35 of 342
   LAB               OE
                                                        TEST                          REFERENCE                          SPECIMEN
  ORDER             ORDER
                                                     PROCEDURE 36 of 342
                                                             Page                       RANGE                          REQUIREMENTS
 MNEMONIC           NAME

                                      CITRATE, URINE (QUEST 2120)
                                      Methodology: Enzymatic                                                10 mL aliquot of 24-hr urine collection
                                      Set up: Mon - Fri                                                     with no preservative.
    LAB       CITRATE, URINE 24HR                                                  Accompanies report
                                      Report available: Same day
CITRATE24U
                                                                                                            Minimum: 1 mL
                                      CPT Code: 82507



                                      CK-ISOENZYME ELECTROPHORESIS
                                      Methodology: Electrophoresis                                          2 mL serum (SS)
QUEST 6422                            Set up: Mon - Fri, Sun                                                FREEZE
              Universal Requisition                                                Accompanies report
 Univ. Req.                           Report available: Next day
                                                                                                            Minimum: 1 mL
                                      CPT Code: 82550, 82552



                                      CK-MB
                                      Methodology: Chemiluminescence
                                      Set up: Daily
                                                                                                            4.0 mL blood (Gn-Li (PST)
                                      Report available: Same day
    LAB       CREATINE KINASE MB                                                     <0.3 - 6.3 ng/mL       Spin dowm within 2 hours and remove
                                      If CK MB only if indicated is requested,
   CKMB                                                                                                     plasma.
                                      order CKMBINDICATE

                                      CPT Code: 82553


                                      CLOMIPRAMINE (ANAFRANIL)
                                      Includes desmethyl-clomipramine.
                                      Methodology: HPLC
                                                                                                            2 mL serum (DB or R ) No SS tubes.
QUEST 2040                            Detection limit: 5 ng/mL
              Universal Requisition                                                Accompanies report
 Univ. Req.                           Set up: Mon - Fri
                                                                                                            Minimum: 1.5 mL
                                      Report available: 3 days

                                      CPT Code: 83789

                                      CLONAZEPAM (KLONOPIN)
                                      (QUEST 340X)
                                                                                                            2 mL serum (DB, R); Protect from
                                      Methodology: HPLC
                                                                                                            light. No SS tubes.
                                      Detection limit: 5 ng/mL                     Therapeutic: 30 - 60
    LAB          CLONAZEPAM                                                                                 FREEZE
                                      Set up: Mon, Wed , Fri                             ng/mL
CLONAZEPAM
                                      Report available: 3 days
                                                                                                            Minimum: 1.2 mL
                                      CPT Code: 80154


                                      CLORAZEPATE (TRANZENE)
                                      Methodology: HPLC
                                      Detection limit: 0.1 µg/mL of nordiazepam                             2 mL serum (DB, R). No SS tubes
QUEST 90854
              Universal Requisition   Set up: Tues, Thurs                          Accompanies report
 Univ. Req.
                                      Report available: 5 days                                              Minimum: 1 mL

                                      CPT Code: 80154


                                      CLOSTRIDIUM DIFFICILE RAPID TOXIN A             None detected.
                                      AND B DETECTION                               Clostridium difficile   Stool: liquid,loose or soft Stool;
                                      Methodology: EIA                            Toxin B Assay by PCR      specimen should be collected in a
               C DIFFICILE TOXIN
    LAB                               Set up: Daily                                  will be added and      plain (no preservative) container and
                  A&B,STOOL
C DIFTOXIN                            Report available: 24 - 48 hours                billed for Positive    kept refrigerated. Hard/Formed stools
                                                                                   results on children <    will be rejected.
                                      CPT Code: 87324                                12 years of age.

                                      CLOSTRIDIUM DIFFICILE QUALITATIVE
                                      PCR ASSAY FOR TOXIN B                                                 5 mL liquid or soft stool in leakproof
                                      (Quest 16377)                                                         container
    LAB                               Methodology: PCR                                                      Refrigerate till shipment;
               C DIF CYTOTOXIN B                                                      None detected
C DIF CYTO                            Set up: Daily                                                         Ship -70 degrees C on dry ice.
                                      Report available: 3 days

                                      CPT Code: 87492




                                                                 Page 36 of 342
   LAB                OE
                                                         TEST                          REFERENCE                     SPECIMEN
  ORDER              ORDER
                                                      PROCEDURE 37 of 342
                                                              Page                       RANGE                     REQUIREMENTS
 MNEMONIC            NAME

                                       CLOTEST
                                                                                                          Tissue specimen imbedded in the
                                       Methodology: Urease
                                                                                                          CLOTEST test strip and submitted to
                  CLOTEST FOR          Set up: Mon - Fri
   LAB                                                                                    Negative        the Laboratory within 30 minutes of
                 HELICOBACTER          Report available: 24 hours
 CLOTEST                                                                                                  collection. CLOTEST test strips are
                                                                                                          available from the Laboratory.
                                       CPT Code: 87081

                                       CLOZAPINE (CLOZARIL)
                                       (QUEST 1769X)
                                                                                                          2 mL plasma (L)
                                       Methodology: HPLC
                                                                                                          FREEZE
   LAB             CLOZAPINE           Set up: Mon - Fri                             Accompanies report
CLOZAPINE                              Report available: Next day
                                                                                                          Minimum: 1 mL
                                       CPT Code: 83789

                                       CLUE CELLS - Order Wet Prep and Gram
                                       Stain and note "Check for Clue Cells" and
                                       deliver to Microbiology upon completion of
                                       Wet Prep.


                                       CMV ANTIBODIES - See Cytomegalovirus
                                       Antibodies


                                       CMV CULTURE - See Cytomegalovirus
                                       (CMV) Culture


                                       CO2 -See Carbon Dioxide (Bicarbonate)



                                 COAG MIXING STUDIES
                                 Methodology: Plasma from abnormal
                                                                                     Accompanies report
                                 protime/aPTT mixed proportionately with
                                 normal plasma and tested using optical clot
              COAGULATION MIXING                                                                          2 mLplasma (LB); FROZEN if not
   LAB                           detection.
                   STUDY                                                              Test invalid on     tested within 2 hours.
 COAGMIX                         Set up: As ordered
                                                                                      patients taking
                                 Report available: 8 hours
                                                                                      anticoagulants.
                                       CPT Code: 85611


                                       COCAINE METABOLITE PRESUMPTIVE
                                       SCREEN
                                       Methodology: EMIT
                                       Detection limit: 300 ng/mL of                                      25 mL random urine
QUEST 1342
               Universal Requisition   benzoylecgonine                               Accompanies report
 Univ. Req.
                                       Set up: Mon - Sat                                                  Minimum: 10 mL
                                       Report available: Next day

                                       CPT Code: 80101


                                       COCAINE AND COCAINE METABOLITE
                                       VERIFICATION BY GCMS                                               15 mL random urine
                                       Methodology: GCMS                                                            -or-
                                       Detection limits - Urine: 100 ng/mL; Whole                          5 mL plasma (Gy), FROZEN
QUEST 5530Z
               Universal Requisition   blood, serum, plasma: 50 ng/mL                  None detected
 Univ. Req.
                                       Set up: Mon - Fri                                                  Minimum: 5 mL urine
                                       Report available: 3 days                                                       -or-
                                                                                                                  3 mL plasma
                                       CPT Code: 82520

                                       COCCIDIODES IMMITIS ANTIBODIES
                                       (QUEST 906X)
                                                                                                          1 mL serum (R)
                                       Methodology: Immunodiffusion
                                                                                                          ROOM TEMP
   LAB            COCCIDIODES          Set up: Mon - Fri                             Accompanies report
  COCCID                               Report available: 2 days
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 86635




                                                                    Page 37 of 342
   LAB                 OE
                                                          TEST                        REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 38 of 342
                                                               Page                     RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                        CODEINE, QUANTITATIVE BY GCMS
                                        Methodology: GCMS
                                                                                                         5 mL serum (DB)
                                        Detection limit: 50 ng/mL
 QUEST 039                                                                                               No SS tubes
                Universal Requisition   Set up: Tues, Fri                           Accompanies report
  Univ. Req.
                                        Report available: 4 days
                                                                                                         Minimum: 2 mL
                                        CPT Code: 83925


                                        COENZYME Q10
                                        Referral test for QUEST
                                        Methodology: HPLC
QUEST 19826X                                                                                             4 mL serum (R)
                Universal Requisition   Set up:                                     Accompanies report
  Univ. Req.                                                                                             FREEZE and protect from light
                                        Report available: 14 days after setup

                                        CPT Code: 82491


                                        COLD AGGLUTININ - See Mycoplasma
                                        Pneumoniae IgM

                                        COLLAGEN CROSSLINKED N-
                                        TELOPEPTIDE -See Osteomark


                                        COLLAGEN PROFILE - Order Sed Rate,
                                        ANA screen, Rheumatoid Factor, and CRP


                                        COMPLEMENT, C1 ESTERASE INHIBITOR
                                        (QUEST 298)
                                                                                                         1 mL serum (SS). Collect on ice.
                                        Methodology: Nephelometric
                  COMPLEMENT C1                                                                          Chill in ice bath during clotting.
    LAB                                 Set up: Mon - Sat                           Accompanies report
                  ESTERASE INHIB
   C1 EST                               Report available: Next day
                                                                                                         Minimum: 0.5 mL
                                        CPT Code: 86160


                                        COMPLEMENT, C1 ESTERASE INHIBITOR,
                                        FUNCTIONAL
                                        (QUEST 23042)                                                    1 mL serum (R); FROZEN within 1
                   C1 INHIBITOR,        Methodology: EIA                                                 hour of collection, No SS tubes.
    LAB                                                                             Accompanies report
                   FUNCTIONAL           Set up: Tues, Fri
  C1 INHIB
                                        Report available: Next day                                       Minimum: 0.2 mL

                                        CPT Code: 86161

                                        COMPLEMENT, C2
                                        Methodology: RID
                                                                                                         1 mL serum (R, no SS)
QUEST 433X                              Set up: Mon, Wed
                Universal Requisition                                               Accompanies report
 Univ. Req.                             Report available: 5 days
                                                                                                         Minimum: 0.3 mL
                                        CPT Code: 86161

                                    COMPLEMENT, C3
                                    Performed at CPAL.
                                    Methodology: Nephelometric                                           1 mL serum (SS)
    LAB        C3 COMPLEMENT (CPAL) Set up: Mon - Sat                               Accompanies report
     C3                             Report available: Next day                                           Minimum: 0.5 mL

                                        CPT Code: 86160

                                    COMPLEMENT, C4
                                    Performed at CPAL
                                    Methodology: Nephelometric                                           1 mL serum (SS)
    LAB        C4 COMPLEMENT (CPAL) Set up: Mon - Sat                               Accompanies report
     C4                             Report available: Next day                                           Minimum: 0.5 mL

                                        CPT Code: 86160

                                        COMPLEMENT, C5
                                        Methodology: RID
                                                                                                         1 mL serum (SS)
QUEST 354X                              Set up: Mon - Fri
                Universal Requisition                                               Accompanies report
 Univ. Req.                             Report available: 3 days
                                                                                                         Minimum: 0.5 mL
                                        CPT Code: 86160

                                                                   Page 38 of 342
  LAB                  OE
                                                          TEST                            REFERENCE                        SPECIMEN
 ORDER                ORDER
                                                       PROCEDURE 39 of 342
                                                               Page                         RANGE                        REQUIREMENTS
MNEMONIC              NAME

                                   COMPLEMENT PROFILE 1
                                   (QUEST 541)
                                   C1 Esterase Inhibitor, C3, C4, and Ch50                                     1 mL serum (SS), FROZEN
   LAB        COMPLEMENT PROFILE I Set up: Monday, Saturday
COMP PRO I                         Report available: Next day                                                  Minimum: 0.5 mL

                                       CPT Code: 83520, 86160x2, 86162


                                       COMPLEMENT PROPERDIN, FACTOR B
                                       Methodology: Nephelometric
                                                                                                               1 mL serum (SS), FROZEN
QUEST 300X                             Set up:Tues, Thurs, Sat
               Universal Requisition                                                    Accompanies report
 Univ. Req.                            Report available: 3 days
                                                                                                               Minimum: 0.25 mL
                                       CPT Code: 83883

                                       COMPLEMENT, TOTAL, CH50 UNITS
                                       (QUEST 618)
                                                                                                               1 mL serum (SS), separated from clot
                                       Methodology: Colormetric
                   CH50, TOTAL                                                                                 and FROZEN immediately
   LAB                                 Set up: Mon - Sat                                Accompanies report
                 HEMOLYTIC COMP
   CH50                                Report available: Next day
                                                                                                               Minimum: 0.2 mL
                                       CPT Code: 86162

                                       COMPLETE BLOOD COUNT (CBC), WITH
                                       DIFF
                                       Methodology: Sysmex XE-2100
                                       Set up: Daily
                                       Report available: Same day
                                                                                                               4 mL blood (L)
                                                                                                                If greater than a 24 hour delay is
                                       Note: If indicated, a manual WBC Differential
                                                                                                               expected in submitting the specimen
                                       will be performed and the charge adjusted in     Accompanies report
                                                                                                               a. Maintain at ROOM TEMP
   LAB         CBC WITH AUTO DIFF      compliance with HCFA compliance
                                                                                                               b. Submit a peripheral blood smear in
   CBC                                 guidelines.
                                                                                                               addition to the blood specimen.
                                       Order CBCDIFF if physician requests CBC
                                                                                                               Minimum: 2 mL
                                       and manual diff regardless of auto diff
                                       results.

                                       CPT Code: CBC - 85025
                                                  CBCDIFF - 85025, 85007

                                       COMPLETE BLOOD COUNT NO
                                       DIFFERENTIAL
                                                                                                               4 mL blood (L)
                                       Methodology: Sysmex XE-2100
                                                                                                               Maintain at ROOM TEMP.
  LAB              CBC NO DIFF         Set up: Daily                                    Accompanies report
CBCNODIF                               Report available: Same day
                                                                                                               Minimum: 2 mL
                                       CPT Code: 85027

                                       COMPREHENSIVE METABOLIC PANEL
                                       (Includes: Albumin, Alk Phos, Bilirubin Total,
                                       Calcium, Creatinine, Electrolytes, Glucose,
                                                                                                               1 ml blood (Gn -Li (PST))
                                       SGOT (AST), SGPT (ALT), Total Protein,
                                                                                                                        or
                COMPREHENSIVE          Urea Nitrogen (BUN).
   LAB                                                                                  See individual tests   1 mL serum (SS))
                METABOLIC PANEL        Methodology: Various
  COMP
                                       Set up: Daily
                                                                                                               Minimum: 0.5 mL
                                       Report available: Same day

                                       CPT Code: 80053

                                       COOMBS TEST, DIRECT
                                       Methodology: Hemagglutination
                                                                                                               4 mL blood (Pink)
                                       Set up: Daily
   BB            DIRECT COOMBS                                                               Negative
                                       Report available: Same day
   DAT                                                                                                         Minimum: 1 mL
                                       CPT Code: 86880


                                       COPPER
                                       (QUEST 0942)
                                       Methodology: ICP-MS                                                     3 mL blood (DK BLUE EDTA)
   LAB               COPPER            Set up: Mon, Wed, Fri                            Accompanies report
 COPPER                                Report available: 3 days                                                Minimum: 1 Ml

                                       CPT Code: 82525

                                                                    Page 39 of 342
    LAB                 OE
                                                           TEST                          REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                        PROCEDURE 40 of 342
                                                                Page                       RANGE                      REQUIREMENTS
  MNEMONIC             NAME

                                     COPPER , 24 HOUR URINE
                                     (QUEST 4876)                                                           7 mL aliquot of 24-hour urine
                                     Methodology: ICP-MS                                                    preserved with 30 mL 6N HCl. 24-
     LAB        COPPER 24 HOUR URINE Set up: Mon - Fri                                Accompanies report    hour volume required.
 COPPER 24HR                         Report available: 1 day
                                                                                                            Minimum: 3 mL
                                         CPT Code: 82525, 82570

                                         COPPER, URINE
                                         Methodology: ICP-MS                                                7 mL urine colleced in acid-washed
 QUEST 15319X                            Set up: Mon - Fri                                                  container
                 Universal Requisition                                                Accompanies report
   Univ. Req.                            Report available: 2 days
                                                                                                            Minimum: 3 mL
                                         CPT Code: 82525, 82570


                                         COPROPORPHYRIN and UROPORPHYRIN -
                                         See Porphyrins, Fractionated, Urine



                                  CORD BLOOD SCREEN
                                  Includes ABORH and DAT
                                  Methodology: Hemagglutination                                             4 mL blood (Pink)
     BB         CORD BLOOD SCREEN Set up: Daily                                       Accompanies report
    CORD                          Report available: Same day                                                Minimum: 1 mL

                                         CPT Code: 86900, 86880



                                         CORONARY RISK PROFILE
                                         (QUEST 0372)
                                         Includes Cholesterol, HDL Cholesterol,
                                         Triglycerides, LDL, Total Cholesterol/HDL,
                                                                                                            2 mL serum (SS), drawn after 12 - 14
                                         Cholesterol ratio calculation, VLDL
                   CORONARY RISK                                                                            hours fast
     LAB                                 calculation.                                 Accompanies report
                      PROFILE
CORONARY PROF                            Methodology: Spectrophotometric
                                                                                                            Minimum: 1 mL
                                         Set up: Daily
                                         Report available: Next day

                                         CPT Code: 82465, 83718, 84478


                                         CORTCOTROPIN RELEASING HORMONE
                                         (QUEST 36589)
                                         Methodology: RIA                                                   3.0 mL plasma (GN - NA HEP)
                   CORTICOTROPIN
     LAB                                 Set up: Wed morning                          Accompanies report
                 RELEASING HORMON
     CRH                                 Report available: 4 days                                           Minimum: 1.1 mL

                                         CPT Code: 83519

                                         CORTISOL SUPPRESSION - See
                                         Dexamethasone Suppression


                                                                                                            1 ml blood (Gn -Li (PST))
                                         CORTISOL, SERUM TOTAL
                                                                                                                     or
                                         Methodology: Chemiluminescence               AM (8 a.m.): 6 - 23
                                                                                                            1 mL serum (SS)
                                         Set up: Daily                                      µg/dL
    LAB          CORTISOL,RANDOM
                                         Report available: Same day                    PM (8 p.m.): <10
  CORTISOL                                                                                                  For level comparison, blood
                                                                                            µg/dL
                                                                                                            specimens should be drawn at 8 a.m.
                                         CPT Code: 82533
                                                                                                            and 8 p.m.


                                         CORTISOL, URINARY FREE (QUEST
                                         11280X)                                                            2.0 mL aliquot of 24-hr urine, FROZEN
                                         Methodology: CL/TMS                                                Specify total 24-hr volume on request
    LAB            CORTISOL URINE        Set up: Sun - Fri                            Accompanies report    form.
  CORTIS UR                              Report available: 5 days
                                                                                                            Minimum: 2 mL
                                         CPT Code: 82530




                                                                    Page 40 of 342
   LAB               OE
                                                         TEST                          REFERENCE                       SPECIMEN
  ORDER             ORDER
                                                      PROCEDURE 41 of 342
                                                              Page                       RANGE                       REQUIREMENTS
 MNEMONIC           NAME
                                                                                                           4 serum (SS) samples, 1 mL each,
                                      CORTROSYN STIMULATION (ADRENAL
                                                                                                           one drawn as baseline, one drawn 30
                                      INSUFFICIENCY PROFILE)
                                                                                                           minutes post administration, and one
                                      4 cortisol levels: Baseline, 30, 60 AND 90
                                                                                                           drawn 60 minutes post administration
                                      minutes post cortrosyn administration.
QUEST 6736X                                                                                                and one drawn 90 minutes post
              Universal Requisition   Methodology: CIA                               Accompanies report
 Univ. Req.                                                                                                administraiton of Cortrosyn. Record
                                      Set up: Daily
                                                                                                           date and time of collection on each
                                      Report available: Next day
                                                                                                           specimen.
                                      CPT Code: 82533x4
                                                                                                           Minimum: 0.5 mL EACH

                                      COUMADIN
                                      Methodology: HPLC
                                      Detection limit: 0.01 µg/mL                                          2.0 mL plasma EDTA (DB)
QUEST 936Z
              Universal Requisition   Set up: Mon, Wed, Fri                          Accompanies report
 Univ. Req.
                                      Report available: Next day                                           Minimum: 1.2 mL

                                      CPT Code: 80299


                                      COXIELLA BURNETII IgG ANTIBODY, IFA
                                      (PHASE I / PHASE II)
                                      Methodology: Indirect IFA                                            1 mL serum (SS)
QUEST 85192
              Universal Requisition   Set up: Tues, Thurs                            Accompanies report
 Univ. Req.
                                      Report available: next day                                           Minimum: 0.5 Ml

                                      CPT Code: 86638X2


                                      COXIELLA BURNETII (Q-FEVER) IgM
                                      ANTIBODY, IFA
                                      (PHASE I / PHASE II)
                                                                                                           1 mL serum (SS)
QUEST 85202                           Methodology: Indirect IFA
              Universal Requisition                                                  Accompanies report
 Univ. Req.                           Set up: Tues, Thurs
                                                                                                           Minimum: 0.5 Ml
                                      Report available: next day

                                      CPT Code: 86638X4

                                      COXSACKIE VIRUS B ANTIBODY PANEL
                                      (B1 - B6) (QUEST 7656X)
                                      Methodology: CF                                                      1 mL serum (SS)
                 COXSACKIE B
   LAB                                Set up: Mon - Fri                              Accompanies report    Fasting specimen preferred
                  ANTIBODY
 COX B AB                             Report available: 2 days                                             Minimum: 0.5 mL

                                      CPT Code: 86658x6

                                      COXSACKIE VIRUS CULTURE - See
                                      Enterovirus Culture

                                      C-PEPTIDE (QUEST 372)
                                      Methodology:ICA                                                      1 mL serum (SS) FROZEN, drawn
                                      Set up: Mon - Fri                                                    fasting
    LAB            C-PEPTIDE                                                         Accompanies report
                                      Report available: Next day
 C-PEPTIDE
                                                                                                           Minimum: 0.4 mL
                                      CPT Code: 84681

                                      C-PEPTIDE PROFILE #1
                                      Includes C-Peptide, Insulin Free, Insulin
                                      Total, Insulin Autoantibodies)
QUEST 26852                           Methodology:                                                         2 mL serum (SS)
              Universal Requisition                                                  Accompanies report
 Univ. Req.                           Set up:                                                              FREEZE
                                      Report available: 8 days

                                      CPT Code: 83525, 83527, 84681, 86337

                                      CPK (Creatine Phosphokinase)                   < 1 month:     34 -
                                                                                                           1 ml blood (Gn -Li (PST))
                                      Methodology: Enzymatic                              400 IU/L
                                                                                                                    or
                                      Set up: Daily                                  1 mo - 60 yrs: 34 -
   LAB        CREATINE KINASE MB                                                                           1 mL serum (SS)
                                      Report available: Same day                          300 IU/L
   CPK
                                                                                     > 60 years:    34 -
                                                                                                           Minimum: -.5 mL
                                      CPT Code: 82550                                     200 IU/L

                                      CPK ISOENZYMES - See CK MB or
                                      Creatinine Phosphokinase Isoenzyme
                                      Electrophoresis


                                                                    Page 41 of 342
  LAB                 OE
                                                        TEST                        REFERENCE                        SPECIMEN
 ORDER               ORDER
                                                     PROCEDURE 42 of 342
                                                             Page                     RANGE                        REQUIREMENTS
MNEMONIC             NAME

                                       C- PROTEIN - See Protein C


                                       C-REACTIVE PROTEIN QUANT
                                                                                                        1 ml blood (Gn -Li (PST))
                                       Methodology: NIPA
                                                                                                                 or
                                       Set up: Mon - Sat
   LAB        C-REACTIVE PROTEIN                                                 Accompanies report     1 mL serum (SS)
                                       Report available: Same day
   CRP
                                                                                                        Minimum: -0.5 mL
                                       CPT Code: 86140

                                       C-REACTIVE PROTEIN HIGHLY SENSITIVE
                                       (CARDIO CRP)                                                     1 ml blood (Gn -Li (PST))
                                       Methodology: NIPA                                                         or
   LAB            CARDIAC CRP          Set up: Daily                             Accompanies report     1 mL serum (SS)
 CRPSENS                               Report available: same day
                                                                                                        Minimum: 0.5 mL
                                       CPT Code: 86141


                                                                                                        2 mL serum (SS), FREEZE
                                       C-REACTIVE PROTEIN HIGHLY SENSITIVE                                         -or-
                                       (CARDIO CRP)                                                     3 mL aliquot of 24-hr urine collection,
                                       Methodology: NIPA                                                refrigerate during collection. Specify
QUEST 096
               Universal Requisition   Set up: Daily                             Accompanies report     24-hr total volume. FREEZE
 Univ. Req.
                                       Report available: same day
                                                                                                        Minimum: 1 mL serum
                                       CPT Code: 86141                                                               -or-
                                                                                                                 2 mL urine


                                       CREATINE PHOSPHOKINASE ISOENZYME
                                       ELECTROPHORESIS (CPK
                                       FRACTIONATED)
                                       Includes : CPK-BB, CPK-MB, CPK-MM              Individual        3 mL serum (SS)
QUEST 6422
               Universal Requisition   Methodology: Electrophoresis               interpretation will
 Univ. Req.
                                       Set up: Mon - Fri, Sun                     accompany report      Minimum: 0.5 mL
                                       Report available: Next day

                                       CPT Code: 82550, 82552


                                       CREATININE, SERUM or PLASMA
                                       Includes GFR
                                       Methodology: Colormetric
                                       Set up: Daily                                                    1 ml blood (Gn -Li (PST))
                                       Report available: Same day                                                or
   LAB                CREAT            Order CREATART for arterial blood         Accompanies report     1 mL serum (SS)
  CREAT                                (studies only), CREATVEN for venous
                                       samples (studies only), CREATPRE or                              Minimum: 0.5 mL
                                       CREATPOST for Dialysis patients.

                                       CPT Code: 82565


                                       CREATININE, Peritoneal Fluid
                                       Methodology: Colormetric
                                       Set up: Daily                                                    1 ml sterile fluid
   LAB             CREAT PERI          Report available: Same day                Accompanies report
CREATPERI                                                                                               Minimum: 0.5 mL

                                       CPT Code: 82565

                                  CREATININE, URINE (12 hr or random)
                                  Methodology: Colormetric                                              10 mL urine, collected without
   LAB        URINE CREAT 12 HOUR
                                  Set up: Daily                                                         preservatives
UCREAT12              -or-                                                         None available
                                  Report available: Same day
    or         CREATININE,URINE
                                                                                                        Minimum: 1 mL
 UCREAT
                                       CPT Code: 82570


                                       CREATININE 24 HR UR
                                       Methodology: Colormetric                                         10 mL urine, collected without
              CREATININE URINE 24      Set up: Daily                                                    preservatives, refrigerate during
  LAB                                                                            600 - 2000 mg/24 hr
                      HR               Report available: Same day                                       collection
UCREAT24
                                       CPT Code: 82570


                                                                Page 42 of 342
   LAB                 OE
                                                          TEST                         REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 43 of 342
                                                               Page                      RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                                                                                          1 ml blood (Gn -Li (PST))
                                                                                                                    or
                                                                                                          1 mL serum (SS)
                                                                                                                 -and-
                                        CREATININE CLEARANCE
                                                                                                          20 mL aliquot of 24-hr urine, collected
                                        Serum creatinine must be ordered and drawn
                                                                                                          without preservatives; refrigerate
                                        at some time during the 24 hr collection
                                                                                                          during collection. Certain
                   CREATININE           Methodology: Colormetric
    LAB                                                                               100 - 180 mL/min    preservatives can be used; see
                CLEARANCE, URINE        Set up: Daily
  CREATCL                                                                                                 Appendix A. Specify total 24-hr
                                        Report available: Same day
                                                                                                          volume on request form
                                                                                                          NOTE: The blood specimen must be
                                        CPT Code: 82575
                                                                                                          drawn at some point during the 24-hr
                                                                                                          urine collection including up to 2 hours
                                                                                                          before or after urine collection is
                                                                                                          completed.


                                        CROSSMATCH FOR PACKED CELLS
                                                                                                          6.0 mL whole blood (Pink)
                                        Methodology: Tube Agglutination
                LEUKO-REDUCED
                                        Set up: As requested
    BB         PACKED RED BLOOD                                                                           Patient and specimen must be taged
                                        Report available: Same day
  LRPRBC            CELLS                                                                                 with a unique identification number
                                                                                                          band.
                                        CPT Code: 86920



                                        CRP - See C-Reactive Protein


                                                                                                          Minimum: 6 mL citrated plasma (LB).
                                                                                                          drawn fasting
                                        CRYOFIBRINOGEN (QUEST 376)                                        ROOM TEMP
                                        Methodology: Cold precipitation
                                        Set up: Mon - Fri, Sun                                            1) Draw plain red top tube and
   LAB           CRYOFIBRINOGEN                                                      Accompanies report
                                        Report available: 3 days                                          discard or use for other testing.
CRYOFIBRIN
                                                                                                          2) Draw LB tube and centrifuge at
                                        CPT Code: 84999                                                   3000 rpm for 10 minutes.

                                                                                                          Minimum: 3 mL


                                  CRYOGLOBULINS, QL, ANALYSIS
                                  (QUEST 383X)- Qualitative                                               3.0 mL serum (R); Allow to clot at 37 -
                                  Methodology: Cold precipitation                                         42C (body temp) until centrifuged.
    LAB        CRYOGLOBULIN, QUAL Set up: Daily                                      Accompanies report   Transport at ROOM TEMP
 CRYOGLOB                         Report available: 1 week
                                                                                                          Minimum: 3 mL
                                        CPT Code: 82595


                                                                                                          Minimum: 4 mL serum (R).
                                        CRYOGLOBULINS, QUANTITATIVE
                                                                                                          Draw specimens in warm tubes (37 -
                                        Methodology: Cold precipitation
                                                                                                          42C). Allow to clot at 37 - 42C. Keep
QUEST 36562X                            Set up: Daily
                Universal Requisition                                                Accompanies report   specimens at 37 - 42C until they have
  Univ. Req.                            Report available: 4 days
                                                                                                          been centrifuged and the serum has
                                                                                                          been separated from the cells.
                                        CPT Code: 82595
                                                                                                          Transport at ROOM TEMP.


                                        CRYPTOCOCCAL ANTIGEN WITH REFLEX
                                        TO TITER
                 CRYPTOCOCCAL
   LAB                                  (QUEST 11196)
                  ANTIGEN, CSF                                                                            2.0 mL serum (R) or CSF
CRY AG CSF                              Methodology: Agglutination
                       -or-                                                          Accompanies report
    -or-                                Set up: Daily
                  CRYPTOCOCAL                                                                             Minimum: 0.5 mL
   LAB                                  Report available: Next day
                 ANTIGEN, SERUM
CRY AG SER
                                        CPT Code: 86403 (86406 if titer indicated)


                                        CRYPTOCOCCAL ANTIBODIES
                                        Methodology: Agglutination
                                                                                                          1 mL serum (SS)
QUEST 30429X                            Set up: Mon - Sat
                Universal Requisition                                                Accompanies report
  Univ. Req.                            Report available: Next day
                                                                                                          Minimum: 0.5 mL
                                        CPT Code: 86403




                                                                   Page 43 of 342
  LAB            OE
                                                 TEST                               REFERENCE                         SPECIMEN
 ORDER          ORDER
                                              PROCEDURE 44 of 342
                                                      Page                            RANGE                         REQUIREMENTS
MNEMONIC        NAME

                              CRYPTOSPORIDIUM, FECAL (QUEST
                              2134)
                              Also detects Isospora and Cyclospora                                       Random stool, collected in container
                              Methodology: Stain                                                         with 10% formalin.
   LAB      CRYPTOSPORIDIUM                                                       Accompanies report
                              Set up: Daily                                                              Unpreserved stool is unaceptable.
 CRYPTO
                              Report available: Next day                                                 Minimum : 1 g

                              CPT Code: 87015, 87206


                              CRYSTALS (BODY FLUID) - See Synovial
                              Fluid Crystals Analysis

                              CSF, CYTOLOGIC EXAMINATION - See
                              Cytology, Body Fluids

                              CSF, INDIA INK PREP - See India Ink
                              Preparation


                              CSF GAMMA GLOBULIN - See Protein
                              Electrophoresis, Cerebrospinal Fluid


                              CSF IgG SYNTHESIS - See Cerebrospinal
                              Fluid, IgG Synthesis Rate



                              CULTURE, ABSCESS, WOUND, OR OTHER
                                                                                                         Send aerobic culturette (with 2 swabs
                              SITE (INCLUDES GRAM STAIN)
                                                                                                         inserted). Specify specimen source
                              A charge will be added for each organism
                                                                                                         and specimen description. NOTE:
                              identification and sensitivity that is indicated.
                                                                                                         Aerobic swabs do not support growth
                              Methodology: Culture
   LAB      WOUND CULTURE                                                             No growth          of anaerobic organisms. If anaerobes
                              Set up: Sun - Sat
WOUNDCULT                                                                                                are suspected, order a Culture,
                              Report available:Preliminary 1-2 day
                                                                                                         Anaerobic and submit an additional
                                                 Final 2-5 days
                                                                                                         specimen in an anaerobic culture
                                                                                                         tube.
                              CPT Code: 87070



                              CULTURE, ACID-FAST (TB)
                              Includes AFB smear. If culture positive,                                   Primary specimen (sputum, or 5 mL
                              identification will be performed by PCR at                                 aliquot of first morning urine, tissue
                              CPAL laboratory if indicated.                                              and body fluids).
                              Methodology: Culture                                No acid-fast bacilli
   LAB        AFB CULTURE
                              Set up: Mon - Sat                                       isolated           If TB is isolated or special request,
 AFBCULT
                              Report available: 8 weeks (negative,                                       sensitivities will be sent out to
                              preliminary at 2, 4 and 6 weeks)                                           reference laboratory on positive
                                                                                                         isolates.
                              CPT Code: 87116, 87153


                              CULTURE, ACID-FAST (TB) SURGICAL
                              Includes AFB smear. If culture positive,                                   Primary specimen (sputum, or 5 mL
                              identification will be performed by PCR at                                 aliquot of first morning urine, tissue
                              CPAL laboratory if indicated.                                              and body fluids).
             AFB SURGICAL     Methodology: Culture                                No acid-fast bacilli
   LAB
               CULTURE        Set up: Mon - Sat                                       isolated           If TB is isolated or special request,
 AFBSURG
                              Report available: 8 weeks (negative,                                       sensitivities will be sent out to
                              preliminary at 2, 4 and 6 weeks)                                           reference laboratory on positive
                                                                                                         isolates.
                              CPT Code: 87116, 87153


                              CULTURE, ACID-FAST (TB), BLOOD - See
                              Culture, Mycobacterium, Blood)


                              CULTURE, ADENOVIRUS - See Adenovirus
                              Culture




                                                           Page 44 of 342
  LAB                OE
                                                         TEST                              REFERENCE                       SPECIMEN
 ORDER              ORDER
                                                      PROCEDURE 45 of 342
                                                              Page                           RANGE                       REQUIREMENTS
MNEMONIC            NAME

                                     CULTURE,AEROBIC SURGICAL
                                                                                                               Send aerobic culturette (with 2 swabs
                                     (INCLUDES GRAM STAIN)
                                                                                                               inserted). Specify specimen source
                                     A charge will be added for each organism
                                                                                                               and specimen description. NOTE:
                                     identification and sensitivity that is indicated.
                                                                                                               Aerobic swabs do not support growth
              AEROBIC SURGICAL       Methodology: Culture
   LAB                                                                                       No growth         of anaerobic organisms. If anaerobes
                  CULTURE            Set up: Sun - Sat
 AERSURG                                                                                                       are suspected, order a Culture,
                                     Report available:Preliminary 1-2 day
                                                                                                               Anaerobic and submit an additional
                                                        Final 2-5 days
                                                                                                               specimen in an anaerobic culture
                                                                                                               tube.
                                     CPT Code: 87070



                                     CULTURE, ANAEROBIC
                                     All material from sites not harboring
                                     indigenous (normal) flora is suitable for
                                     anaerobic culturing. Any specimen
                                     contaminated with "normal flora" will not be
                                     cultured for anaerobes. A charge will be                                  Specimen collected and submitted in
                                                                                         Varies according to
   LAB       ANAEROBIC CULTURE       added for each oranism identification.                                    anaerobic transport media (available
                                                                                         site and specimen
 ANACULT                             Methodology: Culture                                                      from Lab).
                                     Set up: Daily
                                     Report available:Preliminary 2-3 day
                                                          Final: 7-9 days

                                     CPT Code: 87075



                                CULTURE, ANAEROBIC SURGICAL
                                All material from sites not harboring
                                indigenous (normal) flora is suitable for
                                anaerobic culturing. Any specimen
                                contaminated with "normal flora" will not be
                                cultured for anaerobes. A charge will be                                       Specimen collected and submitted in
             ANAEROBIC SURGICAL                                                          Varies according to
  LAB                           added for each oranism identification.                                         anaerobic transport media (available
                  CULTURE                                                                site and specimen
ANASURG                         Methodology: Culture                                                           from Lab).
                                Set up: Daily
                                Report available:Preliminary 2-3 day
                                                     Final: 7-9 days

                                     CPT Code: 87075



                                     CULTURE, BLOOD
                                     A charge will be added for each organism
                                     identification and sensitivity if indicated.
                                                                                                               5 - 10 mL blood in both an aerobic and
                                     Methodology: Culture (Bac T-Alert)
                                                                                                               anaerobic blood culture bottle
                                     Set up: Daily
   LAB         BLOOD CULTURE                                                                 No growth                        -or-
                                     Report available: Preliminary 2 days
 BLDCULT                                                                                                       Minimum: 1 mL blood in pediatric
                                                         Final : 5-7 days
                                                                                                               blood culture bottle
                                         Positives are called immediately

                                     CPT Code: 87040




                                                                                                               Two (2) isolator Tubes, each
                                                                                                               containing 5-10 mL of blood collected
                                                                                                               using asceptic technique. One tube
                                                                                                               should be collected from indwelling
                                     CULTURE, BLOOD QUANTITATIVE                                               line and a second, separate tube via
                                     Collected at Ephrata Community Hospital and                               venipuncture. Label both tubes with
                                     specimen referred to Lancaster General                                    the following information:
                                     Hospital for testing.                                                     a. Patient name and location
               CULTURE BLOOD
    LAB                              Methodology: Culture                                    No growth         b. Date/time of collection
                   QUANT
C BLD QUAN                           Set up: Daily                                                             c. "FOR QUANTITATIVE BLOOD
                                     Report available: 5 days                                                  CULTURE"
                                                                                                               d. Collection site (catheter or vein)
                                     CPT Code: 87040
                                                                                                               Specimens must be packaged for
                                                                                                               transport and delivered to LGH within
                                                                                                               16 hours of collection. Hold at ROOM
                                                                                                               TEMPERATURE until delivery.


                                                                   Page 45 of 342
    LAB                   OE
                                                             TEST                              REFERENCE                         SPECIMEN
   ORDER                 ORDER
                                                          PROCEDURE 46 of 342
                                                                  Page                           RANGE                         REQUIREMENTS
  MNEMONIC               NAME

                                          CULTURE, BORDETELLA
                                          (QUEST 595)
                                          A charge will be added for each organism
                                          identification                                                            Nasopharyngeal swab inoculated to
  QUEST 595
                                          Methodology: Culture                                                      special transport medium. Notify Lab
    LAB           Universal Requisition                                                    No Bordetella isolated
                                          Set up: As requested                                                      and request transport medium.
                                          Report available: 13 days                                                 ROOM TEMP

                                          CPT Code: 87070



                                          CULTURE, BRUCELLA
                                          (QUEST 972)
                                          Referred testing sent to Focus Diagnostics
     LAB
                                          Methodology: Culture                                                      2.0 mL blood Green NA-Hep
BRUCELLA CULT
                       LAB ONLY           Set up: Daily                                    Accompanies report
                                          Report available: 30 days                                                 ROOM TEMP


                                          CPT Code: 87070


                                          CULTURE, CAMPYLOBACTER
                                          A charge will be added for each organism
                                          identification.
                                                                                                                    Random fresh stool submitted in Cary-
                                          Methodology: Culture
                   CAMPYLOBACTER                                                            No Campylobacter        Blair Transport Media.
    LAB                                   Set up: As requested
                      CULTURE                                                                   isolated
 CAMPYCULT                                Report available: Preliminary 1-3 day
                                                                                                                    Minimum: 1 g
                                                              Final 3-5 days

                                          CPT Code: 87081


                                     CULTURE, CATHETER TIP
                                     A charge will be added for each organism
                                     identification and susceptability when
                                     indicated. Total parenteral nutrition (TNP)            <15 colony forming      Hold distal end of catheter over a
                                     status of the patient will be requested at thime             units of          sterile container, cut the cath tip with
    LAB         CATHETER TIP CULTURE of order placement.                                     microorganisms,        sterile scissors and drop the last 2-3
   CTCULT                            Methodology: Semiquantitative Culture                   unless otherwise       inches into the container. Do not add
                                     Set up: Daily                                          clinically indicated    liquid to container.
                                     Report available: 1-4 days

                                          CPT Code: 87070



                                          CULTURE, CHLAMYDIA TRACHOMATIS -
                                          See Chlamydia trachomatis Culture


                                          CULTURE, CLOSTRIDIUM DIFFICILE
                                          NOTE: This assay does not detect the
                                          presence of C. difficile toxin in stool
                                          specimens. For toxin assay order C DIF.
 QUEST 2107
                  Universal Requisition   Methodology: Culture                                None detected         1 g stool in clean, dry container
  Univ. Req.
                                          Set up: Daily
                                          Report available: Final negative at 3 days

                                          CPT Code: 87081


                                          CULTURE, CSF (INCLUDES GRAM STAIN)
                                          A charge will be added for each organism
                                          identification and sensitivity when indicated.
                                          An additional charge will be added for the
                                          Gram Stain.
                                                                                            No growth and no
    LAB              CSF CULTURE          Methodology: Culture, Gram Stain                                          CSF in sterile container
                                                                                           organisms observed
  CSFCULT                                 Set up: Daily
                                          Report available:Preliminary 1-2 day
                                                              Final 3-5 days

                                          CPT Code: 87070




                                                                      Page 46 of 342
  LAB                OE
                                                        TEST                               REFERENCE                      SPECIMEN
 ORDER              ORDER
                                                     PROCEDURE 47 of 342
                                                             Page                            RANGE                      REQUIREMENTS
MNEMONIC            NAME

                                     CULTURE, EAR, or EYE - See Culture,
                                     Wound



                                     CULTURE for ENTERIC PATHOGENS
                                     (STOOL)- + SHIGA-LIKE TOXIN
                                     Includes Salmonella, Shigella , and
                                     Campylobacter cultures, and screen for toxin
                                     produced by E. coli O157:H7 and other
                                                                                          No Salmonella or
                                     EHEC.                                                                    Random fresh stool submitted in Cary-
   5104                                                                                 Shigella isolated and
               STOOL CULTURE +       A charge will be added for each organism                                 Blair Transport Media.
   LAB                                                                                   no organisms seen
                SHIGA-LIKE TOX       identification and sensitivity when indicated.
STOOLCULT                                                                                    resembling
                                     Methodology: Culture                                                     Minimum: 1 g
                                                                                          Campylobacter.
                                     Set up: Daily
                                     Report available:Preliminary 1-3 day
                                                         Final 3-5 days

                                     CPT Code: 87045, 87046, 87899 x2



                                     CULTURE, ENTEROVIRUS - See
                                     Enterovirus Culture


                                     CULTURE, FECES - See Culture for Enteric
                                     Pathogens (Stool)



                                     CULTURE, FLUID
                                     Includes cultures from sterile fluids other than
                                     CSF (pleural, synovial fluids, semen, etc.).                             Body fluid in sterile container. Specify
                                     If positive, a charge will be added for each                             specimen source, culture site and
                                     organism identification and sensitivity.                                 pertinent history. If an anaerobic
    LAB      BODY FLUID CULTURE      Methodology: Culture                                    No growth        culture is requested on the same
  BFCULT                             Set up: Daily                                                            specimen, in addition to the aerobic
                                     Report available: Preliminary 1-3 day                                    culture, DO NOT REFRIGERATE THE
                                                          Final 3-5 days                                      SPECIMEN.

                                     CPT Code: 87070



                                     CULTURE, FUNGUS, BLOOD
                                     (QUEST 4606X)
                                     If positive, a charge will be added for each                             Blood in Bactec® Myco/F Lytic
                                     organism identification.                                                 aerobic blood bottle
               C FUNGAL BLOOD        Methodology: Culture                                                     Effective 9/14/09 - Green top Sodium
   LAB                                                                                   No fungus isolated
                   CULTURE           Set up: Daily                                                            Heparin is not longer acceptable.
CFUNGBLD
                                     Report available: 4-5 weeks (negative                                    ROOM TEMP
                                     preliminary at 2 weeks)                                                  Minimum: 3 mL

                                     CPT Code: 87103



                                     CULTURE, FUNGUS
                                     Identification performed by PCR at the CPAL
                                     laboratory if indicated.
                                     Methodology: Culture
                                                                                                              Primary specimen in sterile container
    LAB        FUNGUS CULTURE        Set up: Daily                                       No fungus isolated
                                                                                                              or culturette with swabs.
FUNGUSCULT                           Report available: 3-6 weeks (negative
                                                          preliminary at 1 week)

                                     CPT Codes: 87101, 87153


                                CULTURE, FUNGUS, CSF
                                Identification perfomed by PCR at CPAL
                                laboratory if indicated.
                                Methodology: Culture
   LAB       CSF FUNGUS CULTURE Set up: Daily                                            No fungus isolated   1.0 mL CSF in a sterile container
 CSFFUNG                        Report available: 3-6 weeks(negative
                                                     preliminary at 1 week)

                                     CPT Code: 87101, 87153

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 MNEMONIC             NAME


                                        CULTURE, FUNGUS SURGICAL
                                        Identification performed by PCR at CPAL
                                        laoboatory if indicated.
                                        Methodology: Culture
                FUNGUS SURGICAL                                                                                     Primary specimen in sterile container
    LAB                                 Set up: Daily                                      No fungus isolated
                 CULTUREGASTRO                                                                                      or culturette with swabs.
FUNGUSSURG                              Report available: 3-6 weeks (negative
                                                             preliminary at 1 week)

                                        CPT Code: 87101, 87153




                                        CULTURE, GONOCOCCUS (GC)
                                                                                                                    Can be used for specimens from any
                                        Includes beta-lactamase testing, if positive.
                                                                                                                    body site except for urine.
                                        A charge will be added for each organism
                                        identification and sensitivity when indicated.
                                                                                                             Inoculated medium (Transgrow,
                                        Methodology: Culture
                                                                                                             Thayer-Martin), maintained at warm
                    NEISSERIA           Set up: Daily
   LAB                                                                                     No Neisseria      temperature and delivered to the Lab
                  GONORRHOEAE           Report available: 3-5 days
  GCCULT                                                                                gonorrhoeae isolated within 2 hours of collection.
                    CULTURE
                                                                                                             Keep bottle upright when collecting
                                        See also - Neisseria gonorrhoeae, DNA probe
                                                                                                             specimen and inoculating medium.
                                        as alternative for cervical, urethral, or urine
                                                                                                             Replace bottle cap immediately.
                                        testing only

                                        CPT Code: 87081




                                        CULTURE, GROUP B STREP (GBS)
                                        A charge will be added for an organism                No Group B Strep
                                        identification and sensitivity if indicated and/or        isolated          Transport swab from appropriate
                                        requested.                                                                  perianal source. Swab will be placed
                 GROUP B STREP
    LAB                                 Methodology: Culture                                  Requisition must      in enhancement media (LIM Broth or
                    SCREEN
 GBSCREEN                               Set up: Daily                                        indicate penicillin    Todd Hewitt Broth) and incubated in
                                        Report available: 24 - 72 hours                    allergy status (yes or   CO2 at 35C when received in Lab.
                                                                                                     no)
                                        CPT Code: 87081


                                        CULTURE, HERPES SIMPLEX VIRUS - See
                                        Herpes Simplex Virus (HSV) Culture




                                   CULTURE IF INDICATED (URINE)
                                   If UA shows positive Leukocyte Esterase, or                                      5 mL freshly voided urine in sterile
              URINALYSIS WITH CULT positive Nitrite, or if microscopic examination                                  container. Specify specimen source.
   LAB                                                                                        Not indicated
                     IF IND        reveals the presence of bacteria or greater
 UACULTIF
                                   the 5 WBC/hpf, then the urine culture will be                                    Minimum: 3 mL
                                   performed and charged.



                                        CULTURE, LEGIONELLA, PROGRESSIVE
                                        (LEGOINNAIRES' AND RELATED
                                        DISEASES)
                                        A charge will be added for each identification                          Lung biopsy, sputum, pleural fluid,
                                        and sensitivity.                                                        transtracheal aspirate, transthoracic
QUEST 688X
               Universal Requisition    Sent to Microbiology Reference Lab               No Legionella isolated aspirate, or bronchial washings in
 Univ. Req.
                                        Methodology: Culture                                                    sterile container; submit specimen
                                        Set up: Mon - Fri                                                       refrigerated. DO NOT FREEZE
                                        Report available: 12 days

                                        CPT Code: 87081

                                        CULTURE, MYCOBACTERIUM, BLOOD
                                        (QUEST 10526X)                                                              Blood in Bactec® Myco/F Lytic
                                        If positive, a charge will be added for each                                aerobic blood bottle
                                        organism identification.                                                    Effective 9/14/09 - Green top Sodium
                                                                                           No acid-fast bacilli
    LAB       CULTURE AFB BLOOD         Methodology: Culture                                                        Heparin is not longer acceptable.
                                                                                               isolated
 C AFB BLD                              Set up: Daily                                                               ROOM TEMP
                                        Report available: 7 weeks
                                                                                                                    Minimum: 3 mL
                                        CPT Code: 87116
                                                                     Page 48 of 342
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   MNEMONIC             NAME


                                     CULTURE, MYCOPLASMA HOMINIS
                                                                                                             Urogenital, respiratory,body fluids,
                                     (QUEST 3888)
                                                                                                             tissues, wounds, urine semen or CSF
                                     Methodology: Culture
                  MYCOPLASMA HOMINIS                                                                         in VCM or M4 viral transport medium
     LAB                             Set up: Daily                                     Accompanies report
                       CULTURE
  MYCO CULT                          Report available: 10 days
                                                                                                             Specify source at time of order.
                                      CPT Code: 87109



                                     CULTURE, MYCOPLASMA HOMINIS /
                                     UREAPLASMA                                                              Urogenital, respiratory,body fluids,
                                     (QUEST 7503)                                                            tissues, wounds, urine semen or CSF
                           M.
                                     Methodology: Culture                                                    in VCM viral transport medium
     LAB          HOMINIS/UREAPLASMA                                                   Accompanies report
                                     Set up: Daily                                                           M4RT not acceptable.
MYCO-UREA CULT         CULTURE
                                     Report available: 10 days                                               Specify source at time of order.

                                      CPT Code: 87109


                                      CULTURE, PARAINFLUENZA VIRUS - See
                                      Parainfluenza Virus Culture


                                      CULTURE, SPUTUM (INCLUDES GRAM
                                      STAIN)
                                      (Includes bronchoscopy)
                                      A charge will be added for each organism
                                      identification and sensitivity when indicated.    Normal respiratory   Primary specimen : sputum, bronch
     LAB            SPUTUM CULTURE
                                      Methodology: Culture                                    flora          washes or trach secretions.
   SPUCULT
                                      Set up: Daily
                                      Report available: 2-5 days

                                      CPT Code: 87070


                                      CULTURE, R/O MRSA
                                      A charge will be added for each organism
                                      identification.
                                                                                          No Methicillin
                  MRSA SURVEILLANCE   Methodology: Culture                                                   Transport swab. Specify culture
     LAB                                                                                 Resistant Staph
                       CULTURE        Set up: Daily                                                          source and body site.
   MRSASUR                                                                               Aureus isolated
                                      Report available: 2-4 days

                                      CPT Code: 87081

                                      CULTURE, R/O VRE
                                      A charge will be added for each organism
                                      identification.
                                                                                         No Vancomycin
                   VRE SURVEILLANCE   Methodology: Culture                                                   Transport swad. Specify culture
     LAB                                                                               Resistant Enterococci
                        CULTURE       Set up: Daily                                                          source and body site.
   VRECULT                                                                                    isolated
                                      Report available: 2-4 days

                                      CPT Code: 87081


                                      CULTURE, SPECIAL
                                      (QUEST 972)                                                            Primary specimen on appropriate
                                      **ONLY ORDERED BY MICRO STAFF                                          culture medium; safely contained.
      LAB
                                      Referred testing sent to Focus Diagnostics
CULTURE SPECIAL
                       LAB ONLY       Methodology: Culture                             Accompanies report    Indicate suspected organism to be
                                      Set up: Daily                                                          cultured.
                                      Report available: 30 days
                                                                                                             ROOM TEMP
                                      CPT Code: 87070



                                      CULTURE, THROAT or NOSE
                                      A charge will be added for each organism
      LAB                             identification and sensitivity when indicated.
                    THROAT CULTURE
    THCULT                            Methodology: Culture                              Normal respiratory   Send transport swab. Specify culture
                          -or
      -or-                            Set up: Daily                                           flora          source and body site.
                     NOSE CULTURE
      LAB                             Report available: 1-4 days
   NOSECULT
                                      CPT Code: 87070


                                                                   Page 49 of 342
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 ORDER              ORDER
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MNEMONIC            NAME

                                      CULTURE, TUBERCULOSIS - See Culture,
                                      Acid-fast (TB)

                                      CULTURE, UREAPLASMA UREALYTICUM
                                      (T-strain Mycoplasma)
                                      If positive, this procedure progresses to a
                                                                                                               Swab (urogenital specimen) or sterile
                                      Ureaplasma identification for an additional
                                                                                                               fluid (1 mL minimum) or tissue or
QUEST 5499                            charge.
              Universal Requisition                                                     Accompanies report     respiratory samples (1 mL minimum)
 Univ. Req.                           Methodology: IVA
                                                                                                               preferred or pellet (urine) acceptable;
                                      Set up: Daily
                                                                                                               all in M4 Transport Medium
                                      Report available: 10 days

                                      CPT Code: 87109



                                      CULTURE, URINE
                                      Sensitivities are not performed on mixed                                 5 mL asceptically collected urine in
                                      cultures of three or more organisms.                                     sterile container or transfer into
                                      A charge will be added for each organism                                 vacutainerC&S preservative urine
                                      identification and sensitivity when indicated.                           transport tube. Specify specimen
  LAB           URINE CULTURE                                                                Negative
                                      Methodology: Culture                                                     source.
 URCULT
                                      Set up: Daily
                                      Report available: 2-4 days                                               Minimum: 3 mL in sterile cup or 4mL
                                                                                                               in transport tube.
                                      CPT Code: 87086



                                      CULTURE, UROGENITAL
                                      A charge will be added for each organism
                                      identification and sensitivity when indicated.
                                                                                       Normal urogenital flora
                                      Methodology: Culture                                                     Send transport swab. Specify culture
   LAB        GENITAL CULTURE                                                               and no beta-
                                      Set up: Daily                                                            source and body site.
 GENCULT                                                                                streptococci isolated
                                      Report available: 2-4 days

                                      CPT Code: 87070

                                      CULTURE, VIBRIO (QUEST 935)
                                      A charge will be added for each organism
                                                                                                               2.0 grams fresh random stool
                                      identification.
                                                                                                               collected in Cary-Blair
QUEST 935                             Methodology: Culture
              Universal Requisition                                                      No Vibrio isolated    ROOM TEMP
  LAB                                 Set up: Mon - Sun
                                      Report available: 3 days
                                                                                                               Minimum: 1 g
                                      CPT Code: 87070

                                      CULTURE, YEAST (INCLUDES GRAM
                                      STAIN)
                                      A charge will be added for each organism
                                      identification.                                                          Send aerobic culturette (with 2 swabs
   LAB         YEAST CULTURE          Methodology: Culture                               No yeast isolated     inserted). Specify specimen source
 YECULT                               Set up: Daily                                                            and description.
                                      Report available: 5-7 days

                                      CPT Code: 87102


                                      CULTURE, YERSINIA
                                      (QUEST 4487x)
                                      A charge will be added for each organism                                 3 grams fresh random stool collected
                                      identification and sensitivity.                                          in Cary-Blair
   LAB        YERSINIA CULTURE        Methodology: Culture                              No Yersinia isolated   ROOM TEMP
 YERSINIA                             Set up: Daily
                                      Report available: 3-5 days                                               Minimum: 1 g

                                      CPT Code: 87046




                                                                   Page 50 of 342
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   ORDER                ORDER
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  MNEMONIC              NAME

                                          CYANIDE
                                          (Nitroprusside therapy should be monitored
                                          with thiocyanate, test code 727
                                          THIOCYANATE).                                                      10 mL whole blood (Gn), urine, or
  QUEST 309                               Methodology: Colormetric                                           gastric contents.
                  Universal Requisition                                                 Accompanies report
  Univ. Req.                              Detection limit: 5 µg/dL
                                          Set up: Mon, Wed, Fri                                              Minimum: 1 mL
                                          Report available: Next day

                                          CPT Code: 82600


                                          CYCLIC AMP - See AMP Cyclic


                                          CYCLIC CITRULLINATED PEPTIDE
                                          ANTIBODY - See CCP


                                          CYCLOSPORA - See Cryptosporidium,
                                          fecal

                                          CYCLOSPORINE, BLOOD
                                          (QUEST 15220X)
                                                                                                             5 mL whold blood (L), draw 1 hr before
                                          Methodology: LC-MS/MS
                                                                                                             next dose.
    LAB             CYCLOSPORINE          Set up: Mon - Sat                            Accompanies report
 CYCLOSPOR                                Reprt available: Next day
                                                                                                             Minimum: 2 mL
                                          CPT Code: 80158

                                          CYCLOSPORINE, MONOCLONAL &
                                          POLYCLONAL
                                                                                                             3 mL whold blood (Gn), draw 1 hr
                                          Methodology: FPIA
  QUEST 5932                                                                                                 before next dose
                  Universal Requisition   Set up: Mon - Sat                             Accompanies report
   Univ. Req.
                                          Reprt available: Next day
                                                                                                             Minimum: 1.2 mL
                                          CPT Code: 80158x2


                                          CYSTIC FIBROSIS CARRIER SCREEN
                                          (QUEST 10458X)
                                                                                                             5 mL EDTA whole blood (L);
                                          Methodology: PCR
                                                                                                             ROOM TEMP
                    CYSTIC FIBROSIS       Set up: Mon - Fri, Sun
     LAB                                                                                Accompanies report
                       SCREEN             Reprt available: 5 days
  CYSTIC FIB                                                                                                 Minimum: 3 mL
                                          CPT Code: 83891, 83900, 83901x13, 83909,
                                          83912, 83914x23



                                                                                                             2 mL aliquot of 24-hr urine, no
                                       CYSTINE, URINE (QUEST 10947X)
                                                                                                             preservatives; Specify total volume.
                                       Methodology: LCMS
                                                                                                             Please note if patient is in
                                       Set up: Mon - Fri
    LAB          CYSTINE 24 HOUR URINE                                                  Accompanies report   pentacillamine therapy
                                       Reprt available: 5 days
 CYSTINE UR                                                                                                  FREEZE
                                          CPT Code: 82131, 82570
                                                                                                             Minimum: 5 mL




                                          CYSTINE, RANDOM URINE
                                          (QUEST 6017)                                                       1.8 mL of random urine, no
                                          Methodology: LCMS                                                  preservative
                   CYSTINE RANDOM
     LAB                                  Set up: Tues - Thurs                          Accompanies report   FREEZE
                        URINE
CYSTINE RAN UR                            Reprt available: 5 days
                                                                                                             Minimum: 0.5 mL
                                          CPT Code: 82131, 82570




                                                                      Page 51 of 342
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                                            PROCEDURE 52 of 342
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MNEMONIC       NAME


                                                                                                   Smear collected material on one or
                                                                                                   more slides and sprayed
                                                                                                   IMMEDIATELY with cytologic fixative.
                                                                                                   Do NOT allow slides to air dry.
                                                                                                   PATIENT'S NAME must be written on
                            CYTOLOGY, CERVICAL/VAGINAL SMEAR                                       frosted end of slide. Place slides in
                            ( (THIN PREP or PAP SMEAR)                            No atypical or   slide folder and seal with scotch tape.
              LAB ONLY      Papanicolaou-stained smears are examined              abnormal cells   Submit specimen together with a
  LAB                       microscopically for detection of fungus,           detected. Method of CYTOLOGY REQUEST FORM with all
  GYN                       Trichomonas, viral changes, and cellular           reporting; Bethesda pertinent patient history and
                            changes indicating inflammatory, dysplastic,             System.       information completed on the form.
                            and/or neoplastic lesions.                                             A signed Advanced Beneficiary Notice
                                                                                                   is required when a Cytology (Pap
                                                                                                   Smear) is ordered on an outpatient
                                                                                                   covered by Medicare. Medicare limits
                                                                                                   payment to one routine screen every
                                                                                                   two years.



                                                                              Preovulatory: 0/40/60
                                                                              Post Ovulatory:
                                                                                                      Vaginal wall smear collected as in
                                                                              0/70/30
                            CYTOLOGY, VAGINAL SMEAR(PAP                                               cervical/vaginal pap smear above.
  LAB         LAB ONLY                                                        Perimenopausal:
                            SMEAR) WITH MI (MATURATION INDEX)                                         Label "vaginal" on slide with patient
  GYN                                                                         0/80/20
                                                                                                      name.
                                                                              Post menopausal:
                                                                              50/50/0




                            CYTOLOGY, BODY FLUIDS - GENERAL
                            (Bronchial, esophageal, gastric, colonic, etc.,
                            brushings; breast cyst fluid; cerebrospinal
                            fluid; ovarian cyst fluid; voided urine)

                            Depending on the type of specimen received,
                            a variety of preparations are made, including
                            direct smears, cytospins, etc. Papanicolaou-
                                                                                                      See pages CYTOLOGY section in the
                            stained smears are examined microscopically
                                                                                                      first section of the manual for specific
                            for cellular changes indicating benign,               No atypical or
                                                                                                      collection instructions.
   LAB     CYTOLOGY ORDER   inflammatory, dysplastic, and/or neoplastic           abnormal cells
CYTO ORD                    lesions and are also examined for detection             detected.
                                                                                                      Submit a completed CYTOLOGY
                            of organisms and viral changes (herpesm
                                                                                                      REQUEST FORM with the specimen.
                            CMV, etc.). For breast cyst aspiration:
                            multiple specimens without sites specified will
                            be pooled and processed. When multiple
                            sites are specified, specimens will be
                            processed seperately. WHEN JUDGED
                            NECESSARY OR USEFUL, A CELL BLOCK
                            WILL BE PERFORMED AT AN ADDITIONAL
                            CHARGE.




                                                                                                      Smears made at the time of procedure
                                                                                                      must be labeled and spray fixed or
                            CYTOLOGY, FINE NEEDLE ASPIRATION,                                         immersed in ethanol IMMEDIATELY
                            GENERAL                                                                   upon spreading. Liquid specimens
                            (Thyroid, lymph node, solid breast mass,              No atypical or      may be submitted in Saccomano
   LAB     CYTOLOGY ORDER   liver, lung, etc.) Examination of fliud and           abnormal cells      Solution (available in the laboratory) or
CYTO ORD                    tissue fragments obtained by fine needle                detected.         in capped syringe without needle.
                            aspiration is performed using cytologic                                   Consult laboratory.
                            techniques and stains.
                                                                                                      Submit a completed CYTOLOGY
                                                                                                      REQUEST FORM with the specimen.




                                                         Page 52 of 342
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                                                     PROCEDURE 53 of 342
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 MNEMONIC            NAME

                                       CYTOMEGALOVIRUS ANTIGENEMIA
                                       ASSAY
                                                                                                       10 mL whold blood (L), or sodium
                                       (QUEST 17461X)
                                                                                                       heparin (Gn), or ACD (Y).
                CMV ANTIGENEMIA        Methodology: DFA
   LAB                                                                                 Negative        Specimens must be received in
                     ASSAY             Set up: Mon - Fri
 CMV ANTIG                                                                                             reference laboratory within 48 hours of
                                       Report available: 3 days
                                                                                                       collection.
                                       CPT Code: 87271


                                       CYTOMEGALOVIRUS (CMV) CULTURE                                   Bronchial brushing or washing in
                                       (QUEST 17511X)                                                  sterile container; throat washing in
                                       Methodology: Rapid culture                                      sterile container; throat swab in M4;
   LAB            CMV CULTURE          Set up: Daily                                   Negative        urine in sterile container. PLEASE
 CMV CULT                              Report available: 5 days                                        NOTE: CMV culture is no longer
                                                                                                       performed on blood or biopsy
                                       CPT Code: 87254                                                 specimens (7/6/10)


                                       CYTOMEGALOVIRUS DNA QUANT PCR
                                       (QUEST 10600X)
                                                                                                       1 mL EDTA whold blood (L) or 10 mL
                                       Methodology: PCR
                                                                                                       random urine REFRIGERATED or 2
    LAB           CMV DNA PCR          Set up: Daily                              Accompanies report
                                                                                                       mL body fluid FROZEN
  CMV PCR                              Report available: Next day
                                                                                                       Minimum: 0.5 mL EDTA whole blood
                                       CPT Code: 87497

                                       CYTOMEGALOVIRUS IgG ANTIBODIES
                                       (QUEST 403)
                                       Methodology: EIA                          < 0.91 Not detected 1 mL serum (SS) FROZEN
    LAB        CMV ANTIBODY, IGG       Set up: Mon, Wed, Fri                     0.91 - 1.09 Equivocal
  CMV IGG                              Report available: Next day                > 1.09 Positive       Minimum: 0.5 mL

                                       CPT Code: 86644


                                       CYTOMEGALOVIRUS IgM ANTIBODIES
                                       (QUEST 8503)
                                       Methodology: EIA                          < 0.91 Not detected 1 mL serum (SS) FROZEN
   LAB         CMV ANTIBODIES, IGM     Set up: Mon - Fri                         0.91 - 1.09 Equivocal
CMV AB IGM                             Report available: Next day                > 1.09 Positive       Minimum: 0.5 mL

                                       CPT Code: 86645

                                       D-DIMER
                                       Methodology: Immunoturbidimetric
                                       Set up: Daily                                                   Minimum: 1 mL FROZEN citrated
   LAB               D-DIMER                                                        0 - 500 ng/mL
                                       Report available: Same day                                      plasma (LB)
  DDIMER
                                       CPT Code: 85379

                                       DALMANE - See Flurazepam


                                       DARVON - See Propoxyphene


                                                                                                       24-hr urine, preserved with 30 mL 6N
                                       DELTA-AMNIOLEVULINIC ACID (ALA)                                 HCl
                                       Methodology: Colorimetric                                                         -or-
 QUEST 114                             Set up: Mon, Wed, Fri                                           100 mL aliquot of 24-hr urine,
               Universal Requisition                                               0.00 - 0.54 mg/dL
 Univ. Req.                            Report available: 3 days                                        collected same as above. Specify
                                                                                                       total volume.
                                       CPT Code: 82135
                                                                                                       Minimum: 1 mL


                                       DEMEROL - See Meperidine, Quantitative
                                       by GCMS

                                       DENGUE FEVER ANTIBODY PANEL
                                       Methodology: EIA
                                                                                                       1 mL serum (R )
QUEST 34301X                           Set up: Mon, Thurs
               Universal Requisition                                              Accompanies report
  Univ. Req.                           Report available: 3 days
                                                                                                       Minimum: 0.5 mL
                                       CPT Code: 86790x2

                                                                Page 53 of 342
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                                                          TEST                          REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 54 of 342
                                                               Page                       RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                        DEPAKENE - See Valproic Acid


                                        DEPAKOTE - See Valproic Acid



                                        DESIPRAMINE
                                                                                                           3.0 mL serum (R )
                                        (QUEST 412X)
                                        Included when imipramine is ordered.
                                                                                                           Minimum: 1.2 mL
                                        Methodology: HPLC
                                                                                    Therapeutic: 125 - 300
    LAB            DESIPRAMINE          Detection limit: 5 ng/mL
                                                                                           mcg/L           If medication is taken at bedtime, draw
   DESIP                                Set up: Mon - Fri
                                                                                                           blood 10 - 12 hours later. For a more
                                        Report available: 2 days
                                                                                                           frequent dosage schedule, draw blood
                                                                                                           just before receiving medication.
                                        CPT Code: 80160


                                        DHEA (DEHYDROEPIANDROSTERONE)
                                        (QUEST 19894X)
                                                                                                           1 mL serum (R)
                                        Methodology: LC/TMS
                                                                                                           Overnight fasting is preferred
   LAB              DHEA DIRECT         Set up: Sun - Fri                            Accompanies report
DHEA DIREC                              Report available: 6 days
                                                                                                           Minumim: 0.5 mL
                                        CPT Code: 42626


                                    DHEA SULFATE
                                    (DEHYDROEPIANDROSTERONE
                                    SULFATE), DHEA-S
                                    Performed at CPAL                                                      1 mL serum (SS) FROZEN
    LAB         DHEA SULFATE (CPAL) Methodology: Chemiluminescence                   Accompanies report
 DHEA SULF                          Set up: Mon - Sat                                                      Minimum: 0.5 mL
                                    Report available: Next day

                                        CPT Code: 82627

                                        11-DESOXYCORTISOL COMPOUNDS ,
                                        SERUM
                                                                                                           1 mL serum (R) drawn in the early
                                        Methodology: LC/TMS
QUEST 30543X                                                                                               morning from a fasting patient
                Universal Requisition   Set up: Tues, Thurs                          Accompanies report
  Univ. Req.
                                        Report available: 3 days
                                                                                                           Minimum: 0.1 mL
                                        CPT Code: 82534


                                                                                                           For adults: Administer 1 mg
                                        DEXAMETHASONE SUPPRESSION (DST),
                                                                                                           dexamethasone p.o. between 11 PM
                                        1 specimen
                                                                                                           and midnight. Collect one blood
                                        (QUEST 20472)
                                                                                                           specimen (SS) at 8 AM the next
                                        Includes Cortisol
    LAB           DEXAMETHASONE                                                                            morning. After centrifugation,
                                        Methodology: IA                              Accompanies report
 DEXAMETH        SUPPRESSION TEST                                                                          separate serum from cells and place 1
                                        Set up: Daily
                                                                                                           mL serum in plastic shipping vial and
                                        Report available: Next day
                                                                                                           refrigerate.
                                        CPT Code: 82533
                                                                                                           Minimum: 0.5 mL


                                        DIABETES PANEL
                                                                                                           3 mL (L)
                                        Includes Glycohemoglobin, random urine
                                                                                                             AND
                                        Microalbumin, and Lipid Panel.
                                                                                                           4 mL (SS)
     LAB                                Methodology: See individual tests
                     LAB ONLY                                                        Accompanies report      AND
  DIAB PAN                              Set up: See individual tests
                                                                                                           10 mL random urine
(Order Group)                           Report available: See individual tests

                                        CPT Code: 83036, 82043, 80061


                                        DIAZEPAM (VALIUM)
                                        (QUEST 511)
                                        Includes nordiazepam                           Therapeutic -
                                        Methodology: HPLC                            Diazepam: 0.1 - 2 2 mL serum (DB or R). No SS tubes.
    LAB              DIAZEPAM           Detection limit: 0.1 µg/mL each                    µg/mL
 DIAZEPAM                               Set up: Mon, Wed, Fri                       Nordiazepam: 0.1 - 2 MinimumL 1 mL
                                        Report available: 3 days                           µg/mL

                                        CPT Code: 80154


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                                       DIBUCAINE NUMBER AND
                                       CHOLINESTERASE
                                       (QUEST 7961)
                                                                                                          2 mL plasma (Gn)
                  DIBUCAINE#&          Methodology: Enzymatic
   LAB                                                                             Accompanies report
                CHOLINESTERASE         Set up: Daily
DIBU-CHOL                                                                                                 Minimum: 0.5 mL
                                       Report available: Next day

                                       CPT Code: 82480, 82638


                                  DIFFERENTIAL, WBC (MANUAL)                                              Peripheral smear prepared from fresh
                                  Methodology: Microscopic examination                                    blood
                                  Set up: Daily                                                                       -or-
   LAB        MANUAL DIFFERENTIAL                                                  Accompanies report
                                  Report available: Same day                                              4 mL blood (L)
   DIFF
                                       CPT Code: 85007                                                    Minimum: 1 mL


                                       DIGITOXIN
                                       Methodology: RIA
                                                                                                        1 mL serum (R ) , collected 12 - 48
                                       Detection limit: 5 ng/mL
QUEST 417Z                                                                         Therapeutic: 10 - 30 hours after administration of last dose
               Universal Requisition   Set up: Daily
 Univ. Req.                                                                              ng/mL
                                       Report available: 2 days
                                                                                                        Minimum: 0.5 mL
                                       CPT Code: 80299

                                                                                                          1 ml blood (Gn -Li (PST))
                                       DIGOXIN                                                                      or
                                       Methodology: Immunoassay                    Therapeutic: 0.9 - 2.0 1 mL serum (SS)
                                       Set up: Daily                                       ng/mL          collected during the post-distributive
   LAB               DIGOXIN
                                       Report available: Same day                   Toxic: Greater than phase which occurs between 8 and 24
   DIG
                                                                                         2.5 ng/mL        hr after any dose
                                       CPT Code: 80162
                                                                                                          Minimum: 0.5 mL

                                 DIHYDROTESTOSTERONE (DHT)
                                 (QUEST 6996)
                                 Methodology: Extraction, chomatography,
                                                                                                          4 mL serum (R)
   LAB        DIHYDROTESTOSTERON RIA
                                                                                   Accompanies report
   DHT               E - DHT     Set up: Mon - Fri
                                                                                                          Minimum: 1.1 mL
                                 Report available: 4 days

                                       CPT Code: 82651


                                       1,25-DIHYDROXY VITAMIN D - See Vitamin
                                       D, 1,25-Dihydroxy


                                       DILANTIN - See Phenytoin


                                                                                                          Minimum: 2 mL FROZEN citrated
                                                                                                          plasma (LB)
                                 DILUTE RUSSELL'S VIPER VENOM TME
                                                                                                           1) Draw plain red top tube and
                                 QUEST
                                                                                                          discard or use for other testing
                                 Methodology: Clotting assay
              RUSSEL VIPER VENOM                                                                           2) Draw LB tube and centrifuge at
   LAB                           Set up: Tues, Thurs                               Accompanies report
                     TIME                                                                                 3000 rpm for 10 minutes.
RUSS VIPER                       Report available: Same day
                                                                                                          Remove plasma to a plastic tube
                                       CPT Code: 85613
                                                                                                          using a plastic pipette.
                                                                                                          FREEZE IMMEDIATELY


                                       DIPHENYLHYDANTOIN - See Phenytoin




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                                                                                                            1 mL serum (SS)
                                                                                                            Draw pre-immunization sample in a
                                                                                                            red-top vacutainer. After clotting,
                                                                                                            centrifuge and draw off the serum.
                                                                                                            Label with patient identification, date
                                                                                                            drawn, and the word PRE. Store
                                                                                                            frozen until the sample is submitted,
                                                                                                            after the post-immunization sample is
                                         DIPHTHERIA ANTITOXOID ANTIBODY,
                                                                                                            drawn.
                                         PRE AND POST
                                         (QUEST 37512)
                                                                                                            AND
                                         Includes Pre- and Post- immunization.
     LAB           DIPHTHERIA
                                                                                       Accompanies report   1 mL serum (SS)
DIPHTHERIA AB    ANTITOXOID ANTIB        Methodology: EIA
                                                                                                            Draw post-immunization sample and
                                         Set up: Mon, Wed, Fri
                                                                                                            prepare as described above. Label the
                                         Report available: Next day
                                                                                                            sample with patient identification,
                                                                                                            date drawn, and the word POST.
                                         CPT Code: 86648x2
                                                                                                            Dates drawn must be different. Submit
                                                                                                            both the PRE and POST samples
                                                                                                            together. UNDER NO
                                                                                                            CIRCUMSTANCES should these
                                                                                                            samples be
                                                                                                            mixed.

                                                                                                            Minimum: 0.5 mL serum each sample



                                         DIPHTHERIA ANTITOXOID ANTIBODY
                                         (QUEST 4865)
                                         Methodology: Immunoassay                                           1 mL serum (SS)
                  DIPHTHERIA ANTI-
     LAB                                 Set up: Mon, Wed, Fri                         Accompanies report
                    TOXOID ANTIB
DIPHTH ANTITOX                           Report available: Next day                                         Minimum: 0.5 Ml

                                         CPT Code: 86648


                                         DIRECT COOMBS
                                         Methodology: Tube agglutination
                                         Set up: Daily
     BB           DIRECT COOMBS                                                                             6.0 mL whole blood (Pink)
                                         Report available: Same day
     DAT
                                         CPT Code: 86880


                                         DISOPYRAMIDE
                                         (QUEST 416X)
                                         Methodology: Immunoassay
                                                                                                            1 mL serum (DB, R). No SS tubes
                                         Detection limit: 0.5 µg/mL
     LAB           DISOPYRAMIDE                                                        Accompanies report
                                         Set up: Mon - Sat
DISOPYRAMIDE                                                                                                Minimum: 0.5 mL
                                         Report available: Next day

                                         CPT Code: 80299


                                         DISSEMINATED INTRAVASCULAR
                                         COAGULATION (DIC)
                                         Always ordered STAT)
                                         Order: Protime, PTT, Platelet count,
                                         Fibrinogen, Fibrin Split Products


                                         DIURETIC QUANT, URINE
                                         Methodology: HPLC
 QUEST 44327                             Set up:                                                            3 mL random urine foil wrap- protect
                 Universal Requisition                                                 Accompanies report
  Univ. Req.                             Report available: 8 days                                           from light --ROOM TEMP

                                         CPT Code: 82492




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                                       DNA ANALYSIS FOR FRAGILE X
                                       SYNDROME - Xsense Fragile X w/reflex &
                                       Chromosome Analysis
                                       (QUEST 19792X)                                                    10 mL EDTA whold blood (L); keep at
                 FRAGILE X DNA         Methodology: PCR                                Interpretation    ROOM TEMP
    LAB
                   ANALYSIS            Set up: Mon, Wed, Thurs, Sat                 accompanies report
 FRAGILE X
                                       Report available: 21 days                                         Minimum: 5 mL

                                       CPT Code: 83891,83894,83900,83909,
                                       83912, 88230,88262, 88291



                                       DNA EVALUATION FOR ATAXIA
                                       Methodology: PCR
                                       Set up: Mon, Wed- Fri
QUEST 900604
               Universal Requisition   Report available: 28 days                    Accompanies report   20 mL EDTA whole blood (L)
  Univ. Req
                                       CPT Code: 83891, 83894x10, 83898x92,
                                       83904x83, 83909, 83912


                                       DOPAMINE - See Catecholamine


                                       DOXEPIN
                                                                                                         3.0 mL serum (R ). No SS tubes
                                       (QUEST 826X)
                                       Includes desmethyldoxepin
                                                                                                         Minimum: 1.5 mL
                                       Methodology: HPLC
    LAB
                    DOXEPIN            Detection limit: 5 mcg/L                     Accompanies report
  DOXEPIN                                                                                                If medication is taken at bedtime, draw
                                       Set up: Mon - Fri
                                                                                                         blood 10 - 12 hours later. For a more
                                       Report available: 2 days
                                                                                                         frequest dosage schedule, draw blood
                                                                                                         just before receiving medication.
                                       CPT Code: 80166



                                       DPD GENE MUTATION
                                       (DIHYDROPYRIMIDINE DEHYDROGENASE
                                       GENE)                                                             5 mL EDTA blood (L)
                                       (QUEST 15538)                                                     ROOM TEMP
    LAB                                Methodology: PCR, Single
               DPD GENE MUTATION                                                    Accompanies report
    DPD                                Set up: Mon , Thurs                                               Minimum: 3 mL
                                       Report available: 9 days

                                       CPT Code: 83891,83892X3, 83898, 83909,
                                       83912, 83914



                                  INFANT DRUG SCREEN, CONFIRMED
                                  (QUEST 17437X)
                                  Methodology: EIA
                                  Set up: Daily
   LAB         DRUG SCREEN INFANT Report available:                                                      5.0 gram fresh meconium
DRG SCR IN                           Negative screen - 1 day;
                                     Positive screen - 3 days

                                       CPT Code: 80101x7


                                       DRUG ABUSE SCREEN, INFANT
                                                                                                         5.0 mL serum, plasma or whold blood
                                       Includes Amphetamines, Cocaine
                                                                                                         (DB or R or L); or 20 mL urine in a
                                       Metabolites, Marijuana, Opiates, PCP.
                                                                                                         plastic urine container; or 5 gm
QUEST 2671                             Methodology: Immunoassay
               Universal Requisition                                                  None detected      meconium in a plastic container; or 5
 Univ. Req                             Set up: Mon - Sat
                                                                                                         mL breast milk in a plastic container.
                                       Report available: Next day
                                                                                                         Minimum: 1 mL serum or 5 mL urine
                                       CPT Code: 80101x5


                                       DRUG SCREEN STAT (10 panel)
                                       Methodology: Immunoassay
               URINE DRUG SCREEN       Set up: Daily
   LAB                                                                                                   25 mL urine
                      STAT             Report available: Same day
 DRGSCST
                                       CPT Code: 80101 X10
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                                 DRUG SCREEN 5 PANEL
                                 Only for Acme post-accident and police
                                 department use.
             URINE DRUG SCREEN 5 Methodology: Immunoassay
   LAB                                                                                                       5 mL urine
                    PANEL        Set up: Daily
 DRGSC5
                                 Report available: Same day

                                     CPT Code: 80101 X5



                                     PROGRESSIVE DRUG SCREEN #2, URINE
                                     10 DRUGS, CONFIRMED (QUEST 2192)
                                     (For federally mandated testing only)
                                     Amphetamines         Methadone
                                     Barbiturates         Methaqualone
                                     Benzodiazepines       Opiates
                                     Cocaine              PCP
                                     Marijuana            Propoxyphene
                DRUG SCREEN
   LAB                                                                                                       30 mL urine
             PROGRESSIVE 10 DRG
 DRG SC 10                           Progressive drug screen pricing:
                                     Positive results are automatically confirmed
                                     by GCMS. The client is not billed an
                                     additional charge for confirmation.
                                     Set up: Mon - Fri
                                     Report available: 3 days

                                     CPT Code: 80101x10




                                     DRUG ABUSE SCREEN - 5 (SERUM)
                                      NO CORFIRMATORY TESTING
                                     PERFORMED
                                     (QUEST 22872).                                                          5 mL serum (R )
   LAB         DRUG ABUSE SCR-
                                     Methodology: ELISA                               Accompanies report
DRG ABUSE      5,SERUM-NO CONF
                                     Set up: Mon - Sat                                                       Minimum: 2 mL
 SCREEN
                                     Report available: 2 days

                                     CPT Code: 80101X5



                                     WORKPLACE DRUG TESTING
                                     The following profiles and screen are intended to support the clinicians need in managing situations related to
                                     drug use. Since these programs are not federally mandated, customers have more flexibility in tailoring
                                     profiles to fit their special needs. All collections are performed at Ephrata Medical Laboratories (95 N.
                                     Reading Rd, Ephrata, PA), the outpatient laboratory collection center for Ephrata Community Hospital. While
                                     an appointment for drug collection is not required, it is recommended. Call 738-6336.

                                     NOTE: There are two types of drug screens:
                                             PROGRESSIVE
                                     Progressive drug screens have all positive results automatically confirmed by a second test methodology.
                                     Clients are not charged for the additional testing.
                                             UNCONFIRMED
                                     Unconfirmed drug screens do not have positive results automatically confirmed. If confirmation of a positive
                                     result is required, the client will incur an additional charge.



                                     DRUG PROFILE #1, PROGRESSIVE 10
                                     DRUGS (QUEST 1902)

                                     Amphetamines         Methadone
                                     Barbiturates         Methaqualone
                                     Benzodiazepines      Opiates
                                     Cocaine              PCP
                                     Marijuana            Propoxyphene
               DRUG PROFILE #1
   LAB                                                                                                       30 ml urine
               (CONFIRMATION)
PROF#1CONF                           Progressive drug screen pricing:
                                     Positive results are automatically confirmed
                                     by GCMS. The client is not billed an
                                     additional charge for confirmation.
                                     Set up: Mon - Fri
                                     Report available: 3 days

                                     CPT Code: 80101x10

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                                       DRUG PROFILE #1, UNCONFIRMED 10
                                       DRUGS (QUEST 1923)
                                       Identical profile to test code 318 with the
   2000
                DRUG PROFILE #1        exception that positive test results are not
   LAB                                                                                                       30 mL urine
                UNCNF 10 DRUGS         automatically confirmed.
DRG PRF UN
                                       Report available: Next day

                                       CPT Code: 80101x10


                                       DRUG SCREEN #2, PROGRESSIVE 8
                                       DRUGS
                                       (QUEST 2886)

                                       Amphetamines          Barbiturates
                                       Benzodiazepines       Cocaine
                                       Marijuana              Methaqualone
                                       Opiates               PCP
   1257
                 DRUG SCREEN
   LAB                                                                                                       30 mL urine
              PROGRESSIVE 8 DRGS Progressive drug screen pricing:
DRG SCR 81
                                 Positive results are automatically confirmed
                                 by GCMS. The client is not billed an
                                 additional charge for confirmations
                                 Methodology: KIMS
                                 Set up : Mon - Sat
                                 Report available: 3 days

                                       CPT Code:     80100



                                       CLINICAL TOXICOLOGY
                                       The following drug screens are intended to support the diagnosis and treatment of patients who are
                                       suspected of drug abuse.



                                       DRUG ABUSE SCREEN - 5 (SERUM)
                                        NO CORFIRMATORY TESTING
                                       PERFORMED
                                       (QUEST 22872).                                                        5 mL serum (R )
   LAB         DRUG ABUSE SCR-
                                       Methodology: ELISA                              Accompanies report
DRG ABUSE      5,SERUM-NO CONF
                                       Set up: Mon - Sat                                                     Minimum: 2 mL
 SCREEN
                                       Report available: 2 days

                                       CPT Code: 80101X5



                                       DRUG ABUSE SCREEN, URINE
                                       (QUEST 119)
                                       Includes confirmation. (Amphetamine,
                                       Methamphetamine, Cocaine metabolite
                                       (Benzoylecgonine), Barbiturates, Morphine,
                                       Codeine, Methadone, Propoxyphene                                      25 mL urine
              URINE DRUG SCREEN
   LAB                                 (Darvon7), and Phencyclidine (PCP).
                     (119)
 UDRGSC                                                                                                      Minimum: 10 mL
                                       Methodology: Various
                                       Set up: Mon - Fri
                                       Report available: 2 days

                                       CPT Code:     80101x8



                                       DRUG ABUSE SCREEN with ALCOHOL,
                                       ETHYL
                                       Includes tests listed under "Drug Abuse
                                       Screen , Urine" plus urine ethanol.                                   25 mL urine
QUEST 18367
               Universal Requisition   Methodology: EMIT/ GCMS/ GC/ FPIA
 Univ. Req.
                                       Set up: Daily                                                         Minimum: 10 mL
                                       Report available: 2 days

                                       CPT Code:     80101x8




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                                    DRUG PANEL 9-50 W/ETOH, URINE
                                    (QUEST 89717)
                                    Includes confirmation. (Marijuana
                                    metabolites, Phencyclidine (PCP),
                                    Amphetamines, Barbiturates,
                                    Benzodiazepines, Cocaine metabolites,
                                                                                                         25 mL urine
                 DRUG PANEL 9-50    Methadone, Opiate metabolites, and
     LAB                                                                            Accompanies report
DRG 9-50 ETOH
                    W/ETOH          Propoxyphene (Darvon7).                                              Minimum: 10 mL
                                    Methodology: GCMS, Immunoassay
                                    Set up: Mon - Sat
                                    Report available: 4 days

                                    CPT Code:    80101x10


                                    DRUG ABUSE SCREEN WITH MARIJUANA
                                    PRESUMPTIVE SCREEN (QUEST 2020)
                                    Includes tests listed under "Drug Abuse
                                    Screen, Urine" plus marijuana screen, and                            25 mL urine - use this for pain clinic 8
                 DRUG SCREEN W/     Oxycontin.                                                           panel with Oxycontin
   LAB
                   MARIJUANA        Methodology: Various
DRGSC+MAR
                                    Set up: Mon - Fri                                                    Minimum: 10 mL
                                    Report available: 3 days

                                    CPT Code:    80101x8


                                    DRUG SCREEN, COMPREHENSIVE BY
                                    GCMS
                                    (QUEST 987)
                                    This screen is designed primarily for unknown
                                    drug identifications and organic chemicals
                                    detectable by gas chromatography - mass
                                    spectrometry. Computer searches of our
                                                                                                         50 mL urine
                                    drug library (over 300 drugs and metabolites)
   LAB           GCMS TOX SCREEN
                                    and a library of over 20,000 organic
 GCMS SCR                                                                                                minimum: 20 mL
                                    compounds are performed to attempt
                                    identification of all unknowns.
                                    Methodology: GCMS
                                    Set up: Mon - Fri
                                    Report available: 3 days

                                    CPT Code:    80100, 80101 (x14)



                                    TOXICOLOGY SCREEN , SERUM
                                    (QUEST 2991)
                                    Includes confirmation of positives, primarily
                                    by GCMS. Includes most commonly used
                                    prescription and/or over-the-counter drugs of                        8 mL serum or plasma (DB or R or L)
                TOXICOLOGY SCREEN
    LAB                             abuse (with the exception of marijuana).
                      BLOOD
 TOX SCR B                          Methodology: Various                                                 Minimum: 2 mL
                                    Set up: Mon - Sat
                                    Report available: 3 days

                                    CPT Code: 80100


                                    TOXICOLOGY SCREEN, GASTRIC                                           25 mL gastric contents
                TOXICOLOGY SCREEN
    LAB                             CONTENTS (QUEST 17481X)
                     GASTRIC
 TOX SCR G                          Same as above.                                                       Minimum: 5 mL

                                    TOXICOLOGY SCREEN, URINE (QUEST                                      50 mL urine
                TOXICOLOGY SCREEN
    LAB                             299)
                      URINE
 TOX SCR UR                         Same as above.                                                       Minimum: 10 mL

                                    EB VIRUS - See Epstein-Barr Virus
                                    Antibodies

                                    ECSTASY - See MDMA




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                                       EHRLICHIA CHAFFEENSIS ANTIBODIES,
                                       IgM and IgG
                                       (QUEST 34271X)
                                                                                                        1.0 mL serum (R)
                                       Methodology: IFA
     LAB         E CHAFFEENSIS IGG/IGM                                            Accompanies report
                                       Set up: Mon - Fri
  EHR CHAFF                                                                                             Minimum: 0.4 mL
                                       Report available: Next day

                                       CPT Code: 86666x2


                                       ELAVIL - See Amitriptyline


                                      PANCREATIC ELASTASE-1, FECAL
                                      Methodology: elisa                                                1 gram stool in sterile, plastic
                 PANCREATIC ELASTASE- Set up:: Tues, Fri                                                container
     LAB                                                                          Accompanies report
                       1,FECAL        Report available: 3 days
  ELASTASE
                                                                                                        Minimum: 0.3 g
                                       CPT Code: 82656


                                       ELECTROLYTES, SERUM
                                                                                                         1 ml blood (Gn -Li (PST))
                                       Methodology: ISE
                                                                                                                  or
                                       Set up:: Daily
     LAB            ELECTROLYTES                                                 See individual analytes 1 mL serum (SS)
                                       Report available: Same day
    LYTES
                                                                                                        Minimum: 0.5 mL
                                       CPT Code: 80051


                                       ELECTROLYTES, FECAL (Osmotic Gap)
                                       (QUEST 17263)
                                       (Sodium and Potassium)
                                                                                                        24-hr fecal collection or 10 gram
      LAB                              Methodology: Flame photometric
                  OSMOTIC GAP, FECES                                              Accompanies report    random stool specimen
FECAL OSMO GAP                         Set up: Mon - Fri
                                                                                                        FROZEN
                                       Report available: Next day

                                       CPT Code: 84302, 84311


                                       ELECTROLYTES, URINE
                                       Methodology: ISE
                                                                                  No reference ranges 20 mL random urine
                                       Set up: Daily
     LAB             URINE LYTES                                                   for random urine
                                       Report available: Same day
   ULYTES                                                                             specimens.      Minimum: 1 mL
                                       CPT Code: 84300, 84133, 82436


                                       ELECTROPHORESES - See
                                       Immunofixation


                                       EMA - See Tissue Transglutaminase



                                       ENA - See Tissue Transglutaminase


                                       ENDOMYSIAL ANTIBODY SCREEN
                                       (QUEST 15064)                                                    1 mL serum (R)
     LAB          ENDOMYSIAL AB IGA
                                       Methodology: IFA                           Accompanies report
  ANTI-ENDO          SCRN W/RFLX
                                       Set up: Mon - Fri                                                Minimum: 0.3 mL
                                       Report available: Next day


                                       ENTAMOEBA HISTOLYTICA IgG, ELISA
                                       (QUEST 34278X)
                                       Methodology: EIA                                                 1 mL serum (SS) FROZEN
                      ENTAMOEBA
     LAB                               Set up: Mon, Wed, Fri                      Accompanies report
                   HISTOLYTICA ANTIB
  ENT HIS AB                           Report available: Next day                                       Minimum: 0.5 mL

                                       CPT Code: 86753



                                       ENCEPHALITIS - See Arbovirus



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                                       ENTAMOEBA HISTOLYTICA - See Ova &
                                       Parasites



                                       ENTEROBIUS VERMICULARIS DETECTION
                                       - See Pinworm Exam




                                                                                                         Body fluids to be submitted in
                                                                                                         Microtest M4 medium (blue or red
                                                                                                         label), must be mixed with an equal
                                                                                                         amount of the M4 transport medium.
                                                                                                         Do not place small volumes of fluid
                                                                                                         directly into the tube as this causes
                                  ENTEROVIRUS CULTURE
                                                                                                         over-dilution of the specimen.
                                  (QUEST 2647X)
                                                                                                         PREFERRED:
                                  Includes culture for Echoviruses, Group B
                                                                                                         3 mL fresh stool, or 3 mL throat swab,
                                  and some Group A Coxsackie viruses,
                                                                                                         or 3 mL vesicle fluid/scrapings, or 3
                                  enteroviruses 68-71 and polioviruses 1-3. If
                                                                                                         mL conjunctival swab, submitted in M4-
                                  positive, a charge will be added for organism
    LAB                                                                            Accompanies report    Multiuse viral transport medium,
                                  identification.
ENTERO CULT                                                                                              refrigerated.
              ENTEROVIRUS CULTURE Methodology: IFA/ Rapid Culture
                                                                                                         Minimum: 1 mL
                                  Set up: Daily
                                                                                                                         -or-
                                  Report available: 8 days
                                                                                                         1 mL CSF, submitted in a sterile,
                                                                                                         leakproof container, refrigerated
                                       CPT Code: 87252
                                                                                                         Minimum: 0.5 mL
                                                                                                                        -or-
                                                                                                         ACCEPTABLE:
                                                                                                         3 mL CSF, submitted in M4-Multiuse
                                                                                                         viral transport medium, refrigerated
                                                                                                         Minimum: 1 mL




                                  ENTEROVIRUS PCR (CSF)
                                  (QUEST 15082X)
                                  Methodology: RT-PCR
   LAB        ENTEROVIRUS PCR SCF Set up: Daily                                       Not detected       1 mL CSF FROZEN
ENTERO CSF                        Report available: 3 days

                                       CPT Code: 87498


                                       EOSINOPHIL COUNT
                                       Methodology: Sysmex XE-2100
                                                                                                         5 mL blood (L)
                                       Set up: Daily
    LAB          EOS ABSOLUTE #                                                      0 - 450/cu mm
                                       Report available: Next day
  TOTEOS                                                                                                 Minimum: 1 mL
                                       CPT Code: 85004


                                       EOSINOPHILS, NASAL SMEAR
                                       Methodology: Microscopic exam
                                                                                    <20% of total WBC
                EOSINOPHIL COUNT       Set up: Mon - Fri                                                 2 nasal smears, air dried, and labeled
    LAB                                                                            seen per high power
                     NASAL             Report available: 24 - 48 hours                                   with patient name.
  EOSNAS                                                                                  field
                                       CPT Code: 89190


                                       EOSINOPHILS, URINE
                                       Methodology: Microscopic exam
                                                                                                         Random urine
                                       Set up: Mon - Fri
    LAB         EOSINOPHIL,URINE                                                   No eosinophils seen
                                       Report available: 24 - 48n hours
   UEOS                                                                                                  Minimum: 1 mL
                                       CPT Code: 89050

                                       EPINEPHRINE - See Catecholamines


                                       EPO - See Erythropoietin, EIA




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                                      EPSTEIN-BARR IGA
                                      Methodology: IIA
                                                                                                            1 mL serum (R)
QUEST 14972                           Set up: Mon - Fri
              Universal Requisition                                                    Accompanies report
 Univ. Req.                           Report available: 5 days
                                                                                                            Minimum: 0.3 mL
                                      CPT Code: 86665


                                      EPSTEIN-BARR VIRUS IGG ANTIBODIES
                                      TO EARLY ANTIGENS R + D (EBV-EA,
                                      R+D)
                                      (QUEST 15447)
                                      Assays for antibodies to combined Restricted                          0.5 mL serum (SS)
              EBV EARLY ANTIB TO
    LAB                               (R) Diffuse (D) Early Antigens                   Accompanies report
                    AG,EIA
   EBEA                               Methodology: EIA                                                      Minimum: 0.2 mL
                                      Set up: Mon - Fri
                                      Report available: Next day

                                      CPT Code: 86663



                                      EPSTEIN-BARR VIRUS IGG ANTIBODIES
                                      TO NUCLEAR ANTIGENS (EBV-NA1)
                                      (QUEST 8564)
                                      Present in over 90% of healthy adults.
                                      Antibodies to EBV-NA1 usually appear at 6-8
                                      weeks after infection with EBV and persist for
                                      life. Therefore, the presence of VCA
                                                                                                            1 mL serum (SS)
              EBV IGG AB TO NUC       antibodies in the absence of EBV-NA1
    LAB                                                                                Accompanies report
                    AG,EIA            antibodies can be indicative of recent
   EBNA                                                                                                     Minimum: 0.5 mL
                                      infection, while the presence of antibodies to
                                      both antigens suggests past infection.
                                      Methodology: EIA
                                      Set up: Mon - Fri
                                      Report available: Next day

                                      CPT Code: 86664




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                                     EPSTEIN-BARR VIRUS IGG ANTIBODIES
                                     TO VIRAL CAPSID ANTIGENS (EBV-VCA
                                     IgG)
                                     (QUEST 8474)
                                     Can confirm heterophile-negative EBV-
                                     associated infectious mononucleosis (which
                                     occurs in approximately 10% of adult patients
                                     and in a higher frequency for children and
                                     infants). EBV antibodies can persist for life
                                     and over 90% of healthy adults have VCA                              1 mL serum (SS)
                EPSTEIN BARR
  LAB                                antibodies. Therefore, the demonstration of     Accompanies report
                  ANTIB,IGG
 EB IGG                              seroconversion or presence of IgM antibodies                         Minimum: 0.5 mL
                                     to VCA or the presence of VCA antibodies in
                                     the absence of EBV-NA1 antibodies is
                                     particularly important in the assessment of
                                     current or recent infection.
                                     Methodology: EIA
                                     Set up: Mon - Fri
                                     Report available: Next day

                                     CPT Code: 86665




                                     EPSTEIN-BARR VIRUS IgM ANTIBODIES
                                     TO VIRAL CAPSID ANTIGENS (EBV-VCA
                                     IgM)
                                     (QUEST 8426)
                                     Can confirm heterophile-negative infectious
                                     mononucleosis. Presence of IgM anti-VCA                              1 mL serum (SS)
                EPSTEIN BARR
  LAB                                antibodies can indicate recent primary          Accompanies report
                ANTIBODY, IGM
 EB IGM                              infection with EBV.                                                  Minimum: 0.5 mL
                                     Methodology: EIA
                                     Set up: Mon - Fri
                                     Report available: Next day

                                     CPT Code: 86665


                                 EPSTEIN-BARR VIRUS ANTIBODY PANEL
                                 1 (QUEST 26421X)
                                 EBV-NA1
                                 EBV-VCA IgG
                                 EBV-VCA IgM
                                 Designed to assist in the discrimination of                              2 mL serum (SS)
  LAB       EPSTEIN BARR PANEL I recent or current infection from the past           Accompanies report
EB PAN I                         exposure of 6-8 weeks or more.                                           Minimum: 1 mL
                                 Methodology: EIA
                                 Set up: Mon - Fri
                                 Report available: Next day

                                     CPT Code: 86664, 86665x2



                                  EPSTEIN-BARR VIRUS ANTIBODY PANEL
                                  2 (QUEST 1489)
                                  EBV-EA IgG: R+D
                                  EBV-NA1 IgG
                                  EBV-VCA IgG
                                  EBV-VCA IgM
                                  An extended panel designated to assist in
                                  the discrimination of recent or current                                 2 mL serum (SS)
  LAB       EPSTEIN BARR PANEL II infection from the past wxposure of 6-8 weeks      Accompanies report
EB PAN II                         or more ( see Epstein-Barr Panel 1) and to                              Minimun: 1 mL
                                  detect elevated titers of anti-VCA and anti-
                                  EBV-EA.
                                  Methodology: EIA
                                  Set up: Mon - Fri
                                  Report available: Next day

                                     CPT Code: 86663,86664,86665x2




                                                                Page 64 of 342
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   MNEMONIC              NAME

                                                                                                               1 mL plasma (L)
                                           EPSTEIN-BARR VIRUS PCR
                                                                                                                         or
                                           Methodology: PCR
                                                                                                               1 mL whole blood (L)
 QUEST 34179X                              Set up: Daily
                   Universal Requisition                                                  Accompanies report             or
   Univ. Req.                              Report available: Next day
                                                                                                               1 mL CSF
                                           CPT Code: 87798
                                                                                                               Minimum: 1 mL


                                                                                                               1 mL plasma (L)
                                                                                                               Collect blood in sterile tubes
                                     EPSTEIN-BARR VIRUS DNA,                                                   contaiing EDTA. Store collected
                                     QUANTITIATIVE REAL-TIME PCR                                               whole blood at room temperature
                                     Methodology: Real-Time PCR                                                and separate plasma from cells
     LAB          EPSTEIN BARR QUANT
                                     Set up: Daily                                        Accompanies report   within 2 hours of collection.
  EBV QUANT             by PCR
                                     Report available: Next day                                                Transfer plasma to sterile, plastic,
                                                                                                               screw-capped tubes and store
                                           CPT Code: 87799                                                     refrigerated

                                                                                                               Minimum: 1 mL


                                           EQUANIL - See Meprobamate

                                           ERYTHEMA CHRONICUM MIGRANS - See
                                           Lyme Antibody

                                           ERYTHROCYTE PROTOPORPHYRIN - See
                                           Zinc Protoporphyrine (ZPP)

                                       ERYTHROPOIETIN, EIA (EPO)
                                       (QUEST 427)
                                       Methodology: Immunoassay
                                                                                                               1 mL serum (SS)
     LAB          ERYTHROPOIETIN - EPO Set up: Mon - Fri                                  Accompanies report
                                                                                                               ROOM TEMP
   ERYTHRO                             Report available: Next day

                                           CPT Code: 82668


                                           ESTERASE INHIBITOR, C1 - See
                                           Complement, C1 Esterase Inhibitor


                                           ESTRADIOL, 17 BETA
                                           Performed at CPAL
                                           Methodology: Chemiluminescence                                      1 mL serum (SS)
                   ESTRADIOL, 17 BETA
     LAB                                   Set up: Mon - Sat                              Accompanies report
                        (CPAL)
  ESTRADIOL                                Report available: 24 hours                                          Minimum: 0.5 mL

                                           CPT Code: 82670

                                           ESTRADIOL FOR IN VITRO
                                           FERTILIZATION
                                           Methodology: CIA                                                    1 mL serum (R)
 QUEST 15577X
                   Universal Requisition   Set up: Daily                                  Accompanies report
   Univ. Req.
                                           Report available: Next day                                          Minimum: 0.6 mL

                                           CPT Code: 82670

                                           ESTRADIOL, ULTRASENSITIVE
                                           (QUEST 30289)
                                           Methodology: LC/TMS and CTMS                                        0.5 mL serum (R)
      LAB             ESTRADIOL,
                                           Set up: Sun - Fri                              Accompanies report
ESTRADIOL ULTRA     ULTRASENSITIVE
                                           Report available: 8 days                                            Minimum: 0.2 mL

                                           CPT Code: 82670

                                           ESTRADIOL, FREE
                                           (QUEST 36169)
                                           Methodology: Liquid Equilibrium Dialysis and
                                                                                                               3 mL serum (R)
     LAB                                   CTMS
                    ESTRADIOL FREE                                                        Accompanies report   FROZEN
ESTRADIOL FREE                             Set up: Sun - Wed
                                                                                                               Minimum: 1.2 mL
                                           Report available: 6 days

                                           CPT Code: 82670x2

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 MNEMONIC            NAME

                                       ESTRIOL, UNCONJUGATED
                                       (QUEST 34883X)
                                                                                                          1 mL serum ®
                                       Methodology: LC-TMS
                                                                                                          SST tubes unacceptable
    LAB              ESTRIOL           Set up: Sun - Thurs                           Accompanies report
  ESTRIOL                              Report available: 7 days
                                                                                                          Minimum: 0.2 mL
                                       CPT Code: 82677


                                       ESTROGENS, FRACTIONATED
                                       (QUEST 36742)
                                       Methodology: LC-TMS                                                3 mL serum (R). No SS tubes
                  ESTROGENS,
    LAB                                Set up: Sun - Fri                             Accompanies report
                 FRACTIONATED
ESTROGENS FR                           Report available: 8 days                                           Minimum: 0.8 mL

                                       CPT Code: 82671



                                       ESTROGEN, TOTAL
                                       (QUEST 439)
                                       Methodology: RIA                                                   1.5 Ml SERUM (ss)
                TOTAL ESTROGEN
     LAB                               Set up: Mon - Fri                             Accompanies report
                    SERUM
 ESTROG TOT                            Report available: Next day                                         Minimum: 1 mL

                                       CPT Code: 82672


                                       ESTRONE, LC/MS/MS
                                       (QUEST 23244)
                                       Methodology: RIA                                                   2 mL serum (R)
    LAB
                    ESTRONE            Set up: Sun - Fri                             Accompanies report
  ESTRONE
                                       Report available: 6 days                                           Minimum: 1 mL

                                       CPT Code: 82679


                                       ETHANOL (Ethyl Alcohol) - See Alcohol,
                                       Ethyl

                                       ETHOSUXIMIDE
                                       (QUEST 214X)
                                                                                                          1 mL plasma (L) or serum (R). NO SS
                                       Methodology: Immunoassay
                                                                                                          tubes. Collect as a trough, just prior
                                       Detection limit: 10 µg/mL
    LAB          ETHOSUXIMIDE                                                        Accompanies report   to next dose.
                                       Set up: Mon - Sat
  ETHOSUXI
                                       Report available: Next day
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 80168


                                       ETHYLENE GLYCOL                                                    3 mL blood (Gy)
                                       Methodology: GC                                                       -or-
                                       Detection limit: 10 µg/mL                                          10 mL urine
 QUEST 138
               Universal Requisition   Set up: Mon - Fri                             Accompanies report      -or-
 Univ. Req.
                                       Report available: 4 days                                           3 mL gastric contents

                                       CPT Code: 82693                                                    Minimum: 1 mL


                                                                                                          2 hour fast is recommended.
                                                                                                          Minimum: 2 mL FROZEN citrated
                                                                                                          plasma (LB)
                                       EUGLOBILIN CLOT LYSIS
                                       Methodology: Clotting Assay                                        1) Draw plain red top tube and discard
 QUEST 462X                            Set up: Thurs                                                      or use for other testing.
               Universal Requisition                                                 Accompanies report
  Univ. Req.                           Report available: Next day                                         2) Draw LB tube and centrifuge at
                                                                                                          3000rpm for 10 minutes.
                                       CPT Code: 85360
                                                                                                          Remove plasma to a plastic tube
                                                                                                          using a plastic pipette. FREEZE
                                                                                                          immediately in a -70C freezer.




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                                     EXON12
                                     (Performed at CPAL)
                                                                                                     6.0 mL EDTA whole blood refrigerated
                                     Methodology: Sanger Sequencing
                                                                                                     or 3.0 mL Bone Marrow refrigerated
                                     Set up: Mon-Fri
   LAB             LAB ONLY                                                     Accompanies report
                                     Report available: 1-2 days
 EXON12
                                     CPT Code: 83891,83898x2, 83904, 83912,
                                     81403




                                     EXTRACTABLE NUCLEAR ANTIGENS -
                                     See Anti-ENA


                                                                                                     Minimum: 1 mL FROZEN
                                                                                                     citrated plasma (LB)
                                     FACTOR II (QUEST 331)
                                                                                                     1) Draw plain red top tube and
                                     Methodology: Clotting assay
                                                                                                     discard or use for other testing.
                                     Set up: Mon - Fri
  LAB              FACTOR II                                                    Accompanies report   2) Draw LB tube and centrifuge at
                                     Report available: Next day
FACTOR II                                                                                            3000 rpm for 10 minutes.
                                                                                                     3) Remove plasma to a plastic tube
                                     CPT Code: 85210
                                                                                                     using a plastic pipette. FREEZE
                                                                                                     immediately in a -70C freezer.

                                     FACTOR II MUTATION, DNA
                                     (PROTHROMBIN) (G20210A)
                                     Perfprmed at CPAL
                                     Methodology: Real time PCR w/ melting
                                                                                                     5 mL whole blood EDTA (L) or ACD
             FACTOR II MUTATION      curve analysis
   LAB                                                                          Accompanies report   (Y) tubes. ROOM TEMP
                   DNA               Set up: Mon, Tues, Thurs
FACT II MU
                                     Report available: 4 days

                                     CPT Code: 83890, 83896, 83898, 83912,
                                     81240


                                                                                                     Minimum: 1 mL FROZEN
                                                                                                     citrated plasma (LB)
                                     FACTOR V ACTIVITY (QUEST 2918)
                                                                                                     1) Draw plain red top tube and
                                     Methodology: Clotting assay
                                                                                                     discard or use for other testing.
                                     Set up: Mon - Fri
  LAB              FACTOR V                                                     Accompanies report   2) Draw LB tube and centrifuge at
                                     Report available: 7 days
 FACT V                                                                                              3000 rpm for 10 minutes.
                                                                                                     3) Remove plasma to a plastic tube
                                     CPT Code: 85220
                                                                                                     using a plastic pipette. FREEZE
                                                                                                     immediately in a -70C freezer.



                                 FACTOR V MUTATION GENOTYPE
                                 (LEIDEN) Performed at CPAL
                                 Includes Prothombin Geno mutation.
                                 Individuals with either the heterozygous or
                                 homozygous genotype for Factor V Mutation
                                 are at increased risk for venous thrombosis
                                                                                                     5 mL whole blood EDTA (L) or ACD
             FACTOR V MUTATION - and pulminary embolism.
  LAB                                                                           Accompanies report   (Y) tubes. ROOM TEMP
                   LEIDEN        Methodology: Real time PCR w/ melting
FACTOR V
                                 curve analysis
                                 Set up: Mon,Tues, Thurs
                                 Report available: 4 days

                                     CPT Code: 83890, 83896, 83898, 83912,
                                     81241




                                                               Page 67 of 342
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                                                                                            Minimum: 1 mL FROZEN
                                                                                            citrated plasma (LB)
                            FACTOR VII (QUEST 346X)
                                                                                            1) Draw plain red top tube and
                            Methodology: Clotting assay
                                                                                            discard or use for other testing.
                            Set up: Mon - Fri
   LAB        FACTOR VII                                               Accompanies report   2) Draw LB tube and centrifuge at
                            Report available: Next day
 FACT VII                                                                                   3000 rpm for 10 minutes.
                                                                                            3) Remove plasma to a plastic tube
                            CPT Code: 85230
                                                                                            using a plastic pipette. FREEZE
                                                                                            immediately in a -70C freezer.



                                                                                            Minimum: 1 mL FROZEN citrated
                            FACTOR VIII (INCLUDED IN VON
                                                                                            plasma (LB)
                            WILLEBRAND PANEL)
                                                                                            1) Draw plain red top tube and
                            (QUEST 347X)
                                                                                            discard or use for other testing.
                            Methodology: Clotting assay
   LAB        FACTOR VIII                                              Accompanies report   2) Draw LB tube and centrifuge at
                            Set up: Mon - Fri
FACTOR VIII                                                                                 3000 rpm for 10 minutes.
                            Report available: Next day
                                                                                            3) Remove plasma to a plastic tube
                                                                                            using a plastic pipette. FREEZE
                            CPT Code: 85240
                                                                                            immediately in a -70C freezer.



                                                                                            Minimum: 1 mL FROZEN citrated
                                                                                            plasma (LB)
                            FACTOR IX (QUEST 352X)
                                                                                            1) Draw plain red top tube and
                            Methodology: Clotting assay
                                                                                            discard or use for other testing.
                            Set up: Mon - Fri
   LAB        FACTOR IX                                                Accompanies report   2) Draw LB tube and centrifuge at
                            Report available: Next day
 FACT IX                                                                                    3000 rpm for 10 minutes.
                                                                                            3) Remove plasma to a plastic tube
                            CPT Code: 85250
                                                                                            using a plastic pipette. FREEZE
                                                                                            immediately in a -70C freezer.




                                                                                            Minimum: 1 mL FROZEN citrated
                            FACTOR X ACTIVITY                                               plasma (LB)
                            (QUEST 359X)                                                    1) Draw plain red top tube and
                            Methodology: Clotting assay                                     discard or use for other testing.
   LAB        FACTOR X      Set up: Mon - Fri                          Accompanies report   2) Draw LB tube and centrifuge at
  FACT X                    Report available: Next day                                      3000 rpm for 10 minutes.
                                                                                            3) Remove plasma to a plastic tube
                            CPT Code: 85260                                                 using a plastic pipette. FREEZE
                                                                                            immediately in a -70C freezer.




                                                                                            MinimumL 1 mL FROZEN citrated
                            FACTOR XI ACTIVITY                                              plasma (LB)
                            (QUEST 360X)                                                    1) Draw plain red top tube and
                            Methodology: Clotting assay                                     discard or use for other testing.
   LAB        FACTOR XI     Set up: Mon - Fri                          Accompanies report   2) Draw LB tube and centrifuge at
 FACT XI                    Report available: Next day                                      3000 rpm for 10 minutes.
                                                                                            3) Remove plasma to a plastic tube
                            CPT Code: 85270                                                 using a plastic pipette. FREEZE
                                                                                            immediately in a -70C freezer.




                                                                                            MinimumL 1 mL FROZEN citrated
                            FACTOR XII ACTIVITY                                             plasma (LB)
                            (QUEST 362X)                                                    1) Draw plain red top tube and
                            Methodology: Clotting assay                                     discard or use for other testing.
   LAB        FACTOR XII    Set up: Mon - Fri                          Accompanies report   2) Draw LB tube and centrifuge at
 FACT XII                   Report available: Next day                                      3000 rpm for 10 minutes.
                                                                                            3) Remove plasma to a plastic tube
                            CPT Code: 85280                                                 using a plastic pipette. FREEZE
                                                                                            immediately in a -70C freezer.




                                                      Page 68 of 342
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 MNEMONIC            NAME


                                                                                                         MinimumL 1 mL FROZEN citrated
                                       FACTOR XIII
                                                                                                         plasma (LB)
                                       (QUEST 42033)
                                                                                                         1) Draw plain red top tube and
                                       Referral test for QUEST.
                                                                                                         discard or use for other testing.
                                       Methodology: Solubility
    LAB        FACTOR XIII SCREEN                                                   Accompanies report   2) Draw LB tube and centrifuge at
                                       Set up: Mon - Fri
  FACT XIII                                                                                              3000 rpm for 10 minutes.
                                       Report available: 5 days
                                                                                                         3) Remove plasma to a plastic tube
                                                                                                         using a plastic pipette. FREEZE
                                       CPT Code: 85291
                                                                                                         immediately in a -70C freezer.



                                       FACTOR, EXTRINSIC PATHWAY ASSAY
                                                                                                         Minimum: 4 specimens, 1 mL (each)
                                       (Factors II, V, VII, and X)
                                                                                                         FROZEN citrated plasma (LB)
                                       (QUEST 2916)
                                                                                                         1) Draw plain red top tube and
                                       Please submit a separate vial for each
                                                                                                         discard or use for other testing.
                                       special coagulation assay ordered.
   LAB          FACTOR EXTRINSIC                                                    Accompanies report   2) Draw LB tube and centrifuge at
                                       Methodology: Modified prothrombin time
 FACT EXT                                                                                                3000 rpm for 10 minutes.
                                       Set up: Mon, Wed, Fri
                                                                                                         3) Remove plasma to a plastic tube
                                       Report available: Next day
                                                                                                         using a plastic pipette. FREEZE
                                                                                                         immediately in a -70C freezer.
                                       CPT Code: 85210, 85220, 85230, 85260


                                       FACTOR -VON WILLEBRAND FACTOR
                                       ANTIGEN - See Von Willebrand Factor
                                       Antigen

                                       FARMER's LUNG - See Hypersensitivity
                                       Pneumonitis

                                       FAT, FECAL, FRACTIONATION
                                       (QUEST 1321)                                                      24, 48 or 72-hr fecal collection:
                                       Methodology: Gravimetric                                          specimen will be processed ONLY if
               FAT, FECAL FRACT, 72    Set up: Mon - Thurs                                               submitted in preweighed feces
    LAB                                                                             Accompanies report
                        HR             Report available: 5 days                                          container, FROZEN.
  FF 72 HR
                                       CPT Code: 82710                                                   Minimum: 3 g



                                       FAT, FECAL (QUALITATIVE)
                                       (QUEST 3967X)
                                       Methodology: Stain                                                Random fecal (5 gm) specimen
    LAB            FAT SCREEN          Set up: Mon - Fri                            Accompanies report
  FAT SCR                              Report available: Next day                                        Minimum: 2 g stool

                                       CPT Code: 82705


                                       FATTY ACIDS, FREE
                                       Methodology: Colorimetric
QUEST 449X                             Set up: Mon, Thurs                                                1.0 mL fasting serum (SS) FROZEN
               Universal Requisition                                                Accompanies report
 Univ. Req.                            Report available: 3 days                                          immediately after separation.

                                       CPT Code: 82725


                                       FELBAMATE (FELBATOL)
                                       (QUEST 14370)
                                       Methodology: HPLC                                                 1 mL serum (R). No SS tubes
   LAB             FELBAMATE           Set up: Tues, Fri                            Accompanies report
FELBAMATE                              Report available: 4 days                                          Minimum: 0.5 mL

                                       CPT Code: 80299


                                       FENTANYL PRESUMPTIVE SCREEN
                                       Methodology: RIA
                                       Detection limit: 1.0 ng/mL                                        20 mL random urine
QUEST 19524X
               Universal Requisition   Set up: Mon - Fri                              None detected
  Univ. Req.
                                       Report available: Next day                                        Minimum: 1 mL

                                       CPT Code: 80101


                                       FEP - See Zinc Protopotphyrin

                                                                   Page 69 of 342
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 MNEMONIC              NAME

                                        FERRITIN
                                                                                                             1 mL blood (Gn-Li (PST)
                                        Methodology: Chemiluminescence
                                                                                                             or
                                        Set up: Daily
    LAB               FERRITIN                                                          Accompanies report   1mL serum (SS)
                                        Report available: Same day
  FERRITIN
                                                                                                             Minimum: 0.5 mL
                                        CPT Code: 82728


                                        FETAL CELL SCREEN
                                        Methodology: Tube agglutination
                   FETAL SCREEN         Set up: Daily
    BB                                                                                       Negative        4 mL blood (L or Pink)
                    QUALITATIVE         Report available: Next day
 FETALSCR
                                        CPT Code: 85461

                                        FETAL CELL STAIN - See Kleihauer-Betke


                                        FETAL LUNG MATURITY - See Lecithin


                                     FIBRIN SPLIT PRODUCTS
                                     Methodology: Agglutination                                              Minimum: 1 mL citrated plasma (LB).
                                     Set up: Daily                                                           Centrifuge and freeze plasma if
    LAB        FIBRIN SPLIT PRODUCTS                                                        < 5 µg/Ml
                                     Report available: Same day                                              testing will be delayed more than 8
    FSP
                                                                                                             hours.
                                        CPT Code: 85362




                                                                                                             2.7 mL blood (LB), tube must be filled
                                        FIBRINOGEN, QUANTITATIVE
                                                                                                             to the blue line indicated on the label.
                                        Methodology: Optical detection clotting assay
                                                                                                                             -or-
                                        Set up: Daily
    LAB             FIBRINOGEN                                                          Accompanies report
                                        Report available: Same day
FIBRINOGEN                                                                                                   1 mL FROZEN citrated plasma.
                                        CPT Code: 85384




                                        FIBRONECTIN, FETAL
                                        Methodology: Immunoassay
                                        Set up: Daily                                                        Collection kits available from the
    LAB         FETAL FIBRONECTIN       Report available: 2 hours after receipt of      Accompanies report   Laboratory. Collection instructions
FETALFIBRON                             specimen                                                             included in the kit.

                                        CPT Code: 82731


                                        FIBRONECTIN, IGA
                                                                                                             1 mL serum (R)
                                        Referral test for Quest.
QUEST 35152                             Methodology: ELISA
                Universal Requisition                                                                        Minimum: 0.5 mL
 Univ. Req.                             Report available: 5 days
                                                                                                             Centrifuge and immediately separate
                                                                                                             serum into a plastic vial.
                                        CPT Code: 83520


                                        FIFTH DISEASE - See Parvovirus


                                        FILARIASIS IgG ANTIBODY
                                        Referral test for Quest
                                        Methodology: Elisa
QUEST 34168X
                Universal Requisition   Set up: Wed                                                          1 mL serum (R or SS)
  Univ. Req.
                                        Report available: 3 days

                                        CPT Code: 86682


                                        FINE NEEDLE ASPIRATION - See
                                        Cytology, Fine Needle Aspiration, General



                                        FISH - See Chromosome, FISH (BCR-ABL)



                                                                    Page 70 of 342
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MNEMONIC              NAME


                                        FISH, URINE - See Urovysion



                                        TACROLIMUS, FK506, PROGRAF (CPAL)
                                        Methodology: Immunoassay                                                2 mL EDTA whole blood (L),
                                        Set up: Mon - Sat                                                       refrigerated
   LAB             TACROLIMUS                                                              Accompanies report
                                        Report available: Next day
TACROLIMUS
                                                                                                                Minimum: 1.0 mL
                                        CPT Code: 80197


                                        FLECAINIDE (TIAMBOCOR)
                                        (QUEST 5309X)
                                                                                                                4 mL serum (R)
                                        Methodology: HPLC
                                                                                                                Optimum time to collect sample: 1 hr
                                        Detection limit: 0.1 µg/mL
   LAB              FLECANIDE                                                              Accompanies report   before next dose
                                        Set up: Tues, Thurs
FLECAINIDE
                                        Report available: 4 days
                                                                                                                Mimimum: 0.5 mL
                                        CPT Code: 80299


                                        FLM-TDX - FETAL LUNG MATURITY
                                        Rapid quantitative assay for
                                        the ratio of surfactant to albumin in amniotic
                                        fluid for the assessment of fetal lung maturity.
                                        Available on a STAT basis at Lancaster
                                        General Laboratories.
 LAB ONLY     LAB Orderable only; use
                                                                                           Accompanies report   2 mL amniotic fluid
   FLM         Universal Requisition
                                        Methodology: flourescent polarization assay
                                        Set up: On request
                                        Report available: Phone report available from
                                        LGH on completion

                                        CPT Code: 83663


                                        FLU DIRECT IF - See Influenza Virus,
                                        Types A & B, Direct IF Test

                                        FLUID ANALYSIS - See Synovial Fluid
                                        Analysis

                                        FLUORESCENT ANTINUCLEAR
                                        ANTIBODIES - See Antinuclear Antibodies


                                        FLUORESCENT TREPONEMAL
                                        ANTIBODIES - See FTA-ABS


                                        FLUORIDE
                                        (QUEST 1020)
                                        Methodology: ISE                                                        4 mL plasma (Gn) stored in a plastic
                                        Detection limit: 0.02 mg/L                                              container
    LAB             FLUORIDE                                                               Accompanies report
                                        Set up: Tues, Thurs
 FLUORIDE
                                        Report available: 4 days                                                Minimum: 2.5 mL

                                        CPT Code: 82735


                                        FLUOXETINE
                                        (Includes norfluoxetine)
                                        Methodology: LC/TMS                                                     4 mL serum (DB, R) or 1 mL plasma
QUEST 8389X                             Detection limit: 20 ng/mL                                               (L). No SS tubes
               Universal Requisition                                                       Accompanies report
 Univ. Req.                             Set up: Sun - Thurs
                                        Report available: 4 days                                                Minimum: 1.2 mL

                                        CPT Code: 82492




                                                                     Page 71 of 342
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 MNEMONIC            NAME

                                       FLUPHENAZINE (PROLIXIN)
                                       (QUEST 165)
                                       Methodology: GC                                                  5 mL serum (DB, or R) FREEZE and
                                       Detection limit: 0.2 ng/mL                                       protect from light. No SS tubes.
    LAB          FLUPHENAZINE                                                      Accompanies report
                                       Set up: Sun - Thurs
 FLUPHENA
                                       Report available: 4 days                                         Minimum: 4.5 mL

                                       CPT Code: 84022


                                       FLURAZEPAM AND METABOLITES
                                       SCREEN
                                       Methodology: HPLC                                                4 mL serum (DB or R) or 4 mL plasma
QUEST 12935                            Detection limit: 20 ng/mL of each                                (L)
               Universal Requisition                                               Accompanies report
 Univ. Req.                            Set up: Varies, as necessary
                                       Report available: 14 - 16 days                                   Minimum: 2 mL

                                       CPT Code: 80101


                                       FLUVOXAMINE (LUVOX)
                                       Referral test for Quest.
                                                                                                        2 mL serum (R) or plasma (L)
                                       Methodology: GC
QUEST 30529                                                                                             ROOM TEMP
               Universal Requisition   Set up: Tues, Thurs                         Accompanies report
 Univ. Req.                                                                                             No SS tubes
                                       Report available: 5 days

                                       CPT Code: 80299



                                       FOLIC ACID, SERUM
                                                                                                        1 mL blood (Gn-Li (PST)
                                       Methodology: Chemiluminescence
                                                                                                        or
                                       Set up: Daily
    LAB            FOLIC ACID                                                      Accompanies report   1mL serum (SS)
                                       Report available: Same day
  FOLATE
                                                                                                        Minimum: 0.5 mL
                                       CPT Code: 82746


                                                                                                        Draw one lavendar top tube, mix,
                                       FOLIC ACID, RED BLOOD CELL
                                                                                                        perform hematocrit, then transfer
                                       (QUEST 804)
                                                                                                        whole blood into a plastic vial within 4
                                       Methodology: CIA
                                                                                                        hours of collection. FREEZE. Please
    LAB          FOLIC ACID RBC        Set up: Mon - Fri                              > 280 ng/mL
                                                                                                        include hematocrit result on request
 FOLIC RBC                             Report available: Next day
                                                                                                        form.
                                       CPT Code: 82747
                                                                                                        Minimum: 0.2 mL


                                       FOLLICLE STIMULATING HORMONE
                                       (FSH), SERUM
                                       Performed at CPAL
                 FOLLICLE STIM         Methodology: Chemiluminescence
    LAB                                                                            Accompanies report   1 mL serum (SS)
                HORMONE (CPAL)         Set up: Mon - Sat
    FSH
                                       Report available: Next day

                                       CPT Code: 83001


                                       FOLLICLE STIMULATING HORMONE (FSH)
                                       ULTRA (3RD GENERATION)
                                       Methodology: ICMA                                                1.0 mL serum (R)
QUEST 36087X
               Universal Requisition   Set up: Mon, Wed, Fri
  Univ. Req.
                                       Report available: 3 days                                         Minimum: 0.2 mL

                                       CPT Code: 83001

                                       FRAGILE X DNA ANALYSIS - See DNA
                                       Analysis for Fragile X


                                       FRANCISELLA TULARENSIS ANTIBODIES,
                                       TUBE TEST
                                                                                   < 1:20
                                       (QUEST 35176X)
                                                                           Comparison of acute 1 mL serum (SS)
                  FRANCISELLA          Methodology: Agglutination
   LAB                                                                    and convalescent titers FROZEN
                   TULARENSIS          Set up: Mon - Fri
 FRAN TUL                                                                      is of greatest     Minimum: 0.5 mL
                                       Report available: 3 days
                                                                             diagnostic value.
                                       CPT Code: 86668
                                                                  Page 72 of 342
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                                                         TEST                        REFERENCE                       SPECIMEN
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                                                      PROCEDURE 73 of 342
                                                              Page                     RANGE                       REQUIREMENTS
 MNEMONIC             NAME

                                        FREE DILANTIN - See Phenytoin, Free

                                        FREE ERYTHROCYTE
                                        PROTOPORPHYRINS - See Zinc
                                        Protoporphyrin

                                        FREE ESTRADIOL - See Estradiol, Free

                                        FREE FATTY ACIDS - See Fatty Acids,
                                        Free

                                        FREE KAPPA&LAMBDA WITH K/L RATIO,
                                        SERUM - See Kappa & Lambda, Free with
                                        Ratio, Serum

                                        FREE T3 - See T3, Free


                                        FREE T4 - See T4, Free



                                   FFP - FRESH FROZEN PLASMA
                                   Includes ABORh and antibody screen.
                                   Methodology: Hemeagglutination
                                   Set up: Daily                                                        6.0 mL whole blood (Pink) properly
    BB         FRESH FROZEN PLASMA
                                   Report available: Same day                                           labeled with Blood Bank armband
    FFP


                                        CPT Code: 86900, 86901, 86850 + product


                                        FRUCTOSAMINE (QUEST 8340)
                                        Methodology: Colorimetric
                                                                                                        0.5 mL serum (SS)
                                        Set up: Mon - Fri
    LAB           FRUCTOSAMINE                                                     Accompanies report
                                        Report available: Next day
   FRUCT                                                                                                Minimum: 0.2 mL
                                        CPT Code: 82985


                                        FRUCTOSE, SEMINAL - See Seminal
                                        Fructose


                                        FTA-ABS (Fluorescent Treponemal
                                        Antibodies, Absorbed)
                                        Performed at CPAL
                                                                                                        1 mL serum (SS) FROZEN
                                        Methodology: IFA
    LAB              FTA (CPAL)                                                       Nonreactive
                                        Set up: Mon, Thurs
    FTA                                                                                                 Minimum: 0.5 mL
                                        Report available: Next day

                                        CPT Code: 86780

                                        FTA-ABS, CSF
                                        Methodology: Indirect Immunofluorescence
                                        Assay
QUEST 17088X
                Universal Requisition   Set up: Mon-Fri                            Accompanies report   1 mL CSF
  Univ. Req.
                                        Report available: 1-4 days

                                        CPT Code: 86780

                                        FTA-ABS, IgM - See Treponema pallidum
                                        IgM Antibodies


                                        FUNGAL ANTIBODY PANEL 1, ID
                                        (Histoplasma, Blastomyces, Coccidiodes
                                        and Aspergillus)
                                                                                                        2 mL serum (R)
                                        (QUEST 7649X)
                 FUNGAL ANTIBODY                                                                        ROOM TEMP
   LAB                                  Methodology: ID                            Accompanies report
                     PANEL
FUN AB PAN                              Set up: Mon - Sat
                                                                                                        Minimum: 1 mL
                                        Report available: 6 days

                                        CPT Code: 86606, 86612, 86635, 86698x2




                                                                 Page 73 of 342
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                                                         TEST                         REFERENCE                       SPECIMEN
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                                                      PROCEDURE 74 of 342
                                                              Page                      RANGE                       REQUIREMENTS
 MNEMONIC            NAME


                                       FUNGUS CULTURE - See Culture, Fungus



                                       FUNGUS SMEAR (KOH PREP)                                           Minimum: Primary specimen (I.e. hair,
                                       Methodology: Potassium hydroxide                                  nail, skin scrapings, or other) in sterile
                                       Set up: Daily                                                     specimen container
    LAB        KOH PREPARATION                                                        None detected
                                       Report available: 1-2 days                                                      -or-
    KOH
                                                                                                         Smear in a slide folder, labeled with
                                       CPT Code: 87210                                                   patient name.



                                       KOH (SCBS) FUNGUS SMEAR (SCABIES)
                                                                                                         Minimum: Primary specimen (I.e. hair,
                                       Methodology: Calcofluor white stain and/or
                                                                                                         nail, skin scrapings, or other) in sterile
                                       Potassium hydroxide
                                                                                                         specimen container
    LAB             SCABIES            Set up: Daily                                  None detected
                                                                                                                         -or-
  SCABIES                              Report available: Same day
                                                                                                         Smear in a slide folder, labeled with
                                                                                                         patient name
                                       CPT Code: 87210


                                       FUNGUS SUSCEPTABILITY PANEL
                                       Specimens referred to Quest Diagnostics
    LAB             LAB ONLY           Laboratory as indicated.
  FNG SUS
                                       CPT Code: 87186

                                       G-6-PD - See Glucose -6-Phosphate
                                       Dehydrogenase


                                       GAD - See Glutamic Acid Decarboxylase


                                       GABAPENTIN (NEURONTIN)
                                                                                                         3 mL plasma (L). No SS tubes
                                       (QUEST 3557X)
                                                                                                         Separate plasma from cells as soon
                                       Methodology: Gas chromatography
                                                                                                         as possible.
                  GABAPENTIN /         Detection limit: 0.1 µg/mL
   LAB                                                                              Accompanies report   Draw sample 2 hours after last dose at
                   NEURONTIN           Set up: Mon - Fri
GABAPENTIN                                                                                               steady state.
                                       Report available: 3 days
                                                                                                         Minimum: 1 mL
                                       CPT Code: 80299


                                       GAMMA GLOBULIN CONCENTRATIONS
                                       (CEREBROSPINAL FLUID) - See Protein
                                       Electrophoresis, Cerebrospinal Fluid



                                       GAMMA GLOBULIN CONCENTRATIONS
                                       (SERUM) - See Immunoglobulins G, A, and
                                       M


                                       GAMMA-GLUTAMYL TRANSFERASE
                                       (GGT)                                                             1 ml blood (Gn -Li (PST))
                                       Methodology: Enzymatic                                                     or
               GAMMA GLUTAMYL
    LAB                                Set up: Daily                                Accompanies report   1 mL serum (SS)
               TRANSPEPTIDASE
    GGT                                Report available: Same day
                                                                                                         Minimum: 0.5 mL
                                       CPT Code: 82977

                                       GAMMA-HYDROXY-BUTYRIC ACID
                                       Methodology: GCMS
                                       Set up: Mon, Thurs                                                7 mL plasme EDTA (L)
QUEST 10791X
               Universal Requisition   Report available: Next day                   Accompanies report
  Univ. Req.
                                                                                                         Minimum: 4 mL
                                       CPT Code: 80101




                                                                 Page 74 of 342
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                                                                TEST                       REFERENCE                      SPECIMEN
     ORDER                   ORDER
                                                             PROCEDURE 75 of 342
                                                                     Page                    RANGE                      REQUIREMENTS
    MNEMONIC                 NAME

                                               GANGLIOSIDE GQ1b ANTIBODY (IgG), EIA
                                               (QUEST 34144)
                                                                                                              1.0 mL serum (R) drawn from a fasting
                                               Methodology: EIA
                       GANGLIOSIDE GQ1b                                                                       patient
       LAB                                     Set up: Mon, Wed                          Accompanies report
                         ANTIBODY IGG
     GQ1b AB                                   Report available: 4 days
                                                                                                              Minimum: 0.2 Ml
                                               CPT Code: 83520



                                               GARAMYCIN - See Gentamicin



                                               GASTRIC ANALYSIS, SINGLE SPECIMEN
                                               Methodology: Titration
                                                                                                              7 mL gastric fluid
  QUEST 10945X                                 Set up: Mon - Fri
                      Universal Requisition                                              Accompanies report
    Univ. Req.                                 Report available: Next day
                                                                                                              Minimum: 5 mL
                                               CPT Code: 82930


                                               GASTRIC ANALYSIS PROFILE, 5
        See                                    SPECIMENS
                                                                                                              7 mL gastric fluid for each sample
questdiagnostics.co                            Methodology: Titration
                      Universal Requisition                                              Accompanies report
         m                                     Set up: Mon - Fri
                                                                                                              Minimum: 5 mL
    Univ. Req.                                 Report available: Same day


                                          GASTRIC PARIETAL CELL ANTIBODY
                                          (QUEST 15114X)
                                          Methodology: EIA                                                    0.5 mL serum (R)
      LAB             GASTRIC PARIETAL AB Set up: Tues, Thurs                            Accompanies report
   GAS PARIET                             Report available: Next day                                          Minimum: 0.1 mL

                                               CPT Code: 83516

                                               GASTROCCULT - GASTRIC OCCULT
                                               BLOOD

       LAB               GASTROCCULT           Set up: Daily                             Accompanies report   Sterile container
     GASOCC                                    Report available: Same day

                                               CPT Code: 82271


                                               GASTRIN (QUEST 478)
                                               Methodology: Chemiluminescence                                 1 mL serum (SS), collected fasting,
                                               Set up: Mon - Fri                                              separated from clot and FROZEN
       LAB                  GASTRIN                                                      Accompanies report
                                               Report available: Next day
     GASTRIN
                                                                                                              Minimum: 0.5 mL
                                               CPT Code: 82941


                                               GBM ANTIBODIES - See Anti-Glomerular
                                               Basement Membrane Antibodies

                                               GBS CULTURE - See Culture Group B
                                               Strep

                                               GC PROBE - See Neisseria gonorrhoeae
                                               by PCR


                                               GENERAL HEALTH PANEL
                                                                                                              5 mL serum (SS)
                                               Comprehensive Metabolic Panel (COMP)                           and
    LAB ONLY
                      Order individual tests   CBC or CBCDIFF                                                 1 mL EDTA whole blood (L)
   GEN HEALTH
                                               TSH
   (Order group)
                                                                                                              Minimum: 5 mL
                                               CPT Code: 80050




                                                                        Page 75 of 342
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                                                     TEST                          REFERENCE                       SPECIMEN
 ORDER              ORDER
                                                  PROCEDURE 76 of 342
                                                          Page                       RANGE                       REQUIREMENTS
MNEMONIC            NAME

                                    GENTAMYCIN, PEAK
                                                                                                       1 ml blood (Gn -Li (PST))
                                    Methodology: Immunoassay                       Therapeutic:
                                                                                                                or
                                    Set up: Daily                                 Peak (Draw 30
   LAB         GENTAMICIN,PEAK                                                                         1 mL serum (SS)
                                    Report available: Same day                 minutes post-infusion):
  GENTP
                                                                                  4.0 - 8.0 µg/mL
                                                                                                       Minimum: 0.5 mL
                                    CPT Code: 80170



                                    GENTAMYCIN, RANDOM
                                                                                                      1 ml blood (Gn -Li (PST))
                                    Methodology: Immunoassay
                                                                                                               or
                 GENTAMYCIN,        Set up: Daily
    LAB                                                                                               1 mL serum (SS)
                   RANDOM           Report available: Same day
   GENT
                                                                                                      Minimum: 0.5 mL
                                    CPT Code: 80170



                                    GENTAMYCIN, TROUGH
                                                                                   Therapeutic:       1 ml blood (Gn -Li (PST))
                                    Methodology: Immunoassay
                                                                                 Trough (Draw 30               or
                 GENTAMYCIN,        Set up: Daily
   LAB                                                                          minutes before next   1 mL serum (SS)
                   TROUGH           Report available: Same day
  GENTT                                                                          scheduled dose):
                                                                                   < 2.0 µg/mL        Minimum: 0.5 mL
                                    CPT Code: 80170



                                    GHB - See Gamma-Hydroxy-Butyric Acid


                                    GIARDIA LAMBLIA IgG ANTIBODIES
                                    (QUEST 35162)
                                    Referral test for Quest
                                                                                                      1 mL serum (R or SS)
    LAB       GIARDIA LAMBLIA IGG   Methodology: IFA
                                                                                Accompanies report
GIARDIA IGG       ANTIBODIES        Set up: Mon - Sat
                                                                                                      Minimum: 0.5 mL
                                    Report available: 4 days

                                    CPT Code: 86674

                                    GIARDIA SPECIFIC ANTIGEN-65
                                    (QUEST 8625X)
                                    Methodology: EIA                                                  5.0 grams stool
               GIARDIA LAMBLIA
   LAB                              Set up: Mon - Fri                           Accompanies report
                   ANTIGEN
GIAR ANTIG                          Report available: 3 days

                                    CPT Code: 87329

                                    GIEMSA STAIN - See Malarial Smear

                                    GLIADIN/GLUTEN ANTIBODIES - See Anti-
                                    Gliadin/Gluten

                                    GLOMERULAR FILTRATION RATE -
                                    Included in Creat

                                                                                                      3 mL plasma (L);
                                                                                                      Min 1.1 mL
                                                                                                      PT MUST BE FASTING
                                    GLUCAGON, PLASMA
                                                                                                      Transport Temperature
                                    (QUEST 519)
                                                                                                      FROZEN
                                    Methodology: Extraction, RIA
   LAB        GLUCAGON, PLASMA      Set up: Tues, Fri                           Accompanies report
                                                                                                      Specimen Stability
GLUCAGON                            Report available: 5 days
                                                                                                      Room Temp and Refrig: 24 hours
                                                                                                      Frozen: 28 days
                                    CPT Code: 82943
                                                                                                      Rejection Criteria:
                                                                                                      Moderate or gross icterus

                                    GLUCOSE-6-PHOSPHATE
                                    DEHYDROGENASE (G-6-PD),
                                    QUANTITATIVE
                                    (QUEST 500)                                                       1 mL blood (L)
    LAB              G6PD           Methodology: Colorimetric                   Accompanies report
   G6PD                             Set up: Mon - Fri                                                 Minimum: 0.5 mL
                                    Report available: Next day

                                    CPT Code: 82955
                                                              Page 76 of 342
  LAB               OE
                                                     TEST                            REFERENCE                       SPECIMEN
 ORDER             ORDER
                                                  PROCEDURE 77 of 342
                                                          Page                         RANGE                       REQUIREMENTS
MNEMONIC           NAME

                                   GLUCOSE, CEREBROSPINAL FLUID
                                   Methodology: Hexokinase
                                                                                                        1 mL CSF
                                   Set up: Daily
  LAB          GLUCOSE,CSF                                                          50 - 75 mg/dL
                                   Report available: Same day
CSFGLUC                                                                                                 Minimum: 0.5 mL:
                                   CPT Code: 82945


                                   GLUCOSE, SERUM OR PLASMA
                                   Methodology: Hexokinase                                           1 ml blood (Gn -Li (PST))
                                   Set up: Daily                                                               or
  LAB            GLUCOSE                                                          Accompanies Report
                                   Report available: Same day                                        1 mL serum (SS)
GLUCOSE
                                                                                                     centrifuged within 2 hours of
                                   CPT Code: 82947                                                   collection.


                              GLUCOSE, FLUID
                              Methodology: Hexokinase
                              Set up: Daily
   LAB     GLUCOSE,BODY FLUID                                                                           1 mL fluid (R)
                              Report available: Same day
 BFGLUC
                                   CPT Code: 82945


                                   GLUCOSE, 2 hr PP
                                                                                                        1 ml blood (Gn -Li (PST))
                                   Methodology: Hexokinase
                                                                                                                 or
             GLUCOSE 2H POST       Set up: Daily
   LAB                                                                                                  1 mL serum (SS)
                PRANDIAL           Report available: Same day
 GLUCPP
                                                                                                        centrifuged within 1 hour of collection.
                                   CPT Code: 82947



                                   GLUCOSE with GLUCOLA
                                   Methodology: Hexokinase                                              1 ml blood (Gn -Li (PST))
                                   Set up: Daily                                                                  or
                                                                                  When screening for
           GLUCOSE,1H PP 50GM      Report available: Same day                                           1 mL serum (SS) drawn one hour
  LAB                                                                             gestational diabetes:
                 DOSE                                                                                   after drinking 50 g of glucola. The
 GTT1HR                                                                               < 140 mg/dL
                                   Can be fasting or non-fasting                                        specimen should be centrifuged within
                                                                                                        1 hour of collection.
                                   CPT Code: 82950



                                   GLUCOSE TOLERANCE 2 HOUR
                                                                                                        1 ml blood (Gn -Li (PST))
                                   Administer 75 g Glucola and collect specimen
                                                                                                                 or
                                   at 2 hours.
                                                                                                        1 mL serum (SS) centrifuged within 1
                                                                                                        hour of collection.
           GLUCOSE,2 HR PP 75GM Outpatient glucose tolerance tests are
  LAB
                  DOSE          administered by appointment at Ephrata
 GTT2HR                                                                                                 Please identify specimens as to time
                                Medical Laboratories. Call 738-6336 to
                                                                                                        of draw.
                                schedule appointments.
                                                                                                        Minimum: 1 mL
                                   CPT Code: 82950




                             GLUCOSE TOLERANCE TESTS
                             Collect fasting (baseline) specimen.                                       1 ml blood (Gn -Li (PST))
                             Administer loading dose of glucose and                                              or
                             collect specimens at the appropriate time                                  1 mL serum (SS) centrifuged within 1
                             intervals. Label tubes with the specimen                                   hour of collection.
                             number and specimen time, e.g.
                                    Specimen 1, fasting                                                 Please identify specimens as to time
                                    Specimen 2, 1 hr                                                    of draw.
  LAB      GLUCOSE TOLERANCE        Specimen 3, 2 hr
 GTT3HR           3HR               Specimen 4, 3 hr                                                    Minimum: 1 mL
                  -or-              Specimen 5, 4 hr
           GLUCOSE TOLERANCE Submit all specimens with one request form                                 Collect fasting (baseline) specimen.
  LAB             5HR        and indicate number of specimens.                                          Administer loading dose of glucose
 GTT5HR                                                                                                 (75 g for adults; 100 g for pregnant
                                   Outpatient glucose tolerance tests are                               women) and collect specimens at the
                                   administered by appointment at Ephrata                               appropriate time intervals. Label
                                   Medical Laboratories. Call 738-6336 to                               tubes with the specimen number and
                                   schedule appointments.                                               time. Submit all specimens with one
                                                                                                        request form and indicate number of
                                   CPT Code: fasting - 89251                                            specimens.
                                               each specimen - 82952

                                                              Page 77 of 342
               GLUCOSE TOLERANCE    Submit all specimens with one request form                         Collect fasting (baseline) specimen.
   LAB                5HR           and indicate number of specimens.                                  Administer loading dose of glucose
  GTT5HR
   LAB                OE                                                                               (75 g for adults; 100 g for pregnant
                                                        TEST
                                    Outpatient glucose tolerance tests are          REFERENCE                        SPECIMEN
                                                                                                       women) and collect specimens at the
  ORDER             ORDER
                                    administered byPROCEDURE Ephrata                  RANGE                       REQUIREMENTS
                                                                Page 78 of 342
 MNEMONIC            NAME                           appointment at                                     appropriate time intervals. Label
                                    Medical Laboratories. Call 738-6336 to                             tubes with the specimen number and
                                    schedule appointments.                                             time. Submit all specimens with one
                                                                                                       request form and indicate number of
                                    CPT Code: fasting - 89251                                          specimens.
                                                each specimen - 82952



                                    GLUTAMIC ACID DECARBOXYLASE -65
                                    ANTIBODY (GAD)
                                    (QUEST 34878)
                                                                                                       1.0 mL serum (R or SS)
   LAB           GLUTAMIC ACID      Methodology: RIA
                                                                                  Accompanies report
 GAD-65 AB     DECARBOXYLASE AB     Set up: Tues, Thurs
                                                                                                       Minimum: 0.5 Ml
                                    Report available: Next day

                                    CPT Code: 83519


                                    GLUTAMIC ACID IgE
                                    (QUEST 18725)
                                    Methodology: Radioallergosorbent Test                              1.0 mL serum (R )
    LAB
                GLUTAMIC ACID IGE   Set up: Mon - Fri                             Accompanies report
GLUTAMIC IGE
                                    Report available: 10 days                                          Minimum: 0.5 mL

                                    CPT Code: 86003


                                    GLUTAMIC OXALACETIC TRANSAMINASE
                                    (GOT) - See Aspartate Transaminase (AST)

                                    GLUTAMIC PYRUVIC TRANSAMINASE
                                    (GPT) - See Alanine Transaminase (ALT)

                                    GLUTATHIONE - Refer ordering physician
                                    to Great Smoky Mountain Lab at 1-800-522-
                                    4762 for kit.

                                    GLYCATED PROTEINS - See Fructosamine


                                    GLYCOHEMOGLOBIN, TOTAL
                                    Performed at CPAL
                                    Methodology: HPLC
               GLYCOHEMPGLOBIN
    LAB                             Set up: Mon - Sat                                 4.3 - 6.1 %      2 mL blood (L)
                   /HGBA1C
   GLYCO                            Report available: Next day

                                    CPT Code: 83036


                                    Glycosaminoglycans, Urine (GAGS): See
                                    Acid Mucopolysaccharides


                                 GONADOTROPIN RELEASING HORMONE
                                 (QUEST 8325)
                                                                                                       3.0 mL serum (R)
                                 Methodology: RIA
    LAB          GONADOTROPIN                                                                          FREEZE
                                 Set up: Mon - Fri                                Accompanies report
    GRH        RELEASING HORMONE
                                 Report available: 7 days
                                                                                                       Minimum: 1 Ml
                                    CPT Code: 83727


                                    GONOCOCCAL PROBE - See Neisseria
                                    gonorrhoeae by PCR

                                    GONOCOCCUS - See Neisseria
                                    gonorrhoeae by PCR


                                    GRAM STAIN: GONOCOCCUS - See
                                    Gonococcal Smear




                                                                 Page 78 of 342
   LAB               OE
                                                   TEST                          REFERENCE                       SPECIMEN
  ORDER             ORDER
                                                PROCEDURE 79 of 342
                                                        Page                       RANGE                       REQUIREMENTS
 MNEMONIC           NAME

                                 GRAM STAIN SMEAR
                                 Methodology: Stain                                                 Send swab (culturette), or tissue/ fluid
                                 Set up: Daily                                                      in sterile container. Please specify site
   LAB           GRAM STAIN                                                    Accompanies report
                                 Report available: Same day                                         of specimen collection and associated
   GS
                                                                                                    clinical symptoms.
                                 CPT Code: 87205


                                 GROWTH HORMONE
                                                                                                    1 mL serum (R) FROZEN
                                 (QUEST 521)
                                                                                                    Gross hemolysis and gross lipemia
                                 Methodology: IA
                                                                                                    are unacceptable. Plasma
   LAB        GROWTH HORMONE     Set up: Mon - Fri                             Accompanies report
                                                                                                    unacceptable.
GROWTH HOR                       Report available: Next day
                                                                                                    Minimum: 0.3 mL
                                 CPT Code: 83003


                                  HAEMOPHILUS INFLUENZAE TYPE B
                                  ANTIBODY (IgG)
                                  (QUEST 35135X)
                                                                                                    1.0 mL serum (R)
             HAEMOPHILUS INF TYPE Methodology: EIA
   LAB                                                                         Accompanies report
                   B IGG          Set up: Mon, Wed
HAE TYPE B                                                                                          Minimum: 0.2 mL
                                  Report available: 3 days

                                 CPT Code: 86684


                                 HALOPERIDOL (HALDOL)
                                 (QUEST 564)                                                        1.0 mL serum (DB, R)
                                 Methodology: LC/TMS                                                Collect sample 11 - 17 hours after last
    LAB          HALOPERIDOL     Set up: Tues, Thurs, Sun                      Accompanies report   dose.
  HALDOL                         Report available: 4 days
                                                                                                    Minimum: 0.5 mL
                                 CPT Code: 80173

                                 HAPTOGLOBIN
                                 Performed at CPAL
                                 Methodology: Nephelometric
   LAB          HAPTOGLOBIN      Set up: Mon - Sat                               32 - 225 mg/dL     1 mL serum (SS)
  HAPTO                          Report available: Next day

                                 CPT Code: 83010

                                 hCG, Beta - QUANTITATIVE
                                                                                                    1 ml blood (Gn -Li (PST))
                                 Methodology: Chemiluminescence
                                                                                                             or
                                 Set up: Daily
   LAB        HCG,QUANTITATIVE                                                 Accompanies report   2 mL serum (SS)
                                 Report available: Same day
HCGQUANT
                                                                                                    Minimum: 1.0 mL
                                 CPT Code: 84702

                                 hCG, ONCOLOGY - See Chorionic
                                 Gonadotropin, Quantitative (CPAL)

                                 HDL CHOLESTEROL
                                                                                                    1 ml blood (Gn -Li (PST))
                                 Methodology: Homogeneous Assay
                                                                                                             or
                                 Set up: Daily                                  Low >60 mg/dL
   LAB        HDL CHOLESTEROL                                                                       2 mL serum (SS)
                                 Report available: Same day                     High <40 mg/dL
   HDL
                                                                                                    Minimum: 0.5 mL
                                 CPT Code: 83718

                                 HE4, OVARIAN CANCER MONITORING
                                 (HUMAN EPIDIDYMIS PROTEIN 4)
                                                                                                    0.5 mL serum (R)
                                 (QUEST 16500)
                                                                                                    Gross hemolysis and gross lipemia
             HE4, OVARIAN CANCER Methodology: EIA
   LAB                                                                         Accompanies report   are unacceptable. .
                  MONITORING     Set up: Tues, Thurs
   HE4
                                 Report available: 1-4 days
                                                                                                    Minimum: 0.1 Ml
                                 CPT Code: 86305




                                                              Page 79 of 342
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                                                          TEST                          REFERENCE                      SPECIMEN
  ORDER                ORDER
                                                       PROCEDURE 80 of 342
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 MNEMONIC              NAME

                                   HEAVY METALS GROUP, BLOOD
                                   Includes quantitative arsenic, lead, and
                                   mercury . (QUEST 599)
                                                                                                           10 mL blood (DB with EDTA)
               HEAVY METALS GROUP, Methodology: ICP-MS
   LAB                                                                                Accompanies report
                      BLOOD        Set up: Mon, Wed, Fri
HVYMETGRP                                                                                                  Minimum: 5 mL
                                   Report available: 3 days

                                        CPT Code: 82175, 83655, 83825


                                        HEAVY METALS GROUP, URINE WITH
                                        CREATININE, RANDOM URINE
                                        (QUEST 7207)
                                        Includes quantitative arsenic, mercury, and
                                                                                                           100 mL aliquot of random urine
                                        delta-aminolevulinic acid. Appropriate for
    LAB         HEAVY METALS GRP,                                                                          submitted in an acid-washed, metal-
                                        industrial and environmental screening.       Accompanies report
HVYMETGRUR        RANDOM URINE                                                                             free container
                                        Methodology: ICP-MS
                                        Set up: Daily
                                        Report available: 3 days

                                        CPT Code: 82135, 82175, 83825


                                   HEAVY METALS GROUP, URINE WITH
                                   CREATININE, 24 HOUR URINE
                                   (QUEST 7206)                                                            100 mL aliquot of 24-hr urine
                                   Includes quantitative arsenic, mercury, and                             preserved with 25 mL 50% acetic acid
    LAB                            delta-aminolevulinic acid. Appropriate for                              submitted in an acid-washed, metal-
               HEAVY METALS GROUP,
 HVYMETGR                          industrial and environmental screening.            Accompanies report   free container
                    24H URINE
  24HOUR                           Methodology: ICP-MS                                                                    or
                                   Set up: Mon, Wed, Fri                                                   random urine submitted in an acid-
                                   Report available: 3 days                                                washed, metal-free container.

                                        CPT Code: 82135, 82175, 83825



                                        HEINZ BODY PRECIPITATION
                                        (QUEST 7881)                                                       2.0 mL whole blood (L). Must be
                                        Methodology: Microscopic exam                                      tested within 24 hours.
    LAB             HEINZ BODY
                                        Set up: Mon - Sat                             Accompanies report   ROOM TEMP
HEINZ BODY         PRECIPITATION
                                        Report available: Next day
                                                                                                           Minimum: 1 mL
                                        CPT Code: 85441


                                   HELICOBACTER PYLORI ANTIGEN, EIA
                                   STOOL
                                   (QUEST 34838)
                                                                                                           1.0 gram fresh random stool, FREEZE
               HELICOBACTER PYLORI Methodology: EIA
    LAB                                                                               Accompanies report
                       AG          Set up: Mon, Wed, Fri
 HELICO AG                                                                                                 Minimum: 1 gram
                                   Report available: 4 days

                                        CPT Code: 87338


                                        HELICOBACTER PYLORI IgA ANTIBODIES
                                        Methodology: EIA
                                                                                                           1.0 mL serum (SS)
QUEST 34122X                            Set up: Mon, Wed, Fri
                Universal Requisition                                                 Accompanies report
  Univ. Req.                            Report available: Next day
                                                                                                           Minimum: 0.5 mL
                                        CPT Code: 86677



                                   HELICOBACTER PYLORI IgG ANTIBODIES
                                   Performed at CPAL
                                   Methodology: EIA                                                        1 mL serum (SS)
               HELICOBACTER PYLORI
    LAB                            Set up: Mon & Thurs                                Accompanies report
                       AB
 HELICO AB                         Report available: Same day                                              Minimum: 0.5 mL

                                        CPT Code: 86677




                                                                   Page 80 of 342
   LAB                  OE
                                                           TEST                          REFERENCE                      SPECIMEN
  ORDER                ORDER
                                                        PROCEDURE 81 of 342
                                                                Page                       RANGE                      REQUIREMENTS
 MNEMONIC              NAME


                                    HELICOBACTER PYLORI IgM ANTIBODIES
                                    (QUEST 65452)
                                    Methodology: EIA                                                        1 mL serum (R or SS)
                HELICOBACTER PYLORI
     LAB                            Set up: Mon - Fri                                  Accompanies report
                      ANTIB IGM
HELICO AB IGM                       Report available: Next day                                              Minimum: 0.5 mL

                                         CPT Code: 86677



                                         HELPER AND SUPPRESSOR T
                                         LYMPHOCYTES - See Leukocyte Markers /
                                         Flow Cytometry in Appendix D



                                         HEMATOCRIT, MANUAL (PCV), BLOOD
                                         Order if spun Hct is requested.
                                         Methodology: Centrifugation                                        3 mL blood (L)
                 MICRO HEMATOCRIT
     LAB                                 Set up: Daily                                 Accompanies report
                      (SPUN)
    MHCT                                 Report available: Same day                                         Minimum: 1 mL

                                         CPT Code: 85013


                                         HEMATOCRIT, MANUAL (PCV), BODY
                                         FLUID
                                         Order if spun Hct is requested.
                                                                                                            3 mL fluid (L)
    LAB          HEMATOCRIT,BODY         Methodology: Centrifugation
                                                                                       Accompanies report
   BFHCT              FLUID              Set up: Daily
                                                                                                            Minimum: 1 mL
                                         Report available: Same day

                                         CPT Code: 85013


                                         HEMOCHROMATOSIS DNA MUTATION,
                                         C282Y, H63D, PCR
                                         (QUEST 10249)
                                                                                                            3.0 mL whole blood EDTA (L)
                                         Methodology: PCR
                 HEMOCHROMATOSIS                                                                            ROOM TEMP
   LAB                                   Set up: Tues, Thurs, Sat                      Accompanies report
                   DNA MUTATION
HEMOCHROM                                Report available: 7 days
                                                                                                            Minimum: 3.0 mL
                                         CPT Code: 83891, 83892(x2), 83900, 83909,
                                         83912


                                                                                                            Draw 5 mL whole blood (L). Send to
                                                                                                            Hematology with copy of order.
                                         HEMATOLOGY CONSULT
  Univ. Req.     Universal Requisition   Peripheral smear to be reviewed by
                                                                                                            Two thin, monolayer blood smears
                                         Pathologist
                                                                                                            labeled with patient name and forward
                                                                                                            to pathologist.


                                         HEMOGLOBIN A1C - See Glycohemoglobin,
                                         Total


                                         HEMOGLOBIN AND HEMATOCRIT (H&H) -
                                         See CBC, without differential


                                         HEMOGLOBIN A2
                                         (QUEST 511X)
                                         Methodology: HPLC                                                  5 mL whole blood (L)
   LAB             HEMOGLOBIN A2         Set up: Mon - Fri                             Accompanies report
HEMOGLO A2                               Report available: Next day                                         Minimum: 0.5 mL

                                         CPT Code: 83021


                                         HEMOGLOBIN F
                                                                                                            3.1mL whole blood (L)
                                         Methodology: HPLC
 QUEST 513X                              Set up: Mon - Fri
                 Universal Requisition                                                 Accompanies report   Minimum: 0.5 mL
  Univ. Req.                             Report available: Next day

                                         CPT Code: 83021


                                                                      Page 81 of 342
  LAB               OE
                                                        TEST                             REFERENCE                      SPECIMEN
 ORDER             ORDER
                                                     PROCEDURE 82 of 342
                                                             Page                          RANGE                      REQUIREMENTS
MNEMONIC           NAME


                                     HEMOGLOBIN, URINE - See Urinalysis


                                     HEMOGLOBIN & HEMATOCRIT
                                     Methodology: Sysmex XE-2100                                            4 mL blood (L)
               HEMOGLOBIN &          Set up: Daily                                                          Maintain at ROOM TEMP.
   LAB                                                                                 Accompanies report
                HEMATOCRIT           Report available: Same day
   H&H
                                                                                                            Minimum: 2 mL
                                     CPT Code: 83021, 85014

                                     HEMOGLOBIN PHENOTYPE- See
                                     Hemoglobinopathy Evaluation


                                     HEMOGLOBINOPATHY EVALUATION
                                     (QUEST 13565)
                                                                                                            5.0 mL whole blood (L)
                                     Methodology: HPLC/Electrophoresis
             HEMOGLOBINOPATHY                                                                               ROOM TEMP
   LAB                               Set up: Mon - Fri                                 Accompanies report
                   EVAL
HEMOELECT                            Report available: 1 - 5 days
                                                                                                            Minimum: 0.5 mL
                                     CPT Code: 83021

                                     HEMOSIDERIN, URINE, CYTOLOGY
                                     Methodology: Stain
QUEST 615                            Set up:
             Universal Requisition                                                     Accompanies report   First morning urine specimen
Univ. Req.                           Report available: 1 - 3 days

                                     CPT Code: 83070


                                     HEPARIN INDUCED PLATELET
                                     AGGREGATION STUDY - See Platelet
                                     Aggregation, Heparin Induced


                                     HEPATIC FUNCTION PANEL
                                     Includes Albumin, Alkaline Phosphatase,
                                     AST, ALT, Total Bilirubin, Direct Bilirubin and                        1 ml blood (Gn -Li (PST))
                                     Total Protein                                                                   or
   LAB         HEPATIC PANEL         Methodology: Various                              Accompanies report   1 mL serum (SS)
 HEPATIC                             Set up: Daily
                                     Report available: Same day                                             Minimum: 0.5 mL

                                     CPT Code: 80076


                                     HEPATITIS A ANTIBODY, TOTAL (Anti-
                                     HAV, Total)
                                     Includes IgG and IgM
                                     Performed at CPAL
  LAB        HEP A TOTAL IGG/IGM     Methodology: Elisa                                     Negative        1.0 mL serum (SS)
HEP A TOT                            Set up: Mon - Fri
                                     Report available: Next day

                                     CPT Code: 86708


                                     HEPATITIS A IgM ANTIBODY (Anti-HAV,
                                     IgM)
                                     Performed at CPAL
                                     Methodology: Chemiluminescent
  LAB        HEP A ANTIBODY IGM                                                           Non-reactive      1.0 mL serum (SS)
                                     Set up: Mon - Fri
HEP A IGM
                                     Report available: Next day

                                     CPT Code: 86709

                                     HEPATITIS B CORE ANTIBODY, TOTAL
                                     (Anti-HBC, Total)
                                     Performed at CPAL
              HEP B CORE TOTAL       Methodology: EIA
  LAB                                                                                     Non-reactive      1.0 mL serum (SS)
                    ANTIB            Set up: Mon - Sat
HEP B TOT
                                     Report available: Next day

                                     CPT Code: 86704



                                                                  Page 82 of 342
  LAB                   OE
                                                         TEST                           REFERENCE                     SPECIMEN
 ORDER                 ORDER
                                                      PROCEDURE 83 of 342
                                                              Page                        RANGE                     REQUIREMENTS
MNEMONIC               NAME

                                      HEPATITIS B CORE IgM ANTIBODY (Anti-
                                      HBC, IgM)
                                      Performed at CPAL
                                      Methodology: Chemiluminescent
   LAB             HEP B CORE IGM                                                        Non-reactive      1.0 mL serum (SS)
                                      Set up: Mon - Fri
 HEP B IGM
                                      Report available: Next day

                                      CPT Code: 86705

                                      HEPATITIS Be ANTIBODY (Anti-Hbe)
                                      Performed at CPAL
                                                                                                           0.5 mL serum (SS)
                                      Methodology: EIA
                                                                                                           FREEZE
   LAB          HEPATITIS BE ANTIBODY Set up: Tues, Fri                                    Negative
HEP BE AB                             Report available: Next day
                                                                                                           Minimum: 0.2 mL
                                      CPT Code: 86707

                                     HEPATITIS Be ANTIGEN (HBeAg)
                                     Performed at CPAL
                                                                                                           0.5 mL serum (SS)
                                     Methodology: EIA
                                                                                                           FREEZE
   LAB          HEPATITIS BE ANTIGEN Set up: Tues, Fri                                     Negative
HEP BE ANT                           Report available: Next day
                                                                                                           Minimum: 0.3 mL
                                      CPT Code: 87350

                                      HEPATITIS B SURFACE ANTIBODY (Anti-
                                      HBs)
                                      Performed at CPAL
                                      Methodology: Chemiluminescense
                   HEP B SURFACE
   LAB                                Set up: Mon - Sat                                    Negative        1.0 mL serum (SS)
                     ANTIBODY
HEP B ANTI                            Report available: Next day
                                      For post vaccine screens

                                      CPT Code: 86706


                                      HEPATITIS B SURFACE ANTIGEN (HBsAg)
                                      Performed at CPAL
                                      Methodology: EIA
   LAB                 HBSAG          Set up: Mon - Sat                                  Non-reactive      1.0 mL plasma (L)
HBSAG CPAL                            Report available: Next day

                                      CPT Code: 87340


                                      HEPATITIS B VIRUS DNA, QUANTITATIVE,
                                                                                                           3 mL EDTA plasma (L) collected in 2
                                      VIRAL LOAD
                                                                                                           EDTA lavender tubes
                                      (QUEST 8369)
                                                                                                           FROZEN
                   HEPATITIS B DNA    Methodology: PCR
   LAB                                                                                Accompanies report   Centrifuge within 6 hours and
                       QUANT          Set up: Mon - Fri
HEP B DNA                                                                                                  immediately freeze plasma .
                                      Report available: Next day
                                                                                                           Minimum: 2.5 Ml
                                      CPT Code: 87517


                                      COMPREHENSIVE HBV PROFILE
                                      Performed at CPAL
                                      Includes: Anti-HBc IgM
                                                Anti-HBc Total                                             6 mL serum (SS)
                                                Anti-HBs                                                       AND
 LAB ONLY
                 CHECK ORDER SETS               HBsAg                                                      5 mL plasma (L)
 HEP PRO B
(Order group)
                                      To aid in the diagnosis of acute, chronic, or                        Minimum: 5 mL
                                      immune HBV status.

                                      CPT Code:     86704, 86705, 86706, 87340




                                                                   Page 83 of 342
  LAB                   OE
                                                       TEST                          REFERENCE                 SPECIMEN
 ORDER                 ORDER
                                                    PROCEDURE 84 of 342
                                                            Page                       RANGE                 REQUIREMENTS
MNEMONIC               NAME

                                     HEPATITIS PROFILE, VIRAL A,B,C
                                     Performed at CPAL
                                     Anti-HAV IgM
                                     Anti-HAV Total
                                                                                                    5 mL serum (SS)
                                     Anti-HBc IgM
                                                                                                    AND
 LAB ONLY                            Anti-HBc Total
                 CHECK ORDER SETS                                                                   5 mL plasma (L)
 HEP A,B,C                           Anti-HBs
(Order group)                        HbsAg
                                                                                                    Minimum: 5 mL
                                     Anti-HCV

                                     CPT Code: 86704, 86705, 86706, 87340,
                                     86709, 86708, 86803

                                     HEPATITIS PROFILE B,C
                                     Performed at CPAL                                              5 mL serum (SS)
                                     HbsAg                                                          AND
 LAB ONLY
                 CHECK ORDER SETS    Anti-HCV                                                       5 mL plasma (L)
  HEP B,C
                                     Anti-HBc IgM
(Order group)
                                                                                                    Minimum: 5 mL
                                     CPT Code: 86705, 87340, 86803


                                     HEPATITIS PROFILE IMMUNE STATUS
                                     Performed at CPAL
                                     Anti-HAV Total                                                 5 mL serum (SS)
 LAB ONLY
                 CHECK ORDER SETS    Anti-Hbs
HEP PRO IM
                                     Anti-HBc IgM                                                   Minimum: 5 mL
(Order group)
                                     CPT Code:    86708, 86706, 86704



                                     COMPLETE ACUTE/CHRONIC VIRAL
                                     HEPATITIS PROFILE
                                     Performed at CPAL
                                     Anti-HAV IgM
                                                                                                    3 mL serum (SS)
                                     Anti-HBc IgM
                                                                                                    AND
 LAB ONLY                            Anti-HCV
                 CHECK ORDER SETS                                                                   5 mL plasma (L)
ACUTE HEP                            HbsAg
(Order group)                        To aid in the diagnosis of acute HAV and
                                                                                                    Minimum: 1.5 mL
                                     acute or chronic HBV, HCV, and HDV
                                     infections.

                                     CPT Code: 80074



                                     HEPATITIS C VIRUS ANTIBODY (Anti-HCV)
                                     Performed at CPAL
                                     Methodology: Chemiluminescent
    LAB         HEPATITIS C ANTIBODY Set up: Mon - Sat                               Non-reactive   1.0 mL serum (SS)
   HEP C                             Report available: Next day

                                     CPT Code: 86803



                                     HEPATITIS C VIRUS ANTIBODY, RIBA (3.0)
                                     Used as a follow-up test if Anti-HCV
                                     screening test is positive. Referred to Quest
                                     by CPAL as a confirmatory test when the Anti-
                                     HCV is positive. Indeterminate cases should
                                     be followed for 6 - 12 months to see if
                                                                                                    1 mL serum (SS)
   LAB                               increased reactivity has occurred (both in
                      HCV RIBA                                                        Negative
HEP C RIBA                           number and intensity of band).
                                                                                                    Minimum: 0.1 mL
                                     Methodology: EIA Immunoblot
                                     Set up: Mon - Fri
                                     Report available: Next day

                                     CPT Code: 86804




                                                                Page 84 of 342
    LAB                   OE
                                                           TEST                       REFERENCE                      SPECIMEN
   ORDER                 ORDER
                                                        PROCEDURE 85 of 342
                                                                Page                    RANGE                      REQUIREMENTS
  MNEMONIC               NAME

                                      HEPATITIS C VIRUS HEPTIMAX, RNA
                                      (QUEST 10565)                                                      5.0 mL plasma (L) collected in two
                                      Methodology: PCR                                                   EDTA tubes
     LAB         HEPATITIS C HEPTIMAX Set up: Mon - Fri                             Accompanies report   or
  HEP C HEPT                          Report available: 3 days                                           3 mL serum (R, SS)
                                                                                                         FREEZE
                                          CPT Code: 87522

                                          HEPATITIS C VIRUS QUANTITATIVE VIRAL
                                          LOAD
                                          Performed at CPAL
                                          Standard range quantitative                                    2 mL EDTA plasma (L), seperated
                  HEPATITIS C QUANT
     LAB                                  Methodology: Real Time PCR                Accompanies report   from cells and FROZEN
                         PCR
 HEP C QUAN                               Set up: Tues & Thurs                                           IMMEDIATELY
                                          Report available: 72 hours

                                          CPT Code: 87522


                                      HEPATITIS C RNA, QUANT, TMA
                                      (QUEST 10073)
                                      Methodology: TMA
                                                                                                         2.0 mL plasma (L) separated within 6
     LAB         HEPATITIS C RNA, TMA Set up: Mon - Fri                             Accompanies report
                                                                                                         hours and FROZEN
  HEP C TMA                           Report available: 3 days

                                          CPT Code: 87522


                                          HEPATITIS C VIRUS RNA RT-PCR, QUAL
                                          (QUEST 5175)                                                   2.0 mL EDTA plasma (L) FROZEN
                                          Methodology: RT-PCR                                                        or
                    HEPATITIS C RNA,
      LAB                                 Set up: Mon - Sat                         Accompanies report   1.0 mL serum (SS) FROZEN
                      QUALITATIVE
HEP C RNA QUAL                            Report available: Next day
                                                                                                         Minimum: 0.5 mL
                                          CPT Code: 87521


                                          HEPATITIS C VIRUS RNA PCR
                                          QUANTASURE (Heptimax)
                                          - See Hepatitis C Virus Heptimax RNA


                                      HEPATITIS C GENOTYPING
                                      Performed at CPAL
                                      Methodology: Invader
                                                                                                         3.0 mL EDTA (L) plasma
     LAB         HEPATITIS C GONOTYPE Set up: Tues, Thurs                           Accompanies report
                                                                                                         IMMEDIATELY FROZEN
 HEP C GENO                           Report available: Next day

                                          CPT Code: 87902



                                       HEPATITIS D ANTIBODY, TOTAL
                                       (QUEST 14592)
                                       Performed at Focus Diagnostics, Inc.
                                                                                                         1.0 mL serum (SS)
                 HEPATITIS D ANTIBODY, Methodology: EIA
     LAB                                                                            Accompanies report
                        TOTAL          Set up: Mon, Thurs
   HEP D AB                                                                                              Minimum: 0.5 Ml
                                       Report available: 3 days

                                          CPT Code: 86692




                                          HEPATITIS E ANTIBODIES (IGG, IGM)
                                          (QUEST 15085)
                                          Performed at Focus Diagnostics, Inc.
                                                                                                         1.0 mL serum (R)
                     HEPATITIS E          Methodology: ELISA
     LAB                                                                            Accompanies report
                  ANTIBODIES IGG/IGM      Set up: Mon, Thurs
   HEP E AB                                                                                              Minimum: 0.2 Ml
                                          Report available: 3 days

                                          CPT Code: 86790x2




                                                                   Page 85 of 342
    LAB                 OE
                                                           TEST                        REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                        PROCEDURE 86 of 342
                                                                Page                     RANGE                      REQUIREMENTS
  MNEMONIC             NAME

                                         HEPATITIS E IGG
                                         Methodology: EIA                                                 1 mL serum (R or SS)
QUEST 36583X                             Set up: Mon, Thurs                                               FROZEN
                 Universal Requisition                                               Accompanies report
  Univ. Req.                             Report available: 3 days
                                                                                                          Minimum: 0.5 mL
                                         CPT Code: 86790


                                         HEPATITIS E IGM
                                         Methodology: EIA
QUEST 36582X                             Set up: Mon, Thurs                                               1.0 mL serum (R)
                 Universal Requisition                                               Accompanies report
  Univ. Req.                             Report available: 3 days                                         FROZEN

                                         CPT Code: 86790

                                         HEROIN
                                         Referral test for Quest
                                         Methodology: GCMS
 QUEST 6865                                                                                               4 mL plasma (L)
                 Universal Requisition   Set up: Tues, Fri
  Univ. Req                                                                                               FROZEN
                                         Report available: 6 days

                                         CPT Code: 83925


                                         HERPESVIRUS 6 ANTIBODIES (IgG, IgM)
                                         (QUEST 23982)
                                         Methodology: IFA                                                 0.5 mL serum (R or SS)
                   HERPESVIRUS 6
     LAB                                 Set up: Mon - Fri                           Accompanies report
                    ANTIBODIES
HERPES 6 ANTIB                           Report available: 4 days                                         Minimum: 0.1 mL

                                         CPT Code: 86790



                                         HERPESVIRUS VIRUS 6 DNA,
                                         QUALITATIVE RT-PCR
                                         (QUEST 16001)
                                                                                                          1 mL serum (SS)
                 HERPES VIRUS 6 DNA,     Methodology: RT-PCR
    LAB                                                                              Accompanies report
                     QUAL PCR            Set up: Daily
HERPES 6 DNA                                                                                              Minimum: 0.3 mL
                                         Report available: 1 day

                                         CPT Code: 87532

                                                                                                          3 mL biopsy in VCM transport
                                         HERPES SIMPLEX VIRAL CULTURE,                                    medium: or 1 mL CSF in a sterile,
                                         PROGRESSIVE                                                      plastic, leakproof CSF container; or 3
                                                                                                          mL endocervical or endourethral swab
                                         Methodology: Rapid Culture                                       o; or 3 mL throat swab; or 3 mL
 QUEST 2725                              Set up: Daily                                                    vesicle fluid/scraping in VCM transport
                 Universal Requisition   Report available: 2 daily                   Accompanies report   medium.
  Univ. Req.
                                                                                                          Refrigerated
                                         CPT Code: 87255
                                                                                                          Minimum: 1 mL biopsy
                                                                                                                     0.5 mL CSF



                                         HERPES SIMPLEX VIRUS AND
                                         VARICELLA-ZOSTER VIRUS RAPID
                                         CULTURE                                                          2-3 mL biopsy specimens,
                                         (QUEST 16829)                                                    conjunctiva, or throat swab
                 HERPES SIMPLEX/VZV
    LAB                                  Methodology: Rapid Culture                  Accompanies report   (preferred), or CSF, body fluid, or
                     RAPID CULT
HSV-VZV CULT                             Set up: Daily                                                    bronchial lavage/wash (M4-Multiuse
                                         Report available: 5 days                                         Viral Transport Medium.

                                         CPT Code: 87254x2



                                         HERPES SIMPLEX VIRUS TYPING
                                         (QUEST 39524X)
                                         Methodology: Rapid Culture                                       Available by telephone request upon
                  HERPES SIMPLEX
     LAB                                 Set up: Mon, Wed, Fri                       Accompanies report   isolation of the agent from any of the
                      TYPING
  HERP SIMP                              Report available: 12 days                                        virus cultures.

                                         CPT Code: 87140


                                                                    Page 86 of 342
   LAB                 OE
                                                           TEST                             REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                        PROCEDURE 87 of 342
                                                                Page                          RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                        HERPES SIMPLEX VIRUS (1 AND 2) DNA,
                                        PCR                                                                    1.0 mL CSF FROZEN
                                        Methodology: PCR                                                                   or
QUEST 34257X
                Universal Requisition   Set up: Mon - Fri                                 Accompanies report   1.0 mL serum (R, SS) FROZEN
  Univ. Req.
                                        Report available: Next day                                                         or
                                                                                                               1.0 mL whole blood (L)
                                        CPT Code: 87529x2


                                        HERPES SIMPLEX VIRUS (1 AND 2) IgG
                                        ANTIBODIES
                                        (QUEST 6447)
                                        Type-specific reactivities are reported
                                        separately but cross-reactivity can preclude                           1 mL serum (SS)
   LAB            HERPES 1/2 IGG        identification of the infecting type.             Accompanies report
HERPES IGG                              Methodology: EIA                                                       Minimum: 0.5 mL
                                        Set up: Mon - Sat
                                        Report available: Next day

                                        CPT Code: 86695, 86696



                                        HERPES SIMPLEX VIRUS (1 AND 2) IgM
                                        ANTIBODIES REFLEX TO TITER
                                        (QUEST 7438)
                                        Identification of IgM antibodies can be of
                                        value in the serologic assessment of recent
                                        or current infection. This assay is also useful
                                        for diagnosis of neonatal infections. IgM                              1 mL serum (SS)
   LAB         HERPES SIMPLEX IGM       antibodies can be detected in infected            Accompanies report
HERPES IGM                              newborns until approximately six months of                             Minimum: 0.5 Ml
                                        age.
                                        Methodology: IFA
                                        Set up: Mon - Fri
                                        Report available: Next day

                                        CPT Code: 86694




                                                                                                               Place specimens in M4-Multiuse Viral
                                                                                                               Transport Medium immediately upon
                                                                                                               collection. Remedies should be
                                                                                                               avoided before specimen collection.
                                        HERPES SIMPLEX VIRUS (HSV) CULTURE
                                        (QUEST 841)
                                                                                                               Fresh (infixed) tissue, CSF (3 mL;
                                        Methodology: Rapid Culture
                 HERPES SIMPLEX                                                                                minimum 1 mL), bronchial
    LAB                                 Set up: Daily                                          Negative
                    CULTURE                                                                                    lavage/wash, nasal/nasopharyngeal
 HERP CULT                              Report available: Next day
                                                                                                               swab, nasopharyngeal lavage/wash,
                                                                                                               cervical/endocervical swab, eye swab,
                                        CPT Code: 87255
                                                                                                               lesion (vesicle), aspirate/swab, rectal
                                                                                                               swab, throat swab, vaginal swab,
                                                                                                               amniotic fluid, body fluid, cyst fluid,
                                                                                                               pleural fluid.



                                        HERPES SIMPLEX VIRUS 6 1gG, IgM
                                        ANTIBODY PANEL, IFA
                                                                                          < 1:20 HHV-6 IgG
                                        Methodology: IFA                                                       0.5 mL serum (SS)
QUEST 34282X                                                                                   Antibody
                Universal Requisition   Set up: Tues, Thurs
  Univ. Req.                                                                              < 1:10 HHV-6 IgM
                                        Report available: 2 days                                               Minimum: 0.1 mL
                                                                                               Antibody
                                        CPT Code: 86790x2


                                    HERPES SIMPLEX VIRUS (1 AND 2) DNA,
                                    PCR Qualitative
                                    (QUEST 34257X)
                                    Methodology: PCR
   LAB         HERPES VIRUS 1/2 PCR                                                       Accompanies report   4 mL serum (SS) FROZEN
                                    Set up: Mon - Fri
HERPES PCR
                                    Report available: Next day

                                        CPT Code: 87529x2


                                                                     Page 87 of 342
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                                                             TEST                       REFERENCE                      SPECIMEN
   ORDER                 ORDER
                                                          PROCEDURE 88 of 342
                                                                  Page                    RANGE                      REQUIREMENTS
  MNEMONIC               NAME


                                           HSV 1/2 DNA PCR CSF (CPAL)
                                                                                                           1 mL CSF
                                           (CPAL 7000650)
                                                                                                           (0.5 ml Minimum)
                   HSV 1/2 DNA PCR CSF     Methodology: RT-PCR
      LAB                                                                             Accompanies report   Swab submitted in viral transport
                          (CPAL)
HSV 1-2 DNA CSF                                                                                            media.
                                                                                                           Refrigerate.
                                           CPT Code: 87529x2



                                           HERPES SIMPLEX VIRUS TYPE -2
                                           SPECIFIC IgG ANTIBODY
                                           (QUEST 3640)
                                                                                                           1.0 mL serum (SS)
                                           Methodology: EIA
     LAB                HSV-2 IGG                                                     Accompanies report
                                           Set up: Mon - Sat
  HERP 2 IGG                                                                                               Minimum: 0.3 mL
                                           Report available: Next day

                                           CPT Code: 86696



                                           HERPES ZOSTER VIRUS ANTIBODIES -
                                           See Varicella-Zoster Virus


                                           HETEROPHIL (MONOSPOT)
                                           Methodology: Latex aglutination
                                                                                                           1 mL serum (SS, R) or plasma (L)
                                           Set up: Daily
     LAB               HETEROPHIL                                                          Negative
                                           Report available: Same day
  HETEROPHIL                                                                                               Minimum: 0.5 mL
                                           CPT Code: 86308


                                           hGH - See Growth Hormone


                                           5-HIAA - See 5-Hydroxyindoleacetic Acid


                                           HIPA - See Platelet Aggregation


                                           HISS - See Humoral Evaluation Post


                                           HISTAMINE, PLASMA
                                           Methodology: Immunoassay
                                                                                                           1 mL EDTA plasma (L) FROZEN
 QUEST 36586X                              Set up: Tues, Fri
                   Universal Requisition                                              Accompanies report
   Univ. Req.                              Report available: 3 days
                                                                                                           Minimum: 0.2 mL
                                           CPT Code: 83088

                                        HISTAMINE, 24 HR URINE
                                        (QUEST 15869)
                                                                                                           4 mL aliquot of 24 hr urine preserved
                                        Methodology: Immunoassay
      LAB                                                                                                  with 10 mL 6N HCL.
                  HISTAMINE 24-HR URINE Set up: Tues, Fri                             Accompanies report
HISTAMINE URINE
                                        Report available: 3 days
                                                                                                           Minimum: 2 mL
                                           CPT Code: 83088


                                      HISTOPLASMA ANTIGEN
                                      (QUEST 19994)
                                      Methodology: Immunoassay                                             10 mL random urine
     LAB          HISTOPLASMA ANTIGEN
                                      Set up: Wed                                     Accompanies report
 HISTO AG UR.            URINE
                                      Report available: 3 days                                             Minimum: 2 mL urine

                                           CPT Code: 87385


                                           HISTOPLASMA CAPSULATUM
                                           ANTIBODIES AGAINTS WHOLE YEAST
                                                                                                           1 mL serum (SS)
                                           AND MYCELIAL ANTIGENS
                                                                                                           For optimal results patient should be
  QUEST 938X                               Methodology: CF
                   Universal Requisition                                              Accompanies report   fasting
   Univ. Req.                              Set up: Mon - Fri
                                           Report available: 2 days
                                                                                                           Minimum: 0.5 mL
                                           CPT Code: 86698x2
                                                                     Page 88 of 342
    LAB                     OE
                                                               TEST                             REFERENCE                      SPECIMEN
   ORDER                   ORDER
                                                            PROCEDURE 89 of 342
                                                                    Page                          RANGE                      REQUIREMENTS
  MNEMONIC                 NAME

                                            HISTOPLASMA ANTIBODIES,ID
                                            (QUEST 526X)                                                           1 mL serum (SS)
                                            Methodology: ID                                                        For optimal results patient should be
                       HISTOPLASMA
      LAB                                   Set up: T, Th, Sat                                Accompanies report   fasting
                       ANTIBODY, ID
   HISTO AB                                 Report available: 3 days
                                                                                                                   Minimum: 0.5 mL
                                            CPT Code: 86698


                                            HISTOPLASMA CAPSULATUM ANTIBODY
                                            PANEL
                                            Includes Histoplasma antibody, serum and
                                                                                                                   1 mL serum (SS)
                                            Histoplasma Capsulatum Antibodies (H and
                                                                                                                   For optimal results patient should be
 QUEST 37094X                               M bands)
                    Universal Requisition                                                     Accompanies report   fasting
   Univ. Req.                               Methodology: ID and CF
                                            Set up: Mon - Sat
                                                                                                                   Minimum: 0.5 mL
                                            Report available: Next day

                                            CPT Code: 86698x4

                                                                                                                   2 mL urine
                                                                                                                   or
                                                                                                                   2 mL serum (R or SS)
                                      MVista ™ HISTOPLASMA QUANTITATIVE                                            or
                                      ANTIGEN EIA                                                                  2 mL CSF
                                      (QUEST 34441)                                                                or
                   MVISTA HISTOPLASMA Methodology: EIA                                                             2 mL broncheal lavage/wash
      LAB                                                                                     Accompanies report
                        AG, QUANT     Set up: Mon - Fri                                                            or
MVISTA HISTO AG
                                      Report available: 6 days                                                     2 mL plasma (L)

                                            CPT Code: 87385                                                        Specify specimen type at time of
                                                                                                                   order.

                                                                                                                   Minimum: 1.5 mL
                                       HIV-1 GENOTYPING, DNA SEQUENCING
                                       (QUEST 11509)
                                       Methodology: DNA sequencing, RT-PCR
                  HIV-1 GENOTYPE PR/RT                                                                             Minimum: 4 mL EDTA (L) FROZEN
       LAB                             Set up: Mon - Fri                                      Accompanies report
                        SEQUENCE                                                                                   within 6 hours of collection
HIV-1 GENOTYPE                         Report available: 7 days

                                            CPT Code: 87901


                                            HIV-1, RAPID SCREEN (SUDS)
                                            This test will only be performed in conjunction
                                            with an ECH employee exposure incident and
                                            can only be requested by the physician
                                            contracted by the Employee Health
   HIV SUDS              LAB ONLY                                                                  Negative        2.0 mL serum (SS)
                                            Department to evaluate the source patient's
                                            HIV status. HIV must also be ordered.
                                            Methodology: MEIA
                                            Set up: As needed
                                            Report available: Same day



                                            HIV-1/2 ANTIBODY
                                            Discontinued
                                            See HIV AG/AB SCREEN
                                            Performed at CPAL
                                                                                                                   1.0 mL serum (SS). Specimen should
                                         If the screen is positive a confirmatory
                                                                                                                   be fresh, non-hemolyzed, non-lipemic,
                                         western blot will be performed at an additional
      LAB               HIV 1/2 ANTIB                                                                              and should not be thawed repeatedly
                                         charge. If HIV1 western blot is negative or             Nonreactive
      HIV         (See HIV AG/AB SCREEN)                                                                           and refrozen.
                                         indeterminate HIV2 EIA and HIV2 western
 (Discontinued)
                                         blot will be performed at an additional charge.
                                                                                                                   Minimum: 1 mL
                                         Methodology: EIA
                                         Set up: Mon - Sat
                                         Report available: 24 hours

                                            CPT Code: 86703




                                                                        Page 89 of 342
   LAB                   OE
                                                          TEST                            REFERENCE                      SPECIMEN
  ORDER                 ORDER
                                                       PROCEDURE 90 of 342
                                                               Page                         RANGE                      REQUIREMENTS
 MNEMONIC               NAME



                                       HIV AG/AB SCREEN
                                       Performed at CPAL
                                       (CPAL 3400700)

                                       This is the replacement for mnemonic=HIV.
                                                                                                             1.0 mL serum (SS). Refrigerate.
                                       The test will now offer simultaneous
                                                                                                             Plasma (sodium heparin and EDTA) is
    LAB           HIV AG/AB SCREEN     qualitative detection of human                      Nonreactive
                                                                                                             also acceptable. Please mark tube if
 HIVSCREEN                             immunodeficiency virus (HIV) p24 antigen
                                                                                                             specimen type is not serum.
                                       and antibodies to HIV type 1 (HIV1 group M
                                       and group O) and/or type 2 (HIV 2) in human
                                       serum and plasma.

                                       CPT 86703 and 87389




                                       HIV-1 ANTIBODIES, WESTERN BLOT WITH
                                       BANDS
                                       Referred to Quest by CPAL if HIV 1/2 is
                                       positive. This is a supplemental test for
                                                                                                             2.0 mL serum (SS). Specimen sould
                                       extended serological studies. Individual
     LAB                                                                                                     be fresh, non-hemolyzed, non-lipemic,
                      LAB ONLY         bands are reported.                                   Negative
  HIV1BLOT                                                                                                   and should not be thawed repeatedly
                                       Methodology: Western blot
(non-orderable)                                                                                              and refrozen.
                                       Set up: Mon - Fri
                                       Report available: Next day

                                       CPT Code: 86689

                                       HIV-1 DNA QUALITATIVE (PCR) (VIRAL
                                       LOAD)
                                       Performed by CPAL
                                       Methodology: PCR
     LAB              HIV B DNA                                                           < 50 COP/mL        5 mL EDTA plasma (L) FROZEN
                                       Set up: Tues
   HIV DNA
                                       Report available: 7 days

                                       CPT Code: 87536

                                       HIV-1 RNA QUANTITATIVE (RT-PCR) (Viral
                                       Load)
                                       (QUEST 40085)
                                                                                                             2 mL EDTA plasma (L) separated
                                       Methodology: Reval Time-PCR
     LAB          HIV-1 RNA QUAN PCR                                                    Accompanies report   within 2 hours and immediately
                                       Set up: Mon - Sat
  HIV-1 RNA                                                                                                  FROZEN
                                       Report available: Next day

                                       CPT Code: 87536


                                       HIV-2 ANTIBODIES
                                       Performed at CPAL. An ELISA screen is
                                       performed. If the test is repeatedly reactive,
                                                                                                             Minimum: 2 mL serum (SS)
                                       a Western Blot will be added for an additional
                                                                                                             Specimen should be fresh, non-
                                       charge.
     LAB              HIV 2 ANTIB                                                          Nonreactive       hemolyzed, non-lipemic, and should
                                       Methodology: ELISA
     HIV2                                                                                                    not be thawed repeatedly and
                                       Set up: Mon - Sat
                                                                                                             refrozen.
                                       Report available: Next day

                                       CPT Code: 86702



                                       HIV-2 ANTIBODIES, WESTERN BLOT
                                       Supplemental test for extended serilogical
                                       studies. Referred to QUEST by CPAL if HIV2                            2.0 mL serum (SS)
                                       is positive.                                                          Specimen should be fresh, non-
     LAB
                      LAB ONLY         Methodology: Western Blot                             Negative        hemolyzed, non-lipemic and should
  HIV2BLOT
                                       Set up: Mon - Thurs                                                   not be thawed repeatedly and
(non-orderable)
                                       Report available: 2 days                                              refrozen.

                                       CPT Code: 86689




                                                                   Page 90 of 342
    LAB                OE
                                                         TEST                             REFERENCE                     SPECIMEN
   ORDER              ORDER
                                                      PROCEDURE 91 of 342
                                                              Page                          RANGE                     REQUIREMENTS
  MNEMONIC            NAME
                                        HLA-A, B, C CLASS I DNA TYPING
                                        Methodology: PCR
                                        Set up: Mon - Fri                                                   Minimum: 10 mL ACD-A whole blood
 QUEST 15484X
                Universal Requisition   Report available: 8 days                       Accompanies report   (Y-A, yellow-top tube, acid citrate
   Univ. Req.
                                                                                                            dextrose -A)
                                        CPT Code: 83891, 83900(x3), 83896(x90),
                                        83912(x3)

                                        HLA-B27 CYTO ANTIGEN
                                                                                                            Minimum: 5 mL whole blood collected
                                        (QUEST 528)
                                                                                                            in sodium heparin (green top) tube
                                        Methodology: Flow cytometry
                                                                                                            ROOM TEMP
     LAB        HLA B27 HISTOCOMP       Set up: Mon - Sat                             Accompanies report
   HLA B27                              Report available: Next day
                                                                                                            Collect Mon-Thur only. Must be in
                                                                                                            lab by 2 pm.
                                        CPT Code: 86812

                                        HLA-DQ CLASS II TYPING
                                        Methodology: PCR
                                        Set up: Mon - Fri
 QUEST 10953X
                Universal Requisition   Report available: 8 days                       Accompanies report
   Univ. Req.
                                        CPT Code: 83891, 83900, 83896(x15),
                                        83912


                                        HLA-DR CLASS II TYPING
                                        Methodology: PCR
                                        Set up: Mon - Fri                                                   Minimum: 10 mL ACD-A whole blood
 QUEST 10952X
                Universal Requisition   Report available: 8 days                       Accompanies report   (Y-A, yellow-top tube, acid citrate
   Univ. Req.
                                                                                                            dextrose -A)
                                        CPT Code: 83891, 83898, 83896(x15),
                                        83912

                                        HLA-DR, DQ CLASS II TYPING
                                        Methodology: PCR
                                        Set up: Mon - Fri                                                   Minimum: 10 mL ACD-A whole blood
 QUEST 15485X
                Universal Requisition   Report available: 8 days                       Accompanies report   (Y-A, yellow-top tube, acid citrate
   Univ. Req.
                                                                                                            dextrose -A)
                                        CPT Code: 83891, 83900, 83898,
                                        83896(x30), 83912

                                        HLA COMPLETE (A,B,C,DR,DQ) - Order
                                        Quest 15484 and 15485 above


                                                                                                            10 hour fast recommended
                                        HOMOCYSTINE TOTAL, URINE
                                                                                                            2.5 mL random urine in 2 separate
                                        Methodology: FPI
                                                                                                            containers, FROZEN
 QUEST 26318                            Set up: Mon, Wed, Fri
                Universal Requisition                                                  Accompanies report   0.5 mL Urine
  Univ. Req.                            Report available: 3 days
                                                                                                            AND
                                                                                                            2.5 mL Random Urine
                                        CPT Code: 82570, 83090
                                                                                                            Minimum: 1 mL


                                        HOMOCYSTEINE and HOMOCYSTEINE
                                        POST
                                        Order both for Homocysteine Challenge
                                                                                                            1 mL serum or plasma (R, SS) , draw
                                        Performed at CPAL
     LAB          HOMOCYSTEINE                                                                              in chilled tube, transported on ice,
                                        Detection limit: 0.9 umol/L
  HOMOCYST            -and-                                                            Accompanies report   separated and FREEZE immediately.
                                        Methodology: Chemiluminescense
     and        HONOCYSTEINE POST
                                        Set up: Mon - Sat
HOMOCYST-POST                                                                                               Minimum: 0.5 mL
                                        Report available: Next day

                                        CPT Code: 83090



                                                                                                            10 mL aliquot of 24-hr urine preserved
                                        HOMOVANILLIC ACID
                                                                                                            with 25 mL 6N HCL during collection.
                                        (QUEST 545)
                                                                                                            Specify total 24-hr urine volume on
                                        Methodology: HPLC
                                                                                                            request form. Alternative
    LAB         HOMOVANILLIC ACID       Set up: Tues, Thurs                            Accompanies report
                                                                                                            preservatives can be used - See
  HOMOVAN                               Report available: Next day
                                                                                                            Appendix A.
                                        CPT Code: 83150
                                                                                                            Minimum: 5 mL


                                                                     Page 91 of 342
  LAB                OE
                                                          TEST                            REFERENCE                       SPECIMEN
 ORDER              ORDER
                                                       PROCEDURE 92 of 342
                                                               Page                         RANGE                       REQUIREMENTS
MNEMONIC            NAME

                                      HPV - See Human Papillomavirus


                                      HTLV-1/II ANTIBODY W/ REFLEX TO
                                      CONFIRMATORY ASSAY
                                      (QUEST 36175)
                                                                                                             Minimum: 1 mL plasma (EDTA)
                                      If the test is reactive, a western blot will be
                                                                                                             Specimen should be fresh, non-
                                      added for an additional charge.
                                                                                                             hemolyzed, non-lipemic and should
   LAB        HTLV I/II ANTIB SCR     Methodology: Immunoassay,                            Nonreactive
                                                                                                             not be thawed repeatedly and
  HTLV I                              Chemilluminescence
                                                                                                             refrozen.
                                      Set up: Mon - Fri
                                      Report available: Next day

                                      CPT Code: 86689


                                      HTLV-1 WESTERN BLOT
                                                                                                             Minimum: 1 mL plasma (EDTA)
                                      Performed at CPAL
                                                                                                             Specimen should be fresh, non-
                                      Methodology: Western Blot
                                                                                                             hemolyzed, non-lipemic and should
   LAB             LAB ONLY           Set up: Mon - Thurs                                  Nonreactive
                                                                                                             not be thawed repeatedly and
 HTLV1WB                              Report available: 2 days
                                                                                                             refrozen.
                                      CPT Code: 86689


                                      HTLV-1/II CONFRIMATORY TEST
                                      (QUEST 8511)                                                           1 mL serum (Red top only)
                                      Methodology: Line Immunoassay                                          Refirgerated
                   HTLV I-II,
   LAB                                Set up: Tues - Fri morning                        Accompanies report
                CONFRIMATORY
HTLV CONF                             Report available: 2 days                                               Minimum: 0.5 mL

                                      CPT Code: 86689


                                      Hu ANTIBODY NEURONAL NUCLEAR
                                      Methodology: IFA
                                                                                                             3 mL CSF
QUEST 37710                           Set up: Sun, Tues, Thurs
              Universal Requisition                                                     Accompanies report
 Univ. Req.                           Report available: 6 days
                                                                                                             Minimum: 1.5 mL CSF
                                      CPT Code: 86255


                                      NEURONAL NUCLEAR Hu ANTIBODY
                                      w/reflex to titer and WB
                                      Methodology: IFA                                                       1 mL serum (SS)
QUEST 37053
              Universal Requisition   Set up: Sun, Tues, Thurs                          Accompanies report
 Univ. Req.
                                      Report available: 6 days                                               Minimum: 0.5 mL

                                      CPT Code: 86255

                                      Hu ANTIBODY NEURONAL NUCLEAR AND
                                      PURKINJE CELL CYTOPLASMIC (Y0)
                                      ANTIBODY PROFILE
                                                                                                             0.5 mL serum (SS)
QUEST 53032                           Methodology: IFA
              Universal Requisition                                                     Accompanies report
 Univ. Req.                           Set up: Mon, Wed, Fri
                                                                                                             Minimum: 0.1 mL
                                      Report available: 2 days

                                      CPT Code: 86255x2

                                      HUMAN GROWTH HORMONE - See
                                      Growth Hormone


                                      HUMAN PAPILLOMAVIRUS (HPV)
                                                                                                             Can be added up to 3 weeks from
                                      If testing is performed from a Thin Prep
                                                                                                             date of collection
                                      specimen order HPV HIGH for high risk
                                      testing or HPV LOW risk testing. Order both
                                                                                                             Thin Prep or digene
                                      for comprehensive risk testing.


                                      HUMAN PAPILLOMAVIRUS HIGH RISK
                                                                                                             Tissue to be submitted in Digene
                                      Performed at CPAL
   LAB          HPV HIGH RISK                                                           Accompanies report
 HPV HIGH                                                                                                    ROOM TEMP
                                      CPT Code: 87621




                                                                    Page 92 of 342
      LAB                       OE
                                                                  TEST                          REFERENCE                      SPECIMEN
     ORDER                     ORDER
                                                               PROCEDURE 93 of 342
                                                                       Page                       RANGE                      REQUIREMENTS
    MNEMONIC                   NAME

                                                 HUMAN PAPILLOMAVIRUS LOW RISK                                     Tissue to be submitted in Digene
       LAB                 HPV LOW RISK                                                       Accompanies report
     HPV LOW                                     CPT Code: 87621                                                   ROOM TEMP



                                                 HUMAN PAPILLOM VIRUS DNA, HIGH AND
                                                 LOW RISK, ANAL-RECTAL
                                                 (QUEST 17185)
                         HPV DNA, HIGH/LOW,      Methodology: Hybrid Capture                                       Cytobrush in Digene Transport
       LAB                                                                                    Accompanies report
                           ANAL-RECTAL           Set up: Mon - Fri                                                 Medium (STM)
     HPV DNA
                                                 Report available: 2 days

                                                 CPT Code: 87621x2



                                                 HUMORAL EVALUATION POST
                                                 (QUEST 3759)
                                                 Includes Diphtheria, Tetanus, Pneumococcus
      LAB                HUMORAL IMM EVAL        Methodology: Various                                              3 mL serum (SS)
                                                                                              Accompanies report
   HUMORAL PO                 POST               Set up: Mon - Fri
                                                 Report available: 3 - 5 days

                                                 CPT Code: 86609x6, 86648, 86774x2


                                                 HUNTINGTON'S DISEASE MUTATION
                                                 ANALYSIS
                                                                                                                   5 mL EDTA whole blood (L)
                                                 Methodology: PCR
  QUEST 10247X                                                                                                     ROOM TEMP
                         Universal Requisition   Set up: Wed                                  Accompanies report
    Univ. Req.
                                                 Report available: 14 days
                                                                                                                   Minimum: 3 mL
                                                 CPT Code: 83891, 83900, 83909, 83912


                                           17-HYDROXYCORTICOSTEROIDS (Porter-                                      100 mL aliquot of 24-hr urine
                                           Silber)                                                                 preserved with 25 mL 50% acetic acid
                                           (QUEST 279)                                                             during collection. Alternative
                                17-
                                           Methodology: Colorimetric                                               preservatives can be used - See
       LAB              HYDROXYCORTICOSTER                                                    Accompanies report
                                           Set up: Mon - Fri                                                       Appendix A. Specify total 24-hr
   17HCORSTER                  OIDS
                                           Report available: Next day                                              volume on request form.

                                                 CPT Code: 83491                                                   Minimum: 20 mL



                                                                                                                   10 mL aliquot of 24-hr urine preserved
                                                 5-HYDROXYINDOLEACETIC ACID (5-HIAA)
                                                                                                                   with 15 grams Boric Acid or 25 mL of
                                                 (QUEST 263)
                                                                                                                   6N HCL during collection. Alternative
                                                 Methodology: HPLC
                         5-HIAA /SEROTONIN                                                                         preservatives can be used - See
       LAB                                       Set up: Mon - Fri                            Accompanies report
                               URINE                                                                               Appendix A.Specify total 24-hr urine
     UR5HIAA                                     Report available: Next day
                                                                                                                   volume on request form.
                                                 CPT Code: 83497
                                                                                                                   Minimum: 5 mL




   QUEST 685X

 Test discontinued                               HYDROXYPROLINE, FREE, URINE
                                                                                              Accompanies report
    as of 5/11/09-
alternative test code
      is 37558X




         LAB
   HYDROXYPRO
                                                 HYDROXYPROLINE, TOTAL
 Test discontinued
                                                 (QUEST 535X)                                 Accompanies report
    as of 5/11/09-
alternative test code
      is 37558X




                                                                          Page 93 of 342
    LAB                 OE
                                                            TEST                            REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                         PROCEDURE 94 of 342
                                                                 Page                         RANGE                      REQUIREMENTS
  MNEMONIC             NAME
                                                                                                               2 ml blood (Gn -Na-Hep (PST))
                                         HYDROXYPROLINE, TOTAL
                                         Methodology: LC/MS                                                    Collect plasma specimens after an
 QUEST 37558X
                                         Set up: Mon, Wed, Fri, Sun                                            overnight fast (or at
  Univ. Req.     Universal Requisition                                                    Accompanies report
                                         Report available: 6 days                                              least 4 hours after a meal). Nonfasting
                                                                                                               samples are
                                         CPT Code: 83500                                                       acceptable for pediatric patients.


                                         5-HYDROXYTRYPTAMINE - See Serotonin,
                                                                                                                        or
                                         Blood



                                         HYPERCOAGULABLE PROFILE
                                         (QUEST 33743)
                                                                                                               6 - LB 3.2% sodium citrate tubes
                                         Contains aPTT, Fibrinogen Activity (Clauss),
                                                                                                               required seperated as follows:
                                         Antithrombin III Activity, Protein C Activity,
                                         Protein C Antigen, Protein S Total & Free,
                                                                                                               3 tubes with 2 mL plasma (LB)
                                         Plasminogen Activity
                                                                                                               FROZEN
                                         Methodology: Clotting Assay, Chromogenic,
      LAB        HYPERCOAGULABLE                                                          Accompanies report   and
                                         EIA, Immunoturbidometric
HYPERCOAG PROF       PROFILE                                                                                   3 tubes with 1 mL plasma (LB)
                                         Set up: Mon - Fri
                                                                                                               FROZEN
                                         Report available: Next day

                                         CPT Code:
                                         85300,85302,85303,85305,85306,85384,854
                                         20,85730




                                         HYPERSENSITIVITY PNEUMONITIS,
                                         ASPERGILLUS BATTERY
                                         To detect antibodies against separate
                                         antigens of Aspergillus fumigatus (soluble
                                         antigens 1,2,3, and cell wall antigen 6), A.
  QUEST 1462                             flavus, A. niger, A. nidulans, A. terreus, and
                 Universal Requisition                                                    Accompanies report   2 mL serum (SS)
   Univ. Req.                            A. glaucus group.
                                         Methodology: ID
                                         Set up: Mon - Sat
                                         Report available: 6 days

                                         CPT Code: 86606x9




                                         HYPERSENSITIVITY PNEUMONITIS,
                                         STANDARD BATTERY (QUEST 168)
                                         To detect antibodies against separate
                                         antigens of Faenia retivirgula, Acremonium
                                         (Cephalosporium) sp., Thermoactinomyces
                                         vulgaris (antigen 1), Aspergillus niger,
                 HYPERSEN PNEU STD
     LAB                                 Aureobasidium pullulans, and pigeon serum        Accompanies report
                     BATTERY
   HYP PNE                               Methodology: ID
                                         Set up: Mon - Sat
                                         Report available: 6 days

                                         CPT Code: 86331, 86606x3, 86609x2,
                                         86671x2



                                         HYPERSENSITIVITY PNEUMONITIS,
                                         THERMOPHILE BATTERY
                                         To detect antibodies against separate
                                         antigens of Faenia retivirgula,
                                         Saccharomonospora viridis,
                                         Thermoactinomyces candidus,
  QUEST 9782                             Thermoactinomyces vulgaris (antigen 1,2),
                 Universal Requisition                                                      None detected      Minimum: 0.5 mL
   Univ. Req.                            Aureobasidium pullulans, Aspergillus flavus,
                                         and A. fumigatus (antigen 1).
                                         Methodology: ID
                                         Set up: Mon - Sat
                                         Report available: 6 days

                                         CPT Code: 86606x2, 86609x5, 86671


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                                           PROMETHEUS ® IBD SEROLOGY 7
                                           (QUEST 19458)- Effective 10/24/11, this test
                                           has been discontinued by Quest. The
                                           recommended alternative is 90807
                                           Prometheus IBD sgi DIagnostic with Crohn's
       LAB                                 Disease.
                                                                                                               2 mL serum (R)
      IBD 7            PROMETHEUS IBD      Sent to Prometheus (1007)
                                                                                          Accompanies report
Test discontinued        SEROLOGY 7
                                                                                                               Minimum: 1 Ml
   on 10/24/11                             Methodology: ELISA, IIA
                                           Set up: Mon - Fri
                                           Report available: 5 days

                                           CPT Code:
                                           83520,86021,86255X2,86609,86671X2



                                           IBT-IMMUNOBEAD - See Anti-Sperm
                                           Antibody

                                           IBUPROFEN (QUEST 5136)
                                           Methodology: HPLC
                                                                                                               1 mL serum (R)
                                           Set up: Mon, Wed, Fri
     LAB                  IBUPROFEN                                                       Accompanies report
                                           Report available: 3 days
  IBUPROFEN                                                                                                    Minimum: 1 mL
                                           CPT Code: 80299


                                            IGF BINDING PROTEIN-1 / IGFBP-1
                                            (QUEST 36590)                                                      1.0 mL serum (SS)
                                            Methodology: RIA
                                            Set up: Mon,Thurs
      LAB           IGF BINDING PROTEIN-1 /                                               Accompanies report
                                            Report available: 2 days                                           Minimum: 0.2 mL
    IGFBP-1                 IGFBP-1
                                           CPT Code: 83519




                                            IGF BINDING PROTEIN-3 / IGFBP-3
                                            (QUEST 34458)                                                      1.0 mL serum (SS)
                                            Methodology: IA
                                            Set up: Mon - Fri
      LAB           IGF BINDING PROTEIN-3 /                                               Accompanies report
                                            Report available: Next day                                         Minimum: 0.5 mL
    IGFBP-3                 IGFBP-3
                                           CPT Code: 83519




                                           IGF-I & IGFBP-3 PANEL
        LAB
                                           (QUEST 70102)
IGF-I IGFBP3 PAN
                                           Test 70102 discontinued on 6/24/10
Test discontinued
                                           Order INS GROW and IFGBP-3 seperately.
    on 6/24/10




                                           IMIPRAMINE (TOFRANIL)
                                                                                                               3.0 mL serum (R)
                                           (QUEST 887X)
                                           Includes desipramine
                                                                                                               Minimum: 1.5 mL
                                           Methodology: HPLC
      LAB                IMIPRAMINE        Detection limit: 5 ng/mL                       Accompanies report
                                                                                                               If medication is taken at bedtime, draw
      IMIP                                 Set up: Mon - Fri
                                                                                                               blood 10-12 hours later. For a more
                                           Report available: 2 days
                                                                                                               frequest dosage schedule, draw blood
                                                                                                               just before receiving medication.
                                           CPT Code: 80174




                                                                      Page 95 of 342
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 MNEMONIC              NAME

                                                                                                                 1.0 mL whole blood (Gn) sodium
                                                                                                                 heparin
                                    IMMUNE CELL FUNCTION                                                         ROOM TEMP
                                    (QUEST 15435X)
                                    Methodology: Luminescent Detection                                           Specimen must be received at
    LAB        IMMUNE CELL FUNCTION Set up: Tues - Fri                                      Accompanies report   Quest by 4 pm on day of testing.
 IMM CELL F                         Report available: 2 days                                                     Specimen is stable for 30 hours at
                                                                                                                 ROOM TEMP.
                                        CPT Code: 86352
                                                                                                                 Minimum: 0.5 mL



                                        IMMUNE COMPLEX DETECTION BY C1q
                                        BINDING ASSAY
                                        (QUEST 36735)
                                        For detection of circulating immune                                      1 mL serum (RED), NO SS tubes
                                        complexes which are capable of activating                                Centrifuge within 2 hours of collection
    LAB         C1Q BINDING ASSAY       the classical complement pathway                    Accompanies report   FROZEN
  C1QBIND                               Methodology: EIA
                                        Set up: Tues, Thurs                                                      Minimum: 0.5 mL
                                        Report available: Next day

                                        CPT Code: 86332



                                        IMMUNE COMPLEX DETECTION BY C3d
                                        BINDING ASSAY(Raji Cell Replacement
                                        Assay)
                                                                                                                 1 mL serum (RED),
                                        For detection of circulating immune
                                                                                                                    SS tubes unacceptable
QUEST 11218X                            complexes with bound C3bi, C3dg, C3d
                Universal Requisition                                                       Accompanies report   FROZEN
  Univ. Req.                            Methodology: Immunoassay
                                        Set up: Tues, Thurs
                                                                                                                 Minimum: 0.5 mL
                                        Report available: Next day

                                        CPT Code: 86332


                                        IMMUNOFIXATION ELECTROPHORESIS
                                        Methodology: IFE
                                                                                                                 3 mL CSF
QUEST 37962                             Set up: Mon- Fri, Sun
                Universal Requisition                                                       Accompanies report
 Univ. Req.                             Report available: Next day
                                                                                                                 Minimum: 1.5 mL
                                        CPT Code: 86335


                                        IMMUNOFIXATION, SERUM

                                        Performed at CPAL
                                                                                                                 3 mL serum (SS)
                    SERUM PROT          Methodology: Agarose gel Electrophoresis
   LAB                                                                                      Accompanies report
                     IMMUNOFIX          Set up: Mon - Fri
IMMUNO,SER                                                                                                       Minimum: 1 mL
                                        Report available: 2 days

                                        CPT Code: 86334



                                        IMMUNOFIXATION PROFILE I, SERUM
                                        (Total protein, protein electrophoresis, serum
                                        immunofixation, and quantitation of
                                        immunoglobulins G, A, M). Immunofixation
                                        will be performed, if indicated, at an additional
                                        charge.
                  IMMUNOFIXATION
    LAB                                 Performed at CPAL.                                  Accompanies report   3 mL serum (SS)
                     PROFILE
IMMUNO,PRO                              Methodology: Electrophoresis/Nephelometric
                                        Set up: Mon - Sat
                                        Report available: Next day; delayed one day
                                        if additional testing is required.

                                        CPT Code: 84165, 82784x3, 84155




                                                                     Page 96 of 342
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  MNEMONIC             NAME


                                         IMMUNOFIXATION PROFILE IX, URINE
                                         (Total protein, creatinine, and protein                         50 mL 24-Hour Urine
                                         electrophoresis)
                                         (QUEST 123857)                                                  Instructions: Collect 24-hour urine
                  IMMUNOFIXATION
     LAB                                 Methodology: Electrophoresis               Accompanies report   without preservative
                  PROFILE IX, URINE
IMMUNO PROF IX                           Set up: Various                                                 (preferred) or submit random urine
                                         Report available: Various                                       (acceptable).

                                         CPT Code: 83883x2, 84156, 84166, 86334



                                         IMMUNOFIXATION, URINE GROUP
                                         (BENCE JONES)
                                         Performed at CPAL
                                         Methodology: Agarose Gel Electrophoresis
                 UIMMUNOFIXATION
     LAB                                 and Pyrogallol Red                         Accompanies report   50 mL random urine
                      URINE
  IMMUNO,UR                              Set up: Mon - Fri
                                         Report available: Next day

                                         CPT Code: 84156, 86335


                                         IMMUNOGLOBULINS G,A,M (QUANT)
                                         Performed at CPAL
                                         Methodology: Nephelometry
                 IMMUNOGLOBULIN
     LAB                                 Set up: Daily                              Accompanies report   3 mL serum (SS)
                      G,A,M
  IMM G,A,M                              Report available: Next day

                                         CPT Code: 82784x3


                                         IMMUNOGLOBULIN A
                                         Performed at CPAL
                                         Methodology: Nephelometry
     LAB         IMMUNOGLOBULIN A        Set up: Mon - Sat                          Accompanies report   1 mL serum (SS)
     IGA                                 Report available: Next day

                                         CPT Code: 82784

                                         IMMUNOGLOBULIN D
                                         Increased in IgD myeloma
                                         Methodology: Nephelometry                                       1 mL serum (SS)
 QUEST 541X
                 Universal Requisition   Set up: Mon - Sat                          Accompanies report
  Univ. Req.
                                         Report available: Next day                                      Minimum: 0.5 mL

                                         CPT Code: 82784

                                         IMMUNOGLOBULIN E
                                         (QUEST 542)
                                         Methodology: Immunoassay                                        1 mL serum (R)
     LAB         IMMUNOGLOBULIN E        Set up: Mon - Fri                          Accompanies report
     IGE                                 Report available: 4 days                                        Minimum: 0.5 mL

                                         CPT Code: 82785

                                         IMMUNOGLOBULIN G, SERUM
                                         Perfromed at CPAL
                                         Methodology: Nephelometry
                 IMMUNOGLOBULIN G
     LAB                                 Set up: Mon - Sat                          Accompanies report   1 mL serum (SS)
                      SERUM
  IGG SERUM                              Report available: Next day

                                         CPT Code: 82784


                                         IMMUNOGLOBULIN G, CSF - See
                                         Cerebrospinal Fluid IgG




                                                                   Page 97 of 342
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 MNEMONIC              NAME

                                      IMMUNOGLOBULIN G SUBCLASSES
                                      (QUEST 2267)
                                      Methodology: Nephelometry                                          2.0 mL serum (SS)
                  IMMUNOBLOB G
    LAB                               Set up: Mon - Sat                             Accompanies report
                   SUBCLASSES
  IGG SUB                             Report available: Next day                                         Minimum: 1.0 mL

                                      CPT Code: 82787x4



                                      IMMUNOGLOBULIN (IGG) SUBCLASS 4
                                      (QUEST 143422)
                                      Methodology: Nephelometry                                          1.0 mL serum (SS)
    LAB           IGG SUBCLASS 4      Set up: Mon - Sat                             Accompanies report
 IGG SUB 4                            Report available: Next day                                         Minimum: 1.0 mL

                                      CPT Code: 82787


                                      IMMUNOGLOBULIN M
                                      Performed at CPAL
                                      Methodology: Nephelometry
    LAB         IMMUNOGLOBULIN M      Set up: Mon - Sat                             Accompanies report   1 mL serum (SS)
    IGM                               Report available: Next day

                                      CPT Code: 82784


                                      INDERAL - See Propranolol

                                      INDIA INK PREPARATION, CSF
                                      An India Ink preparation is examined
                                      microscopically for detection of fungi.                            2 mL CSF
     LAB              INDIA INK       Set up: Daily                                   None detected
   INDINK                             Report available: Next day                                         Minimum: 1 mL

                                      CPT Code: 87210



                                      INDIRECT COOMBS - See Antibody Screen



                                      INFLUENZAE VIRUS ANTIGEN, TYPES
                                      A&B
                                      Methodology: Optical Immunoassay
                 INFLUENZA A AND B                                                                       Nasopharyngeal swab (Dacron rayon
    LAB                               Set up: Daily                                      Negative
                     ANTIGENS                                                                            swab) or nasal aspirate or sputum.
   INFAB                              Report available: Same day

                                      CPT Code: 87804x2


                                         INFLUENZA TYPE A AND B ANTIBODIES,
                                         SERUM
                Only available for order (QUEST 4892)
                                                                                                         1 mL serum (SS)
               by Lab- order INFLUENZA Methodology: CF
     LAB                                                                            Accompanies report
                  A AND B ANTIGENS       Set up: Mon - Fri
INF AB SERUM                                                                                             Minimum: 0.5 mL
                                         Report available: 2 days

                                      CPT Code: 86710X2


                                      INFLUENZA TYPE A IGG, IGM
                                      ANTIBODIES
                                      (QUEST 138452)
                 INFLUENZA TYPE A                                                                        1 mL serum (SS)
                                      Methodology: EIA
    LAB               IGG,IGM                                                       Accompanies report
                                      Set up: Thurs
  INF A AB                                                                                               Minimum: 0.5 mL
                                      Report available: 3 days

                                      CPT Code: 86710




                                                                   Page 98 of 342
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MNEMONIC            NAME

                                    INFLUENZA TYPE B IGG, IGM
                                    ANTIBODIES
                                    (QUEST 126642)
               INFLUENZA TYPE B                                                                       1 mL serum (SS)
                                    Methodology: EIA
   LAB              IGG,IGM                                                      Accompanies report
                                    Set up: Thurs
 INF B AB                                                                                             Minimum: 0.5 mL
                                    Report available: 3 days

                                    CPT Code: 86710


                                   INFLUENZA VIRUS A/B RNA
                                   (QUEST 16086)
                                   Methodology: Real-time PCR
             INFLUENZA A&B RNA,RT-                                                                    Nasopharyngeal swab (Dacron rayon
    LAB                            Set up: Daily morning                         Accompanies report
                     PCR                                                                              swab) or nasal aspirate or sputum.
INF AB RNA                         Report available: 4 days

                                    CPT Code: 87502X2



                                    INFLUENZA TYPE A H1N1( 2009) RT-PCR
                                    (QUEST 16807)                                                     3 mL nasopharyngeal swab submitted
                                    Methodology: RT-PCR                                               in VCM, UTM or M4 Transport
               Lab orderable only
    LAB                             Set up: Daily                                Accompanies report   Medium
INF A H1N1                          Report available: Next day                                        Throat swab no longer acceptable as
                                                                                                      of 6/23/10 per Quest.
                                    CPT Code: 87502 X2



                                    INFLUENZA VIRUS CULTURE
                                    (QUEST 35945)
                                                                                                      Nasopharyngeal aspirate or wash,
                                    Methodology: Rapid Culture
               INFLUENZA VIRUS                                                                        Nasal aspirate or wash, or throat swab
    LAB                             Set up: Mon - Sun morning                    Accompanies report
                   CULTURE                                                                            in VCM transport medium. Specimen
 INF CULT                           Report available: 5 days
                                                                                                      source required.
                                    CPT Code: 87254X2


                                    INHIBIN-A, TUMOR MARKER
                                    (QUEST 6535)
                                    Methodology: Immunoassay                                          2 mL serum (SS)
   LAB             INHIBIN A        Set up: Mon - Fri                            Accompanies report
INHIBIN A                           Report available: Next day                                        Minimum: 0.5 mL

                                    CPT Code: 86336


                                                                                                      1.0 mL serum (R)
                                    INHIBIN-B, ELISA
                                                                                                      Minimum: 0.5 mL
                                    (QUEST 34445)
                                                                                                      Transport Frozen
                                    Methodology: ELISA
   LAB             INHIBIN B        Set up: Tues, Thurs                          Accompanies report
                                                                                                      Specimen Stability
INHIBIN B                           Report available: 4 days
                                                                                                      Room Temperature: 5 days
                                                                                                      Refrigerated: 7 days
                                    CPT Code: 83520
                                                                                                      Frozen: 28 days




                                    INSULIN
                                    (QUEST 561)                                                       1 mL serum (SS)
                                    This test should be used only for patients
                                                                                                      FREEZE
                                    without insulin antibodies. If insulin
                                                                                                      Overnight fasting is required
                                    antibodies are present, use Test Mnemonic
   LAB              INSULIN         INSUL FR).                                   Accompanies report
                                                                                                      ***Hemolyzed specimens are
 INSULIN                            Methodology: Immunoassay
                                                                                                      unacceptable***
                                    Set up: Mon - Fri
                                    Report available: Next day
                                                                                                      Minimum: 0.5 mL
                                    CPT Code: 83525




                                                               Page 99 of 342
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    MNEMONIC                NAME


                                                                                                             0.5 mL serum (SS) EACH.
                                             INSULIN - MULTIPLE SPECIMENS                                    FROZEN
        See
                                             Methodology: CIA                                                Record date and time of collection on
questdiagnostics.co
                                             Set up: Mon - Fri                                               each specimen and on request form.
  m for test code
                                             Report available: Next day
                                                                                                             Minimum: 0.2 mL EACH



                                             INSULIN AUTOANTIBODIES, SERUM
                                             (QUEST 118532)
                                             Referral test for Quest                                         1 mL serum (R), No SS tubes or
                            INSULIN          Methodology: RIA                                                grossly hemolyzed / lypemic samples.
       LAB                                                                              Accompanies report
                        AUTOANTIBODIES       Set up: Mon, Wed, Fri
 INSULIN AUTOAB
                                             Report available: 4 days                                        Minimum: 0.2 mL

                                             CPT Code: 86337


                                             INSULIN, FREE
                                                                                                             1 mL serum (R)
                                             (QUEST 36700)
                                                                                                             FREEZE
                                             Methodology: Immunoassay
       LAB               INSULIN FREE        Set up: Mon, Wed, Fri                      Accompanies report
                                                                                                             A fasting sample is required
    INSUL FR                                 Report available: 3 days
                                                                                                             Minimum: 0.5 mL
                                             CPT Code: 83527



                                             INSULIN, FREE & TOTAL
       LAB               INSULIN FREE
                                             (QUEST 561X and 900046)
    INSUL FR                  -and-
                                             Test 34941X discontinued on 3/10/09
       AND                  INSULIN
                                             Order INSULIN and INSUL FR seperately.
     INSULIN



                                          INSULIN-LIKE GROWTH FACTOR-1
                                          (IGF-1)
                                          (QUEST 16293)
                                                                                                             1mL serum (RED TOP)
                                          Formerly Somatomedin-C
                      INSULIN-LIKE GROWTH
       LAB                                Methodology: ECLIA                            Accompanies report
                             FACTOR
   INS GROWTH                             Set up: Mon - Fri
                                                                                                             Minimum: 0.5 mL
                                          Report available: 5 days

                                             CPT Code: 84305



                                             INSULIN-LIKE GROWTH FACTOR-2 (IGF-II)
                                             (QUEST 900420)
                                             Referral test for Quest to Esotirix Labs                        1 mL serum (R), No SS tubes
       LAB             IGF-II INSULIN LIKE   Methodology: IA                                                 Drawn from fasting patient.
                                                                                        Accompanies report
      IGF-II             GROWTH FAC          Set up: Wed
                                             Report available: 3 days                                        Minimum: 0.5 mL

                                             CPT Code: 83519


                                             INTRINSIC FACTOR BLOCKING
                                             ANTIBODIES
                                             (QUEST 568)                                                     1.0 mL serum (SS)
                                             Methodology: RIA                                                FROZEN
      LAB              INTRINSIC FACTOR                                                      Negative
                                             Set up: Mon - Fri
   INTRIN FAC
                                             Report available: Next day                                      Minimum: 0.2 mL

                                             CPT Code: 86340

                                             IRON
                                                                                                             1 ml blood (Gn -Li (PST))
                                             Methodology: Colorimetric
                                                                                                                      or
                                             Set up: Daily
        LAB                   IRON                                                      Accompanies report   1 mL serum (SS)
                                             Report available: Same day
       IRON
                                                                                                             Minimum: 0.5 mL
                                             CPT Code: 83540




                                                                      Page 100 of 342
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 MNEMONIC            NAME

                                       IRON BINDING CAPACITY
                                       Includes transferrin and percent saturation                       1 ml blood (Gn -Li (PST))
                                                                                     < 1 month 100 - 400
                                       Methodology: Calculation                                                   or
               TOTAL IRON BINDING                                                           ug/dL
    LAB                                Set up: Daily                                                     1 mL serum (SS)
                   CAPACITY                                                          > 1 month 250 - 450
    TIBC                               Report available: Same day
                                                                                            ug/dL
                                                                                                         Minimum: 0.5 mL
                                       CPT Code: 83550

                                       IRON, LIVER TISSUE
                                       Referral test for Quest
                                       Methodology: Inductively Coupled Plasma                            2 mg tissue specimen from a needle
QUEST 8828X                            Emission Analysis                                                  biopsy of the liver
               Universal Requisition                                                 Accompanies report
 Univ. Req.                            Set up: Wed                                                        FROZEN
                                       Report available: 5 days                                           Parrafin block is acceptable.

                                       CPT Code: 83540


                                       IRON, URINE
                                       Methodology: AA
                                                                                                          10.0 mL of a 24-hr urine
QUEST 17515X                           Set up: Tues, Thurs
               Universal Requisition                                                 Accompanies report
  Univ. Req.                           Report available: 4 days
                                                                                                          Minimum: 6 mL
                                       CPT Code: 83540


                                       ISLET CELL ANTIGEN-512
                                       AUTOANTIBODY, IA-2 ANTIBODY
                                                                                                          1.0 mL serum (R)
                                       (QUEST 121662)
                                                                                                          Hemolyzed / lipemic samples are
                   ISLET CELL          Methodology: RIA
    LAB                                                                              Accompanies report   unacceptable.
                 AUTOANTIBODY          Set up: Tues, Fri
  IA-2 AB
                                       Report available: 4 days
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 86341


                                       ISOPROPANOL - See Alcohol, Isopropyl


                                       JAK2
                                       (Performed at CPAL)
                                       Methodology:
                                                                                                          6.0 mL EDTA whole blood refrigerated
                                       JAK2: RT-PCR, EXON12: Sanger
                                                                                                          or 3.0 mL Bone Marrow refrigerated
                                       Sequencing
    LAB             LAB ONLY                                                         Accompanies report
                                       Set up: Mon-Fri
   JAK2
                                       Report available: 1-2 days

                                       CPT Code: 83891,83896x2, 83912, 83914x2,
                                       81270



                                       JAK2PLUS (allows Exon 12 to be added as
                                       a reflex test)
                                       (Performed at CPAL)
                                       Methodology: JAK2: RT-PCR, Exon12:                                 6.0 mL EDTA whole blood refrigerated
                                       Sanger Sequencing                                                  or 3.0 mL Bone Marrow refrigerated
    LAB             LAB ONLY           Set up: Mon-Fri                               Accompanies report
 JAK2 PLUS                             Report available: 1-2 days

                                       CPT Code: 83891,83896x2, 83912, 83914x2,
                                       81270 If EXON12 Performed: 83891,
                                       83898X2, 83904, 83912


                                       Jo-1 ANTIBODIES - See Anti-Jo-1
                                       Antibodies

                                       JOINT FLUID - See Synovial Fluid Analysis


                                       JP DRAINAGE FOR CREATININE - Order
                                       Creatinine & footnote "JP Drainage"




                                                                   Page 101 of 342
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                                                          PROCEDURE 102 of 342
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  MNEMONIC               NAME

                                           FREE KAPPA LIGHT CHAINS
                                           (CPAL)
                                           Methodology: Turbidimetric                                           1 mL serum (R or SS)
      LAB          FREE KAPPA LIGHT
                                           Set up: Daily                                   Accompanies report
   K CHAINS             CHAINS
                                           Report available: Next day                                           Minimum: 0.5 mL

                                           CPT Code: 83883


                                     KAPPA & LAMBDA, FREE, with K/L RATIO,
                                     SERUM
                                     (CPAL)
                                                                                                                1 mL serum (R or SS)
      LAB                            Methodology: Turbidimetric
                  KAPPA/LAMBDA GROUP                                                       Accompanies report
  K-L GROUP                          Set up: Daily
                                                                                                                Minimum: 0.5 mL
                                     Report available: Next day

                                           CPT Code: 83883 X2

                                           KAPPA & LAMBDA, FREE, with K/L RATIO,
                                           URINE
                                           (QUEST 138837)
                                                                                                                2 mL urine
     LAB          FREE KAPPA/LAMBDA        Methodology: Nephelometric
                                                                                           Accompanies report
 FR K-L URINE        W/ RATIO-URIN         Set up: Mon - Sat
                                                                                                                Minimum: 1 mL
                                           Report available: Next day

                                           CPT Code: 83883 X2


                                           KAPPA & LAMBDA LIGHT CHAIN, FREE,
                                           with RATIO, REFLEX IMMUNOFIXATION
                                           (QUEST 15122)
                                           Methodology: Nephelometric                                           2 mL serum (R or SS)
      LAB         FR K/L W/ RATIO,RFLX
                                           Set up: Mon - Fri                               Accompanies report
FR K-L RFLX IMM        TO IMMUNO
                                           Report available: Next day                                           Minimum: 1 mL

                                           CPT Code: 83883 X2, 86334 if immunofix
                                           indicated

                                           KEPPRA - See Levetiracetam

                                                                                                                100 mL aliquot of 24-hr urine
                                           17-KETOGENIC STERIODS (total adrenal                                 preserved with 25 mL 50% acetic acid
                                           corticosteriods)                                                     during collection. Alternative
                                           Methodology: Colorimetric                                            preservatives can be used - See
  QUEST 2806
                   Universal Requisition   Set up: Wed                                    Accompanies report    Appendix A. Specify total 24-hr
   Univ. Req.
                                           Report available: Next day                                           volume on request form.
                                                                                                                ROOM TEMP
                                           CPT Code: 84311
                                                                                                                Minimum: 25 mL

                                                                                                                20 mL aliquot of 24-hr urine collection
                                           17-KETOSTEROIDS
                                                                                                                preserved with 25 mL of 50% acetic
                                           (QUEST 277)
                                                                                                                acid during collection. Alternative
                                           Methodology: Colorimetric
                                                                                                                preservatives can be used; see
      LAB           17-KETOSTEROIDS        Set up: Mon - Thurs, Sun                       Accompanies report
                                                                                                                Appendix A. Specify total 24-hr
  17-KETOSTE                               Report available: Next day
                                                                                                                volume on request form.
                                           CPT Code: 83586
                                                                                                                Minimum: 10 mL

                                           KETAMINE AND METABOLITES
                                           Methodology: GC/MS
                                                                                                                2 mL serum (R) or plasma (L)
 QUEST 11021X                              Set up: Daily
                   Universal Requisition
   Univ. Req.                              Report available: 9 days
                                                                                                                NO SS Tubes.
                                           CPT Code: 82542

                                           KETAMINE SCREEN
                                           Methodology: GC-MS
                                                                                                                30 mL random urine
 QUEST 11326X                              Set up: Mon, Wed, Fri
                   Universal Requisition                                                   Accompanies report
   Univ. Req.                              Report available: 2 days
                                                                                                                Minimum: 5 mL
                                           CPT Code: 80101

                                           KETONES, PLASMA or SERUM - See
                                           Acetone


                                                                        Page 102 of 342
  LAB             OE
                                                  TEST                        REFERENCE                        SPECIMEN
 ORDER           ORDER
                                               PROCEDURE 103 of 342
                                                       Page                     RANGE                        REQUIREMENTS
MNEMONIC         NAME

                                KETONES, URINE - See Urinalysis



                                                                                                  5 mL blood (L or pink)
                                KLEIHAUER-BETKE                                                       -or-
                                Methodology: Microscopic exam                                     3 mL amniotic fluid
                                Set up: Daily
   LAB       FETAL CELL STAIN                                               No fetal cells seen
                                Report available: Same day                                        Must be tested within 24 hours of
FETALSTAIN
                                                                                                  collection..
                                CPT Code: 85460
                                                                                                  Minimum: 1 mL



                                KOH PREP- See Fungus Smear



                                                                                                  One stained, cover slipped and
                                                                                                  marked slide and eight unstained (no
                                                                                                  cover slip) serial sections of paraffin
                                                                                                  embedded formalin fixed tissue on
                                                                                                  slides. The portion of tissue on slide to
                                K-RAS MUTATION ANALYSIS                                           be sampled (tumor) for testing must
                                Performed by CPAL                                                 be clearly indicated on the stained
                                Methodology: PCR and DNA sequencing                               slide. Blocks will not be accepted.
                                Set up: Mon, Wed
   LAB          LAB ONLY                                                    Accompanies report
                                Report available: 3-5 days                                        Specimens in which no desired
  KRAS
                                                                                                  sampling area (tumor) is indicated will
                                CPT Code: 83907, 83892, 83891x2,                                  be returned to the client so that the
                                83898x2, 83904, 83909x2, 83912, 81275                             proper region of interest can be
                                                                                                  indicated and resubmitted to CPAL.

                                                                                                  Tissue type should be indicated
                                                                                                  (colon, lung, etc).




                                                                                                  One stained, cover slipped and
                                                                                                  marked slide and eight unstained (no
                                                                                                  cover slip) serial sections of paraffin
                                K-RAS MUTATION ANALYSIS with reflex to
                                                                                                  embedded formalin fixed tissue on
                                B-RAF if indicated
                                                                                                  slides. The portion of tissue on slide to
                                Performed by CPAL
                                                                                                  be sampled (tumor) for testing must
                                Methodology: PCR and DNA sequencing
                                                                                                  be clearly indicated on the stained
                                Set up: Mon, Wed
                                                                                                  slide. Blocks will not be accepted.
                                Report available: 3-5 days
  LAB           LAB ONLY                                                    Accompanies report
                                                                                                  Specimens in which no desired
KRAS RFX                        CPT Code:
                                                                                                  sampling area (tumor) is indicated will
                                K-RAS: 83907, 83892, 83891x2, 83898x2,
                                                                                                  be returned to the client so that the
                                83904, 83909x2, 83912, 81275
                                                                                                  proper region of interest can be
                                                                                                  indicated and resubmitted to CPAL.
                                B-RAF if indicated: 83891, 83898, 83904,
                                83909, 83912
                                                                                                  Tissue type should be indicated
                                                                                                  (colon, lung, etc).




                                La, Ro ANTIBODIES - See Sjögren's
                                Antibodies


                                LAC - See Lupus Anticoagulant


                                LACTIC ACID
                                Methodology: Colorimetric                                         2 mL plasma (Gy)
                                Set up: Daily                                Plasma: 0.5 - 2.2    Draw WITHOUT tourniquet. Place
   LAB         LACTIC ACID
                                Report available: Same day                       mmol/L           on ice. Centrifuge Immediate and
  LACTIC
                                                                                                  analyze without delay.
                                CPT Code: 83605




                                                          Page 103 of 342
   LAB                OE
                                                        TEST                           REFERENCE                          SPECIMEN
  ORDER              ORDER
                                                     PROCEDURE 104 of 342
                                                             Page                        RANGE                          REQUIREMENTS
 MNEMONIC            NAME
                                       FREE LAMBDA LIGHT CHAINS
                                       (CPAL)
                                       Methodology: Turbidimetric                                             1 mL serum (R or SS)
     LAB       FREE LAMBDA LIGHT
                                       Set up: Daily                               Accompanies report
  L CHAINS           CHAINS
                                       Report available: Next day                                             Minimum: 0.5 mL

                                       CPT Code: 83883

                                       LACTATE DEHYDROGENASE (LDH) FLUID
                                       Methodology: Enzymatic
                                       Set up: Daily
    LAB          LDH,BODY FLUID                                                    Accompanies Report 1 mL fluid
                                       Report available: Same day
   BFLDH
                                       CPT Code: 83615


                                       LACTATE DEHYDROGENASE (LDH)
                                       SERUM                                                                  1 ml blood (Gn -Li (PST))
                                       Methodology: Enzymatic                                                          or
                   LACTATE
    LAB                                Set up: Daily                               Accompanies report         1 mL serum (SS)
                DEHYDROGENASE
    LDH                                Report available: Same day
                                                                                                              Minimum: 0.5 mL
                                       CPT Code: 83615

                                       LACTATE DEHYDROGENASE (LDH)
                                       ISOENZYMES ELECTROPHORESIS
                                       (QUEST 4411X)                                                          2 mL serum (SS); maintain at ROOM
                                       Methodology: Electrophoresis                                           TEMPERATURE.
    LAB          LDH ISOENZYMES                                                    Accompanies report
                                       Set up: Mon, Wed, Fri
  LDH ISOS
                                       Report available: Next day                                             Minimum: 0.5 mL

                                       CPT Code: 83615, 83625


                                       LACTOGEN, HUMAN PLACENTAL (hPL)
                                                                                                              Send surgical pathology report with
                                       Methodology: Immunohistochemistry
                                                                                                              H&E section and corresponding
QUEST 19259X                           Set up: Mon - Fri
               Universal Requisition                                                                          parrafin block; or 3 unstained
  Univ. Req.                           Report available: 2 days
                                                                                                              positively charged slides per marker
                                                                                                              requested.
                                       CPT Code: 88342


                                 LACTOSE TOLERANCE                                                            3 mL blood (Gy) , each specimen.
                                 (QUEST 7675X)                                     Increase of glucose        Collect fasting, 30 min, 60 min, 90 min
                                 Methodology: Enzymatic                             less than 20 mg/dL        and 120 minutes after ingestion of 50
    LAB        LACTOSE TOLERANCE Set up: Daily                                    over the fasting level is   g of lactose. Lactose available from
  LAC TOL                        Report available: Next day                           suggestive of an        Quest at 560-9660
                                                                                       enzyme defect.
                                       CPT Code: 82951, 82952                                                 Minimum: 1 mL

                                       LAMICTAL (LAMOTRIGINE)
                                       (QUEST 22060)
                                       Methodology: HPLC                                                      1 mL serum (DB, R), refrigerated. NO
                                       Detection limit: 0.2 µg/mL                                             SS tubes.
   LAB              LAMICTAL                                                       Accompanies report
                                       Set up: Mon - Fri
 LAMICTAL
                                       Report available: 2 days                                               Minimum: 0.2 mL

                                       CPT Code: 80299

                                       LANOXIN - See Digoxin


                                       LAP - See Leukocyte Alkaline Phosphatase


                                       LASA - See Lipid Associated Sialic Acid


                                       LATEX AGGLUTINATION - See Bacterial
                                       Antigens

                                       LDH ISOENZYMES - See Lactate
                                       Dehydrogenase (LDH) Isoenzymes
                                       Electrophoresis

                                       LDH - See Lactate Dehydrogenase

                                                                Page 104 of 342
   LAB                OE
                                                         TEST                           REFERENCE                      SPECIMEN
  ORDER              ORDER
                                                      PROCEDURE 105 of 342
                                                              Page                        RANGE                      REQUIREMENTS
 MNEMONIC            NAME

                                       LDL CHOLESTEROL, DIRECT
                                                                                                           1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric
                                                                                                                    or
               LDL CHOLESTEROL,        Set up: Daily
    LAB                                                                              Accompanies report    1 mL serum (SS)
                    DIRECT             Report available: Same day
   LDLD
                                                                                                           Minimum: 0.2 mL
                                       CPT Code: 83721


                                       LDL LOW DENSITY SUBPARTICLES
                                       Methodology: Calculation Colorimetric                               4.5 mL serum (R)
                                       Enzymatic Immunoturbidimetric Ion Mobility
QUEST 16129X
               Universal Requisition   Set up: Mon,Wed,Fri                           Accompanies report    12 hour fast required
  Univ. Req.
                                       Report available: 3 days
                                                                                                           Minimum: 2.4 mL
                                       CPT Code: 80061, 83695, 83704


                                       LE - See Antinuclear Antibodies


                                       LEAD PROFILE
                                       Performed at CPAL
                                       Includes lead and ZPP (Zinc Protoporphyrin).
                                       Fulfills requirements for OSHA lead screening                        2 mL blood (DB with EDTA or L),
                                       program.                                                             protected from light
    LAB          LEAD PROFILE                                                        See individual assays.
                                       Methodology: AA
 LEAD PROF
                                       Set up: Mon, Thurs                                                   Minimum: 0.5 mL
                                       Report available: Same day

                                       CPT Code: 83655, 84202

                                       LEAD, BLOOD
                                       Performed at CPAL
                                       Methodology: AA                                                     1 mL blood (L)
    LAB               LEAD             Set up: Mon, Thurs                            Accompanies report
   LEAD                                Report available: Same day                                          Minimum: 0.5 mL

                                       CPT Code: 83655

                                       LEAD, URINE
                                                                                                           7 mL of a 2nd voided AM urine,
                                       Methodology: ICP-MS
                                                                                                           collected and transported in a plastic,
                                       Detection limit: 10 µg/L
QUEST 601X                                                                                                 acid-washed, metal-free, leakproof
               Universal Requisition   Set up: Mon, Wed, Fri                         Accompanies report
 Univ. Req.                                                                                                container.
                                       Report available: 3 days
                                                                                                           Minimum: 1 mL
                                       CPT Code: 82570, 83655


                                       LECITHIN/SPHINGOMYELIN RATIO WITH
                                       PHOSPHATIDYLGLYCEROL (L/S Ratio
                                       with PG) -                                                          6 mL uncentrifuged amniotic fluid,
                                       (QUEST 19971X)                                                      refrigerated. If specimen is not
                                       Methodology: TLC                                                    received within 24 hours, FREEZE. If
                                       Set up: Daily                                                       red blood cells are present, do not
    LAB        L/S WITH PG RATIO                                                     Accompanies report
                                       Report available: Next day                                          freeze before spinning at 140 x g for
   LS PG
                                                                                                           10 min. and submit supernatant.
                                       If this test is needed STAT (prior to next
                                       day) please see FLM-TDX.                                            Minimum: 4.0 mL

                                       CPT Code: 82489, 83661




                                       LECITHIN (FETAL LUNG MATURATION)
 LAB MISC
                                       No longer available from Lancaster General
 Univ. Req.
                                       Hospital 6/29/10.




                                                                  Page 105 of 342
  LAB                  OE
                                                         TEST                           REFERENCE                      SPECIMEN
 ORDER                ORDER
                                                      PROCEDURE 106 of 342
                                                              Page                        RANGE                      REQUIREMENTS
MNEMONIC              NAME

                                       LEGIONELLA PNEUMOPHILA TOTAL
                                       ANTIBODY
                                       (QUEST 6589)                                                        0.5 mL serum (R)
                LEGIONELLA TOTAL
   LAB                                 MethodoMon - Fri                               Accompanies report
                    ANTIBODY
LEGIONAB                               Report available: 3 days                                            Minimum: 0.1 mL

                                       CPT Code: 86713X2

                                       LEGIONELLA PNEUMOPHILA IgM
                                       ANTIBODIES
                                       (QUEST 30793)
                                       Referral test to Focus Diagnostics.                                 1 mL serum (SS)
                  LEGIONELLA
   LAB                                 Methodology: IFA                               Accompanies report
                PNEUMOPHILIA IGM
LEGIONIGM                              Set up: Mon - Fri morning                                           Minimum: 0.5 mL
                                       Report available: 3 days

                                       CPT Code: 86713 x2


                                   LEGIONELLA PNEUMOPHILIA DFA
                                   (QUEST 3965X)
                                   Includes screening for L. pneumophila
                                   serogroups 1-6; for tissues, an additional                              Lung biopsy, sputum, aspirate, or
                                   charge will be added for processing.                                    bronchial washing in sterile container
   LAB        LEGIONELLA STAIN DFA                                                      None detected
                                   Methodology: Direct Immunofloresence                                                     -or-
LEGION DFA
                                   Set up: Daily                                                           At least 2 air-dried slides
                                   Report available: Next day

                                       CPT Code: 87278



                                 LEGIONELLA URINARY ANTIGEN
                                 (Serogroup 1)
                                                                                                           1 mL random urine, submitted
                                 (QUEST 8856)
                                                                                                           refrigerated in a plastic screw-capped
              LEGIONELLA ANTIGEN Methodology: EIA
   LAB                                                                                Accompanies report   vial.
                    URINE        Set up: Mon - Sat
LEGION UR
                                 Report available: Next day
                                                                                                           Minimum: 0.5 mL
                                       CPT Code: 87449


                                       LEPTOSPIRA ANTIBODIES
                                       Methodology: IFA
                                                                                                           0.5 mL serum (SS)
QUEST 983X                             Set up: Tues, Thurs
               Universal Requisition                                                  Accompanies report
 Univ. Req.                            Report available: Next day
                                                                                                           Minimum: 0.2 mL
                                       CPT Code: 86720


                                       LEUKOCYTE ALKALINE PHOSPHATASE
                                                                                                           5.0 mL whole blood (Gn)
                                       (LAP)
                                                                                                           ROOM TEMP
                                       Effective 4/13/11- This test is no longer
              LAP- LEUKOCYTE ALK
   LAB                                 offered by Quest. Please consider ordering     Accompanies report
                 PHOSPHATASE                                                                               General instructions: AVOID
   LAP                                 1 of 2 alternate tests offered by Quest:
                                                                                                           COLLECTION FRIDAY THROUGH
                                       Test code 16539x- JAK2 V617f mutation or
                                                                                                           SUNDAY
                                       15052x- bcr/abl gene rearrangement



                                       LEUKOCYTE FILTER (RXL), RED CELLS
                                       Notify Blood Bank (ext. 6113) when
  LAB                LAB ONLY
                                       transfusion of leuko-reduced packed cells is
PALL RBC
                                       ordered.



                                       LEUKOCYTE FILTER (PXL), PLATELETS
                                       Notify Blood Bank (ext. 6113) when
   LAB               LAB ONLY
                                       transfusion of leuko-reduced platelets is
 PALL PLT
                                       ordered.




                                                                  Page 106 of 342
   LAB                OE
                                                         TEST                            REFERENCE                      SPECIMEN
  ORDER              ORDER
                                                      PROCEDURE 107 of 342
                                                              Page                         RANGE                      REQUIREMENTS
 MNEMONIC            NAME


                                                                                                            Minimum: 5 mL whole blood (EDTA)
                                       LEUKOCYTE MARKERS T CELLS:                                           ROOM TEMP
                                       HELPER/INDUCER CD4
                                       (QUEST 2068)                                                         General instructions:
                                       Methodology: FCM                                                     Maintain at ambient temperature. DO
    LAB                                                                               Accompanies report
                                       Set up: Mon - Sat                                                    NOT REFRIGERATE. It is
    CD4
                                       Report available: Next day                                           recommended that the sample is
                                                                                                            received within 24 hours of collection
                                       CPT Code: 86361                                                      on Monday - Friday.
                                                                                                            Must be received in Lab by 12 noon.



                                       LEVETIRACETAM (KEPPRA)
                                                                                                            1.5 mL serum (R)
                                       (QUEST 15142X)
                                                                                                                 or
                                       Methodology: HPLC
                LEVETIRACETAM /                                                                             1.5 mL EDTA plasma (L)
    LAB                                Set up: Mon - Fri                              Accompanies report
                    KEPPRA                                                                                  NO SS tubes
  LEVETIR                              Report available: Next day
                                                                                                            Minimum: 1 mL
                                       CPT Code: 80299


                                       LH - See Luteinizing Hormone


                                       LHON mtDNA MUTATION PROFILE
                                       Methodology: PCR                                                     2 (7 mL) EDTA whole blood (L) tubes
                                       Set up:                                                              ROOM TEMP
QUEST 127761
               Universal Requisition   Report available: 35 days                      Accompanies report    Draw Mon - Wed only - Must be
  Univ. Req.
                                                                                                            received at Quest within 24 hours of
                                       CPT Code: 83891, 83892x2, 83894,                                     collection.
                                       83898x2, 83912


                                       LIBRUM - See Chlordiazepoxide


                                       LIDOCAINE
                                       (QUEST 605)
                                       Methodology: Immunoassay
                                                                                                            1 mL serum (R)
                                       Detection Limit: 1.0 mcg/mL
   LAB             LIDOCAINE                                                          Accompanies report
                                       Set up: Mon - Fri
   LIDO                                                                                                     Minimum: 0.5 mL
                                       Report available: 2 days

                                       CPT Code: 80176

                                       LIPASE
                                                                                                            1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric
                                                                                                                     or
                                       Set up: Daily                                  < 18 yrs: 9 - 37 U/L
    LAB              LIPASE                                                                                 1 mL serum (SS)
                                       Report available: Same day                     > 18 yrs: 14 - 60 U/L
  LIPASE
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 83690

                                       LIPID ASSOCIATED SIALIC ACID
                                                                                                            1 mL serum (R)
                                       Methodology: Colorimetric
                                                                                                                or
QUEST 8343X                            Set up: Tues
               Universal Requisition                                                  Accompanies report    1 mL plasma (L)
 Univ. Req.                            Report available: 3 days
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 84275


                                       LIPID FRACTIONATION
                                       (QUEST 1882)
                                                                                                            1 mL serum (SS), drawn following 12 -
                                       Methodology: Various
                                                                                                            14 hour fast
     LAB       LIPID FRACTIONATION     Set up: Daily                                  Accompanies report
 LIPIDFRAC                             Report available: Next day
                                                                                                            Minimum: 0.7 mL
                                       CPT Code: 82465, 84478




                                                                    Page 107 of 342
  LAB              OE
                                                  TEST                               REFERENCE                     SPECIMEN
 ORDER            ORDER
                                               PROCEDURE 108 of 342
                                                       Page                            RANGE                     REQUIREMENTS
MNEMONIC          NAME

                                LIPID PANEL (CARDIAC/CORONARY RISK)
                                Total Cholesterol
                                HDL Cholesterol
                                Triglycerides
                                                                                                       1 ml blood (Gn -Li (PST))
                                LDL Cholesterol (Calculated)
                                                                                                                or
                                If Triglyceride >400, LDL Direct will be
                                                                                                       1 mL serum (SS),
   LAB          LIPID PANEL     performed.
                                                                                                       drawn after 12 - 14 hour fast
  LIPID
                                Methodology: Various
                                                                                                       Minimum: 0.5 mL
                                Set up: Daily
                                Report available: Same day

                                CPT Code: 80061


                                LIPOMED - ONLY AT EML/EPHRATA; BY
                                APPOINTMENT; PATIENT FASTING


                                LIPOPROTEIN A (a)
                                (QUEST 34604X)
                                Methodology: Imunoturbidometric                                        1 mL serum (R)
    LAB        LIPOPROTEIN A    Set up: Mon - Fri, Sun                            Accompanies report
LIPOPROT A                      Report available: Next day                                             Minimum: 0.5 mL

                                CPT Code: 83695


                                LIPOPROTEIN ELECTROPHORESIS
                                (Cholesterol, Triglycerides, Lipoprotein
                                characterization with phenotyping, Lipoprotein
                                electrophoresis)                                                       2 mL serum (SS), drawn following 12 -
               LIPOPROTEIN      (QUEST 19612)                                                          14 hour fast. Do Not Freeze.
    LAB                                                                           Accompanies report
                PHENOTYPE       Methodology: Electrophoresis
LIPO PHENO
                                Set up: Tues, Thurs                                                    Minimum: 1 mL
                                Report available: Next day

                                CPT Code: 82465, 83700, 84478

                                LITHIUM
                                Methodology: ISE
                                                                                 Therapeutic: 0.60 -
                                Detection limit: 0.1 mmol/L                                            1 mL serum (R or SS)
                                                                                 1.20 mmol/L
   LAB            LITHIUM       Set up: Daily
   LITH                         Report available: Same day                                             Minimum: 0.5 mL
                                                                                 Toxic: 2.0 mmol/L
                                CPT Code: 80178


                                LRPRBC
                                Includes ABORh and antibody screen.
                                Methodology: Hemeagglutination
              LEUKO-REDUCED     Set up: Daily
                                                                                                       6.0 mL whole blood (Pink) properly
   BB        PACKED RED BLOOD   Report available: Same day
                                                                                                       labeled with Blood Bank armband
 LRPRBC           CELLS
                                For Type & Screen order TS

                                CPT Code: 86900, 86901, 86850 + product



                                LIVER FUNCTION PANEL
                                Also called "Hepatic Function Panel".
                                Includes Albumin, Alkaline Phosphatase,
                                ALT, AST, Total & Direct Bilirubin, Total                              1 ml blood (Gn -Li (PST))
                                Protein.                                                                        or
   LAB        HEPATIC PANEL     Methodology: Various                              Accompanies report   1 mL serum (SS)
 HEPATIC                        Set up: Daily
                                Report available: Same day                                             Minimum: 0.5 mL

                                CPT Code: 82040, 82247, 84075, 84450,
                                84460, 82248, 84155




                                                           Page 108 of 342
   LAB                 OE
                                                          TEST                         REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 109 of 342
                                                               Page                      RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                     LIVER-KIDNEY MICROSOMAL
                                     ANTIBODIES (LKM-1) IgG
                                     (QUEST 15038X)
                                                                                                          1.0 mL serum (R or SS)
                                     Methodology: EIA
   LAB         LIVER KIDNEY MICRO AB                                                 Accompanies report
                                     Set up: Tues, Thurs
 LKM-1 AB                                                                                                 Minimum: 0.3 mL
                                     Report available: Next day

                                        CPT Code: 86376


                                        LORAZEPAM
                                        Methodology: HPLC
                                        Detection limit: 5 ng/mL                                          2 mL serum (DB or R)
QUEST 34519X
                Universal Requisition   Set up: Tues, Thurs                          Accompanies report
  Univ. Req.
                                        Report available: 4 days                                          Minimum: 1 mL

                                        CPT Code: 80154


                                        LSD PRESUMPTIVE SCREEN
                                        Methodology: RIA
                                                                                                          10 mL random urine, protected from
                                        Detection limit: 0.5 ng/mL
QUEST 37025                                                                                               light
                Universal Requisition   Set up: Mon - Fri                            Accompanies report
 Univ. Req.
                                        Report available: Next day
                                                                                                          Minimum: 1 mL
                                        CPT Code: 80101


                                        LSD QUANTITATION BY GCMS
                                        Methodology: GCMS
                                                                                                          20 mL random urine, protected from
                                        Detection limit: 0.05 ng/mL
QUEST 14455X                                                                                              light
                Universal Requisition   Set up: Fri                                  Accompanies report
  Univ. Req.
                                        Report available: 8 days
                                                                                                          Minimum: 15 mL
                                        CPT Code: 82542


                                        LUDOMIL - See Maprotiline



                                                                                                          6 mL citrated plasma (LB), separated
                                                                                                          into 4 different plastic vials and
                                        LUPUS ANTICOAGULANT PROFILE
                                                                                                          FROZEN
                                        (QUEST 3373)
                                        Includes APTT, Anticardiolipin IgG/IgM
                                                                                                          1) Draw plain red top tube and
                                        antibodies, APTT mixing studies, Dilute
                                                                                                             discard or use for other testing.
                                        Russell's viper venom time, LAC-PNP,
                                                                                                          2) Draw LB tube and centrifuge at
                  LUPUS ANTICOAG        Prothrombin time, Thrombin time.
   LAB                                                                               Accompanies report      3000 rpm for 10 minutes.
                     PREOFILE           Methodology: Various
LUPUS PROF                                                                                                3) Remove plasma to a plastic tube
                                        Set up: Mon - Fri
                                                                                                             using a plastic pipette. FREEZE
                                        Report available: Next day
                                                                                                             immediately in a -70C freezer.
                                        CPT Code: 85610, 85613, 85670, 85730x2,
                                                                                                          Patient must be heparin free for 24
                                        86147x2
                                                                                                          hours and Coumadin free for 72
                                                                                                          hours.



                                   LUPUS ANTICOAGULANT - PNP (Platelet
                                   Neutralization Procedure)
                                   (QUEST 17408)
                                   Please submit a separate vial for each                                 2 mL citrated plasma (LB) FROZEN
                                   special coagulation assay ordered.
   LAB         LUPUS ANTICOAGULANT                                                   Accompanies report
                                   Methodology: Clotting assay                                            Minimum: 1 mL FROZEN citrated
LUPUS ANTI
                                   Set up: Mon - Sun                                                      plasma
                                   Report available: Next day

                                        CPT Code: 85730




                                                                   Page 109 of 342
  LAB                 OE
                                                          TEST                           REFERENCE                      SPECIMEN
 ORDER               ORDER
                                                       PROCEDURE 110 of 342
                                                               Page                        RANGE                      REQUIREMENTS
MNEMONIC             NAME


                                       LUPUS (SLE) PANEL (Includes C3, C4,
                                       TPO Ab, RA, SSA, SSB, Sm Ab, RNP Ab,
                                       Sci-70 Ab, Ribosomal P Ab, Reticulin IgA,
                                       Mitochondrial Ab, Smooth Muscle Ab,
                                       dsDNA, ANA, Striated Ab, Myocardial Ab,
                                       Parietal Cell Ab)
   LAB                                 (QUEST 391X)
               LUPUS / SLE PANEL                                                       Accompanies report   10 mL serum (R)
                                       Methodology: EIA, IFA, ICMA, LA,
LUPUS PAN
                                       Nephelometric
                                       Set up: Mon - Sat
                                       Report available: 3 days

                                       CPT Code: 83516x2, 83520, 86038,
                                       86160x2, 86235x5, 86255x5, 86376, 86431



                                  LUTENIZING HORMONE (LH)
                                  Performed at CPAL
                                  Methodology: Chemilluminescence
   LAB        LUTEINIZING HORMONE Set up: Mon - Sat                                    Accompanies report   1 mL serum (SS)
    LH                            Report available: Next day

                                       CPT Code: 83002


                                                                                                            Minimum: 0.3 mL

                                                                                                            PREFERRED
                                                                                                            0.5 mL serum (R, red-top tube (no
                                       LUTENIZING HORMONE (LH), Pediatrics                                  gel)), room temperature
QUEST 36086                            Methodology: Immunoassay
 Univ. Req.                            Set up: Mon - Sat                                                    ACCEPTABLE
               Universal Requisition                                                   Accompanies report
                                       Report available: 3 days                                             0.5 mL serum (SS, serum separator
                                                                                                            tube, plastic or glass),
                                       CPT Code: 83002                                                      room temperature

                                                                                                            Refrigerated (cold packs): 7 days
                                                                                                            Frozen: 28 days


                                       LYME ANTIBODY, SERUM
                                       Includes IgG and IgM
                                       Performed at CPAL
   LAB                                 Methodology: EIA
                LYME IGG/IGM AB                                                        Accompanies report   2 mL serum (SS)
LYME PROF                              Set up: Wed, Fri, Sat
                                       Report available: Next day

                                       CPT Code: 86618


                                       LYME ANTIBODY PROGRESSIVE
                                       A screening test is performed. If positive, a
                                       Lyme Antibody Western Blot Panel will be
                                       added at an additional charge to confirm the
                                       screening results.
   LAB         LYME PROGRESSIVE        Performed at CPAL                               Accompanies report   2 mL serum (SS)
LYME PROG                              Methodology: EIA
                                       Set up: Wed, Fri, Sat
                                       Report available: Next day

                                       CPT Code: 86618


                                       LYME ANTIGEN, URINE
                                                                                                            10 mL random urine
                                       (QUEST 13248)
                                       Methodology: EIA
                                                                                                            Minimum: 8 mL
   LAB        LYME ANTIGEN URINE       Set up: Mon, Wed, Fri                                Negative
LYME AG UR                             Report available: 12 days
                                                                                                            Specimen must arrive in Chantilly
                                                                                                            Sunday - Wednesday only.
                                       CPT Code: 87301




                                                                   Page 110 of 342
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   ORDER                 ORDER
                                                        PROCEDURE 111 of 342
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  MNEMONIC               NAME


                                          LYME DISEASE SEROLOGY, CSF
      LAB                                 (QUEST 63874)
  LYME CSF                                Test discontinued by Quest 6/14/10 -
DISCONTINUED                              alternate test is 34194 LYME CSF INDEX (B.
    6/14/10                               BURGDORFERI AB INDEX)




                                     LYME DISEASE CSF AB INDEX (B.
                                     BURGDORFERI AB INDEX)
                                                                                                            2.0 mL CSF
                                     (QUEST 34194)
                                                                                                              AND
                 LYME DISEASE CSF AB Methodology: IA, Nephelometric
     LAB                                                                               Accompanies report   2 mL serum (SS)
                        INDEX        Set up: Mon - Thurs
LYME CSF INDEX
                                     Report available: 3 days
                                                                                                            Minimum: 1 mL
                                          CPT Code: 82040,82042,82784X2,86618X4


                                          LYME C6 PEPTIDE
                                          (QUEST 10672X)
                                          Methodology: EIA Western Blot                                     1.0 mL serum (R)
     LAB          LYME C6 ANTIBODY        Set up: Tues                                 Accompanies report
   LYME C6                                Report available: Next day                                        Minimum: 0.3 mL

                                          CPT Code: 86618

                                          LYME CSF IgG, IgM ANTIBODIES
                                          Referral test for Quest.
                                          Methodology: IFA                                                  2 mL CSF
 QUEST 72194
                  Universal Requisition   Set up: Mon, Wed, Fri                        Accompanies report
  Univ. Req.
                                          Report available: 37 days                                         Minimum: 1 mL

                                          CPT Code: 86617x2, 86618x2

                                          LYME CSF IgG, IgM ANTIBODIES
                                                                                                            2 mL CSF
                                          (WESTERN BLOT)
                                          Referral test for Quest
                                                                                                            Minimum: 0.5 mL
 QUEST 72234                              Methodology: Western Blot
                  Universal Requisition                                                Accompanies report
  Univ. Req.                              Set up: Tues, Thurs, Sat
                                                                                                            Room temp: Unacceptable
                                          Report available: Next day
                                                                                                            Refrigerated: 7 Days
                                                                                                            Frozen: 30 days
                                          CPT Code: 86617x2


                                          LYME DISEASE IgM ANTIBODIES
                                          (QUEST 38142)
      LAB
  LYME IGM
                                          Test code 38142 discontinued by QUEST on
DISCONTINUED
                                          6/14/10- alternate use LYME PROG (Lyme
    6/14/10
                                          Progressive)



     LAB                            LYME DNA, PCR QUALITATIVE
 LYME PCR W                          Whole blood= QUEST 34287X
  Whole blood
                 LYME DNA PCR WHOLE Serum          = QUEST 52962
                                     CSF/FLUID = QUEST 30297X                                               1.0 mL EDTA whole blood (L) at
                       BLOOD
                                    If ordered on CSF or synovial fluid, order as                           ROOM TEMP
                          -or
    LAB                             LAB MS QUEST QUEST 30297X                                                           -or-
                 LYME DNA PCR SERUM                                                       Not detected
 LYME PCR S                                                                                                 1.0 mL serum (SS) FROZEN
                         -or-
   Serum                            Methodology: PCR                                                                    -or-
                    LYME DNA PCR
                                    Set up: Tues, Thurs                                                     1.0 mL CSF or synovial fluid FROZEN
                      CSF/FLUID
                                    Report available: 2 days
    LAB
 LYME PCR F                               CPT Code: 87476 each
    Fluid


                                          LYME WESTERN BLOT WITH BANDS
                                          (QUALITATIVE)
                                          (QUEST 8593)
                                                                                                            1.0 mL serum (R)
                  LYME WEST BLOT W        Methodology: Western Blot
    LAB                                                                                Accompanies report
                       BANDS              Set up: Mon, Wed, Fri
 LYME BANDS                                                                                                 Minimum: 1 mL
                                          Report available: Next day

                                          CPT Code: 86617x2
                                                                   Page 111 of 342
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                                                          TEST                           REFERENCE                      SPECIMEN
  ORDER              ORDER
                                                       PROCEDURE 112 of 342
                                                               Page                        RANGE                      REQUIREMENTS
 MNEMONIC            NAME

                                       LYME WESTERNBLOT WITH BANDS FOR
                                       CPAL REFLEX TESTING - order when
                                       LYME PROF is original order and
 LAB ONLY                              physician wants to add WB                                            1.0mL serum (R)
                    LAB ONLY           Methodology: Western Blot                     Accompanies report
 LYMEWB
                                       Set up: Mon, Wed, Fri
                                       Report available: Next day

                                       CPT Code: 86617x2

                                       LYME WESTERN BLOT IgG
                                       Methodology: Western Blot
                                                                                                            2.0 mL serum (SS)
QUEST 29477X                           Set up: Mon - Fri
               Universal Requisition                                                 Accompanies report
  Univ. Req.                           Report available: Next day
                                                                                                            Minimum: 1.0 mL
                                       CPT Code: 86617

                                       LYMPHOGRANULOMA VENEREUM-
                                       PSITTACOSIS-ORNITHOSIS ANTIBODIES -
                                       See Chlamydia



                                       LYRICA - See PREGABALIN



                                       LYSOZYME - See Muramidase


                                       MACROGLOBULINS - See Immunoglobulin
                                       M

                                       MAGNESIUM
                                                                                                            1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric                     < 1 month: 1.8 - 2.4
                                                                                                                     or
                                       Set up: Daily                                       mg/dL
    LAB            MAGNESIUM                                                                                1 mL serum (SS))
                                       Report available: Same day                    > 1 month: 1.7 - 2.6
    MG
                                                                                           mg/dL
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 83735

                                       MAGNESIUM (OB)
                                       Specifically for OB patients receiving
                                                                                                            1 ml blood (Gn -Li (PST))
                                       magnesium sulfate I.V.)
                                                                                     Therapeutic: 4.0 - 7.0          or
                                       Methodology: Colorimetric
    LAB          MAGNESIUM OB                                                                 mg/dL         1 mL serum (SS)
                                       Set up: Daily
   MGOB                                                                              Critical: > 7.0 mg/dL
                                       Report available: Same day
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 83735


                                       MAGNESIUM, RBC (ERYTHROCYTE)
                                       (QUEST 10551)
                                       Methodology: AA                                                      1 mL whole blood (LAV EDTA)
   LAB          MAGNESIUM, RBC         Set up: Mon, Wed, Fri                         Accompanies report
  MG RBC                               Report available: 4 days                                             Minimum: 0.5 Ml

                                       CPT Code: 83735


                                       MAGNESIUM, 24 HR URINE
                                       Methodology: AA
                                                                                                            10 mL of a 24-hr urine specimen
QUEST 27446                            Set up: Mon, Wed, Fri
               Universal Requisition                                                 Accompanies report     preserved with 25 mL 50% acetic acid
 Univ. Req.                            Report available: Next day
                                                                                                            or 25 mL 6N HCL
                                       CPT Code: 83735


                                       MAGNESIUM, URINE, RANDOM (with
                                       creatinine)
                                                                                                            10 mL of a random urine, preserved
                                       (QUEST 14460)
                                                                                                            with 30 mL 6N HCl, submitted in a
               MAGNESIUM RANDOM        Methodology: AA
    LAB                                                                              Accompanies report     plastic, leakproof container.
                    URINE              Set up: Mon, Wed, Fri
   MG UR
                                       Report available: Next day
                                                                                                            Minimum: 10 mL
                                       CPT Code: 83735, 82570



                                                                   Page 112 of 342
   LAB                 OE
                                                         TEST                           REFERENCE                     SPECIMEN
  ORDER               ORDER
                                                      PROCEDURE 113 of 342
                                                              Page                        RANGE                     REQUIREMENTS
 MNEMONIC             NAME

                                                                                                          Fresh fingerstick (preferred)
                                        MALARIA SMEAR                                                                    or
                                        Methodology: Microscopic exam                                     fresh (<30 min) EDTA blood smears,
                                        Set up: Daily                                No malaria parasites prepared just before or immediately
   LAB           MALARIA SMEAR
                                        Report available: Next day                          seen          upon onset of fever; 2 thin smears
MALARIASM
                                                                                                          required.
                                        CPT Code: 87207                                                                   Or
                                                                                                          4 mL EDTA blood (L)


                                        MANGANESE
                                        Referral test for Quest
                                        Methodology: GFAAS
 QUEST 951
                Universal Requisition   Set up: Tues, Thurs                          Accompanies report   2 mL serum (DB)
 Univ. Req.
                                        Report available: 4 days

                                        CPT Code: 83785


                                        MAPLE SYRUP URINE DISEASE (MSUD)
                                        (QUEST 16067X)                                                    5 mL whold blood (LAV EDTA)
                                        Methodology: PCR/Capillary                                        ROOM TEMP
                                        Electrophoresis                                                   See Questdiagnostic.com website
QUEST 16067X
                Universal Requisition   Set up: Tues, Fri                            Accompanies report   for additional required information
  Univ. Req.
                                        Report available: 9 days                                          prior to specimen submission.

                                        CPT Code: 83891, 83900, 83901, 83909,                             MinimumL 3 mL
                                        83912, 83892(x3), 83914(x3)



                                        MAPROTILINE (LUDIOMIL)
                                        (QUEST 21359X)
                                        Methodology: LCMS
                                                                                                          3 mL serum (R)
                                        Detection limit: 10 ng/mL
    LAB              LUDIOMIL                                                        Accompanies report
                                        Set up: Tues, Thurs, Sun
  LUDIOMIL                                                                                                Minimum: 1.2 mL
                                        Report available: 3 days

                                        CPT Code: 80299


                                        MARIJUANA METABOLITE PRESUMPTIVE
                                        SCREEN
                                        Methodology: Immunoassay
                                                                                                          10 mL random urine
QUEST 14551X                            Detection limit: Equivalent to 20 ng/mL
                Universal Requisition                                                  None detected            or
  Univ. Req.                            Set up: Mon - Fri
                                                                                                          0.5 mL serum (DB or R)
                                        Report available: Next day

                                        CPT Code: 80101


                                        MARIJUANA PRESUMPTIVE SCREEN,
                                        SERUM
                                        Methodology: Immunoassay                                          2 mL serum (R or DB)
QUEST 17445X
                Universal Requisition   Set up: Mon - Fri                            Accompanies report
  Univ. Req.
                                        Report available: Next day                                        Minimum: 1 mL

                                        CPT Code: 80101


                                        MDMA
QUEST 17161X
                                        (METHYLENEDIOXYMETHAMPHETAMINE)
 random urine
                                        AND METABOLITE (Ecstasy)                                          20 mL random urine
   Univ. Req.
                                        Methodology: RIA, GCMS                                                  or
                Universal Requisition   Detection limit: 100 ng/mL                   Accompanies report   10 mL serum (R)
QUEST 11332X
                                        Set up: Tues, Sat
blood, serum,
                                        Report available: 8 days                                          Minimum: 3 mL
   plasma
  Univ. Req.
                                        CPT Code: 82145 each


                                        MEASLES - See Rubeola Virus Antibodies


                                        MEBARAL - See Mephobarbital


                                                                   Page 113 of 342
   LAB                 OE
                                                           TEST                        REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                        PROCEDURE 114 of 342
                                                                Page                     RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                        MELANIN
                                        Methodology: Colorimetric                                         20 mL random urine, protected from
QUEST 631X                              Set up: Thurs                                                     light FREEZE
                Universal Requisition                                                Accompanies report
 Univ. Req.                             Report available: Next day
                                                                                                          Minimum: 5 mL
                                        CPT Code: 81005


                                        MELLARIL - See Thioridazine


                                        MEPERIDINE (DEMEROL), QUANTITATIVE
                                        BY GCMS
                                        Methodology: GCMS
                                                                                                          5 mL serum (DB)
QUEST 7212                              Detection limit: 0.05 µg/mL
                Universal Requisition                                                Accompanies report
 Univ. Req.                             Set up: Tues, Thurs
                                                                                                          Minimum: 2 mL
                                        Report available: 4 days

                                        CPT Code: 83925

                                        MEPHOBARBITAL, SERUM
                                        (QUEST 900183)
                                        (As phenobarbital, the active metabolite)
                                        Methodology: FPIA                                                 2 mL serum (R)
   LAB                                  Detection limit: 2.5 mg/L                    Accompanies report
                 MEPHOBARBITAL
MEPHOBARB                               Set up: Daily                                                     Minimum: 0.5 Ml
                                        Report available: 4 days

                                        CPT Code: 82205

                                        MEPROBAMATE (EQUANIL)
                                        (QUEST 635Z)
                                        Methodology: GCMS
                                                                                                          2 mL serum (R)
                                        Detection limit: 1 µg/mL
    LAB              EQUANIL                                                         Accompanies report
                                        Set up: Tues, Thurs
  EQUANIL                                                                                                 Minimum: 1.5 mL
                                        Report available: 4 days

                                        CPT Code: 83805


                                        MERCURY
                                        (QUEST 636X)
                                        Fish, shellfish, and kelp should not be
                                        consumed for at least one week before
                                        collection of specimen.                                           4 mL whole blood (DB EDTA)
   LAB           MERCURY, BLOOD         Methodology: ICP-MS                          Accompanies report
 MERCURY                                Detection limit: 4 µg/L                                           Minimum: 2.5 mL
                                        Set up: Mon, Wed, Fri
                                        Report available: Next day

                                        CPT Code: 83825


                                        MESORIDAZINE
                                        Referral test for Quest.
                                                                                                          2.0 mL serum (R)
                                        Methodology: GC
QUEST 232302                                                                                              ROOM TEMP
                Universal Requisition   Set up: Mon - Fri                            Accompanies report
  Univ. Req.
                                        Reprot available: 5 days
                                                                                                          Minimum: 0.5 mL
                                        CPT Code: 84022

                                                                                                          10 mL aliquot of 24-hr urine collection
                                    METANEPHRINES, FRACTIONATED,
                                                                                                          preserved with 25 mL of 50% acetic
                                    URINE
                                                                                                          acid or 25 mL 6N HCL during
                                    (QUEST 1498)
                                                                                                          collection. Alternative preservatives
               METANEPHRINES, FRAC, Methodology: HPLC
   LAB                                                                               Accompanies report   can be used (see Appendix A).
                       UR           Set up: Mon - Fri
METANEP UR                                                                                                Specify total 24-hr volume on request
                                    Report available: Next day
                                                                                                          form.
                                        CPT Code: 83835
                                                                                                          MinimumL 4 mL




                                                                   Page 114 of 342
    LAB                 OE
                                                           TEST                            REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                        PROCEDURE 115 of 342
                                                                Page                         RANGE                      REQUIREMENTS
  MNEMONIC             NAME


                                         METANEPHRINES, PLASMA                                                2 mL EDTA (L) plasma FROZEN
                                         (QUEST 19548)                                                        Please note: Overnight fasting is
                                         Methodology: LC/TMS                                                  preferred. Patients should be relaxed
                  METANEPHRINES
     LAB                                 Set up: Mon - Fri                               Accompanies report   in either a supine or upright position
                     PLASMA
  METANEP PL                             Report available: 2 days                                             before blood is drawn. Patient should
                                                                                                              avoid alcohol, coffee, tea, tobacco and
                                         CPT Code: 83835                                                      strenuous exercise prior to collection.


                                         METHACHOLINE CHALLENGE TEST -
                                         Refer to Respiratory Therapy


                                         METHADONE PRESUMPTIVE SCREEN
                                         Methodology: Immunoassay
                                         Detection limit: 300 ng/mL                                           30 mL random urine
  QUEST 19017
                 Universal Requisition   Set up: Mon - Fri                               Accompanies report
   Univ. Req.
                                         Report available: Next day                                           Minimum: 10 mL

                                         CPT Code: 80101


                                         METHADONE CONFIRMATION BY GCMS
                                         (QUEST 2082)
                                                                                                              5 mL serum (DB or R)
                                         Methodology: GCMS
                                                                                                              or
                                         Detection limit: 50 ng/mL
     LAB                                                                                                      30 mL random urine
                      LAB ONLY           Set up: Mon - Fri for urine                     Accompanies report
METHADONE CONF
                                                  Tues, Thurs for serum
                                                                                                              Minimum: 1.2 mL serum or 10 mL
                                         Report available: 3-4 days
                                                                                                              urine
                                         CPT Code: 80101


                                         METHANOL - See Alcohol, Methyl


                                         METHAQUALONE                                                         5 mL serum (DB or R)
                                         Methodology: GCMS                                                               or
                                         Detection limit: 0.05 µg/mL                                          15 mL random urine
   QUEST 645
                 Universal Requisition   Set up: Thurs                                   Accompanies report              or
   Univ. Req.
                                         Reprot available: 3 days                                             5 mL gastric contents or bile

                                         CPT Code: 82542                                                      Minimum: 1.5 mL



                                         METHAQUALONE PRESUMPTIVE SCREEN
                                         Methodology: EMIT
                                                                                                              30 mL random urine
                                         Detection limit: 0.3 µg/mL
  QUEST 19007                                                                                                 ROOM TEMP
                 Universal Requisition   Set up: Daily                                   Accompanies report
   Univ. Req.
                                         Report available: Next day
                                                                                                              Minimum: 10 mL
                                         CPT Code: 80101


                                         METHEGLOBIN - refer to Respiratory
                                         Therapy


                                         METHOTREXATE
                                         Methodology: FPIA                                                    1 mL serum (DB or R) or CSF; protect
                                         Detection limit: 0.01 umol/L                                         from light. Record hours from last
   QUEST 648
                 Universal Requisition   Set up: Mon - Sat                               Accompanies report   dose on specimen container.
   Univ. Req.
                                         Report available: Next day
                                                                                                              Minimum: 0.3 Ml
                                         CPT Code: 80299


                                         METHYL ALCOHOL - See Alcohol, Methyl




                                                                       Page 115 of 342
   LAB                 OE
                                                          TEST                           REFERENCE                      SPECIMEN
  ORDER               ORDER
                                                       PROCEDURE 116 of 342
                                                               Page                        RANGE                      REQUIREMENTS
 MNEMONIC             NAME

                                  METHYLENETETRAHYDROFOLATE
                                  REDUCTASE (MTHFR) DNA MUTATION
                                  ANALYSIS (QUEST 36165X)
                                  Methodology: Invader assay/signal                                         5 mL whole blood (L)
               METHYLENETETRAHYDR amplification                                                             ROOM TEMP
    LAB                                                                                Accompanies report
                    OFOLATE       Set up: Mon, Wed, Fri
   MTHFR
                                  Report available: 5 days

                                        CPT Code: 83891, 83892x2, 83896x4,
                                        83908x2, 83912



                                        METHYLMALONIC ACID, URINE
                                                                                                            100 mL aliquot of 24-hr urine
                                        Semi-quantitative screening procedure
                                                                                                            collection
                                        performed by thin-layer chromatography
                                                                                                                               or
QUEST 16508X                            Methodology: LC/TMS
                Universal Requisition                                                  Accompanies report   random urine without preservatives
  Univ. Req.                            Set up: Tues,Fri
                                                                                                                        FROZEN
                                        Report available: 5 days
                                                                                                            Minimum: 5 mL
                                        CPT Code: 82570, 83921


                                                                                                            2.0 mL serum (R), fasting
                                                                                                               FROZEN
                                  METHYLMALONIC ACID, QUANTITATIVE
                                  (MMA)
                                                                                                            Place the specimen in a refrigerator
                                  (QUEST 34879)
                                                                                                            or ice bath for 30 minutes after
                                  Methodology: GCMS
   LAB         METHYLMALONIC ACID                                                      Accompanies report   collection. Centrifuge the specimen
                                  Set up: Mon - Fri
METHYLMAL                                                                                                   as soon as possible after complete
                                  Reprot available: 3 days
                                                                                                            clot formation has taken place.
                                                                                                            Transfer serum to a plastic screw-
                                        CPT Code: 83921
                                                                                                            capped vial andc transport frozen
                                                                                                            Minimum: 0.5 mL


                                        MEXILETINE (MEXITIL)
                                        (QUEST 1806)
                                        Methodology: Gas Chromatography
                                                                                                            2 mL serum (R)
                                        Detection limit: 0.1 µg/mL
    LAB             MEXILETINE                                                         Accompanies report
                                        Set up: Tues, Thurs
 MEXILETINE                                                                                                 Minimum: 0.5 mL
                                        Reprot available: 5 days

                                        CPT Code: 80299

                                        MHA-TP - See Treponema pallidum
                                        Antibodies


                                        MICROALBUMIN/CREATININE GROUP
                                        Includes Microalbumin and
                                        microalbumin/creatinine ratio
                 MICROALB/CREAT         Methodology: Turbidometric/Colorimetric
    LAB                                                                                Accompanies report   10 mL random urine
                      RATIO             Set up: Daily
MICRO-CREA
                                        Report available: Same day

                                        CPT Code: 82043, 82570


                                        MICROHEMATOCRIT - See Hematocrit,
                                        Manual


                                        MICRO IDENTIFICATION
                                        Characterizes 16S or 18S bacteial and fungal                        non-dermatophyte fungi and AFB
                                        DNA                                                                 organisms submitted in PrepMan Ultra
     LAB
                                        Methodology: PCR (Sanger Method)                                    solution
  MICRO ID                                                                             Accompanies report
                                        Set up: M-F                                                         ROOM TEMP
LAB USE ONLY
                                        Report available: 1-3 days

                                        CPT Code: 87153




                                                                  Page 116 of 342
    LAB                 OE
                                                           TEST                          REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                        PROCEDURE 117 of 342
                                                                Page                       RANGE                      REQUIREMENTS
  MNEMONIC             NAME

                                         MITOTANE, SERUM
                                         (QUEST 11889)
                                                                                                            1 mLserum (R)
                                         Methodology: Gas Chromatography
                                                                                                            ROOM TEMP
     LAB              MITOTANE           Set up: Tues, Thurs                           Accompanies report
  MITOTANE                               Report available: 4 days
                                                                                                            Minimum: 0.5 mL
                                         CPT Code: 80299


                                         MIXING STUDIES - See Coag Mixing
                                         Studies

                                         MOLD IDENTIFICATION - See FUNGAL
                                         IDENTIFICATION, MOLD

                                         MONOSPOT (HETEROPHIL)
                                         Methodology: Latex agglutination
                                                                                                            1 mL serum (SS) or plasma (L)
                                         Set up: Daily
    LAB              HETEROPHIL                                                             Negative
                                         Report available: Same day
 HETEROPHIL                                                                                                 Minimum: 0.5 mL
                                         CPT Code: 86308


                                         MORPHINE
                                         Methodology: GCMS
                                         Detection limit: 50 ng/mL                                          5 mL serum (R), or post-mortem bile
 QUEST 183191
                 Universal Requisition   Set up: Tues, Fri                             Accompanies report
   Univ. Req.
                                         Report available: 3 days                                           Minimum: 1.5 mL

                                         CPT Code: 83925

                                                                                                            Nasal swab only.
                                         RAPID MRSA ADMITTED
    LAB                                                                                     Negative        Double Culturette (red top) with
 MRSA ADMIT     MRSA ADMISSION RAPID Methodology: Molecular DNA                                             Stuarts Media.
                       TEST          Set up: 24/7
                                     Report Available 2 hours                                               NICU ONLY: 2 Mini-tip swabs with
                                                                                                            Stuarts media.
                                         CPT Code: 87641
                                                                                                            Nasal swab only.
                                         RAPID MRSA TRANSFER
     LAB                                                                                    Negative        Double Culturette (red top) with
MRSA TRANSFER   MRSA TRANSFER RAPID Methodology: Molecular DNA                                              Stuarts Media.
                       TEST         Set up: 24/7
                                    Report Available 2 hours                                                NICU ONLY: 2 Mini-tip swabs with
                                                                                                            Stuarts media.
                                         CPT Code: 87641


                                         MTHFR - See Methylenetetrahydrofolate
                                         Reductase


                                         MUCOPOLYSACCHARIDES, ACID,
                                         QUALITATIVE - See Acid
                                         Mucopolysaccharides, Quantitative


                                                                                                            4 mL CSF, FROZEN
                                                                                                                AND
                                                                                                            2 mL serum (R), refrigerated
                                         MULTIPLE SCLEROSIS PANEL 2
                                         CSF/Serum albumin index, IgG/albumin ratio,
                                                                                                            Minimum: 3 mL CSF and 1 mL serum
                                         IgG index, IgG synthesis rate, Myelin basic
                                         protein, Oligoclonal proteint, CSF
                                                                                                            Instructions: The collection date and
 QUEST 7085X                             Methodology: Various
                 Universal Requisition                                                 Accompanies report   time must be the same for both
  Univ. Req.                             Set up: Mon - Fri
                                                                                                            specimens (maximum 12-hour
                                         Report available: Next day
                                                                                                            duration between CSF and serum
                                                                                                            draw times). Both CSF and serum
                                         CPT Code: 82040, 82042, 82784x2, 83873,
                                                                                                            must be sent for calculation of
                                         83716
                                                                                                            synthesis rate by nephelometry.
                                                                                                            CSF must be crystalline clear.




                                                                     Page 117 of 342
    LAB                  OE
                                                           TEST                         REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                        PROCEDURE 118 of 342
                                                                Page                      RANGE                      REQUIREMENTS
  MNEMONIC              NAME


                                     MUMPS VIRUS IgG ANTIBODIES
                                     Performed at CPAL
                                     The EIA is considerably more sensitive than
                                     the CF test and is recommended for
                                     determination of immune status in response                            1 mL serum (SS)
    LAB         MUMPS IGG ANTIBODIES to past infection or to vaccination.             Accompanies report
 MUMPS IGG                           Methodology: EIA                                                      FREEZE
                                     Set up: Mon and Thurs
                                     Report available: Next day

                                         CPT Code: 86735



                                         MUMPS VIRUS IgM ANTIBODIES
                                         (QUEST 53142)
                                         Methodology: EIA
                   MUMPS VIRUS IGM
    LAB                                  Set up: Tues, Thurs                          Accompanies report   1 mL serum (SS)
                     ANTIBODIES
 MUMPS IGM                               Report available: Next day

                                         CPT Code: 86735



                                         MUMPS VIRUS ANTIBODIES IgG and IgM
                                         (QUEST 54062)
                                         Methodology: EIA                                                  1 mL serum (R or SS)
                   MUMPS VIRUS
    LAB                                  Set up: Tues, Thurs                          Accompanies report
                 ANTIBODIES IGG IGM
MUMPS IGG IGM                            Report available: Next day                                        Minimum: 0.5 Ml

                                         CPT Code: 86735x2


                                         MURAMIDASE (LYSOZYME)
                                         (QUEST 5082)
                                                                                                           3.0 mL serum (SS)
                                         Methodology: Enzymatic
   LAB              MURAMIDASE /                                                                           FROZEN
                                         Set up: Mon, Thurs                           Accompanies report
MURAMIDASE           LYSOZYME
                                         Report available: Next day
                                                                                                           Minimum: 0.5 mL
                                         CPT Code: 85549


                                         MURINE TYPHUS ANTIBODIES - See
                                         Rocky Mountain Spotted Fever Antibodies,
                                         Typhus Fever Antibodies

                                    MUSK TITER ANTIBODY
                                    (QUEST 900489)
                                    Reference Sendout for Quest
    LAB                             Methodology: RIA
                MUSK TITER ANTIBODY                                                   Accompanies report   Minimum 2.0 mL serum (SS)
MUSK TITER AB                       Set up: Varies
                                    Report available: 16 days

                                         CPT Code: 83519




     LAB                                 MYCOBACTERIAL (AFB) IDENTIFICATION-
  MICRO ID                               See MICRO ID (Laboratory use only)
LAB USE ONLY




                                                                                                           1 mL serum (R)
                                         MYCOPHENOLIC ACID
                                         (QUEST 10662)                                                     Optimum time to collect sample: 0.5 to
                                         Methodology: LC/TMS                                               1 hour before next dose (trough) at
    LAB
                 MYCOPHENOLIC ACID       Set up: Mon - Sat                            Accompanies report   steady-state (3-5 days after treatment
MYCOPHENOLIC
                                         Report available: 2 days                                          with oral doses).

                                         CPT Code: 83789




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   MNEMONIC               NAME

                                            MYCOPLASMA DNA PROBE BY PCR
                                            Methodology: PCR
  QUEST 15498                               Set up: Daily
                    Universal Requisition                                                                       1 mL tissue FROZEN
   Univ. Req.                               Report available: 4 days

                                            CPT Code: 87581

                                            MYCOPLASMA PNEUMONIAE IgM
                                            ANTIBODIES
                                            Methodology: EIA                                                    1 mL serum (SS)
                       MYCOPLASMA
      LAB                                   Set up: Daily                                       Negative
                        ANTIBODIES
   MYCOANTB                                 Report available: Same day                                          Minimum: 0.5 mL

                                            CPT Code: 86738


                                            MYCOPLASMA PNEUMONIAE
                                            ANTIBODIES (IgG, IgM)
                                            (QUEST 21932)
                                                                                                                1 mL serum (SS)
     LAB               MYCOPLASMA           Methodology: EIA
                                                                                                Negative
 MYCO IGG-IGM       PNEUMONIAE IGG/IGM      Set up: Mon - Fri
                                                                                                                Minimum: 0.5 mL
                                            Report available: Next day

                                            CPT Code: 86738


                                            MYELIN BASIC PROTEIN
                                            (QUEST 663)
                                            Methodology: RIA                                                    1 mL CSF
     LAB            CSF MYELIN PROTEIN      Set up: Mon - Fri                              Accompanies report
  CSF MYELIN                                Report available: Next day                                          Minimum: 0.5 mL

                                            CPT Code: 83873



                                            MYASTHENIA GRAVIS PROFILE
                                            Effective 4/18/11, Profile has been
Test Discontinued
                                            discontinued. Please order the following                            2 mL serum (SS)
     4/18/11        MYASTHENIA GRAVIS
                                            tests individually: Acetylcholine Receptor     Accompanies report
       LAB               PROFILE
                                            Binding Antibody (206X, 8842) and Striated                          Minimum: 0.5 mL
MYAS GRAV PROF
                                            Muscle Antibody (266)




                                            MYASTHENIA GRAVIS PANEL 2
                                            (QUEST 126972)
                                            Includes Acetylcholine Receptor Binding
                                            Antibodies, Acetylcholine Receptor Blocking
                                            Antibodies and Acetylcholine Receptor
                                                                                                                2 mL serum (SS)
                    MYASTHENIA GRAVIS       Modulating Antibodies
     LAB                                                                                   Accompanies report
                         PANEL 2
MYAS GRAV PAN2                                                                                                  Minimum: 0.5 mL
                                            Methodology: RIA, Radiobinding Assay
                                            Set up: Mon, Thurs
                                            Report available: 3 days

                                            CPT Code: 83519x3


                                            MYOGLOBIN, QUANTITATIVE, URINE
                                            (QUEST 661)
                                            Methodology: Nephelometry                                           3.0 mL random urine, FROZEN
     LAB             MYOGLOBIN, URINE       Set up: Mon - Sat                              Accompanies report
  MYOGLOBUR                                 Report available: Next day                                          Minimum: 0.5 mL

                                            CPT Code: 83874


                                            MYOSITIS AUTOANTIBODY PROFILE
                                                                                                                2 (3 mL) tubes of serum (R).
                                            Methodology: RIA/EI
 QUEST 10185X                               Set up: Mon
                    Universal Requisition                                                  Accompanies report   Separate serum within 4 hours of
   Univ. Req.                               Report available: 15 - 24 days
                                                                                                                collection. Split serum into 2 plastic,
                                                                                                                transfer tubes, 3 mL in each.
                                            CPT Code: 83516x5, 86235x3


                                            MYSOLINE - See Primidone
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 MNEMONIC               NAME


                                     NABFERON (R) (IFN-B) ANTIBODY
                                     (Interferon-Beta IgG), MAID
                                     (QUEST 19509)
                                                                                                                2.0 mL serum (R)
                                     Referral test for Quest. Positive results will
                                     reflex at an additional charge to Interferon-
                                                                                                                Minimum: 1 mL
                INTERFERON-BETA IGG, Beta Antibody Neutralization Assay (IFNB)
     LAB                                                                                 Accompanies report
                        MAID
  IFN-B IGG                                                                                                     Collect sample at least 8 hours after
                                     Methodology: Multi-analyte Imunodetection
                                                                                                                interferon injection. Include
                                     Set up: Monday
                                                                                                                Interferon drug being used.
                                     Report available: 3 days

                                          CPT Code: 83520



                                          N-ACETYLPROCAINAMIDE - See
                                          Procainamide


                                    N-METHYL HISTAMINE, URINE
                                    (QUEST 49317)                                                               5.0 mL unpreserved 24-hour urine or
                                    Methodology: Colorimetric, Enzymatic,                                       random urine
                N-METHYL HISTAMINE, LC/TMS                                                                      Record total volume on specimen
     LAB                                                                                 Accompanies report
                      URINE         Set up: Tues, Thurs                                                         container.
N-METHYL HIST
                                    Report available: 5 days
                                                                                                                Minimum: 3 mL
                                          CPT Code: 83789



                                          NARCOLEPSY PANEL
                                          Methodology: PCR
                                                                                                                10 mL whole blood
                                          Set up: Mon - Fri
QUEST 34399Z                                                                                                    (Yellow top-ACD-A)
                 Universal Requisition    Report available: 8 day                        Accompanies report
  Univ. Req.                                                                                                          or
                                                                                                                5 mL whole blood (L)
                                          CPT Code: 83891, 83896x35, 83900, 83901,
                                          83912, 83898


                                          N TERMINAL SPECIFIC PTH - See
                                          Parathyroid Hormone (Quest 5373)


                                          N DNA - See Anti-dsDNA


                                          NASAL EOSINOPHILS
                                          Methodology: Microscopic exam
                                                                                         < 20% of total white
                  EOSINOPHIL COUNT        Set up: Daily
    LAB                                                                                  blood cells per high   2 nasal smears
                       NASAL              Report available: Next day
  EOSNAS                                                                                     power field
                                          CPT Code: 89190




                                                                                                                Recommended specimens:
                                          NEISSERIA GONORRHOEAE BY PCR                                          Female: Endocervical swab. Use kits
                                          Performed at CPAL                                                     provided from CPAL
                                          NOTE: The PCR test for C. trachomatis can                             Males: MINIMUM 20 mL random
                                          be run from the same specimen. If both tests                          urine or urethral swab provided from
                                          are desired, order appropriate STD Probe                              CPAL
                 NEISSERIA GONORR
     LAB                                  Panel.                                              Negative
                       DNA
NEI GON DNA                               Methodology: PCR                                                      Specimens collected from other body
                                          Set up: Mon - Fri                                                     sites will be rejected.
                                          Report available: 3 days
                                                                                                                **For collection and testing of
                                          CPT Code: 87591                                                       specimens from non-genital or urine
                                                                                                                sources see GCCULT **




                                          NEMBUTAL - See Pentobarbital


  LAB MISC                                NEO-GEN (NEWBORN SCREENING) - FMU
                 Universal Requisition
                                          has supplies for draw


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   MNEMONIC              NAME

                                           NEONATAL HEMOGLOBINOPATHY - See
                                           Hemoglobin, Neonate


                                           NEURON-SPECIFIC ENOLASE
                                           Methodology: EIA
 QUEST 34476X                              Set up: Tues, Fri
                   Universal Requisition                                                 Accompanies report   1 mL serum (R)
   Univ. Req.                              Report available: 3 days

                                           CPT Code: 86316

                                           NEURONAL NUCLEAR (Hu) ANTIBODY -
                                           See Hu Antibody

                                           NEURONTIN - See Gabapentin


                                   NeoSensory NEUROPATHY
                                   PARANEOPLASTIC PROFILE
                                   (QUEST 900136 - referred to Athena
                                   Diagnostics, Inc)
                                   Panel includes Recombx ™ CV2 Antibody
                                   Test, Recombx ™ Hu Antibody Test,
                                                                                                              4 mL serum (R)
      LAB          NEUROPATHY      Amphipysin Antibody Test. Informed consent
                                                                                         Accompanies report
NEUR PARA PROF PARANEOPLASTIC PROF is not required.
                                                                                                              Minimum: 2 mL
                                           Methodology: ELIA, WB
                                           Set up: Mon - Fri
                                           Report available: 16 days

                                           CPT Code: 83520, 84181, 84182



                                           NEUTROPHIL ANTIBODIES - See Anti-PR3


                                           NH3 - See Ammonia



                                           NICOTINE and METABOLITES,SERUM
                                           (QUEST 90642)
                                           Methodology: TC/TMS                                                1.4 mL serum (R)
     LAB             NICOTINE AND
                                           Set up: Mon, Wed, Fri                         Accompanies report
  NICOTINE S      METABOLITES,SERUM
                                           Report available: 4 days                                           Minimum: 0.35 mL

                                           CPT Code: 83887




                                           NICOTINE and METABOLITE, URINE
                                           (QUEST 90646)                                                      5 mL Random Urine
                                           Methodology: GC/MS
      LAB
                     NICOTINE AND          Set up: Mon,Wed Fri                           Accompanies report   Minimum: 2.5 mL
  NICOTINE UR
                   METABOLITE, URINE       Report available: 4 days
                                                                                                              Urine cup, keep refrigerated
                                           CPT Code: 83887



                                           NIFEDIPINE (ALDOLAT)
                                           Referral test for QUEST
                                                                                                              3 mL serum (R)
                                           Methodology: HPLC
  QUEST 6225X                                                                                                       or
                   Universal Requisition   Set up: Wed                                   Accompanies report
   Univ. Req.                                                                                                 3 mL plasma (L)
                                           Report available: 3 days
                                                                                                              FROZEN and protect from light
                                           CPT Code: 80299

                                           NORDIAZEPAM - See Diazepam


                                           NOREPINEPHRINE, EPINEPHRINE,
                                           DOPAMINE - See Catecholamines


                                           NORPACE - See Disopyramide


                                                                       Page 121 of 342
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  MNEMONIC                NAME

                                            NORPRAMIN - See Desipramine


                                            NORPROPOXYPHENE - See Propoxyphene



                                     NORTHEAST REGIONAL MIXED PANEL #1
                                     (QUEST 4306)
                                     See page 1 of Appendix A for allergans
                                     included.                                                               4.5 mL serum (SS)
     LAB                             Methodology: FEIA                                  Accompanies report
                  NORTHEAST REGIONAL
  NE REGION                          Set up: Mon - Fri                                                       Centrifuge within 1 hour of collection
                                     Report available: Next day

                                            CPT Code: 86003x21



                                            NORTRIPTYLINE (AVENTYL)                                          3.0 mL serum (R)
                                            (QUEST 272)
                                            Methodology: HPLC                                                Minimum: 1.2 mL
                                            Detection limit: 5 ng/mL
     LAB                 AVENTYL                                                        Accompanies report
                                            Set up: Mon - Fri                                                If medication is taken at bedtime, draw
   NORTRIP
                                            Report available: 2 days                                         blood 10-12 hours later. For a more
                                                                                                             frequent dosage schedule, draw blood
                                            CPT Code: 80182                                                  just before receiving medication.


                                            N-PEPTIDE INSULIN - See Insulin, Free &
                                            Total

                                            N-TELOPEPTIDE URINE - See Osteomark


                                            NTX - See Osteomark

                                            5' NUCLEOTIDASE
                                            (QUEST 14624)
                                                                                                             1 mL serum (SS)
                                            Methodology: Colorimetric, Kinetic
       LAB
                    5' NUCLEOTIDASE         Set up: Sun - Fri                           Accompanies report
5' NUCLEOTIDASE
                                            Report available: 1 day
                                                                                                             Minimum: 1 mL
                                            CPT Code: 83915


                                                                                                             6.0 mL whole blood (Pink)
                                            OBSTETRICS PANEL
                                                                                                             AND
      LAB                                   CBC, HbsAg, Rubella, RPR, Type and Screen
                   Order individual tests                                                                    6.0 mL serum (SS)
    OBS PAN
                                                                                                             AND
  (Order Group)                             CPT Code: 80055
                                                                                                             5.0 mL whold blood (L)


                                            OCCULT BLOOD
                                            Methodology: Guiac
                                                                                                             Random stool in a clean container with
                                            Set up: Daily
     LAB                                                                                                     no preservative or prepared occult
                                            Report available: Same day
   OCCBLD         OCCULT BLOOD,STOOL                                                         Negative        blood slide.
      or
                                            CPT Code: 82270 (OCCBLD)
 OCCBLDDIAG                                                                                                  Minimum: 1 gram
                                                       82272 (OCCBLDDIAG)



                                            OLIGOCLONAL PROTEINS IN CSF/SERUM
                                            (QUEST 674X)
                                                                                                             2 mL CSF and 2 mL serum (SS)
                                            Includes IgG/total protein ratio
                                                                                                             Specimens must be drawn within 24
                                            Methodology: Immunofixation
                   CSF OLIGOCLONAL                                                                           hours of each other.
     LAB                                    electrophoresis                             Accompanies report
                       PROTEIN
  CSF OLIGO                                 Set up: Mon - Fri
                                                                                                             Minimum: 1 mL CSF and 1 mL
                                            Report available: 4 days
                                                                                                             serum.
                                            CPT Code: 83916




                                                                      Page 122 of 342
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  MNEMONIC            NAME

                                        OPIATE PRESUMPTIVE SCREEN
                                        (Screen for morphine, morphine glucuronide,
                                        and codeine)
                                        Methodology: EMIT                                                   30 mL random urine
QUEST 14539X
                Universal Requisition   Detection limit: 300 ng/mL of morphine        Accompanies report
  Univ. Req.
                                        Set up: Mon - Fri                                                   Minimum: 10 mL
                                        Report available: Next day

                                        CPT Code: 80101


                                        OPIATE SCREEN WITH CONFIRMATION
                                        Screens for opiate metabolites and
                                        confirmations performed if indicated.
                                        Methodology: Immunoassay                                            20 mL random urine
                OPIATE SCREEN WITH
     LAB                                Detection limit: 300 ng/mL of morphine        Accompanies report
                     CONFIRM
OPIATE SCREEN                           Set up: Mon - Fri                                                   Minimum: 15 mL
                                        Report available: 4 days

                                        CPT Code: 80101


                                        OPIATE VERIFICATION BY GCMS
                                        (Includes morphine, codeine, hydromorphone,                         15 mL random urine
                                        hydrocodone, oxycodone)                                                     -or-
 QUEST 2090                             Methodology: GCMS                                                   5 mL serum (DB or R), meconium,
                Universal Requisition                                                 Accompanies report
  Univ. Req.                            Set up: Mon, Thurs                                                  gastric contents, or bile
                                        Report available: 3 days
                                                                                                            Minimum: 1.5 mL
                                        CPT Code: 83925


                                        ORGANIC ACID, URINE, QUALITATIVE
                                        Referral test for Quest
                                        Methodology: GCMS                                                   15 mL random urine,
QUEST 10049X
                Universal Requisition   Set up: Tues, Fri                             Accompanies report    SPLIT INTO 2 CONTAINERS -
  Univ. Req.
                                        Report available: 8 days                                            FROZEN

                                        CPT Code: 83919


                                        OSMOLALITY, FECES
                                        Methodology: Freezing Point depression                            5.0 mL liquid stool; will not accept
  QUEST 968                             Set up: Mon - Fri                             Reference range not formed stool
                Universal Requisition
  Univ. Req.                            Report available: Next day                        established
                                                                                                          FROZEN
                                        CPT Code: 84999


                                        OSMOLALITY, SERUM
                                        Methodology: Freezing point depression
                                                                                                            1 mL serum (SS)
                                        Set up: Daily
     LAB           OSMOLALITY                                                         275 - 295 mOsm/kg
                                        Report available: Same day
    OSMO                                                                                                    Minimum: 0.5 mL
                                        CPT Code: 83930


                                        OSMOLALITY, URINE
                                        Methodology: Freezing Point Depression
                                                                                                            3 mL urine
                                        Set up: Daily
    LAB         OSMOLALITY,URINE                                                      50 - 1200 mOsm/kg
                                        Report available: Same day
   UOSMO                                                                                                    Minimum: 0.5 mL
                                        CPT Code: 83935



                                        OSTEOMARK COLLAGEN CROSS-LINKED
                                        N-TELOPEPTIDE
                                        (QUEST 36167X)
                    COLLAGEN                                                                                2 mL urine, second morning void
                                        Methodology: CA
    LAB           CROSSLINKED/                                                        Accompanies report
                                        Set up: Mon - Sat
 OSTEOMARK         OSTEOMARK                                                                                Minimum 1 mL
                                        Report available: Next day

                                        CPT Code: 82523, 82570




                                                                  Page 123 of 342
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 MNEMONIC             NAME



                                        OVA AND PARASITES, Stool Concentrate
                                        & Permanent Smear
                                        (QUEST 681X)
                                        If stool is soft or liquid, send PVA and 10%
                                        formalin. If parasitic infestation is strongly
                                        suspected, there should be at least three                             Collect enough specimen to fill both
                                        stool specimen collections and examinations                           PVA and 10% formalin containers to
                                        since a single specimen can be negative. For                          the level indicated on the containers.
    LAB           OVA & PARASITE        optimum recovery, specimens should be            Accompanies report   Mix well. Containers are available
    OP                                  collected every other day. If Giardia is                              from the Laboratory.
                                        strongly suspected, see Giardia Specific
                                        Antigen-65 (Quest 3471).                                              ROOM TEMPERATURE
                                        Methodology: Smear
                                        Set up: Daily
                                        Report available: 5 days

                                        CPT Code: 87209, 87177



                                        OVA AND PARASITES, URINE
                                        Methodology: Smear
 QUEST 2127                             Set up: Daily
                Universal Requisition                                                    Accompanies report   20 mL random urine
  Univ. Req.                            Report available: 3 days

                                        CPT Code: 87177

                                                                                                              10 mL aliquot of 24-hr urine,
                                    OXALATE (OXALIC ACID), 24 HR URINE
                                                                                                              preserved with 30 mL of 6N HCL
                                    (QUEST 11318X)
                                                                                                              during collection. Alternative
                                    Methodology: Spectrophotometric
                                                                                                              preservatives cannot be used.
    LAB        OXALATE, 24 HR URINE Set up: Mon, Wed, Fri                                Accompanies report
                                                                                                              Specify total 24-hr volume on request
  OX 24 UR                          Report available: Next day
                                                                                                              form.
                                        CPT Code: 83945
                                                                                                              Minimum: 1 mL

                                        OXAZEPAM                                                              2.5 mL serum (DB, R)
                                        Methodology: HPLC                                                            or
                                        Detection limit: 20 ng/mL                                             2 mL plasma (L)
 QUEST 90855
                Universal Requisition   Set up: Tues, Thurs                              Accompanies report
  Univ. Req.
                                        Report available: 5 days                                              FROZEN

                                        CPT Code: 80154                                                       Minimum: 1.0 mL


                                        OXCARBAZEPINE (TRILEPTAL)
                                        (QUEST 36637Z)                                                        1 mL serum (R)
                                        Methodology: LC/TMS                                                       or
    LAB           OXCARBAZEPINE         Set up: Mon - Sat                                Accompanies report   1 mL plasma (L)
OXCARBAZEP                              Report available: 2 days
                                                                                                              Minimum: 0.5 mL
                                        CPT Code: 83789


                                   OXYCODONE, SCREEN AND
                                   CONFIRMATION, URINE
                                   (QUEST 14450)
                                                                                                              20 mL random urine
               OXYCODONE, SCREEN & Methodology: Immunoassay
    LAB                                                                                  Accompanies report
                   CONF, URINE     Set up: Mon - Fri
OXYCODONE UR                                                                                                  Minimum: 2 mL
                                   Report available: 3 - 4 days

                                        CPT Code: 80101


                                        OXYTRIPHYLLINE - See Theophylline


                                        P-ANCA - See Anti-Myeloperoxidase




                                                                    Page 124 of 342
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  MNEMONIC                NAME


                                            PACKED CELLS
                                            Includes ABORh and antibody screen.
                                            Methodology: Hemeagglutination
                    PACKED CELLS (RED
                                            Set up: Daily
                  BLOOD CELLS)- Effective                                                                   6.0 mL whole blood (Pink) properly
      BB                                    Report available: Same day
                   4/27/11 Use LRPRBC to                                                                    labeled with Blood Bank armband
      PC
                  order PC. PC inactivated.
                                            For Type & Screen order TS

                                            CPT Code: 86900, 86901, 86850 + product


                                            PAMELOR- See Nortriptyline

                                            PARAINFLUENZA (1,2,3) VIRUS
                                            ANTIBODIES
                                            (QUEST 7691)
                                                                                                            1 mL serum (SS)
                                            Methodology: CF
     LAB           PARAINF VIRUS ANTIB                                                 Accompanies report
                                            Set up: Mon - Fri
   PARA AB                                                                                                  Minimum: 0.5 mL
                                            Report available: 2 days

                                            CPT Code: 86790x3


                                      PARAINFLUENZA VIRUS CULTURE
                                      Methodology: Rapid Culture
                                                                                                            Nasopharyngeal or tracheal swab in
     LAB          PARAINFLUENZA VIRUS Set up: Daily
                                                                                       Accompanies report   Microtest; nasal turbinate swab in
 PARAINF CULT           CULTURE       Report available: 5 days
                                                                                                            Microtest
                                            CPT Code: 87254x3


                                                                                                            5 mL nasal wash or aspirate in sterile,
                                      PARAINFLUENZA VIRUS DIRECT IF
                                                                                                            leakproof container
                                      (QUEST 5398)
                                                                                                            or
                                      Methodology: Direct Immunoflourescence
     LAB          PARAINFLUENZA VIRUS                                                                       3 mL nasal turbinate, wash, aspirate in
                                      Set up: Mon - Fri                                Accompanies report
  PARAINF DIF          SMEAR DIF                                                                            VCM Transport Medium or M4
                                      Report available: Next day
                                                                                                            Transport Medium
                                            CPT Code: 87206
                                                                                                            Minimum: 3 mL

                                            PARANEOPLASTIC ANTIBODIES - See
                                            Neuronal Nuclear Antibody

                                            PARASITE IDENTIFICATION
                                                                                                            Suspected parasite in a clean
     LAB                 LAB ONLY
                                                                                                            container labeled with patient name.
  PARASITE ID                               CPT Code: 87169



                                            PARATHYROID HORMONE, INTACT
                                                                                                            1 ml blood (Gn -Li (PST))
                                            Report includes calcium
                                                                                                                   or
                   PARATHY HORMONE,         Methodology: Chemiluminescence
      LAB                                                                              Accompanies report   1 mL serum (SS)
                        INTACT              Set up: Daily
  PTH, INTACT
                                            Report available: Same day
                                                                                                            Minimum: 0.5 mL
                                            CPT Code: 83970, 82310




                                        INTACT PTH PROFILE #1
                                        (QUEST 1316)
                                        Contains calcium, phosphorus, creatinine                            2.0 mL serum (SS)
                                        w/eGFR, PTH intact and PTH nomogram                                 FREEZE IMMEDIATELY AFTER
      LAB
                  INTACT PTH PROFILE #1 Methodology: Immunoassay                       Accompanies report   CENTRIFUGATION.
PTH INTACT PROF
                                        Set up: Mon - Fri
                                        Report avail: 2 days                                                Minimum: 0.5 mL

                                            CPT Code: 82310, 82565, 83970,84100




                                                                     Page 125 of 342
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                                                 PROCEDURE 126 of 342
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MNEMONIC           NAME

                                   PARATHYROID HORMONE,
                                   INTRAOPERATIVE,

                                   Performed as a STAT test from the O.R.                           1 ml blood (Gn -Li (PST))
  LAB       PTH-INTRAOPERATIVE                                                 Accompanies report
                                   Methodology: Chemiluminescence
 PTH-IO
                                   Set up: Daily                                                    Minimum: 0.5 mL
                                   Report available: Same day

                                   CPT Code: 83970

                                                                                                    0.5 mL Plasma Sodium heparin
                                                                                                    (Green-top tube): Draw blood into
                                                                                                    green-top tube. Following the blood
                                 PARATHYROID HORMONE RELATED                                        collection, mix the tube by inverting
                                 PROTEIN (PTH-RP)                                                   gently. Centrifuge the specimen as
                                 (QUEST 34478)                                                      soon as possbile for at least 15
  LAB                            Methodology: Immunoassay                                           minutes. Transfer the plasma to a
            PTH- RELATED PROTEIN                                               Accompanies report
 PTH-RP                          Set up: Tues, Fri                                                  plastic transport tube and ship at
                                 Report avail: 4 days                                               ROOM TEMPERATURE. Mark the
                                                                                                    specimen type as plasma on the
                                   CPT Code: 83519                                                  transport tube. DO NOT submit
                                                                                                    unspun tubes.

                                                                                                    Minimum: 0.5 mL

                                                                                                    0.5 mL Plasma Sodium heparin
                                   PARIETAL CELL ANTIBODIES - See
                                                                                                    (Green-top tube): Draw blood into
                                   Gastric Parietal Cell Antibody
                                                                                                    green-top tube. Following the blood
                                   PAROXYSMAL NOCTURNAL
                                   HEMOGLOBINURIA - See Sucrose
                                   Hemolysis Test
                                   PARTIAL THROMBOPLASTIN TIME,
                                   ACTIVATED - See Activated Partial
                                   Thromboplastin Time




                                                                                                    1.0 mL Plasma: LAV EDTA or ACD or
                                                                                                    in Plasma Preparation Tubes (PPTs).
                                                                                                    Store collected whole blood at room
                                                                                                    temperature and separate plasma
                                                                                                    from cells within 2 hours of collection.
                                                                                                    Transfer plasma to sterile, plastic,
                                                                                                    screw-capped tubes and store
                                                                                                    refrigerated or frozen. If
                                                                                                    blood is collected in a PPT tube,
                                                                                                    centrifuge within 2 hours of collection
                                   PARVOVIRUS B19 DNA, QUALITATIVE RT-                              and store refrigerated or frozen. It is
                                   PCR                                                              not necessary to transfer the plasma
                                                                                                    from a PPT tube to aliquot tubes.
                                (QUEST 5319)                                                        Whole blood and bone marrow:
   LAB      PARVOVIRUS B19 DNA, Methodology: RT-PCR                            Accompanies report   Collect in sterile tubes containing
PARVO DNA       QL RT-PCR       Set up: Daily                                                       EDTA or ACD as anticoagulant. Store
                                Report available: Next day                                          and ship refrigerated. Do not freeze.
                                                                                                    Amniotic fluid: Collect in a sterile,
                                   CPT Code: 87798                                                  leakproof container and refrigerate for
                                                                                                    storage and transport.
                                                                                                    Serum: Collect blood in sterile tubes
                                                                                                    without anticoagulant; (SS, serum
                                                                                                    separator tube) is recommended.
                                                                                                    Allow blood to clot at room
                                                                                                    temperature and separate serum from
                                                                                                    cells within 2 hours of collection.
                                                                                                    Transfer serum to sterile, plastic,
                                                                                                    screw-capped aliquot tubes.




                                                             Page 126 of 342
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 MNEMONIC             NAME

                                        PARVOVIRUS B19 IgG and IgM AB, ACUTE
                                        (QUEST 8946)
                                        Methodology: EIA                                                     2 mL serum (SS)
    LAB         PARVOVIRUS ELISA        Set up: Mon - Sat                               Accompanies report
PARVO ACUTE                             Report available: Next day                                           Minimum: 0.5 mL

                                        CPT Code: 86747x2


                                  PARVOVIRUS B19 IgG and IgM AB,
                                  CONVALESCENT
                                  (QUEST 3483)
                                                                                                             2 mL serum (SS)
                   PARVO B19      Methodology: EIA
   LAB                                                                                  Accompanies report
               CONVALESCENT PANEL Set up: Mon - Sat
PARVO CONV                                                                                                   Minimum: 0.5 mL
                                  Report available: Next day

                                        CPT Code: 86747x2


                                        PCP (PHENCYCLIDINE) VERIFICATION
QUEST 6251X
                                        AND QUANTITATION BY GCMS
   urine                                                                                                     5 mL plasma (DB)
                                        Methodology: GCMS
 Univ. Req.                                                                                                        or
                                        Detection limit: 5 ng/mL
                Universal Requisition                                                   Accompanies report   15 mL urine
                                        Set up: Tues,Thurs
QUEST 34007X
                                        Report available: 4 days
   plasma                                                                                                    Minimum: 1 mL
  Univ. Req.
                                        CPT Code: 83992


                                        PCP (PNEUMOCYSTIS CARINII
                                        PNEUMONIA)
                                                                                                             Sputum or bronchial washing
                                        Order a cytology - specimen foes to Histology
                                        for stain


                                        PNEUMOCYSTIS CARINII (JIROVECI), DFA
                                        See P CARINII DFA


                                        PENTOBARBITAL
                                        Methodology: GCMS                                                    2 mL serum (R)
                                        Detection limit: 0.1 µg/mL                                                   or
QUEST 700X
                Universal Requisition   Set up: Daily                                   Accompanies report   15 mL urine or gastric contents
 Univ. Req.
                                        Report available: 3 days
                                                                                                             Minimum: 0.5 mL
                                        CPT Code: 82205

                                        PENTOTHAL
                                        Methodology: HPLC                                                    1 mL serum (R)
                                        Detection limit: 1 µg/mL                                                 or
QUEST 4416X
                Universal Requisition   Set up: Mon - Fri                               Accompanies report   1 mL plasma (L or DB)
 Univ. Req.
                                        Report available: 2 days
                                                                                                             Minimum: 0.3 mL
                                        CPT Code: 82205


                                        PERIPHERAL SMEAR - See Differential


                                        PERTOFRANE - See Desipramine


                                        PERTUSSIS - See Bordetella

                                        PFA 100 - See Platelet Function Analysis


                                        pH, BODY FLUID
                                        Methodology: Potentiometric
                                                                                                             3.0 mL fluid (Gn)
                                        Set up: Daily
    LAB           PH BODY FLUID                                                         Accompanies report   Submit to Respiratory Therapy
                                        Report available: Next day
PH BDY FLD                                                                                                   Department after order is placed.
                                        CPT Code: 83986




                                                                     Page 127 of 342
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 MNEMONIC             NAME

                                        pH, FECAL
                                        Methodology: Potentiometric                                          5 grams random stool specimen,
QUEST 1304X                             Set up: Mon - Fri                                                    FROZEN
                Universal Requisition                                                   Accompanies report
 Univ. Req.                             Report available: Next day
                                                                                                             Minimum: 1 g
                                        CPT Code: 83986

                                                                                                             5 mL blood (Gn - Lithium)
                                        pH, VENOUS
                                                                                                             Submit to Respiratory Therapy
                                        Contact Respiratory Therapy Department
   LAB            PH/CO VENOUS                                                                               Department after order is placed.
 PHCO VEN
                                        CPT Code: 82800
                                                                                                             Minimum: 2 mL


                                        PHENOBARBITAL
                                                                                                             1 ml blood (Gn -Li (PST))
                                        Methodology: Immunoassay
                                                                                                                      or
                                        Set up: Daily                                   Therapeutic: 15 - 40
   LAB           PHENOBARBITAL                                                                               1 mL serum (SS))
                                        Report available: Same day                            µg/mL
PHENOBARB
                                                                                                             Minimum: 0.3 mL
                                        CPT Code: 80184


                                        PHENOLPHTHALEIN, STOOL
                                        Methodology: Colorimetric
QUEST 17085Z                            Set up: Mon - Fri
                Universal Requisition                                                   Accompanies report   10 g random stool
  Univ. Req.                            Report available: Next day

                                        CPT Code: 84311

                                        PHENYLALANINE, BLOOD
                                                                                                             0.4 mL plasma (Gn, sodium heparin)
                                        Methodology: LC/TMS
                                                                                                             FROZEN
QUEST 37356                             Set up: Tues, Thurs
                Universal Requisition                                                   Accompanies report
 Univ. Req.                             Report available: 5 days
                                                                                                             Minimum: 0.2 mL
                                        CPT Code: 84030


                                        PHENYTOIN (DILANTIN)
                                                                                        Therapeutic: 10 - 20 1 ml blood (Gn -Li (PST))
                                        Methodology: Immunoassay
                                                                                               µg/mL                  or
                                        Set up: Daily
    LAB              DILANTIN                                                                                 1 mL serum (SS)
                                        Report available: Same day
    DILA                                                                               Toxic: Greater than 30
                                                                                               µg/mL          Minimum: 0.5 mL
                                        CPT Code: 80185

                                        PHENYTOIN, FREE
                                        Methodology: FPIA                                                    1 mL plasma (L)
                                        Detection limit: 0.1 µg/mL                                                 or
QUEST 3189X
                Universal Requisition   Set up: Mon - Sat                               Accompanies report   1 mL serum (R or DB)
 Univ. Req.
                                        Report available: Next day
                                                                                                             Minimum: 0.5 mL
                                        CPT Code: 80186

                                  PHOSPHATIDYLSERINE IgG, IgM, IgA
                                  ANTIBODY PANEL
                                  (QUEST 5295)
                                                                                                             1.0 mL plasma (LB)
               PHOSPHATIDYLSERINE Methodology: EIA
   LAB                                                                                  Accompanies report
                     PANEL        Set up: Tues, Thurs
PHOSPHATID                                                                                                   Minimum: 0.3 mL
                                  Report available: Next day

                                        CPT Code: 86148x3


                                        PHOSPHOLIPID ANTIBODY PANEL -
                                        (QUEST 148908)
                                        Includes Beta -2 Glycoprotein antibodies,
                                        Cardiolipin antibodies, Phosphatidylserine
                                                                                                             5 mL serum (SS)
                 PHOSPHOLIPID AB        antibodies and interpretation.
   LAB                                                                                  Accompanies report
                     PANEL              Methodology: various
PHOS PANEL                                                                                                   Minimum: 2.3 mL
                                        Set up: Tues, Thurs
                                        Report available: Next day

                                        CPT Code: 86146x3, 86147x3, 86148x3




                                                                     Page 128 of 342
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MNEMONIC            NAME

                                      PHOSPHOLIPIDS
                                      Methodology: Spectrophotometric
                                                                                                           1.0 mL serum (R), No SS tubes
QUEST 717X                            Set up: Mon, Thurs
              Universal Requisition                                                   Accompanies report
 Univ. Req.                           Report available: Next day
                                                                                                           Minimum: 0.5 mL
                                      CPT Code: 84311


                                      PHOSPHORUS
                                                                                                           1 ml blood (Gn -Li (PST))
                                      Methodology: Colorimetricc
                                                                                                                    or
                                      Set up: Daily
   LAB           PHOSPHORUS                                                           Accompanies report   1 mL serum (SS)
                                      Report available: Same day
  PHOS
                                                                                                           Minimum: 0.5 mL
                                      CPT Code: 84100


                                      PHOSPHORUS, URINE
                                      (QUEST 11319X)
                                                                                                           10 mL aliquot of 24-hr urine collection
                                      Methodology: Spectrophotometric
              PHOSPHORUS 24 HR                                                                             preserved with 25 mL HCL
   LAB                                Set up: Daily                                   Accompanies report
                   URINE
 PHOS UR                              Report available: 1day
                                                                                                           Minimum: 2.0 mL
                                      CPT Code: 84105



                                      PINWORM EXAM
                                      A microscopic examination is conducted for
                                      Enterobius vermicularis ova.
                                                                                                           Call Microbiology Dept (738-6415) for
                                      Methodology: Microscopic
   LAB          PINWORM EXAM                                                            None detected      information about collection technique
                                      Set up: Mon - Fri
PINWORM                                                                                                    and container.
                                      Report available: Next day

                                      CPT Code: 87169



                                      PLATELET AGGREGATION STUDY
                                      Sent to Lancaster General Hospital. LGH                              Collect 1 red top tube. Contact courier
                                      performs test daily at 11 AM Monday - Friday.                        requesting specimen delivery to LGH
                                      STAT testing is not available. If drawing                            Core Lab, preferably before 11AM.
                                      specimen on shifts other than dayshift, leave                        Call LGH at 544-4317. Inform them
                                      a note in Specimen Processing for dayshift to                        that a HIPA test will be delivered to
                                      arrange transportation to LGH.                                       them. If the specimen will not arrive at
                                                                                                           LGH by 11 AM on the day of
                                      * Complete LGH patient history form and
              HEPARIN INDUCED PT                                                                           collection, aliquot specimen into 2
   LAB                                LGH test requisition form. (Forms are           Accompanies report
                   AG (LGH)                                                                                plastic tubes and FREEZE.
HEP IND PL                            available in folder in Specimen Processing
                                      Department.) Send forms to LGH along
                                                                                                           If drawing from line 1/2 cc in one tube,
                                      with the specimen.
                                                                                                           20 cc's must be discarded; the rest in
                                      *As of 1/03 the floors have HIPA forms to
                                                                                                           the other.
                                      complete and send with specimen to lab.
                                      Flag re: in Unity.
                                                                                                           FOR OPT - Secretary must fax HIPA
                                                                                                           form to ordering physician.
                                      CPT Code: 86022




                                      PLATELET AGGREGATION STUDY NON
                                      HEPARIN INDUCED
    LAB                               Patients must go to HMC for this test.
              Universal Requisition
 Univ. Req.                           Specimens cannot be sent. Patient must
                                      schedule this test with the Special
                                      Hematology Lab at HMC. Call 531-8559.



                                      PLATELET ANTIBODY, DIRECT (IgG)
                                      (QUEST 2811)
                                      Detects antibody bound directly to platelets.                        Two 5 mL whole blood EDTA (L) tubes
   LAB        PLATELET ANTIBODY       Methodology: Microtiter Plate                                        stored at ROOM TEMP
                                                                                      Accompanies report
PLT AB DIR         DIRECT             Set up: Daily
                                      Report available: Next day                                           Minimum: 5 mL

                                      CPT Code: 86022




                                                                  Page 129 of 342
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  MNEMONIC             NAME

                                         PLATELET ANTIBODY, INDIRECT (IgG)
                                         (QUEST 16288)
                                         Detects platelet antibody in plasma.
                 PLATELET ANTIBODY       Methodology: ELISA
     LAB                                                                            Accompanies report   3.0 mL plasma (L) FREEZE
                      INDIRECT           Set up: Mon, Wed, Fri
  PLT AB IND
                                         Report available: Next day

                                         CPT Code: 86022X4


                                                                                                         Call Quest for special instructions if
                                         PLATELET ASSOCIATED ANTIBODY
                                                                                                         platelet count is 5000/mm3 or less.
                                         PANEL (IgG, IgA, IgM)
                                                                                                         14 mL ACD whole blood (Y). Collect 2
                                         Methodology: FC
 QUEST 34450X                                                                                            tubes.
                 Universal Requisition   Set up: Tues,Thurs                         Accompanies report
   Univ. Req.                                                                                            Specimens only accepted Mon -
                                         Report available: 3 days
                                                                                                         Thurs.
                                         CPT Code: 86023x3
                                                                                                         Minimum: 10 mL


                                                                                                         5 mL blood (L); Maintain at ambient
                                         PLATELET COUNT                                                  temperature. For patients with known
                                         Methodology: Automated                                          platelet clumping, submit full sodium
                                         Set up: Daily                                                   citrate tube (LB) also. Make note
     LAB          PLATELET COUNT                                                     140 - 440 x 109/L
                                         Report available: Same day                                      under Special Instructions on request
     PLT
                                                                                                         form.
                                         CPT Code: 85049
                                                                                                         Minimum: 1 mL

                                         PLATELET FUNCTION ANALYSIS
                                                                                                         2 tubes 4.5 mL whold blood (LB).
                                         Methodology: Shear Flow Stress
                                                                                                         ROOM TEMPERATURE.
                 PLATELET FUNCTION       Set up: Daily
     LAB                                                                            Accompanies report   Must be received within 4 hours of
                     ANALYSIS            Report available: Same day
     PFA                                                                                                 collection. Must complete PFA
                                                                                                         Patient History Form.
                                         CPT Code: 85576

                                         PLATELET NEUTRALIZATION
                                         PROCEDURE - See Lupus Anticoagulant -
                                         PNP


                                   PLATELETS
                                   Includes ABORh and antibody screen.
                                   Methodology: Hemeagglutination
                                   Set up: Daily
                ACRODOSE PLATELETS
     BB                            Report available: Same day
                        -or-                                                                             6.0 mL whole blood (Pink) properly
ACRODOSE PLTS
                   SINGLE DONOR                                                                          labeled with Blood Bank armband
     or                            For acrodose platelets order ACRODOSE
                 PHERESIS PLATELET
    SDPL                           PLTS
                                   For Single donor platelets order SDPL

                                         CPT Code: 86900, 86901, 86850 + product


                                         PNEUMOCOCCAL IgG SEROTYPES (6
                                         SEROTYPES)
                                         (QUEST 34263)
                                                                                                         0.5 mL serum (SS or R)
                   PNEUMO IGG, 6         Methodology: Immunodetection
    LAB                                                                             Accompanies report
                    SEROTYPES            Set up: Tues, Fri
  PNEUMO 6                                                                                               Minimum: 0.25 mL
                                         Report available: 3 days

                                         CPT Code: 86317x6


                                         PNEUMOCOCCAL IgG SEROTYPES (14
                                         SEROTYPES)
                                         (QUEST 19564X)
                                                                                                         0.5 mL serum (SS or R)
                   PNEUMO IGG, 14        Methodology: Immunodetection
     LAB                                                                            Accompanies report
                     SEROTYPES           Set up: Tues, Fri
  PNEUMO 14                                                                                              Minimum: 0.25 mL
                                         Report available: 3 days

                                         CPT Code: 86317x14




                                                                  Page 130 of 342
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                                                        PROCEDURE 131 of 342
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 MNEMONIC              NAME


                                                                                                            3 mL bronchial lavage/washings
                                      PNEUMOCYSTIS CARINII (JIROVECI), DFA
                                                                                                            submitted in sterile, screw-capped
                                      (QUEST 12200)
                                                                                                            container.
                                      Methodology: DFA
                PNEUMOCYSTIS CARINII,                                                                       Or
    LAB                               Set up: Mon - Sun                                Accompanies report
                       DFA                                                                                  3 mL sputum submitted in sterile,
P CARINII DFA                         Report available: Next day
                                                                                                            screw-capped container.
                                         CPT Code: 87015, 87281
                                                                                                            Minimum: 2 mL



                                         POLIOVIRUS (1,2,3) ANTIBODIES
                                         Not for the determination of immune status;
                                         to determine immune status, viral
                                         neutralization is recommended.                                     1 mL serum (SS)
QUEST 17544X
                 Universal Requisition   Methodology: CF                               Accompanies report
  Univ. Req.
                                         Set up: Mon - Fri                                                  Minimum: 0.5 mL
                                         Report available: 5 days

                                         CPT Code: 86658x3


                                         POLIOVIRUS ANTIBODY
                                         NEUTRALIZATION (IMMUNE STATUS)
                                         Methodology: Viral neutralization                                  1 mL serum (SS)
     LAB            POLIOVIRUS AB
                                         Set up: Mon, Thurs                            Accompanies report
POLIO AB NEUT      NEUTRALIZATION
                                         Report available: 3 days                                           Minimum: 0.5 mL

                                         CPT Code: 86382x3

                                         POLIOVIRUS CULTURE - See Enterovirus
                                         Culture

                                         POLYMYCITIS ANTIBODY (SRP
                                         ANTIBODIES)
                                         Methodology: RIA                                                   1 mL serum (R)
QUEST 117822
                 Universal Requisition   Set up: Mon                                   Accompanies report
  Univ. Req.
                                         Report available: 25 days                                          Minimum: 0.5 mL

                                         CPT Code: 83516

                                         PORPHOBILINOGEN, URINE,
                                                                                                            20 mL random urine, collected after
                                         QUALITATIVE
                                                                                                            first morning void and before early
                                         Methodology: Colorimetric
  QUEST 228                                                                                                 evening; protect from light and
                 Universal Requisition   Set up: Tues, Fri                             Accompanies report
  Univ. Req.                                                                                                refrigerate.
                                         Report available: Next day
                                                                                                            Minimum: 2 mL
                                         CPT Code: 84106

                                         PORPHOBILINOGEN, URINE,
                                         QUANTITATIVE
                                                                                                            10 mL random urine, collected after
                                         (Quest 6329X)
                                                                                                            first morning void and before early
                  PORPHOBILINOGEN        Methodology: Colorimetric
    LAB                                                                                Accompanies report   evening; protect from light
                   RANDOM URINE          Set up: Tues, Fri
 PORPHO UR
                                         Report available: Next day
                                                                                                            Minimum: 5 mL
                                         CPT Code: 84110


                                         PORPHYRINS, FECAL, QUALITATIVE
                                         (QUEST 355)
                                                                                                            10 g random fecal specimen; protect
                                         Methodology: Fluorometric
                                                                                                            from light and FREEZE
    LAB          PORPHYRINS STOOL        Set up: Tues                                  Accompanies report
 PORPHY ST                               Report available: Next day
                                                                                                            Minimum: 5 g
                                         CPT Code: 84127


                                         PORPHYRINS, FRACTIONATED                                           2 mL aliquot of 24-hr urine preserved
                                         QUANTITATIVE, 24-HOUR URINE                                        with 5 g Na2CO3 during collection;
                                         Methodology: HPLC                                                  protect from light and refrigerate.
 QUEST 729X
                 Universal Requisition   Set up: Sun AM , Tues - Fri PM                Accompanies report   Specify total 24-hr volume on
  Univ. Req.
                                         Report available: 5 days                                           request form.

                                         CPT Code: 84120                                                    Minimum: 1 mL


                                                                    Page 131 of 342
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                                              TEST                        REFERENCE                      SPECIMEN
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                                           PROCEDURE 132 of 342
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MNEMONIC         NAME

                               PORPHYRINS, BLOOD - See Zinc
                               Protoporphyrin (ZPP)


                               PORPHYRINS, URINE, TOTAL                                      20 mL random urine
                               QUALITATIVE                                                            or
                               (Quest 229)                                                   20 mL aliquot of 24-hr urine preserved
                               Methodology: Fluorometric                                     with 5 g Na2CO3 ; protect from light
   LAB      PORPHYRINS URINE                                            Accompanies report
                               Set up: Wed                                                   and refrigerate. Specify 24-hr volume
PORPHY UR
                               Report available: Next day                                    on request form.

                               CPT Code: 84119                                               Minimum: 5 mL




                                                      Page 132 of 342
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  MNEMONIC              NAME

                                       POTASSIUM
                                                                                                            1 ml blood (Gn -Li (PST))
                                       Methodology: ISE
                                                                                                                     or
                                       Set up: Daily
     LAB              POTASSIUM                                                        Accompanies report   1 mL serum (SS)
                                       Report available: Same day
      K
                                                                                                            Minimum: 0.5 mL
                                       CPT Code: 84132



                                       POTASSIUM with CREATININE, 24-HOUR
                                       URINE
                                       (QUEST 15831)                                                        10 mL aliquot of unpreserved 24-hour
                  POTASSIUM W/CREAT     Methodology: ISE                                                    urine. 24 hour volume required.
      LAB                                                                              Accompanies report
                      24HR URINE       Set up: Daily
K-CREAT 24HR UR
                                       Report available: 4 dayS                                             Minimum: 2 mL

                                       CPT Code: 84133, 82570



                                       POTASSIUM , URINE - See Electrolytes
                   POTASSIUM,URINE     Urine also
     LAB
                       RANDOM
     UK
                                       CPT Code: 84133


                                       PR3 - See Anti-PR3


                                       PREALBUMIN - See Transthyretin


                                                                                                            1 mL serum (R)
                                      PREGABALIN (LYRICA) , S/P
                                      (QUEST 18866)
                                                                                                            Minimum: 0.4 mL
                                       Methodology: LC/TMS
     LAB          PREGABALIN (LYRICA) Set up: Tues, Thurs, Sat                         Accompanies report
                                                                                                            Specimen Stability:
  PREGABALIN            LEVEL         Report available: 3 days
                                                                                                            Room temp: 7 Days
                                                                                                            Refrigerated: 14 Days
                                       CPT Code: 80299
                                                                                                            Frozen: 30 Days

                                       PREGNANCY TEST, SERUM - See
                                       Chorionic Gonadotropin

                                       PREGNANCY TEST, URINE - See Chorionic
                                       Gonadotropin

                                       PREGNENOLONE
                                       (QUEST 39052)
                                       Referral test for Quest
                                                                                                            0.5 mL serum (R)
                                       Methodology: LCTMS
                                                                                                            SST tube unacceptable
     LAB            PREGNENOLONE       Set up: Sun - Thurs                             Accompanies report
PREGNENOLONE                           Report available: 6 days
                                                                                                            Minimum: 0.2 mL
                                       CPT Code: 84140



                                       PRENATAL SCREEN
                                       Tests listed with the Prenatal Screen must be
                                       ordered individually and are billed as
                                       individual CPT codes. For ordering
                                       convenience the tests are listed together on
                                       the Ephrata Community Hospital lab
                                       requisition form.
                                                                                                            6.0 mL whole blood (Pink)
                                       ABO Blood Group
                                                                                                            AND
                                       Rh Type
                       LAB ONLY                                                                             6.0 mL serum (SS)
     LAB                               Antibody Screen
                                                                                                            AND
                                       CBC, auto diff
                                                                                                            5.0 mL whold blood (L)
                                       Rubella IgG Antibodies
                                       RPR
                                       Hepatitis B Surface Antigen (HbsAg)
                                       Urinalysis, microscopic if indicated
                                       Glucose, fasting
                                       Glucose, 1 hr post 50 gm glucola




                                                                  Page 133 of 342
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MNEMONIC             NAME

                                       PRIMIDONE (MYSOLINE)
                                       (QUEST 751X)
                                       Includes Phenobarbital
                                       Methodology: Immunoassay                                          1 mL plasma (L)
                                       Detection limit:                                                        or
   LAB             PRIMIDONE                 Primidone: 2 µg/mL                    Accompanies report    1 mL serum (R or DB)
PRIMIDONE                                    Phenobarbital: 2.5 µg/mL
                                       Set up: Mon - Sat                                                 Minimum: 0.5 mL
                                       Report available: Next day

                                       CPT Code: 80184, 80188


                                  PROCAINAMIDE (PRONESTYL)
                                  Includes N-acetylprocainamide (NAPA)
                                  (QUEST 378)
                                  Methodology: Immunoassay                                               1 mL serum (R)
   LAB        PROCAINAMIDE + NAPA Detection limit: 0.5 µg/mL each                   Accompanies report
PROC-NAPA                         Set up: Daily                                                          Minimum: 0.5 mL
                                  Report available: Next day

                                       CPT Code: 80192

                                       PROGESTERONE
                                       Performed at CPAL
                                       Methodology: Chemiluminesence                                     1 mL serum (SS)
   LAB           PROGESTERONE          Set up: Mon - Sat                            Accompanies report
 PROGEST                               Report available: Next day                                        Minimum: 0.5 mL

                                       CPT Code: 84144

                                       PROGESTERONE FOR IN VITRO
                                       FERTILIZATION
                                       Methodology: CIA                                                  1.0 mL serum (SS)
QUEST 8752X
               Universal Requisition   Set up: Daily                                Accompanies report
 Univ. Req.
                                       Report available: Next day                                        Minimum: 0.5 mL

                                       CPT Code: 84144


                                       17-HYDROXYPROGESTERONE
                                       (QUEST 17180)
                                       Methodology: LC/TMS                                               0.5 mL serum (R)
               PROGESTERONE 17
   LAB                                 Set up: Sun - Fri                            Accompanies report
                   ALPHA
PROGEST 17                             Report available: 4days                                           Minimum: 0.25 mL

                                       CPT Code: 83498


                                       PROGRAF - See FK506


                                                                                                         1 mL serum (SS)
                                                                                                         FREEZE

                                                                                                         Overnight fasting is required. Allow
                                       PROINSULIN                                                        blood to fully clot (about 1/2 hour)
                                       Methodology: Immunoassay                                          at room temperature (20-25 degrees
                                       Set up: Mon                                                       C). Centrifuge in a refrigerated
   LAB                                                                              Accompanies report
                   PROINSULIN          Report available: 4 days                                          centrifuge and separate
PROINSULIN
                                                                                                         immediately. Specimens collected
                                       CPT Code: 84206                                                   in serum separation tubes should
                                                                                                         be removed from the gel after
                                                                                                         centrifugation.

                                                                                                         Minimum: 0.8 mL

                                       PROLACTIN
                                       Performed at CPAL
                                       Methodology: Chemiluminesence
   LAB             PROLACTIN           Set up: Mon - Sat                            Accompanies report   1 mL serum (SS)
PROLACTIN                              Report available: Next day

                                       CPT Code: 84146

                                       PROLIXIN - See Fluphenazine

                                                                 Page 134 of 342
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 MNEMONIC            NAME


                                                                                                          4 mL serum (R)
                                       PROMETHAZINE
                                                                                                                or
                                       Methodology: GC
                                                                                                          4 mL EDTA plasma (L)
QUEST 12237                            Set up: Mon - Fri
               Universal Requisition                                                 Accompanies report         or
 Univ. Req.                            Report available: 5 days
                                                                                                          1 mL urine, no preservative
                                       CPT Code: 80299
                                                                                                          Foil wrap samples to protect from light



                                       PROMETHEUS
                                       Send out to Athena Diagnostics - Must be
                                       drawn at Ephrata Medical Laboratories (EML)


                                       PRONESTYL - See Procainamide

                                       PROPAFENONE (RHYTHMOL)
                                       (QUEST 6278X)                                                      1.0 mL serum (R)
                                       Methodology: LCMS
    LAB          PROPAFENONE           Set up: Mon , Thurs                           Accompanies report   Draw 2 - 6 hours post oral dose
  PROPAF                               Report available: 3 days
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 80299

                                       PROPOXYPHENE, QUANTITATIVE                                         5 mL serum (DB)
                                       Includes norpropoxyphene                                                  or
                                       Methodology: GCMS                                                  5 mL gastric contents or bile
QUEST 35267X
               Universal Requisition   Set up: Mon, Wed, Fri                         Accompanies report          or
  Univ. Req.
                                       Report available: 7 days                                           15 mL urine

                                       CPT Code: 83925                                                    Minimum: 3 mL


                                       PROPOXYPHENE PRESUMPTIVE SCREEN
                                       Methodology: Immunoassay
                                       Detection limit: 300 µg/mL                                         30 mL random urine
QUEST 18997
               Universal Requisition   Set up: Daily                                 Accompanies report
 Univ. Req.
                                       Report available: Next day                                         Minimum: 10 mL

                                       CPT Code: 80101



                                       PROPRANOLOL
                                                                                                          3 mL serum (R)
                                       Methodology: LCMS
                                                                                                          Patient should refrain from taking
                                       Detection limit: 5 ng/mL
QUEST 34523X                                                                                              Propafenone (Rythmol) one week
               Universal Requisition   Set up: Mon - Thurs, Sun                      Accompanies report
  Univ. Req.                                                                                              before specimen collection.
                                       Report available: 4 days
                                                                                                          Minimum: 1 mL
                                       CPT Code: 80299


                                       PROSTATE SPECIFIC ANTIGEN
                                       DIAGNOSTIC (use for diagnostic diagnosis
                                       codes)

   LAB          PSA DIAGNOSTIC         Methodology: Chemiluminescence                Accompanies report   1 mL serum (SS)
 PSA DIAG                              Set up: Daily
                                       Report available: Same day

                                       CPT Code: 84153



                                       PROSTATE SPECIFIC ANTIGEN screen

                                       Methodology: Chemiluminescence
    LAB           PSA SCREEN           Set up: Daily                                 Accompanies report   1 mL serum (SS
  PSA SCR                              Report available: Same day

                                       CPT Code: G0103




                                                                  Page 135 of 342
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  MNEMONIC             NAME

                                       PROSTATE SPECIFIC ANTIGEN TOTAL
                                       AND FREE
                                       (QUEST 31348X)
                                                                                                          2 mL serum (SS) FREEZE
                                       Methodology: IA
     LAB         PSA FREE AND TOTAL                                                  Accompanies report
                                       Set up: Mon - Fri
  PSA FR+TOT                                                                                              Minimum: 0.6 mL
                                       Report available: Next day

                                       CPT Code: 84153, 84154


                                       PROSTATE SPECIFIC ANTIGEN (PSA)
                                       POST-PROSTATECTOMY
                                       (ULTRASENSITIVE PSA)
                                       (QUEST 69702)                                                      1 mL serum (SS)
                      PSA POST-
      LAB                              Methodology: IA                               Accompanies report
                   PROSTATECTOMY
PSA POST-PROST                         Set up: Mon, Wed, Fri                                              Minimum: 0.6 Ml
                                       Report available: 2 days

                                       CPT Code: 84153

                                       PROSTATIC ACID PHOSPHATASE - See
                                       Acid Phosphatase, Prostatic

                                                                                                          Minimum: 1 mL FROZEN
                                                                                                          citrated plasma (LB) (3.2% Na-citrate
                                       PROTEIN C ANTIGEN
                                                                                                          only)
                                       (QUEST 4948X)
                                       See also Protein S (Total and Free). Please
                                                                                                          1) Draw plain red top tube and
                                       submit a separate vial for each special
                                                                                                             discard or use for other
                                       coagulation assay ordered.
     LAB              PROTIEN C                                                      Accompanies report       testing.
                                       Methodology: EIA
    PROT C                                                                                                2) Draw LB tube and centrifuge
                                       Set up: Mon - Fri
                                                                                                             at 3000 rpm for 10 minutes.
                                       Report available: Next day
                                                                                                          3) Remove plasma to a plastic
                                                                                                             tube using a plastic pipette.
                                       CPT Code: 85302
                                                                                                             FREEZE immediately in a
                                                                                                             -70C freezer.


                                                                                                          Minimum: 1 mL FROZEN
                                                                                                          citrated plasma (LB)
                                       PROTEIN C ACTIVITY (FUNCTIONAL)
                                       (QUEST 1777)
                                                                                                          1) Draw plain red top tube and
                                       Please submit a separate vial for each
                                                                                                             discard or use for other
                                       coagulation assay ordered.
                                                                                                              testing.
     LAB          PROTEIN C ACTIVITY   Methodology: Clotting assay                   Accompanies report
                                                                                                          2) Draw LB tube and centrifuge
  PROTCACT                             Set up: Mon - Fri
                                                                                                             at 3000 rpm for 10 minutes.
                                       Report available: Next day
                                                                                                          3) Remove plasma to a plastic
                                                                                                             tube using a plastic pipette.
                                       CPT Code: 85303
                                                                                                             FREEZE immediately in a
                                                                                                             -70C freezer.



                                       PROTEIN CREATININE RATIO
                                       Includes urine protein and urine creatinine
                                       Methodology: Colorimetric
                 PROTEIN CREATININE                                                    See individual
    LAB                                Set up: Daily                                                      5 mL random urine
                       RATIO                                                            components
 UPROTCREA                             Report available: Same day

                                       CPT Code: 84156, 82570



                                                                                                          2 mL FROZEN
                                                                                                          citrated plasma (LB)

                                     PROTEIN C RESISTANCE, ACTIVATED                                      1) Draw plain red top tube and
                                     (APC RESISTANCE)                                                        discard or use for other
                                     (QUEST 58653)                                                            testing.
                 ACTIVATED PROTEIN C Methodology: RVVT Clot Based Assay                                   2) Draw LB tube and centrifuge
      LAB                                                                            Accompanies report
                     RESISTANCE      Set up: Mon - Sat                                                       at 3000 rpm for 10 minutes.
APC RESISTANCE
                                     Report available: 2 dayS                                             3) Remove plasma to a plastic
                                                                                                             tube using a plastic pipette.
                                       CPT Code: 85307                                                       FREEZE immediately in a
                                                                                                             -70C freezer.

                                                                                                          Minimum: 1 mL

                                                                   Page 136 of 342
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                                                          TEST                            REFERENCE                         SPECIMEN
 ORDER               ORDER
                                                       PROCEDURE 137 of 342
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MNEMONIC             NAME


                                       PROTEIN ELECTROPHORESIS,
                                       CEREBROSPINAL FLUID
                                       (Total Protein and Protein Electrophoresis)
QUEST 749X                             Methodology: Electrophoresis
               Universal Requisition                                                    Accompanies report   2 mL CSF
 Univ. Req.                            Set up: Mon - Sat
                                       Report available: Next day

                                       CPT Code: 84157, 84166



                                       PROTEIN ELECTROPHORESIS, SERUM
                                       (Total Protein and Protein electrophoresis)-
                                       Includes Mspike quantitation
                                       Performed at CPAL
                PROTEIN ELECTRO        Methodology: Biuret & Agarose Gel
    LAB                                                                                 Accompanies report   2 mL serum (SS)
                    SERUM              Electrophoresis
   SPEP
                                       Set up: Mon - Fri
                                       Report available: Up to 1 week

                                       CPT Code: 84155, 84165


                                       PROTEIN ELECTROPHORESIS, SERUM,
                                       PROGRESSIVE
                                       (Total Protein and Protein electrophoresis) If
                                       electrophoretic pattern shows a restrictive
                                       band, a serum immunofixation is
                                       ordered.Includes Mspike quantitation
                PROTEIN ELECTRO
   LAB                                 Performed at CPAL                                Accompanies report   2 mL serum (SS)
                  SERUM,PROG
SPEP PROG                              Methodology: Biuret & Agarose Gel
                                       Electrophoresis
                                       Set up: Mon - Fri
                                       Report available: Up to 1 week

                                       CPT Code: 84155, 84165


                                       PROTEIN ELECTROPHORESIS, URINE
                                       (Total Protein and Protein electrophoresis
                                       with Quantitation of Albumin, Globulin, and                           100 mL aliquot of 24-hr urine or
                                       A/G Ratio)                                                            random sample, collected without
                                       Performed at CPAL                                                     preservatives and refrigerated
                PROTEIN ELECTRO
    LAB                                Methodology: Agarose Gel Electrophoresis &       Accompanies report              AND
                     URINE
   UPEP                                Pyrogallol Red                                                        2 mL serum (SS)
                                       Set up: Mon - Fri
                                       Report available: Up to 1 week                                        Minimum: 25 mL

                                       CPT Code: 84166, 84156



                                       PROTEIN ELECTROPHORESIS, URINE,
                                       PROGRESSIVE
                                       (Total Protein and Protein electrophoresis
                                       with Quantitation of Albumin, Globulin, and
                                                                                                             100 mL aliquot of 24-hr urine or
                                       A/G Ratio)
                                                                                                             random sample, collected without
                                       If electrophoretic pattern shows a restrictive
                                                                                                             preservatives and refrigerated
                PROTEIN ELECTRO        band, a urine immunofixation is ordered.
   LAB                                                                                  Accompanies report              AND
                  URINE, PROG          Performed at CPAL
UPEP PROG                                                                                                    2 mL serum (SS)
                                       Methodology: Agarose Gel Electrophoresis &
                                       Pyrogallol Red
                                                                                                             Minimum: 25 mL
                                       Set up: Mon - Fri
                                       Report available: Up to 1 week

                                       CPT Code: 84166, 84156, 86334



                                   PROTEIN, FLUID
                                   Methodology: Colorimetric
              PROTEIN (TOTAL),BODY Set up: Daily
   LAB                                                                                                       1 mL fluid
                     FLUID         Report available: Same day
 BFPROT
                                       CPT Code: 84157

                                                                   Page 137 of 342
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   ORDER               ORDER
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  MNEMONIC             NAME

                                       PROTEIN, QUALITATIVE, URINE - See
                                       Urinalysis, Routine

                                                                                                          Minimum: 1 mL FROZEN
                                                                                                          citrated plasma (LB) (3.2 % Na-citrate
                                                                                                          only)
                                       PROTEIN S ACTIVITY (FUNCTIONAL)
                                       (QUEST 1779)                                                       1) Draw plain red top tube and
                                       Methodology: Clotting assay                                           discard or use for other
    LAB           PROTEIN S ACTIVITY   Set up: Mon - Fri                            Accompanies report        testing.
 PROT S ACT                            Report available: 3 days                                           2) Draw LB tube and centrifuge
                                                                                                             at 3000 rpm for 10 minutes.
                                       CPT Code: 85306                                                    3) Remove plasma to a plastic
                                                                                                             tube using a plastic pipette.
                                                                                                             FREEZE immediately in a
                                                                                                             -70C freezer.

                                                                                                          Draw blood in light blue-top tube containing 3.2%
                                                                                                          sodium citrate, and mix gently by inverting 3-4
                                                                                                          times. Centrifuge 15 minutes at 1500 x g within 1
                                                                                                          hour of collection. Using a plastic pipette,
                                                                                                          remove plasma taking care to avoid the
                                       PROTEIN S, FREE                                                    WBC/platelet buffy layer and place into a plastic
                                       (QUEST 10170)                                                      vial. Centrifuge a second time transfer platelet-
                                       Methodology: Immunoturbidimetric                                   poor plasma into a new plastic vial(s). Freeze
                     PROTEIN S                                                                            immediately and transport on dry ice.
     LAB                               Set up: Mon - Fri                            Accompanies report
                    ANTIGEN,FREE
PROT S AG FREE                         Report available: Next day                                         1 mL citrated platelet-poor plasma (LB, light blue-
                                                                                                          top tube, 3.2% sodium citrate), frozen -20 degrees
                                       CPT Code: 85306                                                    C or frozen -70 degrees C Minimum: 0.5 mL
                                                                                                            RT: Unacceptable
                                                                                                            Refrigerated (cold packs): Unacceptable
                                                                                                            Frozen: 14 days
                                                                                                            Frozen -70 degrees C: 1 year


                                                                                                          Platelet-poor plasma: Centrifuge light blue-top
                                                                                                          tube 15 minutes at approximately 1500 x g within
                                                                                                          60 minutes of collection. Using a plastic pipette,
                                                                                                          remove plasma, taking care to avoid the
                                       PROTEIN S, TOTAL and FREE                                          WBC/platelet buffy layer and place into a plastic
                                       (QUEST 36457)                                                      vial. Centrifuge a second time and transfer
                                       Please submit a separate vial for each                             platelet-poor plasma into a new plastic vial.
                                                                                                          Plasma must be free of platelets (< 10,000/mcl).
                                       special coagulation assay ordered.
                 PROTEIN S - TOTAL &                                                                      Freeze immediately and ship on dry ice.
    LAB                                Methodology: Immunoturbidimetric             Accompanies report
                       FREE
   PROT S                              Set up: Mon - Fri                                                  2 mL platelet-poor plasma (LB, light blue-top tube,
                                       Report available: Next day                                         3.2% sodium citrate), frozen -20 degrees C or -70
                                                                                                          degrees C;

                                       CPT Code: 85305, 85306                                             Minimum: 1 mL
                                                                                                          RT: Unacceptable
                                                                                                          Refrigerated (cold packs):
                                                                                                          Frozen -20 degrees C: 14 days
                                                                                                          Frozen -70 degrees C: 1 year
                                       PROTEIN, TOTAL CSF - See Cerebrospinal
                                       Fluid, Total Protein

                                       PROTEIN, TOTAL, SERUM
                                                                                                          1 ml blood (Gn -Li (PST))
                                       Methodology: Colorimetric
                                                                                                                   or
                                       Set up: Daily
     LAB           TOTAL PROTEIN                                                    Accompanies report    1 mL serum (SS)
                                       Report available: Same day
      TP
                                                                                                          Minimum: 0.5 mL
                                       CPT Code: 84155


                                                                                                          100 mL aliquot of 24-hr urine or
                                     PROTEIN, TOTAL, 24HR URINE
                                                                                                          random urine sample, collected
                                     Methodology: Colorimetric
                                                                                                          without preservatives and refrigerated.
                 URINE TOTAL PROTEIN Set up: Daily                                  24 hour urine: 50 -
     LAB                                                                                                  Specify 24-hr total volume on the
                       24 HOUR       Report available: Same day                       150 mg/24 hrs
    UTP24                                                                                                 request form.
                                       CPT Code: 84156
                                                                                                          Minimum: 2 mL



                                     PROTEIN, TOTAL, RANDOM URINE
                                     Methodology: Colorimetric
                                     Set up: Daily
     LAB         TOTAL PROTEIN,URINE                                                    0-9 mg/dL         5 mL urine
                                     Report available: Same day
     UTP
                                       CPT Code: 84156



                                                                  Page 138 of 342
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                                                            TEST                           REFERENCE                         SPECIMEN
    ORDER                  ORDER
                                                         PROCEDURE 139 of 342
                                                                 Page                        RANGE                         REQUIREMENTS
   MNEMONIC                NAME

                                         PROTHROMBIN GENE ANALYSIS - See
                                         Factor II Mutation



                                                                                                                 2.7 mL blood (LB); Stable for 24 hours
                                                                                       Protime: 10.9 - 12.8                        or
                                                                                       sec.                      1 mL FROZEN citrated plasma, if not
                                                                                                                 submitted in 24 hours.
                                                                                       INR:
                                                                                       2.0 - 3.0 for most        Draw blood into a light blue top tube,
                                         PROTHROMBIN TIME (PT), WITH INR
                                                                                       medical and surgical      filling tube to complete volume. Invert
                                         Methodology: Optical Clot Detection
                                                                                       thromboembolic states     gently 3 - 4 times. If patient is a
                                         Set up: Daily
      LAB             PROTHROMBIN TIME                                                 2.0 - 3.0 for recurrent   difficult stick or specimen is collected
                                         Report available: Same day
    PROTIME                                                                            embolism                  using a butterfly, draw a plain red top
                                                                                       2.5 - 3.5 for             tube & discard or use for other testing.
                                         CPT Code: 85610
                                                                                       mechanical heart
                                                                                       valves                    Refrigerate until pickup; specimen
                                                                                       3.0 - 3.5 for lupus       must be tested within 24 hours of
                                                                                       anticoagulant             collection.




                                         PROTOPORPHYRIN, ZINC - See Zinc
                                         Protoporphyrin (ZPP)


                                         PROTOPORPHYRINS, ERYTHROCYTE -
                                         See Zinc Protoporphyrin (ZPP)

                                         PROZAC - See Fluoxetine

                                         PSA II - See Prostate Specific Antigen,
                                         Free & Total

                                         PSEUDOCHOLINESTERASE - See
                                         Cholinesterase, Serum or Plasma


                                         PSITTACOSIS - See Chlamydia IgG


                                         PTH - See Parathyroid Hormone


                                                                                                                 4.5 mL blood (L) drawn and
                                                                                                                 immediately mixed with 4.5 mL ice
                                         PYRUVIC ACID (PYRUVATE)
                                                                                                                 cold 7% perchloric acid. Let mixture
                                         (QUEST 765Z)
                                                                                                                 stand for 10 min and centrifuge.
                                         Methodology: Enzymatic
                                                                                                                 Separate and submit supernatant fluid
      LAB               PYRUVIC ACID     Set up: Mon, Wed, Fri                          Accompanies report
                                                                                                                 for assay. Please specify volumes of
    PYRUVIC                              Report available: Next day
                                                                                                                 blood and perchloric acid used.
                                         CPT Code: 84210
                                                                                                                 Minimum: 2 mL mixed with 2 mL
                                                                                                                 perchloric acid



                                         Q-FEVER ANTIBODIES (PHASE I, PHASE II
                                         ANTIGENS)
   QUEST 85212
    Univ. Req.
                                         Test code 85212 discontinued 3/9/09-
Discontinued 3/9/09
                                         alternate use 85192 (Coxiella burnetii IgG)
                                         and 85202 (Coxiella burnetii IgM)


                                         QUAALUDE - See Methaqualone




                                                                     Page 139 of 342
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  ORDER              ORDER
                                                      PROCEDURE 140 of 342
                                                              Page                        RANGE                      REQUIREMENTS
 MNEMONIC            NAME

                                       QUAD SCREEN
                                       (QUEST 129392)
                                       Methodology: Calculation, ELIA &
                                       Immunochemiluminometric assay                                       2.5 mL serum (SS)
                                       Set up: Mon - Fri                                                   See Alpha-Fetoprotein Triple Screen
    LAB           QUAD SCREEN                                                         Accompanies report
                                       Report available: Next day                                          for additional information
QUAD SCREEN
                                       Patient must be between 16 - 20 weeks
                                       gestation

                                       CPT Code: 82105, 84702, 82677, 86336



                                                                                                           SPECIAL COLLECTION TUBES
                                                                                                           Collect in 3 separate collection tubes.
                                                                                                           All 3 tubes must be received for
                                  QUANTIFERON TB GOLD                                                      complete testing. Specimens need to
                                  Performed at CPAL                                                        be received in original collection tubes
                                  Methodology: (EIA) Enzyme Immunoassay                                    with 1 mL of whole blood in each.
    LAB       QUANTIFERON TB GOLD                                                     Accompanies report
                                  Set up: Mon - Fri                                                        Shake specimen and incubate for 16-
   QFTB
                                                                                                           24 hours in a 37 C incubator.
                                       CPT Code: 86480                                                     Incubation must begin within 16 hours
                                                                                                           of collection.

                                                                                                           DO NOT REFRIGERATE OR SPIN


                                       QUETIAPINE - See Seroquel


                                       QUINIDINE
                                       (QUEST 766)
                                       Methodology: FPIA
                                                                                                           1 mL serum (R)
                                       Detection limit: 0.3 µg.mL
   LAB             QUINIDIN E                                                         Accompanies report
                                       Set up: Mon-Sat
   QUIN                                                                                                    Minimum: 0.5 mL
                                       Report available: Next day

                                       CPT Code: 80194

                                       RA GROUP
                                       Includes Anti-CCP and RF Quant.
                                       Performed at CPAL
                                       Methodology: EIA & Nephelometry
                                       Set up: Wed and Sat                                                 1mL serum (SS)
    LAB
                   RA GROUP            Report available: Next day                     Accompanies report
 RA GROUP
                                                                                                           FREEZE
                                       CPT Code: 86200, 80194




                                       RA LATEX - See Rheumatoid Factor (RF)


                                       RABIES VACCINE RESPONSE
                                       Referral test for Quest
                                       Methodology: Serum Neutralization and
QUEST 18232                            Fluirescent Antibody
               Universal Requisition                                                  Accompanies report   2 mL serum (R)
 UNIV. Req.                            Set up: Mon, Thurs
                                       Report available: 21 days

                                       CPT Code: 86790


                                       RAPAMYCIN (SIROLIMUS)
                                       (QUEST 36712X)
                                       Methodology: Liquid Chromatography-
                                                                                                           2 mL EDTA whole blood (L)
                  RAPAMYCIN /          tandem mass spectroscopy
   LAB                                                                                Accompanies report
                   SIROLIMUS           Set up: Mon - Sat
RAPAMYCIN                                                                                                  Minimum: 1 mL
                                       Report available: Next day

                                       CPT Code: 80195

                                       RAST - See Allergy Testing

                                       RED BLOOD CELL FOLATE - See Folic
                                       Acid, Red Blood Cell
                                                                    Page 140 of 342
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                                                           TEST                         REFERENCE                      SPECIMEN
  ORDER                ORDER
                                                        PROCEDURE 141 of 342
                                                                Page                      RANGE                      REQUIREMENTS
 MNEMONIC              NAME

                                         RED CELL ANTIBODY IDENTIFICATION -
                                         See Antibody Identification, Red Cell

                                                                                                           5 mL blood (Green Na-Hep no
                                         RED CELL FRAGILITY                                                seperator) DO NOT OPEN TUBE-
                                         (QUEST 139731)                                                    MUST BE STERILE.
                                         Methodology: Spectrophotometric
    LAB           RBC OSMOTIC
                                         Set up: Daily                                Accompanies report    MUST BE RECEIVED AT LAB BY
RBC FRAG INC     FRAGILITY-INCUB
                                         Report available: 3 days                                          1200 PM MONDAY THROUGH
                                                                                                           WEDNESDAY.
                                         CPT Code: 85557
                                                                                                           Minimum: 5 mL

                                         REDUCING SUBSTANCES, FECAL
                                         (QUEST 910)
                                         Methodology: Benedicts Solution
                    REDUCING                                                                               Random fecal specimen,
    LAB                                  Set up: Mon - Fri                            Accompanies report
                SUBSTANCES, STOOL                                                                          FROZEN
  RED SUB                                Report available: Next day

                                         CPT Code: 84376


                                         REDUCING SUBSTANCES, URINE
                                         Methodology: Clinitest tablet
                                         Set up: Daily
    LAB          CLINITEST,URINE                                                           Negative        5 mL urine
                                         Report available: Same day
   UCLIN
                                         CPT Code: 81002


                                         RENAL FUNCTION PANEL
                                                                                                           5 mL serum (SS)
                                         Basic Metabolic Panel (BMP)
 LAB ONLY
                Order individual tests   Phosphorus
RENAL PAN
                                         Albumin
(Order group)                                                                                              Minimum: 5 mL
                                         CPT Code: 80069


                                         RENIN, DIRECT
                                         (QUEST 16846)
                                                                                                           3.0 mL EDTA plasma (L)
                                         Methodology: LC/TMS
                                                                                                           FROZEN
    LAB                RENIN             Set up: Mon - Fri                            Accompanies report
   RENIN                                 Report available: 5 days
                                                                                                           Minimum: 0.5 mL
                                         CPT Code: 84244


                                                                                                           Minimum: 1 mL FROZEN
                                                                                                           citrated plasma (LB)

                                         REPTILASE CLOTTING TIME                                           1) Draw plain red top tube and
                                         Methodology: CLOT                                                    discard or use for other
QUEST 37700X                             Set up: Mon                                                          testing.
                Universal Requisition                                                 Accompanies report
  Univ. Req.                             Report available: Next day                                        2) Draw LB tube and centrifuge
                                                                                                              at 3000 rpm for 10 minutes.
                                         CPT Code: 85635                                                   3) Remove plasma to a plastic
                                                                                                              tube using a plastic pipette.
                                                                                                              Freeze immediately in a
                                                                                                              -70C freezer.


                                         RESPIRATORY SYNCYTIAL VIRUS (RSV)                                 IMPORTANT: Testing approved for
                                         RAPID ASSAY                                                       patients less than 5 years of age
                                         Methodology: EIA                                                  only.
                  RESPIRATORY
    LAB                                  Set up: As received                               Negative        Please refer to RSV RT-PCR for
                 SYNCYTIAL VIRUS
    RSV                                  Report available: Same day                                        patients age 5 years or greater.

                                         CPT Code: 87420                                                   Nasopharyngeal wash or aspirate




                                                                    Page 141 of 342
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                                                          TEST                         REFERENCE                      SPECIMEN
   ORDER                 ORDER
                                                       PROCEDURE 142 of 342
                                                               Page                      RANGE                      REQUIREMENTS
  MNEMONIC               NAME

                                        RESPIRATORY SYNCYTIAL VIRUS (RSV)
                                        DIRECT IF TEST
                                        (QUEST 1986)                                                      3 mL nasal wash or aspirate in sterile,
                                        Methodology: Direct IF Assay                                      container
     LAB           RSV DIRECT IF TEST                                                Accompanies report
                                        Set up: Mon - Fri
    RSV DIF
                                        Report available: 2 days                                          Minimum: 1 mL

                                        CPT Code: 87280

                                                                                                          Nasopharyngeal wash/aspirate in
                                        RESPIRATORY SYNCYTIAL VIRUS (RSV)
                                                                                                          VCM Transport Medium.
                                        RNA, RT-PCR
                                                                                                          Minimum: 1 mL
                                        (QUEST 16047)
                                                                                                          Or
                                        Reference Send Out Test for Quest
                                                                                                          Nasopharyngeal swab - dacron
     LAB              RSV RT-PCR        Methodology: Real-Time PCR                   Accompanies report
                                                                                                          polyester or rayon tipped in VCM
   RSV PCR                              Set up: Daily
                                                                                                          Transport Medium. NO calcium
                                        Report available: 3 days
                                                                                                          alginate swabs.
                                        CPT Code: 87798



                                                                                                          Nasopharyngeal wash/aspirate in
                                            RESPIRATORY SYNCYTIAL VIRUS (RSV)                             VCM Transport Medium.
                                            IMMUNOASSAY                                                   Minimum: 1 mL
                 Only availablefor order by (QUEST 271373)                                                Or
                        Lab- order          Methodology: Immunochromatography                             Nasopharyngeal swab - dacron
     LAB                                                                             Accompanies report
                      RESPIRATORY           Set up: Daily                                                 polyester or rayon tipped in VCM
 RSV - QUEST
                    SYNCYTIAL VIRUS         Report available: Next day                                    Transport Medium. NO calcium
                                                                                                          alginate swabs.
                                        CPT Code: 87807
                                                                                                          FROZEN



                                        RESPIRATORY VIRUS PANEL,                                          0.85 mL bronch lavage/wash in sterile
                                        QUALITATIVE, PCR                                                  container
                                        (QUEST 16094)                                                     or
                                        Panel includes Adenovirus DNA, Influenza A                        0.85 mL sputum in sterile container
                                        & B Virus RNA, Parainfluenza 1,2,3 and RSV                        or
                  RESPIRATORY PANEL,
      LAB                               RNA.                                         Accompanies report   3 mL throat swab in VCM or M4
                      QUAL, PCR
RESP PANEL PCR                          Methodology: Real-Time PCRy                                       transport medium
                                        Set up: Daily
                                        Report available: 3 days                                          NO CALCIUM ALGINATE SWABS

                                        CPT Code: 87798x5, 87502



                                        RETICULIN IGG and IGA SCREEN WITH
                                        REFLEX TO TITER
                                        (QUEST 8962)
                                                                                                          2 mL serum (SS)
                   RETICULIN IGG/IGA    Methodology: IA
      LAB                                                                            Accompanies report
                     SCRN W/TITER       Set up: Mon - Fri
 RETIC IGG-IGA                                                                                            Minimum: 1 mL
                                        Report available: Next day

                                        CPT Code: 86255x2, 86256x2 (if indicated)




                                       RETICULIN IGA SCREEN WITH REFLEX
                                       TO TITER
                                       (QUEST 37520)
                                                                                                          2 mL serum (SS)
                 RETICULIN IGA SCRN W/ Methodology: IA
      LAB                                                                            Accompanies report
                         TITER         Set up: Mon - Fri
 RETIC IGA SCR                                                                                            Minimum: 1 mL
                                       Report available: Next day

                                        CPT Code: 86255, 86256 (if indicated)




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 MNEMONIC              NAME



                                      RETICULIN IGG SCREEN WITH REFLEX
                                      TO TITER
                                      (QUEST 16530)
                                                                                                             2 mL serum (SS)
                RETICULIN IGG SCRN W/ Methodology: IA
     LAB                                                                               Accompanies report
                        TITER         Set up: Mon - Fri
RETIC IGG SCR                                                                                                Minimum: 1 mL
                                      Report available: Next day

                                     CPT Code: 86255, 86256 (if indicated)



                                                                                      <1 day: 1.8 - 4.6 %
                                     RETICULOCYTE COUNT (RETIC GROUP
                                                                                       1 day - < 4 days:
                                     AUTOMATED)
                                                                                          0.7 - 2.9 %
                                                                                       4 days: 1.0 - 1.4 %
                                     Automated method is used unless analyzer
                                                                                       5 days: 0.4 - 0.8 %
                                     unavailable, then manual method is used.
                                                                                       6 days - 1 month 5    1 mL blood (L)
                    RETIC GROUP      Methodology: automated:flow cytometry
    LAB                                                                                 days: 0.1 - 1.7 %
                    AUTOMATED                         manual: Miller Disc (new
 RETICAUTO                                                                             1 month 7 days - 2    Minimum: 0.5 mL
                                                           methylene blue stain)
                                                                                          months 23 days:
                                     Set up: Daily
                                                                                          0.4 - 1.0 %
                                     Report available: same day
                                                                                      >2 months 23 days:
                                                                                           0.5 - 1.5 %
                                     CPT Code: 85046


                                     RHEUMATOID FACTOR
                                     Performed at CPAL
                                     Methodology: Latex agglutination
    LAB              RA QUANT        Set up: Mon - Sat                                      Negative
     RF                              Report available: Next day

                                     CPT Code: 86431


                                     RHEUMATOID PROFILE - order RF, ANA
                                     SCR, CBC, SED RATE, ASO (SERUM)



                                     RHIG INVESTIGATION, ANTENATAL
                                     Used to determine eligibility for Rh Immune
                                     Globulin injection. Used for miscarriages less
                      THOGAM
                                     than 20 weeks gestation.
    BB             INVESTIGATION -                                                                           6.0 mL whole blood (Pink)
                                     Includes ABO Blood Group, Rh Type,
 ANTE RHIG           ANTENATAL
                                     Antibody Screen

                                     CPT Code: 86900, 86901, 86850



                                     RHIG INVESTIGATION, POSTPARTUM
                                     Used to determine eligibility for Rh Immune
                                                                                                             6.0 mL whole blood (Pink)
                                     Globulin injection.
                                     Includes ABO Blood Group, Rh Type,
    BB               LAB ONLY                                                                                Patient and specimen must be
                                     Antibody Screen, Fetal Cell Screen if
 POST RHIG                                                                                                   assigned a unique Blood Bank
                                     indicated.
                                                                                                             identification number.
                                     CPT Code: 86900, 86901, 86850, 85461


                                     RHYTHMOL - See Propafenone


                                     RIBOSOMAL P ANTIBODY
                                     (QUEST 35432)
                                                                                                             1 mL serum (SS)
                                     Methodology: Immunoassay
    LAB             RIBOSOMAL P                                                        Accompanies report
                                     Set up: Mon - Sat
RIBOSOMAL P                                                                                                  Minimum: 0.5 mL
                                     Report available: Next day

                                     CPT Code: 83516




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  MNEMONIC               NAME



                                      RICKETTSIAL AGENTS ANTIBODY PANEL
                                      (QUEST 37478)
                                      Includes assays for antibodies against a
                                      spotted fever group antigen (IFA), typhus
                                      fever group antigen (IFA), and Q-fever phase                           1 mL serum (SS)
                 RICKETTSIAL ANTIBODY
     LAB                              I and phase II antigens (CF).                     Accompanies report
                        PANEL
 RICK AB PAN                          Methodology: IFA                                                       Minimum: 0.5 mL
                                      Set up: Thue, Thurs
                                      Report available: Next day

                                          CPT Code: 86638x2, 86757x2




                                                                                                             Minimum: 1 mL FROZEN citrated
                                                                                                             plasma (LB)
                                     RISTOCETIN COFACTOR
                                     (QUEST 4459X)
                                                                                                             1) Draw plain red top tube and
                                     Methodology: Platelet agglutination
                                                                                                                discard or use for other testing.
     LAB         RISTOCETIN COFACTOR Set up: Mon - Fri                                  Accompanies report
                                                                                                             2) Draw LB tube and centrifuge at
 RISTOCETIN                          Report available: Next day
                                                                                                                3000 rpm for 10 minutes.
                                                                                                             3) Remove plasma to a plastic tube
                                          CPT Code: 85245
                                                                                                                using a plastic pipette. Freeze
                                                                                                                immediately in a -70C freezer.



                                          RNP AND Sm ANTIBODIES - See Anti-ENA


                                          Ro, La ANTIBODIES - See Sjögeren's
                                          Syndrome Antibodies


                                          ROCHALIMAEA-HENSELAE ANTIBODIES -
                                          See BARTONELLA


                                          ROCKY MOUNTAIN SPOTTED FEVER IgG
                                          ANTIBODIES, TYPHUS FEVER IgG
                                          ANTIBODIES
      LAB
                                          (QUEST 1302)
 ROCKY MTN
                                          This test has been discontinued by Quest
DISCONTINUED
                                          effective 2/22/10.
    2/22/10
                                          UseRickettsia Antibody Panel with Reflex to
                                          Titers(QUEST 37507).



                                          ROCKY MOUNTAIN SPOTTED FEVER IgM
                                          ANTIBODIES, TYPHUS FEVER IgM
                                          ANTIBODIES
      LAB
                                          (QUEST 1303)
  RMSF TYP
                                          This test has been discontinued by Quest
DISCONTINUED
                                          effective 2/22/10.
    2/22/10
                                          UseRickettsia Antibody Panel with Reflex to
                                          Titers(QUEST 37507).



                                          RICKETTSIA ANTIBODY PANEL WITH
                                          REFLEX TO TITERS
                                          Includes RMSF and Typhus IgG and IgM and
                                          titers if indicated (additional charge)
                                                                                                             1 mL serum (SS)
                                          (QUEST 37507)
     LAB           RICKETTSIA PANEL                                                     Accompanies report
                                          Methodology: IFA
RICKETTSIA PAN        WITH TITER                                                                             Minimum: 0.5 mL
                                          Set up: Mon - Fri
                                          Report available: 2 days

                                          CPT Code: 86757x4




                                                                    Page 144 of 342
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  ORDER             ORDER
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 MNEMONIC           NAME

                                      RICKETTSIA / RMSF ABS WITH REFLEX
                                      TO TITERS
                                      Includes RMSF IgG and IgM and titer if
                                      indicated (additional charge)
                                                                                                        1 mL serum (SS)
                                      (QUEST 6419)
   LAB         RICKETTSIA/RMSF                                                     Accompanies report
                                      Methodology: IFA
 RMSF ABS        IGG,IGM ABS                                                                            Minimum: 0.5 mL
                                      Set up: Mon - Fri
                                      Report available: 2 days

                                      CPT Code: 86757x2



                                      RICKETTSIA / TYPHUS FEVER ABS WITH
                                      REFLEX TO TITERS
                                      Includes Typhus IgG and IgM and titer if
                                      indicated (additional charge)
                                                                                                        1 mL serum (SS)
                                      (QUEST 37503)
   LAB        RICKETTSIA/TYPHUS                                                    Accompanies report
                                      Methodology: IFA
TYPHUS ABS       IGG,IGM ABS                                                                            Minimum: 0.5 mL
                                      Set up: Mon - Fri
                                      Report available: 2 days

                                      CPT Code: 86757x2


                                      ROTAVIRUS
                                      Methodology: EIA
                                                                                                        Stool (1 gram) in a sterile container;
                                      Set up: Daily
   LAB        ROTAVIRUS,STOOL                                                           Negative        do not submit specimen in VCT.
                                      Report available: Same day
ROTAVIRUS                                                                                               Refrigerate.
                                      CPT Code: 87425


                                      ROTAVIRUS, RAPID ASSAY
                                      Methodology: EIA                                                  Stool (1 gram or 3 mL) in a sterile
QUEST 706X                            Set up: Mon, Wed, Fri                                             container
              Universal Requisition                                                Accompanies report
 Univ. Req.                           Report available: 2 days
                                                                                                        Minimum: 1 mL
                                      CPT Code: 87425



                                      RPR
                                      Performed at CPAL
                                      Positive screen will have RPR Quantitative
                                      performed at additional charge.                                   1 mL serum (SS)
                RAPID PLASMIN
   LAB                                Methodology: Flocculation                       Nonreactive
                REAGENT - RPR
   RPR                                Set up: Mon - Sat                                                 Minimum: 0.5 mL
                                      Report available: Next day

                                      CPT Code: 86592



                                      RSV - See Respiratory Syncytial Virus


                                      RUBELLA VIRUS IgG ANTIBODIES
                                      Performed at CPAL
                                      Methodology: MEIA                                                 1 mL serum (SS)
   LAB             RUBELLA            Set up: Mon - Sat                                 Positive
 RUBELLA                              Report available: Next day                                        Minimum: 0.5 mL

                                      CPT Code: 86762


                                      RUBELLA VIRUS IgM ANTIBODIES
                                      (QUEST 13342)
                                      Methodology: Immunoassay                                          1 mL serum (SS)
              RUBELLA ANTIBODY
    LAB                               Set up: Mon - Fri                            Accompanies report
                    IGM
RUBELLA IGM                           Report available: Next day                                        Minimum: 0.5 mL

                                      CPT Code: 86762




                                                                 Page 145 of 342
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                                                      PROCEDURE 146 of 342
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 MNEMONIC            NAME

                                       RUBEOLA VIRUS IgG ANTIBODIES
                                       Performed at CPAL
                                       Methodology: EIA
   LAB              RUBEOLA            Set up: Mon, Wed, Fri                                 Positive        1 mL serum (SS)
 RUBEOLA                               Report available: Next day

                                       CPT Code: 86765


                                       RUBEOLA VIRUS IgM ANTIBODIES
                                       (MEASLES)
                                       (QUEST 32762)
                                                                                                             1 mL serum (SS)
               RUBEOLA /MEASLES        Methodology: IFA
    LAB                                                                                Accompanies report
                 IGM ANTIBODY          Set up: Tues, Thurs
RUBEOLA IGM                                                                                                  Minimum: 0.5 mL
                                       Report available: Next day

                                       CPT Code: 86765


                                                                                                             Minimum: 2 mL FROZEN citrated
                                                                                                             plasma (LB)
                                  RUSSELL VIPER VENOM TIME (Drvvt)
                                                                                                             1) Draw plain red top tube and
                                  (QUEST 3369)
                                                                                                                discard or use for other
                                  Methodology: Clotting assay
               RUSSEL VIPER VENOM                                                                               testing.
   LAB                            Set up: Daily                                        Accompanies report
                      TIME                                                                                   2) Draw LB tube and centrifuge
RUSS VIPER                        Report available: Next day
                                                                                                                at 3000 rpm for 10 minutes.
                                                                                                             3) Remove plasma to a plastic
                                       CPT Code: 85613
                                                                                                                tube using a plastic pipette.
                                                                                                                Freeze immediately in a
                                                                                                                -70C freezer.


                                       SALICYLATES
                                       Methodology: Colorimetric                      Therapeutic range: 0 -
                                                                                                             1 ml blood (Gn -Li (PST))
                                       Set up: Daily                                         30 mg/dL
    LAB            SALICYLATE                                                                                         or
                                       Report available: Same day                     Toxic: Greater than 41
   SALIC                                                                                                     1 mL serum (SS)
                                                                                              mg/dL
                                       CPT Code: 80196

                                       SALMONELLA TOTAL ANTIBODY
                                       Methodology: EIA
QUEST 10582X                           Set up: Tues, Thurs
               Universal Requisition                                                        Negative         0.5 mL serum (SS)
  Univ. Req.                           Report available: Next day

                                       CPT Code: 86768x5


                                       SCABIES - See Fungus Smear (scabies)


                                       SCHISTOSOMIASIS ANTIBODY
                                       Methodology: ELISA
QUEST 34306X                           Set up: Wednesday morning
               Universal Requisition                                                   Accompanies report    1 mL serum (SS)
  Univ. Req.                           Report available: 3 days

                                       CPT Code: 86682

                                       SCLERODERMA (Sci-70) ANTIBODIES
                                       (QUEST 4942)
                                       Methodology: Immunoassay                                              1 mL serum (SS)
               ANTI-SCLERODERMA
   LAB                                 Set up: Mon - Sat                               Accompanies report
                    ANTIBODY
ANTI-SCLER                             Report available: Next day                                            Minimum: 0.5 mL

                                       CPT Code: 86235


                                       SECOBARBITAL
                                                                                                             3.0 mL plasma (L)
                                       Methodology: GCMS
                                                                                                                  or
                                       Detection limit: 0.1 µg/mL
QUEST 817X                                                                                                   3.0 mL serum (DB)
               Universal Requisition   Set up: Mon - Fri                               Accompanies report
 Univ. Req.                                                                                                  NO SS Tubes
                                       Report available: 3 days
                                                                                                             Minimum: 1.0 mL
                                       CPT Code: 82205




                                                                    Page 146 of 342
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  ORDER              ORDER
                                                      PROCEDURE 147 of 342
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 MNEMONIC            NAME

                                                                                      Male: Under   50 yr: 0-
                                                                                      15 mm/hr
                                  SEDIMENTATION RATE (ESR)
                                                                                            Over    50 yr: 0-
                                  Methodology: Westergren (manual)                                              4 mL blood (L). Specimen must be
                                                                                      20 mm/hr
                  ERYTHROCYTE     Set up: Daily                                                                 received within 12 hours of collection.
    LAB                                                                               Female:
               SEDIMENTATION RATE Report available: Same day
    ESR                                                                                     Under   50 yr: 0-
                                                                                                                Minimum: 2 mL
                                                                                      20 mm/hr
                                       CPT Code: 85652
                                                                                            Over    50 yr: 0-
                                                                                      30 mm/hr


                                       SELENIUM
                                       (QUEST 5507)
                                       Methodology: AA, Spectrophotometric
   LAB
                    SELENIUM           Set up: Tues, Thurs                             Accompanies report       2.0 mL serum (DB) FROZEN
 SELENIUM
                                       Report available: 2 days

                                       CPT Code: 84255

                                       SEMEN ANALYSIS                                                           Specimen should be delivered within 1
                                       Methodology: Microscopic exam                                            hour of collection. Call for
                                       Set up: Mon - Fri 0800 am - 1100 am                                      appointment. Physician offices are
    LAB          SEMEN ANALYSIS                                                        Accompanies report
                                       Report available: 2 days                                                 provided with instruction sheet.
  SEMANAL
                                       CPT Code: 89320                                                          Minimum: 1 mL


                                       SEMEN SPERM COUNT POST-
                                       VASECTOMY
                                       NOTE: If checking for motility, a semen
                                       analysis must be scheduled and ordered.
                                                                                                                Specimen must be received within 14
                                       Methodology: Microscopic exam, direct and
    LAB          SEMEN POST VAS                                                        Accompanies report       hours of collection. Collect in a clean,
                                       concentrated (if indicated)
  SEMPOST                                                                                                       dry container.
                                       Set up: Daily
                                       Report available: 1 - 2 days

                                       CPT Code: 89310


                                       SEMEN CULTURE - See Culture Fluid


                                       SEMINAL FRUCTOSE
                                       Methodology: Colorimetric
                                                                                                                1 mL fresh semen, FROZEN
QUEST 19219                            Set up: Tues
               Universal Requisition                                                   Accompanies report
 Univ. Req.                            Report available: Next day
                                                                                                                Minimum: 0.5 mL
                                       CPT Code: 82757


                                       SERAX - See Oxazepam


                                       SERENTIL - See Mesoridazine

                                       SEROQUEL (QUETIAPINE)
                                       Referral test for Quest
                                       Methodology: GCMS
QUEST 35299X                                                                                                    1 mL serum (R )
               Universal Requisition   Set up: Mon - Thurs                             Accompanies report
  Univ. Req.                                                                                                    ROOM TEMP
                                       Report available: 4 days

                                       CPT Code: 80299

                                       SEROTONIN, BLOOD
                                       (QUEST 818X)                                                             Minimum: Draw one 5 mL lavendar
                                       Methodology: HPLC                                                        tube and transfer immediately to a
    LAB         SEROTONIN BLOOD        Set up: Mon - Fri                               Accompanies report       plastic bottle containing 35 mg
SEROTONIN BL                           Report available: 2 days                                                 ascorbic acid (supplied by lab); Mix,
                                                                                                                freeze, and send FROZEN
                                       CPT Code: 84260




                                                                    Page 147 of 342
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                                                          TEST                          REFERENCE                     SPECIMEN
 ORDER               ORDER
                                                       PROCEDURE 148 of 342
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MNEMONIC             NAME

                                       SERTRALINE
                                       Referral test for Quest                                             4.0 mL serum (R). SST tubes not
                                       Methodology: GC                                                     acceptable.
QUEST 8871Z
               Universal Requisition   Set up: Daily                                  Accompanies report   FROZEN
 Univ. Req.
                                       Report available: 4 days
                                                                                                           Minimum: 2.5 mL
                                       CPT Code: 80299



                                       SERUM VISCOSITY - See Viscosity, Serum


                                  SEX HORMONE BINDING GLOBULIN
                                  (SHBG)
                                  (QUEST 30740X)
                                                                                                           1 mL serum (SS)
              SEX HORMONE BINDING Methodology: IA
    LAB                                                                               Accompanies report
                    GLOBULIN      Set up: Mon - Fri
   SHBG                                                                                                    Miniimum: 0.5 mL
                                  Report available: Next day

                                       CPT Code: 84270

                                       SGOT - See Aspartate Transaminase


                                       SGPT - See Alanine Transaminase

                                       SHBG - See Sex Hormone Binding
                                       Globulin

                                       SHINGLES CULTURE - See Herpes
                                       Simplex Virus Culture and Varicella Zoster
                                       Virus Culture

                                       SICKLE SOLUBILITY TEST
                                       (QUEST 825X)
                                       Methodology: Solubility                                             5 mL whole blood (L)
    LAB       SICKLE CELL SCREEN       Set up: Mon - Fri                              Accompanies report
  SICKLE                               Report available: Next day                                          Minimum: 0.5 mL

                                       CPT Code: 85660

                                       SINEQUAN - See Doxepin

                                       SIROLIMUS - See Rapamycin


                                       SJÖGREN'S SYNDROME ANTIBODIES SS-
                                       A(Ro), SS-B(La)
                                       Performed at CPAL
              SJOGRENS SYNDROM         Methodology: Ouchterlony Gel
    LAB                                                                               Accompanies report   1 mL serum (SS)
                    ANTIB              Set up: Wed, Sat
  SSASSB
                                       Report available: 48 hours

                                       CPT Code: 86235x4


                                       SKIN ANTIBODIES
                                       For detection of antibodies to intercellular
                                       substances (ICS) in pemphigus and to
                                       basement membrane (BM) in pemphigoid.
                                                                                                           1 mL serum (SS)
QUEST 37097                            Sera with ICS patterns are titered.
               Universal Requisition                                                  Accompanies report
 Univ. Req.                            Methodology: IFA
                                                                                                           Minimum: 0.5 mL
                                       Set up: Tues - Fri
                                       Report available: 3 days

                                       CPT Code: 86255x2


                                       SLE - See Lupus


                                       Sm and RNP ANTIBODIES - See Anti-ENA




                                                                   Page 148 of 342
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                                                          TEST                        REFERENCE                      SPECIMEN
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                                                       PROCEDURE 149 of 342
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  MNEMONIC              NAME

                                        SODIUM
                                                                                                         1 ml blood (Gn -Li (PST))
                                        Methodology: ISE
                                                                                                                  or
                                        Set up: Daily
     LAB                SODIUM                                                      Accompanies report   1 mL serum (SS)
                                        Report available: Same day
     NA
                                                                                                         Minimum: 0.5 mL
                                        CPT Code: 84295


                                     SODIUM, URINE, RANDOM
                                     Methodology: ISE
                                                                                    No reference ranges 20 mL random urine
                                     Set up: Daily
     LAB         SODIUM,URINE RANDOM                                                available for random
                                     Report available: Same day
     UNA                                                                              urine specimens    Minimum: 5 mL
                                        CPT Code: 84300


                                      SODIUM, URINE, 24 HR
                                      Methodology: ISE                                                   0.5 mL aliquot of 24-hr urine collected
                                      Set up: Daily                                                      without preservative
     LAB         URINE SODIUM 24 HOUR                                               40 - 200 mEq/24 hr
                                      Report available: Same day
    UNA24
                                                                                                         Minimum: 0.2 mL
                                        CPT Code: 84300

                                        SOMATOMEDIN - C - See Insulin-Like
                                        Growth Factor -1 (IFG-1)

                                        SPECIAL K DRUG TEST - See Ketamine
                                        and Metabolites


                                        SPEP - See Protein Electrophoresis


                                        SPERM ANTIBODY - See Anti-Sperm
                                        Antibody

                                        SPINAL FLUID, IgG - See Cerebrospinal
                                        Fluid, IgG

                                        SPINAL FLUID IgG SYNTHESIS - See
                                        Cerebrospinal Fluid, IgG Synthesis Rate


                                        SPINAL FLUID PROTEIN
                                        ELECTROPHORESIS - See Protein
                                        Electrophoresis, Cerebrospinal Fluid


                                        SPIRONOLACTONE AND METABOLITE,
                                        SERUM/PLASMA
                                                                                                         2.0 mL serum (R) or 2.0 mL plasma
                                        (QUEST 7419)
                                                                                                         (LAV EDTA)
                                        Methodology: Spectroflourometry
      LAB         SPIRONOLACTONE &                                                  Accompanies report   ROOM TEMPERATURE
                                        Set up: Tuesday
SPIRONOLACTONE       METABOLITE
                                        Report available: 3 days
                                                                                                         Minimum: 0.7 mL
                                        CPT Code: 80299


                                        SPOTTED FEVER ANTIBODIES - See
                                        Rocky Mountain Spotted Fever Antibodies,
                                        Typhus Fever Antibodies


                                        SPRUE SCREEN - See Anti-Endomyselial
                                        and Anti-Gliadin/Gluten

                                        SRP AUTOANTIBODIES - See Polymyocitis
                                        Antibody

                                        SSA (Urine) - See Sulfa Salicylate Acid


                                        SS-A, SS-B Antibodies - See Sjögren's
                                        Syndrome Antibodies




                                                                  Page 149 of 342
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                                                          TEST                          REFERENCE                      SPECIMEN
    ORDER                ORDER
                                                       PROCEDURE 150 of 342
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   MNEMONIC              NAME

                                         SSYCE - Order C STOOL and YERSINIA
                                         (Stands for Salmonella, Shigella,
                                         Campylobacter, E. coli, and Yersinia)


                                         STAPHYLOCOCCAL ANTIBODIES - See
                                         Teichoic Acid Antibodies


                                         STD PANEL
                                         Performed at CPAL and Quest Diag.                                 3 mL serum (SS) in 3 separate
                                         For RPR, HIV, HERPES IGG, HERPES IGM,                               tubes, 1 mL each
      LAB
                                         and HBSAG CPAL                                                           and
    STD PAN            LAB ONLY                                                       Accompanies report
                                         Methodology: Various, see individual tests                        1 mL serum (SS) FROZEN
  (Order Group)
                                                                                                                  and
                                         CPT Code:86592,86703,86695,86696,                                 1 mL whold blood (L)
                                         86694,87340



                                     STD (PCR) CERVICAL PROBE PANEL
                                     Performed at CPAL
                                                                                                           Recommended specimens:
                                     For Chlamydia trachomatis and Neisseria
                                                                                                           Female: Endocervical swab. Use kits
                                     gonorrhoeae
                                                                                                           provided from CPAL.
      LAB         STD PROBE CERVICAL Methodology: PCR Probe                                Negative
 STD PROBE CER                       Set up: Mon - Fri
                                                                                                           For urine specimens see
                                     Report available: 3 days
                                                                                                           STD PROBE URINE
                                         CPT Code: 87491, 87591


                                         STD (PCR) URINE PROBE PANEL
                                         Performed at CPAL
                                         For Chlamydia trachomatis and Neisseria                           Recommended specimens:
                                         gonorrhoeae                                                       Male: Random urine (20 mL)
      LAB          STD PROBE URINE       Methodology: PCR Probe                            Negative
STD PROBE URINE                          Set up: Mon - Fri                                                 CPAL can do female on urine but
                                         Report available: 3 days                                          cervical specimen is rrecommended.

                                         CPT Code: 87491, 87591




                                                                                                           Recommended specimens:
                                         STD (PCR) URETHRAL PROBE PANEL
                                                                                                           Male: Urethral specimen
                                         Performed at CPAL
                                         For Chlamydia trachomatis and Neisseria
                                                                                                           For urine specimens see
                                         gonorrhoeae
                                                                                                           STD PROBE URINE
      LAB          STD PROBE URETH       Methodology: PCR Probe                            Negative
STD PROBE URETH                          Set up: Mon - Fri
                                                                                                           **For collection and testing of
                                         Report available: 3 days
                                                                                                           specimens from non-genital or urine
                                                                                                           sources (ex. rectal or oral sources)
                                         CPT Code: 87491, 87591
                                                                                                           see GCCULT and CHLAMCULT**




                                         ST. LOUIS ENCEPHALITIS - See Arbovirus


                                         STONE ANALYSIS - See Calculus Analysis


                                         STONE RISK PROFILE
                                         Performed by Mission Pharmacal. See also,
                                         URORISK PROFILE, an alternative kidney
                                         stone assessment test, offered by the same
                                         company, but at a lower cost.
                                                                                                           24 hour urine collected in a STONE
                                         Methodology: Various
     LAB          STONE RISK PROFILE                                                  Accompanies report   RISK container. Available from the
                                         Set up: Daily
  STONERISK                                                                                                Lab.
                                         Report available: 1 week

                                         CPT Code: 82340, 83945, 84560, 82507,
                                         83986, 81050, 84300, 82570, 84133, 84105,
                                         83735, 84392, 82140


                                         STOOL, WBC - See WBC, Fecal
                                                                   Page 150 of 342
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                                                            TEST                             REFERENCE                      SPECIMEN
   ORDER               ORDER
                                                         PROCEDURE 151 of 342
                                                                 Page                          RANGE                      REQUIREMENTS
  MNEMONIC             NAME

                                         STREPTOCOCCUS GROUP A SCREEN
                                         (THROAT ONLY)
                                         Negative tests will reflex to throat culture. A
                                         charge will be added for each organism
                                         identification and susceptability from the                             Transport swab; calcium alginate
     LAB           STREP SCREEN          throat culture when indicated.                         Negative        swabs and swabs with wooden shafts
   STREPSC                               Methodology: Immunoassay;                                              are not acceptable.
                                         Set up: Daily
                                         Report available: 24 - 36 hours

                                         CPT Code: 87880


                                         STREPTOCOCCUS GROUP B ANTIGENS -
                                         See Bacterial Meningitis Antigens

                                         STREPTOCOCCUS PNEUMONIAE
                                         ANTIGENS - See Bacterial Antigens


                                         STREPTOCOCCUS PNEUMONIAE
                                         ANTIGENS, URINE
                                         (QUEST 10287)
                                                                                                                3 mL urine in sterile container
     LAB        STREP PNEUMONIAE         Methodology: Immunochromatography
                                                                                           Accompanies report
 STREP AG UR       ANTIG, URINE          Set up: Daily
                                                                                                                Minimum: 0.5 mL
                                         Report available: Next day

                                         CPT Code: 87899


                                         STREPTOMYCIN LEVEL
                                         Referral test for Quest
                                                                                                                1 mL serum (R), FROZEN
                                         Methodology: HPLC
 QUEST 30303X                                                                                                   Protect from light
                 Universal Requisition   Set up: Mon,Wed,Fri                               Accompanies report
   Univ. Req.
                                         Report available: 5-6 days
                                                                                                                Minimum: 0.5 mL
                                         CPT Code: 80299


                                         STREPTOZYME (STREPTOCOCCAL
                                         EXOENZYME ANTIBODY SCREEN)
                                         -See ANTI-STREP



                                    STRIATED MUSCLE ANTIBODY WITH
                                    REFLEX TO TITER (QUEST 266)
                                    Methodology: IFA                                                            1 mL serum (Red top- NO SST)
                STRIATED MUSCLE AB,
     LAB                            Set up: Mon - Fri Morning                                    < 1:10
                   RFLX TO TITER
 STR MUSCLE                         Report available : 3 days                                                   Minimum: 0.5 mL

                                         CPT Code: 86255


                                         STRONGYLOIDES IgG ANTIBODY
                                         (QUEST 28072)
                                         Methodology: Immunoassay                                               1.0 mL serum (SS)
     LAB        STRONGYLOIDES IGG
                                         Set up: Tues, Fri                                 Accompanies report
STRONGYLOIDES       ANTIBODY
                                         Report available: 3 days                                               Minimum: 0.5 mL

                                         CPT Code: 86682


                                         SUCROSE HEMOLYSIS TEST
                                                                                                                5 mL whole blood (L)
                                         Methodology: Compliment lysis
                                                                                                                Must be tested within 24 hours of
 QUEST 30235X                            Set up: Daily
                 Universal Requisition                                                     Accompanies report   collection
   Univ. Req.                            Report available: 3 days
                                                                                                                Minimum: 1 mL
                                         CPT Code: 86941

                                         SUDS - See HIV-1



                                         SULFA DRUGS
                                         Particular medication must be listed on
                                         request form. The following medications can
                                         be measured: sulfacetamide, sulfadiazine,
                                         sulfadine, sulfadimerazine, sulfaquanidine,
                                                                     Page 151 of 342
                                                                                                                3 mL serum (R of DB)
                                         sulfamethazine, sulfamethizole,
                                                                                                                      or
                                         sulfamethoxazole, sulfamethylthiazole,
                                               SULFA DRUGS
                                               Particular medication must be listed on
    LAB                       OE               request form. The following medications can
                                                                    TEST                        REFERENCE                      SPECIMEN
   ORDER                     ORDER             be measured: sulfacetamide, sulfadiazine,
                                                                PROCEDURE 152 of 342
                                                                             Page                 RANGE                      REQUIREMENTS
  MNEMONIC                   NAME              sulfadine, sulfadimerazine, sulfaquanidine,
                                                                                                                   3 mL serum (R of DB)
                                               sulfamethazine, sulfamethizole,
                                                                                                                         or
                                               sulfamethoxazole, sulfamethylthiazole,
                                                                                                                   3 mL plasma (L)
 QUEST 8561                                    sulfanilamide, sulfanilyl sulfarinamide,
                       Universal Requisition                                                  Accompanies report         or
  Univ. Req.                                   sulfapyrazine, sulfapyridine, sulfasalazine,
                                                                                                                   10 mL urine
                                               sulfasuxidine, sulfathiazole, sulfasoxazole,
                                               triple sulfa.
                                                                                                                   Minimum: 1.5 mL
                                               Methodology: Colorimetric
                                               Set up: Tues, Thurs
                                               Report available: 4 days

                                               CPT Code: 80299



   LAB MISC            Universal Requistion    SULFA-SALICYLATE ACID                                               12 mL random urine


                                               SULFONAMIDES - See Sulfa Drugs


                                               SURMONTIL - See Trimipramine

                                               SWEAT TEST - Refer patient to Chester
                                               County, DuPont

                                               SYNOVIAL FLUID ANALYSIS                                             Minimum:
    LAB                SYNOVIAL FLUID CELL     Includes cell count and WBC differential (if                        2 mL anticoagulated fluid (L)
 SYNCELLCT                   COUNT             indicated)                                                                    AND
                                -or-           Methodology: Various                                                2 mL unanticoagulated fluid (Y no
SYNCELLCTDIFF         SYN CELL CT WITH DIFF    Set up: Daily                                  Accompanies report   additive)
(diff if indicated)           IF IND           Report available: Next day
                                -or-                                                                               Specimens delivered in any other
   SYN DIFF            SYNOVIAL FLUID DIFF     CPT Code: cell count - 89050                                        manner may be rejected as unsuitable
                                                          diff - 89051                                             for testing.



                                               SYNOVIAL FLUID CRYSTALS ANALYSIS
                                               Methodology: Polarizing microscopy
                       CRYSTALS,SYNOVIAL       Set up: Mon - Sun
    LAB                                                                                         None detected      Minimum: 2 mL fluid (Y no additive)
                             FLUID             Report available: Next day
  CRYSTALS
                                               CPT Code: 89060


                                           SYNOVIAL FLUID URIC ACID
                                           Methodology:
                                           Set up: as needed
     LAB              URIC ACID,BODY FLUID                                                      2.0 - 8.0 mg/dL    Minimum: 2 mL fluid (Y no additive)
                                           Report available: Same day
    BFURIC
                                               CPT Code: 84560

                                               T & B LYMPHOCYTES - See Leukocyte
                                               Markers/Flow Cytometry in Appendix D


                                               T CELL SUBSETS - See Leukocyte
                                               Markers/Flow Cytometry in Appendix D


                                               T2 - See Testosterone Free & Total

                                               T UPTAKE (TU)
                                               (QUEST 861X)
                                               Methodology: EIA                                                    1 mL serum (SS)
      LAB                  T3 UPTAKE           Set up: Daily                                  Accompanies report
      T3U                                      Report available: 1day                                              Minimum: 0.5 mL

                                               CPT Code: 84479


                                               T3, FREE BY DIALYSIS w/ T3 TOTAL
                                               (QUEST 36598)
                                               Methodology: Dialysis                                               1.0 mL serum (SS or R)
      LAB               T3, FREE, DIALYSIS     Set up: Tues, Thurs                            Accompanies report
  T3 FR DIAL                                   Report available: Next day                                          Minimum: 0.4 mL

                                               CPT Code: 84480, 84481


                                                                           Page 152 of 342
  LAB                    OE
                                                          TEST                             REFERENCE                     SPECIMEN
 ORDER                  ORDER
                                                       PROCEDURE 153 of 342
                                                               Page                          RANGE                     REQUIREMENTS
MNEMONIC                NAME

                                        T3, FREE
                                        (QUEST 34429)
                                        Methodology: Immunoassay                                             1 mL serum (R)
    LAB                T3 FREE          Set up: Daily                                  Accompanies report
  T3 FREE                               Report available: Next day                                           Minimum: 0.5 mL

                                        CPT Code: 84481

                                        T3, REVERSE
                                        (QUEST 967)
                                        Methodology: RIA                                                     1.0 mL serum (R or SS)
   LAB               REVERSE T3         Set up: Tues, Thurs                             Accompanies report
REVERSE T3                              Report available: Next day                                           Minimum: 0.4 mL

                                        CPT Code: 84482



                                        T3 TOTAL
     LAB                                (QUEST 15468X)
    T3 RIA                              This test has been discontinued by Quest
(discontinued                           effective 10/13/08.
   10/13/08)                            Use T3 TOTAL (QUEST 859X).



                                        T3, TOTAL
                                        (QUEST 859X)
                                        Methodology: CIA                                                     1 mL serum (SS)
    LAB                T3 TOTAL         Set up: Daily                                   Accompanies report
 T3 TOTAL                               Report available: Next day                                           Minimum: 0.5 mL

                                        CPT Code: 84480


                                        T4 (THYROXINE) ANTIBODY
                                        (QUEST 36576)
                                        Methodology: Radiobinding Assay                                      1 mL serum (SS)
                 ANTI-THYROXINE (T4)
    LAB                                 Set up: Sunday                                  Accompanies report
                      ANTIBODY
T4 ANTIBODY                             Report available: 3 days                                             Minimum: 0.5 mL

                                        CPT Code: 83519


                                        T4, FREE
                                        Methodology: Chemiluminescence
                                                                                                             1 ml blood (Gn -Li (PST))
                                        Set up: Daily
    LAB            FREE THYROXINE                                                       Accompanies report            or
                                        Report available: Same day
    FT4                                                                                                      1 mL serum (SS)
                                        CPT Code: 84439

                                       FREE T4 INCLUDING TOTAL T4 BY
                                       EQUILIBRIUM DIALYSIS
                                       (QUEST 8382)
                                                                                                             1 mL serum (SS)
                FREE T4 WITH TOTAL T4- Methodology: Equilibrium Dialysis
    LAB                                                                                 Accompanies report
                      SEND OUT         Set up: Mon - Thurs
 FT4 BY DE                                                                                                   Minimum: 0.8 mL
                                       Report available: 2 days

                                        CPT Code: 84436, 84439


                                        T4, TOTAL (Thyroxine)
                                                                                                             1 ml blood (Gn -Li (PST))
                                        Methodology: Chemiluminescence
                                                                                                                      or
                                        Set up: Daily
    LAB             T4 /THYROXINE                                                       Accompanies report   1 mL serum (SS)
                                        Report available: Same day
     T4
                                                                                                             Minimum: 0.5 mL
                                        CPT Code: 84436


                                        TAMBOCOR - See Flecainide




                                                                     Page 153 of 342
     LAB                OE
                                                        TEST                           REFERENCE                     SPECIMEN
    ORDER              ORDER
                                                     PROCEDURE 154 of 342
                                                             Page                        RANGE                     REQUIREMENTS
   MNEMONIC            NAME


                                      TAY-SACHS DISEASE MUTATION
                                      ANALYSIS
                                      (QUEST 21502)
                                      Methodology: PCR, Allele specific primer                            5 mL blood (L)
                                      extension, Flourescent detection/color coded
                  TAY-SACHS DISEASE
      LAB                             microspheres                                   Accompanies report   ROOM TEMP
                      MUTATION
TAY SACHS MUTAT                       Set up: Tues, Sat
                                      Report available: 7 days                                            Minimum: 2 mL

                                      CPT Code: 83891, 83892, 83900, 83901x2,
                                      83909, 83912, 83914x7



                                      TB CULTURE - See Culture, Acid-Fast TB


                                      TBII - See Thyrotropin Binding Inhibitory
                                      Immunoglobulin


                                      TB SMEAR - See Acid-Fast (TB) Smear


                                      TBG (THYROXINE BINDING GLOBULIN)
                                      (QUEST 4352)
                                      Methodology: CIA                                                    0.5 mL serum (R), No SS tubes
                  THYROXINE BINDING
     LAB                              Set up: Mon - Fri                              Accompanies report
                      GLOBULIN
     TBG                              Report available: Next day                                          Minimum: 0.2 mL

                                      CPT Code: 84442


                                      TEGRETOL - See Carbamazepine


                                      TEICHOIC ACID ANTIBODIES
                                      (QUEST 36568X)
                                      Methodology: ID                                                     1 mL serum (SS)
      LAB          TEICHOIC ACID AB   Set up: Mon - Sat                              Accompanies report
   TEICHOIC                           Report available: 2 days                                            Minimum: 0.5 mL

                                      CPT Code: 86331


                                      TESTOSTERONE, FREE
                                      Performed at CPAL
                                      Methodology: Calculation                                            1.0 mL serum (SS)
      LAB         TESTOSTERONE FREE   Set up: Mon - Sat                              Accompanies report
  TESTOS FREE                         Report available: Next day

                                      CPT Code: 84402



                                      TESTOSTERONE, FREE & TOTAL (T2)
                                      Performed at CPAL
                                      Methodology: Chemilluminescence
                    TESTOSTERONE
     LAB                              Set up: Mon - Sat                              Accompanies report   1.0 mL serum (SS)
                      FREE+TOT
  TESTOS F+T                          Report available: Next day

                                      CPT Code: 84402, 84403



                                     TESTOSTERONE FREE BIOAVAILABLE &
                                     TOTAL
                                     (QUEST 15985)
                                                                                                          2.8 mL serum (R) No SS tubes
                                     Methodology: Calculation,
                   TESTOSTERONE                                                                           or
                                     Spectrophotometric, LC/TMS,
     LAB        BIOAVAILABLE,FREE,TO                                                 Accompanies report   2.8 mL plasma (GN Na-hep)
                                     Immunochemilluminescence
TESTOS BIOAVAIL          T
                                     Set up: Mon - Fri
                                                                                                          Minimum: 1.3 mL
                                     Report available: 2 days

                                      CPT Code: 82040, 84270, 84403




                                                                   Page 154 of 342
    LAB                  OE
                                                        TEST                          REFERENCE                      SPECIMEN
   ORDER                ORDER
                                                     PROCEDURE 155 of 342
                                                             Page                       RANGE                      REQUIREMENTS
  MNEMONIC              NAME

                                     TESTOSTERONE , TOTAL
                                     Performed at CPAL
                                     Methodology: Chemilluminescence
     LAB         TESTOSTERONE, TOTAL Set up: Mon - Sat                             Accompanies report    1.0 mL serum (SS)
  TESTOS TOT                         Report available: Next day

                                       CPT Code: 84403




                                                                                                         1 mL serum (SS)
                                                                                                         Draw pre-immunization sample in a
                                                                                                         red-top vacutainer. After clotting,
                                                                                                         centrifuge and draw off the serum.
                                                                                                         Label with patient identification, date
                                                                                                         drawn, and the word PRE. Store
                                                                                                         frozen until the sample is submitted,
                                                                                                         after the post-immunization sample is
                                       TETANUS ANTIBODY TITER, PRE and                                   drawn.
                                       POST-IMMUNIZATION
                                       (QUEST 37532)                                                     AND
     LAB          TETANUS ANTIBODY     Methodology: EIA
                                                                                   Accompanies report
 TETANUS AB            TITER           Set up: Mon, Wed, Fri                                             1 mL serum (SS)
                                       Report available: Next day                                        Draw post-immunization sample and
                                                                                                         prepare as described above. Label
                                       CPT Code: 86774x2                                                 the sample with patient identification,
                                                                                                         date drawn, and the word POST.
                                                                                                         Dates drawn must be different. Submit
                                                                                                         both the PRE and POST samples
                                                                                                         together. UNDER NO
                                                                                                         CIRCUMSTANCES should these
                                                                                                         samples be mixed. Ship refrigerated.

                                                                                                         Minimum: 0.5 mL each specimen




                                       TETANUS TOXIN ANTIBODY
                                       (QUEST 53952)
                                       Methodology: ELISA                                                1 mL serum (SS or R)
                 TETANUS ANTITOXOID
     LAB                               Set up: Mon, Wed, Fri                       Accompanies report
                      ANTIBODY
TETANUS TOXIN                          Report available: Next day                                        Minimum: 0.2 mL

                                       CPT Code: 86774



                                       THALASSEMIA & HEMOGLOBINOPATHY                                    15 mL whole blood (L) Min: 5 mL
                                       COMPREHENSIVE PANEL                                                  and
                                       (QUEST 12658)                                                     1 mL serum (SS) Min: 0.5 mL
                                       Methodology: CZ Electrophoresis, HPLC, IA                            and
                   THALASSEMIA &
      LAB                              Set up: Mon - Fri                           Accompanies report    1 mL plasma (EDTA LAV)
                 HEMOGLOBINOPATHY
THAL-HGB PANEL                         Report available: 5 days                                          Min: 0.5 mL

                                       CPT Code: 82728, 83021, 85014, 85018,                             Hemolyzed specimens are
                                       85041                                                             unacceptable



                                       THEOPHYLLINE
                                                                                   Therapeutic: 10 - 20
                                       Methodology: Immunoassay
                                                                                         µg/mL          1 mL serum (SS, R)
                                       Set up: Daily
     LAB            THEOPHYLLINE
                                       Report available: Same day
    THEO                                                                           Toxic: Greater than   Minimum: 0.5 mL
                                                                                       25.0 µg/mL
                                       CPT Code: 80198


                                       THIAMINE - See Vitamin B1




                                                                Page 155 of 342
   LAB                  OE
                                                           TEST                         REFERENCE                     SPECIMEN
  ORDER                ORDER
                                                        PROCEDURE 156 of 342
                                                                Page                      RANGE                     REQUIREMENTS
 MNEMONIC              NAME

                                         THIOCYANATE
                                         Active metabolite of sodium nitroprusside
                                         Methodology: Colorimetric
QUEST 879X                               Detection limit: 1 µg/mL                                          Minimum: 3 mL serum (R or DB) or
                 Universal Requisition                                                Accompanies report
 Univ. Req.                              Set up: Mon, Wed, Fri                                             plasma (L)
                                         Report available: 3 days

                                         CPT Code: 84430


                                         THIOPURINE METABOLITES
                                         (6-MP METABOLITES)
                                         (QUEST 115431)
                                         Referral test -sent to Prometheus® (3200)
    LAB              THIOPURINE                                                                            Minimum 5 mL EDTA whole blood (L)
                                         Methodology: HPLC                            Accompanies report
THIOPURINE          METABOLITES
                                         Set up: Mon -Fri
                                         Report available: 5 days

                                         CPT Code: 82492



                                     TPMT ENZYME
                                     THIOPURINE METHYLTRANSFERASE,
                                     RBC; TPMT ENZYME ACTIVITY
                                     (QUEST 128291)
    LAB        TPMT ENZYME ACTIVITY, Referral test -sent to Prometheus® (3320)                             Minimum 5 mL EDTA whole blood (L)
                                                                                      Accompanies report
TPMT ENZYME            RBC           Methodology: HPLC
                                     Set up: Mon -Fri
                                     Report available: 5 days

                                         CPT Code: 82657



                                   THIOPURINE METHYLTRANSFERASE
                                   (TPMT), ERYTHROCYTES
                                   (QUEST 18831)
                                   Referral test -sent to Mayo Medical Labs
                                   (80291)                                                                 Minimum 5 mL EDTA whole blood (L)
   LAB             THIOPURINE
                                   Methodology: Enzymatic End Point &                 Accompanies report   Hemolysis is unacceptable.
 TPMT RBC      METHYLTRANSFER, RBC
                                   LC/TMS
                                   Set up: Mon, Wed - Fri
                                   Report available: 5 days

                                         CPT Code: 83789


                                         THIORIDAZINE
                                         Referral test for Quest
                                                                                                           2.0 mL serum (R)
                                         Methodology: GC
QUEST 23232Z                                                                                               ROOM TEMP
                 Universal Requisition   Set up: Mon - Fri                            Accompanies report
  Univ. Req.
                                         Report available: 4 days
                                                                                                           Minimum: 1.5 mL
                                         CPT Code: 84022

                                         THIOTHIXENE (CIS) Isomer, urine
                                                                                                           3 mL urine
                                         Methodology: GC
                                                                                                           Protect from light
QUEST 0867                               Set up: Mon - Thurs
                 Universal Requisition                                                Accompanies report   ROOM TEMP
 Univ. Req.                              Report available: 4 days
                                                                                                           Minimum: 3.5 mL
                                         CPT Code: 80299

                                         THORAZINE - See Chorpromazine

                                         THROMBIN TIME
                                                                                                           2 mL citrated plasma (LB)
                                         Methodology: Optical clot detection
                                                                                                           Test must be performed within 4 hours
                                         Set up: Daily
    LAB            THROMBIN TIME                                                      15.1 -19.1 seconds   of collection
                                         Report available: Same day
 THROMBIN
                                                                                                           Minimum: 1 mL
                                         CPT Code: 85670




                                                                    Page 156 of 342
     LAB                     OE
                                                                TEST                          REFERENCE                     SPECIMEN
    ORDER                   ORDER
                                                             PROCEDURE 157 of 342
                                                                     Page                       RANGE                     REQUIREMENTS
   MNEMONIC                 NAME


                                             THROMBOPHILIA PANEL                                                 3 tubes (1mL) plasma (LB)FROZEN
                                             QUEST (14934)                                                           AND
                                             Includes:PTT-LA, Protein C Activity,                                1 tubes (3 mL) plasma (LB)FROZEN
                                             Prothrombin Gene Analysis, Protein S                                    AND
                                             Activity, Cardiolipin IgM, Cardiolipin IgG,
                                                                                                                 1 tubes (2 mL) plasma (LB)FROZEN
                                             Cardiolipin IgA, DRVVT, Homocysteine,
                                                                                                                     AND
     LAB                                     Factor V Leiden
                                                                                                                 2 tubes (5 mL) EDTA whole blood (L)
THROMBOPHIL PAN THROMBOPHILIA PANEL                                                         Accompanies report
                                                                                                                 RM TEMP
                                             Methodology: Various
                                                                                                                     AND
                                             Set up: Mon - Fri
                                                                                                                 1 mL EDTA plasma (L) REFRIG
                                             Report availbale: Varies
                                                                                                                     AND
                                                                                                                 3 tubes (1 mL) serum (SS) REFRIG
                                             CPT Code: 83090, 83891x2, 83892x2,
                                             83896x4, 83912x2, 85300, 85303, 85306,
                                             85613, 85730, 86147x3



                                             THYROGLOBULIN
                                             Performed at CPAL
                                             Methodology: Chemiluminescense                                      1 mL serum (SS)
                       THYROGLOBULIN
      LAB                                    Set up: Mon - Sat                              Accompanies report
                           QUANT
   THYROGLOB                                 Report available: Next day                                          Minimum: 0.5 mL

                                             CPT Code: 84432



                                        THYROGLOBULIN PANEL
                                        Includes Thyroglobulin and Anti-Thyrogloblin
                                        Performed at CPAL
      LAB                                                                                                        1.0 mL serum (SS)
                    THYROGLOBULIN PANEL Methodology: EIA, CIA
   THYRO PAN                                                                                Accompanies report
                          (CPAL)        Set up: Mon - Sat
                                                                                                                 Minimum: 0.5 mL
                                        Report availbale: Next day
Performed at CPAL
                                             CPT Code: 86800, 84432



                                       THYROGLOBULIN PANEL
                                       Includes Thyroglobulin and Anti-Thyrogloblin
                                       Performed at QUEST (11272)
       LAB                                                                                                       2.0 mL serum (SS)
                   THYROGLOBULIN PANEL Methodology: Immunoassay
 THYROGLOB PAN