LAB OE TEST REFERENCE SPECIMEN ORDER ORDER PROCEDURE RANGE REQUIREMENTS MNEMONIC NAME ABORH GROUP (BLOOD TYPE) Methodology: Tube BBK Set up: Daily, as ordered ABORH BLOOD TYPE 6.0 mL whole blood (Pink) ABORH Report available: Same day

CPT Code: 86900, 86901

ACA or ACLA - See Anti-Cardiolipin

ACE - see Angiotensin-1 Converting Enzyme

ACETAMINOPHEN, SERUM Methodology: 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: 80329

ACETYLCHOLINE RECEPTOR 1.0 mL serum (SS) BINDING ANTIBODIES (QUEST 206) Minimum: 0.5 mL ACETYLCHOLINE BINDING Methodology: RIA LAB Accompanies report RECEP Set up: Tues-Sat Allow serum to clot at room ACETYL BIND Report available: 1-2 days temperature. Serum should be separated from cells within 1 CPT Code: 83519 hour of collection.

ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODIES (QUEST 34459) 1.0 mL serum (SS) centrifuge ACETYLCHOLINE Methodology: RIA with 1 hr of collection LAB Accompanies report BLOCKING RECEP Set up:Mon, Wed, Fri ACETYL BLO Report available: Next day Minimum:0.5 mL

CPT Code: 83519

ACETYLCHOLINE RECEPTORMODULATING (QUEST 26474) 1 mL serum (SS) ACETYLCHOL LAB Methodology: RIA Accompanies report MODULATING RECEP ACETYL MOD Set up: Tue,Thur,Sun Minimum: 0.5 mL Report available: 5 days CPT Code: 83519 ACETYLCHOLINESTERASE, QUALITATIVE, GEL ELECTROPHORESIS (QUEST 185314) This test is automatically performed on all 1.5 mL Amniotic fluid, ROOM Alpha-Fetroprotein amniotic fluids with a TEMP LAB ACETYL-CHOLINESTERASE Negative MoM greater then 1.99 ACETYL Methodology: Gel Electrophoresis Minimum: 0.5 mL Set up: Tues, Thurs evening Report available: Next Day

CPT Code: 82664

ACETYLSALICYLIC ACID (SALICYLATE) Therapeutic range:0-30 Methodology: Colormetric 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: 80329

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 LAB Reports available: Next day if clinically No acid-fast bacilli observed (sputum, exudates, hear-fixed smear,or AFBST indicated complete first morning urine)

CPT Code: 87206 ACID PHOSPHATASE, PROSTATIC (PAP) (QUEST 7812) Methodology: Immunoassay 1mL serum (SS), FROZEN* LAB PROSTATIC ACID Set up: Mon-Fri pm Accompanies report ACID PHOS -PAP PHOSPHATASE Report available: Next day Minimum: 0.5 mL

CPT Code: 84066 1.5 mL EDTA plasma (L) FROZEN [Collect between 7a and 10a, if drawn at any other time reference ranges do ACTH ADRENOCORTICOTROPIC not apply.] HORMONE Maintain collection tube in as ice bath (QUEST 211) before and after Methodology: Immunoassay LAB ACTH Accompanies report collection of blood. Mix well and Set up: Mon-Fri am ACTH centrifuge at 4 C, separate plasma from Report available: 2 days cells, store and ship plasma frozen in plastic vial. CPT Code: 82024 Minimum: 0.5 mL

1 ml blood (Gn -Li (PST)) or ACTH STIMULATION PANEL 1 mL serum (SS) Cortisol,Baseline: >5 ug/dL Collect Baseline specimen. Collect 30 Methodology: Chemiluminescence Cortisol, 30 Minutes: >20 minute and 1 hour specimens post LAB ACTH STIMULATION PANEL Set up: Daily ug/dL administration of 250 mg Cortrosyn ACTH STIM PANEL Report available: Same Day Cortisol,1 Hour: >20 ug/dL Do not collect, testing must be CPT Code: 80400 scheduled through SSU by Office

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

CPT Code: 85610

ADAPIN-See Doxepin

ADENOSINE DEAMINASE, PLEURAL FLUID 0.5 mL pleural fluid in sterile, plastic, (QUEST 17696) screw-capped vial LAB ADENOSINE DEAMINASE Methodology: Kinetic FROZEN Accompanies report ADA FLUID PLEURAL FL Set up: Mon - Fri am Report available: 1 day Minimum: 0.1 mL

CPT Code: 84311 ADENOVIRUS ANTIBODY GROUP (QUEST 0382) 1 mL serum (SS) Methodology: CF LAB ADENOVIRUS ANTIBODY Set up: Mon-Fri am Accompanies report ADENOVIRUS AB SERUM Minimum: 0.5 mL Report available: 3 days

CPT Code: 86603

3 mL Conjunctival swab in VCM ADENOVIRUS CULTURE transport tube, 2.5 mL nasal aspitate in (QUEST 759) sterile container, 3 mL stool in viral Methodology: Rapid Culture LAB transport media, or 3 mL throat swab in ADEOVIRUS CULTURE Set up: Daily, am Accompanies report ADENOVIRUS CULT M4 Multiuse viral transport medium, or Report available: 4 days 50 mL first-morning urine in sterile contrainer, or Bronchial lavage/wash in CPT Code: 87254 M4 transport media.

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 ALANINE AMINOTRASFERASE (ALT) (SGPT) 1 ml blood (Gn -Li (PST)) Methodology: Kinetic or ALANINE LAB Set up: Daily Accompanies report 1 mL serum (SS) AMINOTRANSFERASE SGPT Report available: Same day Minimum: 0.5 mL CPT Code: 84460 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 ALBUMIN/CREATININE RATIO Methodology: Turbidometric/Colorimetric URINE ALBUMIN Set up:Daily LAB Accompanies report 10mL random urine CREATININE RATIO Report available: Same day ALB-CREA CPT Code: 82043, 82570 ALBUMIN, BODY FLUID Performed at York Hospital Methodology: Colorimetric LAB ALBUMIN BODY FLUID Set up:Daily Accompanies report 2 mL fluid, no preservative BFALB Report available: Next day

CPT Code: 82042

1 mL serum (SS) ALCOHOL, ETHYL (SERUM) Minimum 0.5 mL Methodology: Enzymatic Set up: Daily LAB ALCOHOL SERUM None detected When collecting blood , the arm should Report available: Same say ALCOHOL be cleansed with a non-alcohol cleansing agent. CPT Code: 80320

ALCOHOL, ETHYL (URINE) (QUEST 13867) Detection Limit: 0.02 g/dL 20 mL urine Methodology: Immunoassay LAB URINE ALCOHOL None detected Set up: Mon-Fri U ALCOHOL Minimum: 5 mL Report available: Next day

CPT Code: 80307 ALCOHOL, ETHYL, URINE BY GCMS FOR RANDOM URINE (QUEST 19938) Detection Limit: 20 mg/dL 10 mL random urine LAB ALCOHOL URINE BY GCMS Methodology: GC Accompanies report ROOM TEMPERATURE ALCOHOL UR Set up: Mon-Fri am Minimum: 0.5 mL Report available: 2 days

CPT Code: 80320 ALCOHOL, ISOPROPYL, BLOOD (QUEST 7821) 5 mL blood (L) Includes acetone, if present ROOM TEMPERATURE Methodology: Chromatography Minimum: 1 mL LAB ISOPROPANOL BLOOD Detection Limit: 0.005 g/DI Accompanies report ISOPROPANOL BLD Set up: Mon - Fri pm 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 whole blood (L) (QUEST 4301) Methodology: Chromatography 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: 80320 ALDOLASE (QUEST 227) 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/MS/MS 1 mL serum (R) Set up: Mon-Fripm LAB ALDOSTERONE SERUM Accompanies report Report available: 3 days ALDOSTERON Minimum: 0.25 mL CPT Code: 82088 ALDOSERONE, 24 HR URINE 5 mL aliquot of 24-hr urine, collected (QUEST 13856) without preservatives and maintained at Methodology: Extraction, RIA 4 C. ALDOSTERONE 24 HR LAB Set up: Sun,Tue Accompanies report Before storing or shipping, add 1 g boric URINE ALDOSTERONE UR Report available: 4 days acid/100 mL urine and ship refrigerated.

CPT Code: 82088 Minimum: 0.8 mL ALKALINE PHOSPHATASE (ALP, ALK 1 ml blood (Gn -Li (PST)) PHOS) or Methodology: PNPP 1 mL serum (SS) LAB ALKALINE PHOSPHATASE Set up: Daily Accompanies report ALP Report available: Same day Minimum: 0.5 mL CPT Code: 84075 ALKALINE PHOSPHATASE FRACTIONATION (TOTAL AND THEMOSTABLE) (QUEST 17514X) 2 mL serum (SS) ALK PHOSPHATASE Methodology: Kinetic LAB Accompanies report FRACTIONS Set up: Daily ALKPHOSFR Minimum: 2.0 mL Report available: Next day

CPT Code: 84075, 84078 ALKALINE PHOSPHATASE, BONE SPECIFIC 1 mL serum (SS) (QUEST 29498) FROZEN Methodology: Immunoenzymatic Minimum: 0.3 mL LAB ALK PHOS BONE SPECIFIC Accompanies report Set up: Mon - Fri pm ALK PHOS BONE Report available: Next day Grossly hemolyzed specimens will be rejected. CPT Code: 84075 ALKALINE PHOSPHATASE ISOENZYME ELECTROPHORESIS (QUEST 231X) Report includes alkaline phosphatase 2 mL serum (SS) LAB ALK PHOS ISOENZYME Methodology: Agarose Electrophoresis Accompanies report *overnight fasting is preferred ALK ISO Set up: Mon-Fri, Sun pm 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 4482) 1 mL serum (SS) Methodology: Nephelometric ALPHA 1 ANTITRYPSIN *overnight fasting is preferred LAB Set up: Mon - Sat afternoon 83-199 mg/dL SERUM 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 ANTI QUANT AND *overnight fasting is REQUIRED LAB focusing Accompanies report PHENO Minimum: 0.6 mL AAT QUANT Set up: Mon, Wed, Fri am Report available: 4 days

CPT Code: 82103, 82104 ALPHA-1 ANTITRYPSIN, 24 HOUR FECES 10 gms of 24 hour feces in 24 hour (QUEST 535115) container Methodology: Nephelometric LAB ALPHA 1 ANTI 24 HR FECES Accompanies report FROZEN Set up: Mon-Fri pm A1A FECES Report available: 2 days Minimum: 2 grams CPT Code: 82103 ALPHA-1 ANTITRYPSIN, RANDOM FECES 10 grams random feces in plain (QUEST 535118) container ALPHA 1 ANTI RANDOM Methodology: Nephelometric LAB Accompanies report FROZEN FECES Set up: Mon-Fri afternoon ALP 1 ANTI STL Report available: 2 days Minimum: 2 grams CPT Code: 82103 ALPHA-1 ANTITRYPSIN (AAT) MUTATION ANALYSIS (QUEST 15441) 5 mL whole blood ( L) Methodology: Flourescent Restriction ALPHA 1 ANTITRYPSIN LAB Fragment Length Polymorphism Accompanies report MUTATION AAT MUTATION Set up: Mon, Wed, Fri night Minimum: 2 mL Report available: 6 days

CPT Code: 81332

1 mL serum (SS) refrigerated. Reject gross hemolysis. FREEZE if greater then 24 hour delay in transporting to the laboratory. ALPHA-FETOPROTEIN TRIPLE SCREEN It is essential that complete and PROFILE (AFP, hCG, uE3) accurate patient information be included (QUEST 7292) with each test request. Required patient Methodology:Calculation & Immunoassay information is as follows: Set up: Mon-Fri LAB Accompanies report 1. Expectant mothers date of birth TRIPLE SCREEN Report available: Next day: TRIPLE SCREEN 2. Date/time of sample collection 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, (CPAL 1750760) Do not use this Test Code for Evaluation of open neural tube defects and Down 1 mL serum (SS) , refrigerated FREEZE Syndrome. Use for Males and Non-pregnant if greater then 24 hour delay in LAB AFP TUMOR females. 0.0-14.9 ng/mL 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 1.0 mL serum (SS), refrigerated. Reject MATERNAL SERUM gross hemolysis. FREEZE if (Quest 5059) greater than 24 hour delay in LAB MATERNAL SERUM AFP Accompanies report Methodology: Immunoassay transporting to the laboratory. AFP NTD Set up: Mon - Fri afternoon Report available: 24-48 hours Minimum: 0.5 mL

CPT Code: 82105 ALPHA-FETOPROTEIN FOR EVALUATION OF OPEN NEURAL TUBE DEFECT AND DOWN SYNDROME ON AMNIOTIC FLUID (QUEST 799314) 3 mL amniotic fluid Methodology: Gel Electrophoresis, RID AMNIO ALPHA FETO ROOM TEMP LAB Set up: Mod-Fri Accompanies report PROTEIN AFPAMNIO Report available: Next Day Minimum: 1.5 mL CPT Code: 82106 (If the amniotic fluid AFP MoM is greater then 2.0, an acetylcholinesterase is automatically performed at an additional charge) ALPHA-GALACTOSIDASE , SERUM (QUEST 83692) Methodology: Fluorometric ALPHA GALACTOSIDASE LAB Setup: Tues am Accompanies report 2 mL serum (R) FROZEN SERUM ALPHA GALACT Report Available: 9 days

CPT Code: 82657 ALPHA-SUBUNIT (QUEST 8658) Methodology: Electrochemiluminescent 1 mL serum (SS) Immunoassay LAB ALPHA SUBUNIT Accompanies report Set up: Tues, Fri ALPHA-SUBUNIT Minimum: 0.5 mL Report Available: 4-11 days

CPT Code: 82397 ALPRAZOLAM (XANAX) (QUEST 21592) Methodology: HPLC 2 mL serum (DB,R); Detection Limit: 5 ng/mL protect from light ALPRAZOLAM SERUM / Set up:Mon, Wed, Fri morning ROOM TEMP LAB Accompanies report XANAX Report available: 4 days ALPRAZOLAM Minimum: 1.0 mL CPT Code: 80346

2 mL serum (DB) Draw ALUMINUM (QUEST 2958) one DB tube of blood and discard. Draw Methodology: Inductively-Coupled Plasma second tube. Allow to clot in an upright Mass Spectrometry position. Centrifuge and pour (do not LAB ALUMINUM Set up: Mon, Wed, Fri afternoon Accompanies report pipette) the serum into a metal-free tube ALUMINUM Report available: 3 days (plastic screw-cap). CPT Code: 82108 Minimum: 0.7 mL 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 am Accompanies report AMIKACIN Report available: Next day Minimum: 0.2 mL CPT Code: 80150 AMINO ACIDS, QUALITATIVE (QUEST 36183X) 2 mL unpreserved random urine (sterile, Methodology: LC/MS leakproof container) LAB AMINO ACID URINE QUAL Set up: Mon,Tues,Fri am Accompanies report FROZEN AMINO ACID Report available: 5 days Minimum: 0.5 mL CPT Code: 82139,82570 AMINO ACIDS ANALYSIS, PLASMA (QUEST 0233) 2 mL plasma (Gn Na-Hep) Methodology: LC/MS AMINO ACID ANALYSIS FROZEN LAB Set up: Mon - Fri am Accompanies report PLASMA AMINO ACID PL Report available: 11 days Minimum: 0.25 mL CPT Code: 82139 AMINO ACID QUANTITATION, PLASMA Referral test for QUEST 2 mL plasma (Gn Na-Hep) QUEST 767X Methodology: LC/MS FROZEN Universal Requisition Accompanies report Univ. Req. Set up: Mon - Say Report available: 5-6 days Minimum: 0.3 mL

CPT Code: 82139 ANIMOPHYLLINE -See AMIODARONE GROUP (CARDARONE) (QUEST 36721) 3 mL serum (R) Includes desethylamiodarone Centrifuge and immediately separate Methodology: HPLC serum or plasma specimens from cells LAB AMIODARONE SERUM Detection limit: 0.1 µg/mL Accompanies report into clean, plastic, screw-cap vial. (SST AMIODARONE Set up: Tues,Thurs,Sat unacceptable.) Report available: 2 days Minimum: 1 mL CPT Code: 80299

AMITRIPTYLINE (ELAVIL) (QUEST 423) Includes nortriptyline Methodology: LC/MS/MS 3 mL serum (R) Detection limit: 5 ng/mL LAB AMITRIPTYLINE SERUM Accompanies report Set up: Mon - Fri. AMITRIP Minimum: 1.5 mL Report available: Next day

CPT Code: 80335 AMMONIA 3 mL plasma (Gn). Place on Methodology: Direct Enzymatic ice, centrifuge immediately. Set up: Daily Keep stoppered at all times. LAB AMMONIA Accompanies report Report available: Same day Separate Plasma and store at 2-4 C. AMM Stable for 3 hours. 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. Methodology: slide agglutination Universal Requisition Accompanies report 2 mL amniotic fluid LAB MISC Set up: On request Report available: Phone report available from LGH on completion

CPT Code: 84081 AMOBARBITAL, BLOOD (QUEST 12261) LAB 2 mL serum (R) Methodology: GCMS AMOBARBITAL BLD AMOBARBITAL BLOOD Set up: Mon,Wed,Fri am Accompanies report Report available: 5 days Minimum: 0.7 mL CPT Code: 80345 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 SCREEN URINE SCREEN (QUEST 18987) Methodology: EMIT 20 mL urine SCREEN LAB Set up: Mon - Sat. am None detected URINE AMP SC UR Report available: Next day Minimum: 10 mL

CPT Code: 80307 AMPHETAMINE VERIFICATION Methodology: GC/MS 5 mL serum (R) Detection limit: 50 ng/mL QUEST 19122 Centrifuge specimen within 1 hr of Universal Requisition Set up: Mon-Sat Accompanies report Univ. Req. collection. Immediately separate serum Report available: 3 days into clean, plastic screw-top vial. Minimum: 3 mL CPT Code: 80359, 80324 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, BODY FLUID Performed at York Hospital Methodology: Enzymatic LAB AMYLASE BODY FLUID Set up: Daily Accompanies report 2 mL fluid, no preservative BFAMYLASE Report available: Next day

CPT Code: 82150 AMYLASE, URINE RANDOM Methodology: Enzymatic Timed or random specimen; no Set up: Daily preservative LAB URINE AMYLASE RANDOM Report available: Same day Accompanies report UAMY For 8 hour order UAMY8 Minimum: 1 mL CPT Code: 82150 AMYLASE ISOENZYMES (FRACTIONATED) (QUEST 845) 1.0 mL serum (SS) Methodology: Spectrophotometry LAB AMYLASE FRACTIONATED Accompanies report Set up: Mon - Fri am AMYLASE FRACT Minimum: 0.5 mL Report available: Next day

CPT Code: 82150(X2) AMYTAL - See Amobarbital ANAEROBIC IDENTIFICATION When unable to identify an anaerobic isolate, organism will be sent to Quest Send pure culture of organism in Diagnostics Lab on request. suitable anaerobic transport system or LAB LAB ONLY Methodology: Biochemical and microscopic Accompanies report thioglycollate broth. An isolation charge ANA ID Set up: Mon - Fri. will be added for oprganisms submitted Report available: 1 week in mixed culture.

CPT Code: 87076 ANALYZER PANEL (No longer available as of 11/20/07 - order tests seperately) Includes: Anti-Parietal Antibody (2092) SM and SM/RNP Antibodies (4272) Since this test is no longer offered, Thyroid Peroxidase Ab(5292) please contact the office to clarify the Double Strand DNA Ab (5962) order. Lupus SLE Panel (LUPUS PAN) Mitochondrial M2 Ab IgG (6932) is the recommended alternative. 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) A PHAGOCYTOPHILIUM Methodology: IFA LAB Accompanies report ANTIBODIES Set up: Tues, Thurs am Minimum: 0.2 mL A PHAGO AB Report available : Next day

CPT Code: 86666(X2) ANCA - See Anti-PR3 and Anti-Myeloperoxidase Antibodies ANCA PROFILE WMPO & PR3, REFLEX (QUEST 70159X) Includes: ANCA screen, Anti-PR3 & Anti-Myeloperox and reflexes to the 2 mL serum (SS) c-ANCA, p-ANCA and/or atypical LAB ANCA PROFILE p-ANCA titers as indicated. Accompanies report Minimum: 0.8 mL ANCA PROF Methodology: Immunoassay Set up: Mon - Fri am Report available : 3 days

CPT Code: 86021(X3) ANDROSTENEDIONE (QUEST 17182) Methodology: LC/MS/MS 1 mL serum (R) Set up: Sun-Fri LAB ANDROSTENEDIONE Accompanies report *early morning specimen preferred Report available : 4 days ANDROSTEN Minimum: 0.25 mL CPT Code: 82157 ANEMIA, SICKLE CELL - See Sickle Cell Anemia Screen 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 683X) 1 mL serum (RED) Methodology: Spectrophotometry *ROOM TEMP 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) 1.0 mL CSF Methodology: Kinetic LAB CSF ANGIOTENSIN Accompanies report *FROZEN Set up: Mon - Sun ANGIOTENSIN CSF Minimum: 0.2 mL Report available : Next day

CPT Code: 82164 ANTIBODY ELUTION Performed as indicated when a patient has a BBK 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: Set up: Daily, as indicated BBK LAB ONLY Accompanies report Please include clinical history, e.g. dates Report available : Next day ABID of Rh immune globulin administration, medication history. CPT Code: 86870 ANTIBODY SCREEN (INDIRECT COOMBS) Methodology: Hemagglutination ANTIBODY SCR INDIRECT BBK Set up: Daily None detected 6.0 mL whole blood (Pink) COOMBS ABSC Report available : Same day

CPT Code: 86850 ANTIBODY SCREEN AND TITER IF INDICATED Methodology: Hemagglutination Set up: Daily, as needed BBK ANTIBODY TITER Report available :24 - 48 hours 6.0 mL whole blood (Pink) ABTITER CPT Code: 86886 (If antibody screen is positive, a charge will be added for antibody titer.) ANTIBODY PM SCLERODERMA ANTIBODY LAB Effective 5/24/16, this test has been ANTI PM SCL discontinued by Quest Diagnostics.

ANTI-CARDIOLIPIN ANTIBODIES PANEL 1 (IgG, IgM) (QUEST 19152) 1 mL serum (SS) Methodology: Immunoassay LAB CARDIOLIPIN AB PANEL 1 Accompanies report Set up: Sun-Fri Minimum: 0.5 mL CARD PAN 1 Report available : Next day

CPT Code: 86147(X2) ANTI-CARDIOLIPIN ANTIBODIES PANEL 2 (IgG, IgA, IgM) (QUEST 7352) 1 mL serum (SS) Methodology: Immunoassay LAB CARDIOLIPIN AB PANEL 2 Accompanies report Set up: Mon - Fri CARD PAN 2 Minimum: 1.0 mL Report available : Next day

CPT Code: 86147(X3) ANTI-CARDIOLIPIN IgA (QUEST 4661) 1 mL serum (SS) Methodology: Immunoassay LAB CARDIOLIPIN AB 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: Immunoassay 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: Immunoassay LAB CARDIOLIPIN AB 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) Methodology: Immunoassay Fasting Specimen Preferred LAB ANTI CENTROMERE AB Accompanies Report 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 1 mL serum (SS) ANTI COCHLEAR AB Methodology: WB Accompanies report HSP-70 ANTIBODY minimum: 0.5ml Set up: Tues, Fri Report available : 5 days

CPT Code: 84181 ANTI-CYCLIC CITRULLINATED PEPTIDE - See CCP Antibody ANTI-DIURETIC HORMONE (ADH) 4 mL EDTA plasma (L) (Arginine Vasopressin) FROZEN . Patient should be fasting and (QUEST 8243) supine during blood collection. Collect LAB Methodology: Extraction, RIA blood in prechilled EDTA tube. ARGININE VASOPRESSIN Accompanies report ARGININE VASO Set up: Mon,Wed,Fri Centriguge immediately and separate Report available : 8 days and freeze immediately.

CPT Code: 84588 Minimum: 1.1 mL ANTI-dsDNA SCREEN (double-stranded) (CPAL 3000195) Methodology: IFA Set up: Mon, Wed, Fri.. LAB ANTI DNA AB Negative 1 mL serum (SS) Report available : Next day ANTI-DNA CPT Code: 86225 (If screen is positive, a titer will be performed.) ANTI-ssDNA IgG ANTIBODIES (single stranded) (QUEST 45972) 1 mL serum (SS) LAB SINGLE STRAND DNA IGG Methodology: Immunoassay Accompanies report ANTI DNA IGG ANTIBODY Set up: Tues, Thurs Minimum: 0.5 mL Report available : Next day

CPT Code: 86226 ANTI-ENA ANTIBODIES (CPAL 3000818) Includes antibodies to Smith antigen (Anti- SM) and ribonucleoprotein (Anti-RNP). LAB ANTI ENA AB Methodology: Ochterlony gel Negative 1 mL serum (SS) ANTI-ENA Set up: Wed, Sat. Report available : 3 days

CPT Code: 86235(X2)

ANTI-ENDOMYSIAL ANTIBODIES Refer to ENDOMYSIAL ANTIBODY SCREEN 5 mL whold blood (Pink) ANTIGEN TESTING, RBC Minimum: 2 mL BBK 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 8889X) Includes IgG and IgA 1 mL serum (SS) Methodology: Immunoassay LAB ANTI GLIADIN PANEL Accompanies report Set up: Mon - Fri. GLIAD PAN Minimum: 0.5 mL Report available : Next day

CPT Code: 83516(X2) ANTI-GLUTEN/GLIADIN ANTIBODIES, IgA (QUEST 79742) Methodology: Immunoassay 1 Ml Serum (SS) LAB ANTI GLIADIN IGA Set up: Mon - Fri. Accompanies report GLIAD IGA Report available : Next day Minimum: 0.5 mL

CPT Code: 83516 ANTI-GLUTEN/GLIADIN ANTIBODIES, IgG (QUEST 79732) Methodology: Immunoassay 1.0 mL serum (SS) LAB ANTI GLIADIN IGG Set up: Mon - Fri. morning Accompanies report GLIAD IGG Report available : Next day Minimum: 0.3 mL

CPT Code: 83516 ANTI-GLOMERULAR BASEMENT MEMBRANE ANTIBODIES (ANTI-GBM) (QUEST 257X) Methodology: Immunoassay 1 mL serum (R) ANTI GLOMERULAR LAB Set up: Mon - Sat. Accompanies report BASEMENT AB ANTI-GBM Report available : Next day Minimum: 0.5 mL

CPT Code: 83520

ANTI-HEPATITIS ANTIBODIES - See Hepatitis Tests ANTI-HISTONE ANTIBODIES (QUEST 9012) 1 mL serum (SS) Methodology: EIA FREEZE LAB ANTI HISTONE AB Set up: Mon, Wed., Fri. Accompanies report Overnight fasting is preferred ANTI-HISTO Report available : Next day Minimum: 0.3 mL CPT Code: 83516 ANTI-Hu - See Hu Autoantibody (Western Blot) ANTI-Hu ANTIBODY TYPE 1- See NEURONAL NUCLEAR (Hu) ANTIBODY ISLET CELL ANTIBODY SCREEN WITH REFLEX TO TITER Methodology: IFA 2 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 (If titer is reflexed add additional 86341) ANTI-Jo-1 ANTIBODIES (CPAL 3000824) Methodology: Fluoroenzyme Immunoassay 0.5 mL serum (SS) FROZEN LAB ANTI JO1 AB Set up: Mon, Wed, Fri Accompanies report ANTI-JO1 Report available : Next day Minimum: 0.2 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 30321) Methodology: EIA 1 mL serum (SS) ANTI MITOCHONDRIAL LAB Set up: Mon, Wed, Fri. Accompanies report ANTIBODY AMA Report available : Next day Minimum: 0.3 mL

CPT Code: 83520 ANT-MYELOPEROXIDASE (pANCA COMPONENT) ANTIBODIES (QUEST 8796) 1 mL serum (SS) ANTI MYELOPEROXIDASE Methodology: Immunoassay LAB Accompanies report AB Set up: Mon - Fri. ANTI-MYELO Minimum: 0.3 mL Report available : Next day

CPT Code: 86021 ANTI-NEURONAL ANTIBODIES (NEURONAL NUCLEAR Hu ANTIBODY) - See Hu Antibody ANTI-NEUROPHIL CYTOPLASMIC ANTIBODIES - See ANTI-PR3 ANTINUCLEAR ANTIBODIES (ANA) (CPAL 3000210) Methodology: IFA Set up: Mon - Fri. 1 mL serum (SS) LAB ANA SCREEN Report available : Next day Negative -or- ANA SCR 1 mL pleural fluid CPT Code: 86038 [If Screen is positive, a Quant (pattern and titer) is reflexively added and charged.] ANTI-PR3 (cANCA) ANTIBODIES (QUEST 34151X) Included in ANCA Profile #1 1 mL serum (SS) Methodology: EIA LAB ANTI NEUTRO CYTO AB Accompanies report Set up: Mon - Fri. ANTI-NEUTR Minimum: 0.3 mL Report available : Next day

CPT Code: 86021 RETICULIN IgG AND IgA SCREEN WITH REFLEX TO TITER Methodology: IA Set up: Mon - Fri. 1 mL serum (SS) QUEST 8962 Report available : Next day Universal Requisition Accompanies report Univ. Req. Minimum: 0.5 mL CPT Code: 86255(X2) [If a screen(s) is positive, a titer(s) will be added at an additional charge (CPT 86256 for each titer added)] 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 ANTI-SMOOTH MUSCLE ANTIBODIES (ACTIN ANTIBODY) (QUEST 15043) 0.5 mL serum (R) Methodology: ELISA LAB ANTI SMOOTH MUSCLE AB Accompanies report Set up: Mon - Fri. ANTI-SMOOTH Minimum: 0.1 mL Report available : Next day

CPT Code: 83516 ANTI-SPERM ANTIBODY TYPING - INDIRECT (IgG, IgA) (QUEST 19492) 1 mL serum (R) Methodology: Immunobeads LAB SPERM AB IGG IGA Accompanies report Set up: Wed, Fri. SPERM AB Minimum: 0.3 mL Report available : 3 days

CPT Code: 89325(X2) ANTI-STREPTOCOCCAL Dnase B (STREPTODORNASE) ANTIBODIES (QUEST 2952) 1 mL serum (SS) LAB STREPTOCOCCAL DNASE Methodology: Accompanies report DNASE-B AB B B Set up: Tues-Sat Minimum: 0.4 mL Report available : 1-4 days Reference Send Out Test for Quest CPT Code: 86215

ANTI-STREPTOCOCCAL EXOENZYME SCREEN W/ REFLEX TO TITER (QUEST 15260) Screen for antibodies to streptolysin, streptokinase, hyaluronidase, Dnase B, and NADase. If positive, assays for ASO and Anti-Streptococcal Dnase B can be helpful. 1 mL serum (SS) LAB STREPTOCOCCAL Positive screens are quantitated. Accompanies report ANTI-STREP EXOENZYME AB SCR Methodology: Agglutination Minimum: 0.5 mL Set up: Mon - Sun morning Report available : Next day

CPT Code: 86403 [If screen is positive, a titer will be performed at an additional charge (CPT 86406).]

ANTI-STREPTOLYSIN O ANTIBODY TITER (CPAL 3000165) Methodology: Nephelometry LAB ANTI STREP O AB TITER Accompanies report 1 mL serum (SS) Set up: Mon - Sat. ASO Report available : 24 - 48 hours

CPT Code: 86060 ANTITHROMBIN III (QUEST 216) Methodology: Chromogenic 1 mL plasma (LB) FROZEN Set up: Mon - Fri. evening Specimens received thawed or LAB ANTI THROMBIN III Accompanies report Report available : Next day hemolyzed are unacceptable. Minimum ANTITH III 0.5 ml CPT Code: 85300 ANTI- ANTIBODIES (CPAL 1750027) Methodology: Chemiluminescence LAB ANTI THYROGLOBULIN AB Set up: Mon - Sat < 41 IU/mL 1 mL serum (SS) ANTI TG AB Report available : Next day

CPT Code: 86800

ANTI-THYROID ANTIBODY PROFILE (CPAL 1750024) Includes: Anti-Thyroglobulin and Anti-TPO (Anti-Thyroid Microsomal) antibodies. ANTI-THYROID ANTIB GRP LAB Methodology: Chemiluminescence See individual tests 2 mL serum (SS) (CPAL) ANTI-THY Set up: Mon - Sat Report available: Next day

CPT Code: 86376, 86800 ANTI-THYROID MICROSOMAL / ANTI- THYROID PEROXIDASE (TPO) ANTIBODIES (CPAL 1750025) ANTI THYROID LAB Methodology: Chemiluminescence 35 IU/mL 1 mL serum (SS) MICROSOMAL AB ANTI-TPO Set up: Mon - Sat Report available : Next day

CPT Code: 86376 ANTITRYPSIN -See Alpha-1 Antitrypsin AOPLIPOPROTEIN A-1 (QUEST 22252) 1.0 mL serum (SS) Methodology: Nephelometry LAB Fasting at least 12 hours is required. APOLIPOPROTEIN A 1 Set up: Mon - Sat. Accompanies report 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 LAB Fasting at least 12 hours is required. APOLIPOPROTEIN B Set up: Mon - Sat. Accompanies report APOLIPO B Report available : Next day Minimum: 0.5 mL CPT Code: 82172 FETAL HEMOGLOBIN APT TEST (QUEST 90584) Bloody stool, bloody vomitus or bloody Methodology: Colormetric LAB FETAL HEMOGLOBIN APT diaper Set up: Mon - Fri. Accompanies Report APT TEST TEST Report available : Next day Minimum: 1 mL CPT Code: 85460 APTT - See Activated Partial Thromboplastin Time ARBOVIRUS IgG ANTIBODY PANEL (QUEST 13522) LAB ARBOVIRUS IGG PANEL Effective 12/11/14, this test is no longer ENCEP IGG available. There is no recommended alternative. ARBOVIRUS IgM ANTIBODY PANEL (QUEST 14532) Effective 12/11/14, this test is no longer LAB ARBOVIRUS IGM PANEL available. There is no recommended ENCEP IGM alternative.

ARSENIC, BLOOD (QUEST 269) 4 mL whole blood (Dk Blue EDTA) Methodology: ICP-MS Seafood and herbal supplements should Detection limits: Urine: 10 µg/L not be consumed for at least 3 days LAB ARSENIC BLOOD Blood: 0.3 µg/dL Accompanies report before specimen collection ARSENIC Set up: Mon, Wed, Fri. pm Report available : Next day Minimum: 2 mL CPT Code: 82175 ARYLSULFATASE A, URINE (QUEST 34694) Methodology: Enzymatic 20 mL random urine LAB ARYLSULFATASE A URINE Set up: Thurs Accompanies report ARYLSULFATASE A Report available : 2 days Minimum: 8 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 14452) For detection of antibodies to either Aspergillus fumigatus, A. flavus, or A. niger. To distinguish reactivity for individual antigens of Aspergillus species, see 1 mL serum (SS) LAB ASPERGILLUS AB SCREEN Hypersensitivity Pneumonitis Aspergillus Accompanies report ASP SCR Battery. Minimum: 0.1 mL Methodology: ID Set up: Tues, Thurs, Sat. Report available : 3 days

CPT Code: 86606(X3) ASPERGILLUS FUMIGATIS ANTIBODIES (QUEST 2962) CF is less sensitive than ; however, CF reactivity is more indicative of recent infection than ID reactivity. See 1 mL serum (SS), Room Temp ASPERGILLUS FUMIGATUS LAB fungal Antibody Screen ID. Accompanies report Fasting Specimen Preferred AB ASP FUM AB Methodology: CF Minimum: 0.5 mL Set up: Mon - Fri Report available : 2 days

CPT Code: 86606

ASPERGILLUS IgG Antibodies Test has been discontinued effective 1 mL serum (R) LAB 7/21/14, the recommended alternative is ASPERGILLUS IGG AB Accompanies report ASPERGILLUS IGG Quest 92529 - Aspirgillus fumigatus, IgG Ab, Minimum: 0.8 mL Serum performed at Mayo Medical Laboratories. ASPERGILLUS FUMIGATUS, IGG ANTIBODIES, SERUM Performed by Mayo Medical Laboratories Methodology: Fluorescence Enzyme 0.5 mL serum (R) QUEST 92529 Univ. Universal Requisition Immunoassay Accompanies report Req. Set up: Mon - Sat Minimum: 0.3 mL Report available : 5 days

CPT Code: 86606 ASPERGILLUS ANTIGEN, EIA (QUEST 14950) 2 mL serum (SS) FREEZE Methodology: Immunoassay (Bronchoalveolar lavage/wash is no LAB ASPERGILLUS ANTIGEN, Set up: Mon - Fri Accompanies report longer acceptable) ASPER AG EIA 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) Effective 7/25/16, Quest has discontinued LAB B CELLS CD20 this test. There is no recommended . B CELLS (CD20) alternative. BACLOFEN, serum/plasma (QUEST 7265) 1 mL plasma (L) or 1ml serum (R) Referral test for QUEST. Promptly centrifuge and separate LAB BACLOFEN SERUM OR Methodology: LC/MS/MS serum/plasma into a plastic, screw- Accompanies report BACLOFEN PLASMA Set up: Mon, Wed, Fri.am capped vial. Report available : 2 days Minimum: 0.4 mL CPT Code: 80299 BABESIA DNA BY PCR (QUEST 112451) 0.7mL 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 BABESIA MICROTI IgG, IgM ANTIBODY PANEL (Quest 34300) Methodology: IFA 1 mL serum (SS) LAB BABESIA MICROTI AB Set up: Tues, Thurs Accompanies report BABESIA AB PAN PANEL Report available: 2 days Minimum: 0.1 mL

CPT Code: 86753(X2) BARBITURATES, serum (QUEST 18972) 7 mL plasma (Gy) or serum (R or DB) Methodology: Immunoassay Centrifuge and separate plasma/serum LAB Detection limit: 100 ng/mL from cells and place in plastic screw- BARBITURATE SCREEN Accompanies report BARBITURATES Set up: Mon - Fri capped vial. Report available :1 day Minimum: 1 mL CPT Code: 80307 BARBITURATES, IDENTIFICATION WITH QUANTITATION - PLASMA (QUEST 4082) (amobarbital, butabarbital, butalbital, 2 mL plasma (L) or serum (R or DB) pentobarbital, phenobarbital, and Centrifuge and separate plasma from secobarbital) LAB BARBIT ID WITH QUANT cells and place plasma in plastic screw- Methodology: GCMS Accompanies report BARBITURAT PL PLASMA capped vial. Detection limit: 0.1 µg/mL Set up: Mon - Sat Minimum: 1 mL Report available : 3 days

CPT Code: 80345 BARBITURATES, IDENTIFICATION WITH QUANTITATION - URINE (Quest 4087) (amobarbital, butabarbital, butalbital, pentobarbital, phenobarbital, and 20 mL random urine in plastic, leakproof secobarbital) container LAB BARBIT ID WITH QUANT Methodology: GCMS Accompanies report BARBITURATE UR URINE Detection limit: 0.1 µg/mL Set up: Mon - Sat Minimum: 5 mL Report available : 3 days

CPT Code: 80345 BARBITUATE PRESUMPTIVE SCREEN, URINE Methodology: Immunoassay 20 mL random urine QUEST 18977 Universal Requisition Set up: Mon - Fri. Accompanies report Univ. Req. Report available : Next day Minimum: 10 mL

CPT Code: 80307 BARTONELLA ANTIBODY PANEL (IgG, IgM) W/ REFLEX TO TITERS Includes Bartonella henselae IgG, IgM; Bartonella quintana IgG, IgM (QUEST 34251X) 1 mL serum (R) Methodology: IFA LAB BARTONELLA AB PANEL Accompanies report Set up: Tues, Thurs BARTONELLA Minimum: 0.2 mL Report available : Next day

CPT Code: 86611(X4) [Each reflexed titer will be performed at an additional charge (CPT 86611)] BARTONELLA IGG ANTIBODIES, IFA (B. HENSELAE & B. QUINTANA) (QUEST 87582) 1 mL serum (R) Methodology: IFA LAB BARTONELLA IGG AB Accompanies report Set up: Tues, Thursday BARTONELLA IGG Minimum: 0.2 mL Report available : Next day

CPT Code: 86611(X2) BARTONELLA HENSELAE ANTIBODY (IgG, IgM) W/ REFLEXS TO TITERS (QUEST 144062) Methodology: IFA 1 mL serum (R) BARTONELLA HENSELAE Set up: Tues, Thurs LAB Accompanies report AB PANEL Report available : Next day BART HEN AB Minimum: 0.2 mL CPT Code: 86611(X2) [Each reflexed titer will be performed at an additional charge (CPT 86611)]

BASIC METABOLIC PANEL (Includes: Calcium, Creatinine, Electrolytes, 1 ml blood (Gn -Li (PST)) Glucose, Urea Nitrogen (BUN). or Methodology: Various LAB BASIC METABOLIC PANEL See individual tests 1 mL serum (SS)) Set up: Daily BASIC Report available: Same day Minimum: 0.5 mL CPT Code: 80048 Specimen: Peripheral blood or bone marrow in EDTA or Sodium heparin (1 BCRFISH mL minimum) . Testing is set up on (Performed at CPAL) Monday and Wednesday and cases are LABNEXUS ORDER ONLY Methodology: FISH posted Tuesday and Thursday. (Order placed by Anatomic Set up: Mon, Wed Accompanies report Specimen must be received within 72 Pathology Dept.) Report available: 1-2 days hours of collection. CPT Code: 88374

BENCE-JONES PROTEIN (QUEST 17404X) Includes electrophoresis and immunofixation 10 mL 24-hour urine, collected without Methodology: Varied preservative LAB BENCE JONES 24 HR URINE Set up: Mon - Fri. Accompanies report BENCE JONE Report available : Next day Minimum: 5 mL CPT Code: 83883(X2), 84156, 84166, 86335 BENZODIAZEPINE PRESUMPTIVE SCREEN (QUEST 18297) 20 mL random urine Methodology: EMIT LAB BENZO SCREEN URINE None detected Set up: Mon - Fri BENZ SCR Minimum: 10 mL Report available : Next day

CPT Code: 80307 BENZODIAPEPINE PANEL, BLOOD (QUEST 23095) Referred test for Quest. Contains: Diazepam, Nordiazepam, Oxazepam, Temazepam, Clobazam, Chlordiazepoxide, Lorazepam, Clonazepam, 7-amino Clonazepam, Alprazolam, Alpha- LAB Hydroxyalprazolam, Midazolam, Triazolam, 1 mL whole blood (L) BENZO SCREEN BLOOD Accompanies report BENZODIAZEPINES Hydroxytriazolam, Hydroxyethylflurazepam, Desalkylflurazepam, Flurazepam, Minumim: 0.4 mL Estazolam. Methodology: LC/MS/MS Set up: Mon, Wed, Fri Report available : 5 days

CPT Code: 80346

BENZODIAZEPINE, CONFIRMATION BY GCMS, URINE Methodology: GS/MS 20 mL random urine QUEST 14967X Universal Requisition Set up: Tues-Sat Accompanies report Univ. Req. Report available : 3 days Minimum: 5 mL

CPT Code: 80346 BERYLLUM, URINE 3 mL urine in an acid-washed plastic Methodology: Colorimetric / ICP/MS container. Avoid exposure to gadolinium QUEST 13777 Set up: Thurs based contrast media for 48 hours prior Universal Requisition Accompanies report Univ. Req. Report available : 3 days to collection

CPT Code: 82570,83018 Minimum: 1.1 mL BETA-2 GLYCOPROTEIN (QUEST 30340X) Methodology: EIA 3.0 mL serum (SS) LAB BETA 2 GLYCOPROTEIN AB Set up: Mon-Sat Accompanies report BETA-2 GLY Report available : Next day Minimum: 1.5 mL

CPT Code: 86146(X3) BETA-2 MICROGLOBULIN 1.0 mL serum (R ) or 1.0 ml (no (QUEST 852) additive) Royal Blue top Methodology: Nephelometric ROOM TEMP LAB BETA 2 MICROGLOBULIN Set up: Mon - Sat Accompanies report Overnight fasting is preferred BETA-2 MIC 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 Methodology: Colorimetric 1.0 mL serum (SS) LAB Set up: Daily BETA HYDROXYBUTYRATE Accompanies report BHB Report available : Same day 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) Draw Methodology: Enzymatic after 8 hour 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 or Set up: Daily Accompanies report 1 mL serum (SS) LAB BILIRUBIN DIRECT Report available : Same day protect from light BILID 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 full serum separator-microtainer tube; LAB Set up: Daily Accompanies report TOTAL protect from light BILINEO Report available : Same day

CPT Code: 82247 BILIRUBIN, TOTAL 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric or Set up: Daily 1 mL serum (SS); LAB BILIRUBIN TOTAL Accompanies report Report available : Same day protect from light BILIT CPT Code: 82247 Minimum: 0.5 mL BILIRUBIN, AMNIOTIC FLUID 4 mL amniotic fluid in sterile, leak-proof Methodology: Spectrophotometric container QUEST 289X Set up: Daily Universal Requisition Accompanies report Protect from light 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 11274Z) 0.7 mL plasma (L) Methodology: Real-time PCR BK QUANT PLASMA DNA FROZEN LAB Set up: Daily Accompanies report PCR 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 FROZEN LAB BK QUANT URINE DNA PCR Set up: Daily Accompanies report BK QUANT UR Report available : Next day Minimum: 0.3 mL CPT Code: 87799 BK VIRUS DNA, QUALITATIVE PCR, PLASMA (QUEST 11351X) 0.7 mL plasma (L) Methodology: Real-time PCR FROZEN LAB BK QUAL DNA PCR Accompanies report Set up: Daily BK QUAL Report available : Next day Minimum: 0.3 mL

CPT Code: 87798 BK VIRUS DNA, QUALITATIVE PCR, 0.7 mL unpreserved, random urine in URINE sterile, plastic, leakproof container Methodology: RT-PCR FROZEN QUEST 16553 Universal Requisition Set up: Daily Accompanies report Univ. Req. Report available : Next day Minimum: 0.3 mL

CPT Code: 87798 BLASTOMYCES ANTIBODY, COMPLEMENT FIXATION, SERUM (QUEST 11908) 1 mL serum (R) Methodology: CF LAB BLASTOMYCES AB Accompanies report Room Temp Set up: Mon - Fri BLASTO AB Minimum: 0.1 mL Report available : 4 days

CPT Code: 86612 BLEEDING TIME LAB BLEEDING TIME Effective 11/9/16, this test is no longer BLEEDTIME available. Order PFA as an alternative. BLOOD BANK CONSULT BBK LAB ONLY Ordered by Blood Bank staff as indicated by SPEC BB the consulting Pathologist. BLOOD BANK HOLD BLOOD BANK HOLD BBK Ordered by nursing for possible Blood Bank 6.0 mL whole blood (Pink) SPECIMEN BBHOLD orders.

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

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 B-TYPE NATRIURETIC PEPTIDE (BNP) 1 mL whole blood (L) Methodology: Chemiluminesence Whole blood may be stored at room Set up: Daily temp or refrig for up to 24 hours prior to LAB BNP < 100 pg/ml Report available : Same day testing. Plasma my be stored for 8 BNP hours at room temp or up to 24 hours CPT Code: 83880 refrig prior to testing. BODY FLUID CELL COUNT AND DIFFERENTIAL Methodology: Microscopic exam, LAB BODY FLUID CELL 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 Order if spun Hct is requested. 3 mL fluid (L) LAB HEMATOCRIT BODY FLUID Methodology: Centrifugation Accompanies report BFHCT Set up: Daily Minimum: 1 mL Report available: Same day CPT: 85013 BONE RESORPTION MARKER - See Osteomark BORDETELLA PERTUSSIS/ PARAPERTUSSIS, DFA Methodology: Direct Immunoflourescence QUEST 34966 Universal Requisition Set up: Mon-Fri Accompanies report Air-dry and heat-fix two slides from Univ. Req. Report available : Next day nasopharyngeal swab. ROOM TEMP CPT Code: 87265x2 BORDETELLA PERTUSSIS, DNA, QL RT- PCR (CPAL 7000900) Nasopharyngeal swab collected in e- Methodology: DNA Amplification Swab transport medium LAB B PERTUSSIS DNA Accompanies report Set up: Mon - Sat BPERTUSSIS Report available : Next day

CPT Code: 87798 BORDETELLA PERTUSSIS IgG, IgA ANTIBODY, MAID Includes Pertussis toxin IgG, IgA and Filamentous Ag IgG, IgA (QUEST 12966) 1 mL serum (R) BORDATELLA PERTUSSIS LAB Methodology: Multi-Analyte Accompanies report (IGG,IGA) BORD PERT Immunodetection (MAID) Minimum: 0.5 mL Set up: Mon, Thurs Report available : 3 days

CPT Code: 88615(X4) BORRELIA BURGDORFERI - See Lyme Antibodies

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 be sampled B-RAF MUTATION ANALYSIS (tumor) for testing must be clearly Performed by CPAL indicated on the stained slide. Blocks will Methodology: PCR and DNA sequencing not be accepted. LABNEXUS ORDER ONLY Set up: Mon, Wed (Order placed by Anatomic Report available: 3-5 days Accompanies report Specimens in which no desired sampling Pathology Dept.) area (tumor) is indicated will be returned CPT Code: 83907, 83892, 83891(X2), to the client so that the proper region of 83898(X2), 83904, 83909(X2), 83912, interest can be indicated and 88381, 81210 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 be sampled B-RAF V600 MUTATION TEST (tumor) for testing must be clearly (MELANOMA ONLY) indicated on the stained slide. An Performed by CPAL estimation of neoplastic cell content of Methodology: Cobas 4800 BRAF V600 the selected tumor area MUST be LABNEXUS ORDER ONLY Mutation Test indicated. (Order placed by Anatomic Accompanies report Set up: Mon-Fri Pathology Dept.) Report available: 3-5 days Specimens in which no desired sampling area (tumor) is indicated will be returned CPT Code: 83907, 83892, 83891, 83898, to the client so that the proper region of 83896(X2), 83912, 88381, 83914, 81210 interest can be indicated and resubmitted to CPAL.

Specimens should be transported and stored at room temperature.

BUN -See Blood Urea Nitrogen Order BUN PRE or BUN POST for Dialysis patients BUPROPRION (WELLBUTRIN) Includes and Methodology: HPLC-MS/MS 1.0 mL serum (R) QUEST 8592 Universal Requisition Set up: Mon,Wed,Fri Accompanies report FROZEN Univ. Req. Report available : 2 days Collect serum and remove from cells.

CPT Code: 80338 BUTABARBITAL Methodology: GCMS 2.0 mL plasma (L) or serum (R). Collect QUEST 5022 Set up: Mon - Fri as a trough just prior to next dose. Universal Requisition Accompanies report Univ. Req. Report available : 4 days Minimum: 0.5 mL CPT Code: 80345 BUTALBITAL Methodology: Chromatography Detection limit: 0.1 µg/mL 3.0 mL serum (R) QUEST 4413X Universal Requisition Set up: Tues-Sat Accompanies report ROOM TEMP Univ. Req. Report available : 3 days Minimum: 1.0 mL

CPT Code: 80345 BUTISOL - See Butabarbital 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 1 mL serum (SS) FROZEN C-TELOPEPTIDE (CTx) A minimum of 12 hours fasting is (QUEST 17406) required. Collect specimen in the Methodology: Immunoassay COLLAGEN TYPE I C morning (8-10 am). Collect specimen, LAB Set up: Mon, Wed, Fri Accompanies report TELOPEPTIDE allow blood to clot at room temperature, C-TELOPEPTIDE Report available: Next day centrifuge and separate serum from cells. Freeze. CPT Code: 82523 Minimum: 0.5 mL CA-125 (CPAL 1750111) Methodology: Chemiluminescence 1 mL serum (SS) LAB CA 125 Set up: Mon - Sat 0 - 21 U/mL Adult female FROZEN 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 for monitoring patients for metastatic breast cancer. 1.0 mL serum (SS) Methodology: Immunoassay LAB CA 27 29 Accompanies report Set up: Daily CA 27-29 Minimum: 0.5 mL Report available: Next day

CPT Code: 86300 CADMIUM, BLOOD (QUEST 299) 4 mL EDTA whole blood (L or DB with Methodology: ICP-MS LAB EDTA) CADMIUM BLOOD Set up: Mon - Fri pm Accompanies report CADMIUM Report available: 1 day Minimum: 2 mL CPT Code: 82300 CADMIUM, URINE Includes creatinine. 7 mL random urine specimen collected Methodology: ICP-MS in acid-washed container (supplied by QUEST 672 Universal Requisition Set up: Tues, Thurs Accompanies report Lab) Univ. Req. Report available: Next day *second morning void 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. 7 mL urine: Empty bladder, drink a large QUEST 8887 Methodology: Various Universal Requisition Accompanies report glass of water and collect urine sample Univ. Req. Set up: Tues - Sat am in sterile container. *2nd morning void Report available: 3 days prefered. Aliquot one-half of specimen to an acid-washed container. CPT Code: 82232, 82300(X2), 82570 Refrigerate urine samples. (QUEST 305) Methodology: Immunoassay 1 mL serum (R) Set up: Mon-Fri Collect as a trough just prior to next LAB CAFFEINE, SERUM Accompanies report Report available: 2 Days dose. SS tubes will be rejected CAFFEINE Minimum: 0.2 mL CPT Code: 80155 (QUEST 30742) Methodology: Immunoassay 1 mL serum (R) Set up: Mon - Fri Frozen. LAB CALCITONIN Accompanies report Report available: Next day Overnight fasting is preferred. CALCITONIN Minimum: 0.5 mL CPT Code: 82308 CALCIUM 1 ml blood (Gn -Li (PST)) Methodology: Arsenazo III or Set up: Daily LAB CALCIUM Accompanies report 1 mL serum (SS) Report available: Same day CA CPT Code: 82310 Minimum: 0.5 mL

CALCIUM CREATININE RATIO Includes urine calcium and urine creatinine Methodology: Colormetric/Arsenazo III 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. Let clot and spin Methodology: ISE immediately. Do not open tube. Ship LAB IONIZED CALCIUM Set up: Daily Accompanies report unopened tube. CAIONIZ Report available: Next day ROOM TEMP Minimum: 0.6 mL CPT Code: 82330 CALCIUM, 24 HR URINE 0.5 mL aliquot of 24-hour urine collection Methodology: Arsenazo III preserved with 10 mL of 6 N HCl during Set up: Daily collection. Specify total 24-hr volume on LAB URINE CALCIUM 24HR Accompanies report Report available: Same day request form. UCA24 CPT Code: 82340, 81050 Minimum: 0.2 mL CALCIUM, URINE RANDOM Methodology: Asrenazo III Set up: Daily LAB URINE CALCIUM RANDOM Accompanies report 5.0 mL of random urine 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 Stone in sterile, leak-proof container. of nidus; microscopic semi-quantitative Source/type of stone is required for all identification of compounds by crystalline submissions. Stones originating from structure using regular and polarized light. sources not related to kidney should be LAB STONE ANALYSIS Not applicable Testing performed by Specialty air-dried, then placed in a plastic tube or STONE ANAL Laboratories, Inc. a urine collection cup. Do not use tape. Methodology: FTIR- Infa-Red Minute specimens may be placed in Spectrophotometry gelatin capsule. Set up: Mon - Sat am Report available: 3 days

CPT Code: 82365 CALIFORNIA ENCEPHALITIS GROUP - See Arbovirus Antibodies CALPROTECTIN, STOOL (QUEST 16796) 1 gram stool, unpreserved in sterile, Methodology: IA plastic, leakproof contatiner LAB CALPROTECTIN, STOOL Set up: Mon, Thurs Accompanies Report FREEZE CALPROTECTIN Report available: 3 days Minimum: 0.3 g CPT Code: 83993 CALR Mutation Analysis (Calreticulin) PATHOLOGY SENDOUT (Sent to Neogenomics) Peripheral blood: 5 mL in EDTA tube. CALR Mutation Analysis Send copy of original order Methodology: Molecular Accompanies report Bone marrow: 2 mL in EDTA tube (Order placed by Anatomic Set up: Varies Pathology Dept.) Report available: 10 days

CAMPYLOBACTER PYLORI ANTIBODIES - See Helicobacter pylori IgG Antibodies CANDIDA ALBICANS ANTIBODIES (QUEST 7132) Methodology: ID 1 mL serum (SS) or (R) LAB CANDIDA AB Set up: Mon - Sat None detected CANDIDA AB Report available: 3 days Minimum: 0.1 mL

CPT Code: 86628 CARBAMAZEPINE (TEGRETOL) 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay or Set up: Daily LAB CARBAMAZEPINE Accompanies report 1 mL serum (SS) Report available: Same day CARB Minimum: 0.3 mL CPT Code: 80156 CARBAMAZEPINE, FREE Methodology: LC/MS/MS 2 mL serum (R) or sodium heparin Detection limit: 0.5 µg/mL QUEST 18948 plasma (Gn) Universal Requisition Set up: Mon -Fri am Accompanies report Univ. Req. Report available: 2 days Minimum: 1.2 mL CPT Code: 80157 CARBAMAZEPINE-10,11-EPOXIDE, SERUM/PLASMA (CARBATROL) 2 mL serum (R ) Do not collect using (Quest 36676) SS tube Methodology: LC/MS/MS or LAB CARBAM EPOXIDE Accompanies report Set up: Mon - Fri 2 mL plasma (L) CARB EPOXIDE Report available: 2 days Minimum: 1 mL CPT Code: 83789 CARBON DIOXIDE (Bicarbonate) 1 ml blood (Gn -Li (PST)) Methodology: Enzymatic 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 CARDIOLIPIN - See Anti-Cardiolipin

CARDIO IQ® ADVANCED LIPID PANEL (QUEST 92145) Methodology: Varies 4 mL serum (R) CARDIO IQ AVANCED LIPID LAB Set up: Mon - Fri Accompanies report PANEL CARDIO IQ LIPID Report available: 6 days Minimum: 2 mL

CPT Code: 80061, 83704, 82172, 83695

CAROTENE (QUEST 311) 2 mL serum (SS) Methodology: HPLC Overnight fasting is required. Send tube Set up: Mon - Sat wrapped in aluminum foil to protect from LAB CAROTENE Accompanies report Report available: 2-3 days light. CAROTENE FREEZE CPT Code: 82380 Minimum: 0.7 mL CARNITINE, FREE AND TOTAL (QUEST 30299X) LAB Effective 10/8/15, this test has been CARNITINE discontinued by Quest and is no longer available , FRACTIONATED, PLASMA (, 4 mL plasma drawn in chilled tube (Gn) ; EPINEPHRINE, AND ) FROZEN*, Patient should fast for 12 hr (QUEST 314X) CATECHOLAMINES and avoid , coffee, tea, alcohol, LAB Methodology: HPLC Accompanies report PLASMA and strenuous exercise. CATE PLASMA Set up: Mon, Wed, Fri Report available: 2 days Minimum: 2.5 mL CPT Code: 82384 CATECHOLAMINES, FRACTIONATED, URINE (QUEST 318X) 10 mL aliquot of 24-hr urine preserved Includes Norepinephrine, epinephrine, with 25 mL of 6 N HCl during collection. dopamine. CATECHOLAMINES 24 HR Specify total 24-hr volume on request LAB Methodology: UPLC, Electrochemical Accompanies report URINE form. CATECHOLUR detection, Kinetic Alkaline Picrate Set up: Mon - Fri Minimum: 5.0 mL Report available: Next day

CPT Code: 82384 CAT SCRATCH DISEASE - See Bartonella Antibody Panel CBC - See Complete Blood Count (CBC) CCP ANTIBODY - CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CPAL 3000317) 1 mL serum (SS) Methodology: EIA LAB CCP AB CPAL Accompaniesreport Set up: Wed and Sat FREEZE CCP Report available: Next day

CPT Code: 86200 CCP ANTIBODY - CYCLIC CITRULLINATED PEPTIDE ANTIBODY IgG 1 mL serum (SS) (QUEST 11173) LAB CCP AB IGG QUEST Methodology: Immunoassay Accompaniesreport Minimum: 0.5 mL CCP AB IGG Set up: Tues - Sat Report available: Next day

CPT Code: 86200 CEA () Methodology: Chemilluminsence Set up: Daily LAB CEA Serum: 0.0 - 3.1 ng/mL 1 mL serum (SS) Report available: Next Day CEA CPT Code: 82378

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

CPT Code: 83516(X3), 86255 [If Reticulin IgA screen is positive, a titer will be added at an additional charge (CPT 86256)]

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: 83516(X3), 86255(X2) CELIAC PLUS (QUEST 18027) Referred to Prometheus (6301) 2 mL serum (R) Panel includes Celiac Genetics (HLA and DQ2/DQ8) and Celiac . 5 mL blood (L) CELIAC PLUS LAB Methodology: Various Accompanies report PROMETHEUS CELIAC PLUS Set up: Mon - Fri Report available: 11 days Minimum: 0.5 mL serum, 5ml whole blood CPT Code: 81382(X2), 82784, 83520(X3), 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 IF Report available: Same day (diff if indicated) IND CPT Code: cell count - 89050 diff - 89051 CEREBROSPINAL FLUID CHLORIDE - See Chloride, CSF CEREBROSPINAL FLUID, IgG (QUEST 6444) Methodology: Nephelometric 1 mL CSF (CSF must be clear) LAB CSF IGG Set up: Mon - Sat Accompanies report 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. CSF 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, 82784(X2) CEREBROSPINAL FLUID, TOTAL PROTEIN Methodology: Colorimetric 1 mL CSF LAB CSF TOTAL PROTEIN Set up: Daily Accompanies report CSFPROT Report available: Same day Minimum: 0.5 mL CSF

CPT Code: 84157 CERULOPLASMIN (QUEST 326) Methodology: Nephelometric 1 mL serum (SS) Set up: Mon - Sat LAB CERULOPLASMIN Accompanies report Report available: Next day CERULO Minimum: 0.5 mL CPT Code: 82390 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: Next day Minimum: 0.5 mL

CPT Code: 86631 CHLAMYDIA PNEUMONIAE (TWAR) IgM ANTIBODIES (QUEST 38481X) 1 mL serum (SS) CHLAMYDIA PNEUMONIAE Methodology: MIA LAB Accompanies report IGM SERUM Set up: Mon - Sat CHLAM IGM Minimum: 0.5 mL Report available: Next day

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: Next day Minimum: 0.1 mL

CPT Code: 86631(X2), 86632 CHLAMYDIA SPECIES ANTIBODY PANEL (IgG, IgA, IgM) Methodology: IFA 1 mL serum (R) QUEST 143312 Universal Requisition Set up: Mon - Sat Accompanies report Univ. Req. Report available: Next day Minimum: 0.1 mL

CPT Code: 86631(X6), 86632(X3) CHLAMYDIA TRACHOMATIS ANTIBODIES (IgG, IgA, IgM) (QUEST 143262) 1 mL serum (SS) CHLAMYDIA TRACHOMATIS Methodology: IFA LAB Accompanies report AB GAM Set up: Mon - Sat CHLAM AB G,A,M Minimum: 0.1 mL Report available: Next day

CPT Code: 86631(X2), 86632 CHLAMYDIA TRACHOMATIS BY PCR for Recommended specimens: CERVICAL SPECIMEN Female: Endocervical swab. Use kits (CPAL 3009012) for cervical swabs provided from CPAL. NOTE: The DNA test for N. gonorrhoeae can be run from the same specimen Specimens collected from other body (endocervical sources only). If both tests are sites will be rejected. LAB CHLAMYDIA CERVICAL Negative desired, order STD PROBE Panel. CT CERV Methodology: PCR **For collection and testing of Set up: Mon - Fri specimens from non-genital see Report available: 3 days CHLAMCULT**

CPT Code: 87491

CHLAMYDIA TRACHOMATIS BY PCR for THIN PREP Recommended specimens: (CPAL 3009018) Female: THIN PREP VIAL. NOTE: The DNA test for N. gonorrhoeae can be run from the same specimen . If both Specimens collected from other body LAB CHLAMYDIA THIN PREP tests are desired, order STD PROBE Panel. Negative sites will be rejected. CT CYTO Methodology: PCR Set up: Mon - Fri Report available: 3 days

CPT Code: 87491 CHLAMYDIA TRACHOMATIS BY PCR for URINE SPECIMEN (CPAL 3009014) NOTE: The DNA test for N. gonorrhoeae can be run from the same specimen Recommended specimens: (endocervical or endourethral sources only). LAB CHLAMYDIA URINE If both tests are desired, order STD PROBE Negative Minimum 20 mL random urine CT URINE Panel. Methodology: PCR Set up: Mon - Fri Report available: 3 days

CPT Code: 87491 CHLAMYDIA TRACHOMATIS BY SDA for URETHRAL SPECIMEN LAB CHLAMYDIA URETHRAL Test has been inactivated, please use CT CT URETH URINE as an alternative CHLAMYDIA TRACHOMATIS BY PCR for VAGINALSPECIMEN (CPAL 3009016) Recommended specimens: NOTE: The DNA test for N. gonorrhoeae can be run from the same specimen Vaginal swab. Use kits for vaginal (VAGINAL sources only). If both tests are swabs provided from CPAL. LAB CHLAMYDIA VAGINAL Negative desired, order STD PROBE Panel. CT VAG Methodology: PCR **For collection and testing of Set up: Mon - Fri specimens from non-genital see Report available: 3 days CHLAMCULT**

CPT Code: 87491 CHLAMYDIA TRACHOMATIS CULTURE (QUEST 690X) Endocervical swab, urethral swab, Methodology: Culture conjunctival swab, throat swab, LAB CHLAMYDIA CULTURE Set up: Mon - Sat No Chlamydia isolated nasal/nasopharygeal swab, fresh/unfixed CHLAMCULT Report available: 3 days tissue or 3mL pelvic washing in VCM medium or equivalent. CPT Code: 87110, 87140 CHLORAMPHENICOL Methodology: LC/MS/MS Minimum: 1 mL serum (R or DB) or QUEST 2106 Set up: Tuesday plasma (L). No SS tubes. Promptly Universal Requisition Accompanies report Univ. Req. Report available: 5 days centrifuge and separate serum/ plasma into a plastic, screw-cap vial. CPT Code: 82415 CHLORDIAZEPOXIDE (LIBRIUM) 2 serum (R or DB). (Includes Chlordiazepoxide, Collect at trough concentration, just Norchlordiazepoxide, N)ordiazepam) before next dose. QUEST 91123 Methodology: LC/MS/MS Universal Requisition Accompanies report Rejection criteria: SS tube, received univ. Req. Set up: Friday room temperature Report available: 6 days Minimum: 1.0 mL CPT Code: 80346 CHLORIDE, CSF (Quest 4004) Methodology: Coulometric Titration 1 mL CSF, submit in a sterile, plastic, Set up: Mon-Fri afternoon leakproof CSF tube, refrigerated LAB CSF CHLORIDE Accompanies report Report available: Next 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 Set up: Daily URINE CHLORIDE RANDOM UCL Report available: Same day Minimum: 5 mL CPT Code: 82436 CHOLEDYL - See Theophylline CHOLESTEROL, TOTAL Desirable: Less than 200 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric mg/dL or Set up: Daily LAB CHOLESTEROL Borderline: 200-239 mg/dL 1 mL serum (SS) Report available: Same day CHOL Elevated: Greater than 240 mg/dL Minimum: 0.5 mL CPT Code: 82465 CHOLINESTERASE AND DIBUCAINE NUMBER - See Dibucane Number and Cholinesterase 5 mL whole blood (L) AND 1 mL EDTA plasma (L) CHOLINESTERASE, RBC Methodology: Enzymatic Draw 2 Lavender-top EDTA tubes. Spin QUEST 17430X Set up: Mon - Fri one tube and separate plasma into Universal Requisition Accompanies report Univ. Req. Report available: Next day plastic tube. Ship both whole blood and plasma aliquot. Specimen will be CPT Code: 82482 rejected if only whold blood is received. Hemolyzed and icteric specimens are unacceptable

CHOLINESTERASE, SERUM 1 mL serum (SS) (Pseudocholinesterase) Centrifuge and transfer serum (QUEST 37965) specimens to clean, plastic, screw-cap Methodology: Kinetic/Spectrophotometric LAB CHOLINESTERASE Accompanies report vial. Set up: Mon - Fri CHOLIN Hemolyzed specimens are unacceptable Report available: Next day Minimum: 0.5 mL CPT Code: 82480

CHORIONIC GONADOTROPIN, URINE, QUALITATIVE (Pregnancy test) LAB Methodology: EIA 10.0 mL of first morning urine (Urine) Set up: Daily Accompanies report HCG QUAL URINE HCGQUALU Report available: Same day Minimum: 5.0 mL urine CPT Code: 84703 CHORIONIC GONADOTROPIN, QUALITATIVE, PROGRESSIVE (Pregnancy test) (For HCGPROG, if qualitative is positive, a LAB HCG QUAL PROGRESSIVE HCGQUANT will be performed at an 1.0 mL blood (Gn-Li (PST)) HCGPROG or additional charge.) Accompanies report or HCG QUAL Methodology: Chemiluminescence Minimum: 1.0 mL plasma HCGQUAL Set up: Daily Report available: Same day

CPT Code: 84703 CHORIONIC GONADOTROPIN, QUANTITATIVE (CPAL) (CPAL 1754006) LAB HCG TUMOR MARKER CPAL has discontinued this test effective HCG CPAL 8/1/14. See Beta hCG Quant (Quest 90378)

BETA HCG QUANTITATIVE ONCOLOGY (QUEST 90378) Methodology: Immunoassay 1.0 mL serum (SST) BETA HCG QUANT BETA HCG QUANT Set up: Daily Accompanies report ONCOLOGY Report available: Next day Minimum : 0.3 mL

CPT Code: 84702 4 mL whole blood (DB EDTA) To avoid contamination, use powderless CHROMIUM, BLOOD gloves. DO NOT ALIQUOT SPECIMEN. (QUEST 6085) Draw one vacutainer of blood (1-2 mL) Methodology: ICP/MS and discard. Draw second vacutainer (2- LAB CHROMIUM BLOOD Set up: Mon-Fri Accompanies report 4 mL in royal blue, EDTA) for CHROMIUM BLD Report available: 2 days submission. Patient should refrain from taking mineral supplements, and multi- CPT Code: 82495 vitamin 3 days prior to specimen collection Minimum : 2 mL CHROMIUM,URINE Includes Creatinine 2 mL random urine specimen Methodology: Atomic Spectroscopy QUEST 11278X Collect and transport in acid washed, Universal Requisition Set up: Tues, Thurs Accompanies report Univ. Req. metal free, leak proof container. Report available: 7 days Minimum : 0.5 mL CPT Code: 82495, 82570 (QUEST 16379) Methodology: Electrochemiluminescence 1 mL serum (SS) LAB CHROMOGRANIN A Set up: Sun-Fri Accompanies report CHROMOGRANIN A Report available: 3-5 days Minimum: 0.3 mL

CPT Code: 86316 CHROMOSOME ANALYSIS, BLOOD (QUEST 14596) 3-5 mL whole blood in sodium heparin This test may assist with the detection of tube (Gn) ROOM TEMP common chromosome abnormalities. CHROMOSOME KARY Methodology: Culture, Microscopy, LAB Accompanies report Minimum: 1.0 mL BLOOD Karyotype CHR KAR BL Note: Specimen viability decreases Set up: Mon-Sat AM during transit. Send to reference Report available: 10 days laboratory as soon as possible. CPT Code: 88230, 88262 CHROMOSOME ANALYSIS,TISSUE Tissue Sample minimum 2 x 3 mm (QUEST 14593) Submitted in Hank's solution. Methodology: Culture, Microscopy, Instructions: Contact Lab for media, CHROMOSOME ANALYSIS, Karyotype LAB Accompanies report Genetics requisition form, and preferred TISSUE Set up: Mon-Sun AM CHROMOSOME ANAL tissue sites. Report available: 15 days Minimum: 2 x 3 mm CPT Code: 88233, 88262 CHRONIC URTICARIA (CU) INDEX ™* 1.5 mL serum ® (QUEST 16838) Patients taking calcineurin inhibitors Methodology: Cell culture, Immunoassay should stop medication for 72 hrs prior LAB CHRONIC URTICARIA INDEX Set up: Tues , Thurs Accompanies report to draw. CU INDEX Report available: 3 days SS tubes will be rejected

CPT Code: 86343 Minimum: 1.0 mL CITRATE, URINE 24 HR (QUEST 11315X) Citric Acid, 24hr urine w/o Creatinine 10 mL aliquot of 24-hr urine collection Methodology: Enzymatic, SP with no preservative. LAB URINE CITRATE 24HR Accompanies report Set up: Mon - Fri CITRATE24U Report available: Next day 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 down within 2 hours and remove If CK MB only if indicated is requested, CKMB plasma. order CKMB IF INDICATED

CPT Code: 82553 CLOMIPRAMINE (ANAFRANIL) 2 mL serum (R ) Includes desmethylclomipramine. Collect at steady-state trough Methodology: LC/MS/MS QUEST 30013 concentration. Should be collected >12 Universal Requisition Set up: Mon - Fri Accompanies report Univ. Req. hrs after dose. No SS tubes. Report available: Next day Minimum: 1.5 mL CPT Code: 80335 CLONAZEPAM (KLONOPIN) 2 mL serum (DB, R); Collect at trough (QUEST 340) concentration, immediately before next Methodology: LC/MS/MS dose. Protect from light. No SS tubes. LAB CLONAZEPAM Set up: Mon, Wed , Fri Therapeutic: 30 - 60 ng/mL FREEZE CLONAZEPAM Report available: Next day Minimum: 1.0 mL CPT Code: 80346 CLORAZEPATE (TRANZENE) Methodology: LC/MS/MS 2 mL serum (R). No SS tubes QUEST 90854 Set up: Fri am Universal Requisition Accompanies report Frozen Univ. Req. Report available: 8 days Minimum: 1 mL CPT Code: 80346 CLOSTRIDIUM DIFFICILE RAPID TOXIN A AND B DETECTION MIC Effective 11/9/16, this test is no longer CDIFSC available. Order CDIFPCR as an alternative. Stool: liquid,loose or soft Stool; CLOSTRIDIUM DIFFICILE BY PCR specimen should be collected in a plain Methodology: PCR (no preservative) container and kept MIC Set up: Daily refrigerated. Hard/Formed stools will be C DIFFICILE PCR None detected CDIFPCR Report available: 24-48 hours rejected. Repeat testing during the same episode of CPT Code: 87493 diarrhea is of limited value and is not recommended. CLOTEST Tissue specimen imbedded in the Methodology: Urease CLOTEST test strip and submitted to CLOTEST FOR Set up: Mon - Fri MIC 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) Includes Norclozapine (QUEST 1769) 2 mL serum (R ) FROZEN Methodology: LC/MS/MS (SS tubes will be rejected) LAB CLOZAPINE Accompanies report Set up: Mon - Fri am CLOZAPINE Report available: Next day Minimum: 1 mL

CPT Code: 80159 CLUE CELLS - Order Wet Prep and Gram Stain and note "Check for Clue Cells" and deliver to Microbiology upon completion of Wet Prep.

CO2 -See Carbon Dioxide (Bicarbonate) COAG MIXING STUDIES (York name: Circ Anticoagulant Screen) 7 full volume blue-top tubes (LB). Send to York Hospital Minimum 16 mL draw volume. Must LAB Universal Requisition Methodology: Photo-optical be performed within 2 hours of Univ. Req Set up: Mon-Fri 8am-noon, no holidays collection. Centrifuge, separate, freeze plasma. Delivery immediately. CPT Code: 85732 COCCIDIODES IMMITIS ANTIBODIES (QUEST 3412) 1 mL serum (R) Methodology: CF ROOM TEMP LAB COCCIDIODES AB Set up: Mon - Fri Accompanies report COCCID Report available: 2 days Minimum: 0.2 mL CPT Code: 86635 CODEINE, QUANTITATIVE BY GCMS Methodology: GCMS 5 mL serum (DB) or (R) Detection limit: 50 ng/mL QUEST 0392 No SS tubes Universal Requisition Set up: Tues, Fri Accompanies report Univ. Req. Report available: 4 days Minimum: 2.5 mL CPT Code: 80361 COENZYME Q10 Referral test for QUEST 1.0 mL serum (R) Methodology: HPLC QUEST 19826X FREEZE and protect from light. Universal Requisition Set up: Daily Accompanies report Univ. Req. Patient should fast 8-12 hrs before Report available: 2 days collection. Patient may have water. CPT Code: 82542 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) Methodology: Nephelometric 1 mL serum (SS) LAB C1 ESTERASE INHIBITOR Set up: Mon - Sat Accompanies report Minimum: 0.5 mL C1 EST Report available: Next day

CPT Code: 86160 COMPLEMENT, C1 ESTERASE INHIBITOR, FUNCTIONAL 1 mL serum (R); FREEZE (QUEST 23042) Freeze serum within 1 hour of collection. Methodology: Immunoassay LAB C1 INHIBITOR FUNCTIONAL Accompanies report No SS tubes. 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 or SS) QUEST 433X Set up: Mon, Wed Separate serum within 1 hour of time Universal Requisition Accompanies report Univ. Req. Report available: 5 days drawn, refrigerate Minimum: 0.1 mL CPT Code: 86160 COMPLEMENT, C3 (CPAL 3000470) 1 mL serum (SS) Methodology: Nephelometric Note: If CPAL specimen pickup is >24 LAB C3 COMPLEMENT Set up: Mon - Sat Accompanies report hours, please freeze serum. C3 Report available: Next day Minimum: 0.5 mL CPT Code: 86160 COMPLEMENT, C4 (CPAL 3000475) 1 mL serum (SS) Methodology: Nephelometric Note: If CPAL specimen pickup is >24 LAB C4 COMPLEMENT Set up: Mon - Sat Accompanies report hours, please freeze serum. C4 Report available: Next day Minimum: 0.5 mL CPT Code: 86160 COMPLEMENT, C5 1 mL serum (SS) Methodology: RID Centrifuge within 2 hour of collection and QUEST 354X Set up: Mon - Fri Universal Requisition Accompanies report transfer serum to clean,screw capped, Univ. Req. Report available: 3 days plastic vial. Minimum: 0.1 Ml CPT Code: 86160 COMPLEMENT PROFILE 1 (QUEST 5412) 1 mL serum (SS), FROZEN Includes: C1 Esterase Inhibitor, C3, C4, and Draw blood from fasting patient. Ch50 Centrifuge within 30 minutes of Methodology: Enzymatic, Nephelometric, LAB COMPLEMENT PROFILE I collection. Transfer serum to plastic, Turnidimetric COMP PRO I screw-capped vial. Freeze. Set up: Monday, Saturday Report available: Next day Minimum: 0.5 mL CPT Code: 83520, 86160(X2), 86162 COMPLEMENT PROPERDIN, FACTOR B 1 mL serum (SS), FROZEN Methodology: Nephelometric Serum should be separated within 2 hrs QUEST 300X Set up:Tues, Thurs, Sat Universal Requisition Accompanies report of time of collection. Univ. Req. Report available: 3 days Minimum: 0.5 mL CPT Code: 83883 COMPLEMENT, TOTAL, CH50 UNITS 1 mL serum (R), FROZEN (QUEST 618) Centrifuge serum within 1 hour of Methodology: Liposome collection. Transfer serum to plastic, LAB CH50 COMPEMENT TOTAL Set up: Mon - Sat Accompanies report screw-capped vial. Freeze. CH50 Report available: Next day Minimum: 0.2 mL CPT Code: 86162 COMPLETE BLOOD COUNT (CBC), WITH DIFF Methodology: Hematology analyzer 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 expected in submitting the specimen Differential will be performed and the charge Accompanies report a. Maintain at ROOM TEMP LAB CBC WITH AUTO DIFF adjusted in compliance with HCFA b. Submit a peripheral blood smear in CBC compliance guidelines. addition to the blood specimen. Order CBCDIFF if physician requests Minimum: 2 mL CBC 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 COPPER 2.0 mL plasma (DK BLUE, EDTA) (QUEST 363) Separate serum or plasma from cells Methodology: AS, ICP/MS within 2 hours. Transfer separated LAB COPPER Set up: Mon-Fri Accompanies report serum/plasma to a plastic acid washed COPPER Report available: 1 day or metal free vial.

CPT Code: 82525 Minimum: 0.7 mL COPPER , 24 HOUR URINE 7 mL aliquot of 24-hour urine no (QUEST 365) preservative. Place aliquoted specimen Methodology: ICP/MS in an acid-washed or metal-free plastic LAB URINE COPPER 24HR Set up: Mon - Fri Accompanies report container. COPPER 24HR Report available: Next day 24-hour volume required. Minimum: 3 mL CPT Code: 82525 COPPER, URINE Includes creatinine 7 mL urine colleced in acid-washed Methodology: ICP/MS QUEST 15319 container Universal Requisition Set up: Mon - Fri Accompanies report Univ. Req. Report available: Next day 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) BBK 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 Cholesterol ratio calculation, VLDL after 12 - 14 hours fast LAB CORONARY RISK PROFILE calculation. Accompanies report CORONARY PROF Methodology: Various Minimum: 1 mL Set up: Daily Report available: Varies with assay

CPT Code: 82465, 83718, 84478 CORTISOL SUPPRESSION - See Dexamethasone Suppression CORTISOL, SERUM TOTAL 1 ml blood (Gn -Li (PST)) Methodology: Chemiluminescence or Set up: Daily AM (8 a.m.): 6 - 23 µg/dL 1 mL serum (SS) LAB CORTISOL Report available: Next day PM (8 p.m.): <10 µg/dL CORTISOL For level comparison, blood specimens CPT Code: 82533 should be drawn at 8 a.m. and 8 p.m. CORTISOL, FREE, 24-HOUR URINE (QUEST 11280X) 2.0 mL aliquot of 24-hr urine, FROZEN Methodology: LC/MS/MS Specify total 24-hr volume on request LAB URINE CORTISOL 24HR Set up: Mon - Fri Accompanies report form. CORTIS UR Report available: 2-6 days Minimum: 0.5 mL CPT Code: 82530 4 serum (SS) samples, 1 mL each, one CORTROSYN STIMULATION (ADRENAL 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: Immunoassay 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: 82533(X4) Minimum: 0.5 mL EACH COUMADIN Methodology: HPLC 3.0 mL plasma EDTA (DB) Detection limit: 0.01 µg/mL Centrifuge and immediately separate QUEST 936Z Universal Requisition Set up: Mon, Wed, Fri Accompanies report plasma from the cells. Univ. Req. Report available: 2 days Minimum: 1.2 mL CPT Code: 80299 COXIELLA BURNETII (Q fever) Antibodies (IgG,IgM), with Reflex to Titers Methodology: IFA 1 mL serum (SS) QUEST 37071 Set up: Tues,Wed,Sat Universal Requisition Accompanies report Univ. Req. Report available: 4 days Minimum: 0.2 mL CPT Code: 86638(X4) [If screens are positive, titer will be performed at an additional charge (CPT 86638: per titer)] COXSACKIE VIRUS B ANTIBODY PANEL (B1 - B6) (QUEST 4022) Methodology: CF 1 mL serum (SS) LAB COXSACKIE B AB Set up: Mon - Fri Accompanies report COX B AB Report available: 2 days Minimum: 0.5 mL

CPT Code: 86658(X6) COXSACKIE VIRUS CULTURE - See Enterovirus Culture C-PEPTIDE (CPAL 1750126) 1 mL serum (SS) FROZEN Methodology: Chemiluminescent Patient should be fasting before Set up: Mon - Fri LAB C PEPTIDE Accompanies report collection. Report available: Next day C-PEPTIDE Minimum: 0.5 mL CPT Code: 84681 CPK (Creatine Phosphokinase) 1 ml blood (Gn -Li (PST)) Methodology: Enzymatic or Set up: Daily LAB CREATINE KINASE Accompanies report 1 mL serum (SS) Report available: Same day CPK Minimum: 0.5 mL CPT Code: 82550 CPK ISOENZYMES - See CK MB or Creatinine Phosphokinase Isoenzyme Electrophoresis C- PROTEIN - See Protein C C-REACTIVE PROTEIN QUANT 1 ml blood (Gn -Li (PST)) Methodology: Turbidmetric or Set up: Mon - Sat LAB CRP 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: Turbidmetric or LAB CRP CARDIAC Set up: Daily Accompanies report 1 mL serum (SS) CRPSENS Report available: same day Minimum: 0.5 mL CPT Code: 86141 CREATINE KINASE ISOENZYMES (CK ISOENZYMES) WITH TOTAL CK Includes : Total CK, CK-BB, CK-MB, CK- MM 2 mL serum (SS) Frozen QUEST 4451 Universal Requisition Methodology: Spectrophotometry Accompanies report Univ. Req. Set up: Sun - Fri Minimum: 1.0 mL Report available: 2 days

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 (studies Accompanies report 1 mL serum (SS) CREAT only), CREATVEN for venous samples (studies only), CREATPRE or CREATPOST Minimum: 0.5 mL for Dialysis patients.

CPT Code: 82565 CREATININE, Peritoneal Fluid Methodology: Colormetric 1 ml sterile fluid CREATININE PERITONEAL Set up: Daily LAB Accompanies report FLUID Report available: Same day CREATPERI Minimum: 0.5 mL CPT Code: 82565 CREATININE, URINE (12 hr or random) URINE CREATININE 12 HR Methodology: Colormetric 10 mL urine, collected without LAB -or- Set up: Daily preservatives UCREAT12 None available URINE CREATININE Report available: Same day or RANDOM Minimum: 1 mL UCREAT CPT Code: 82570 CREATININE 24 HR UR Methodology: Colormetric 10 mL urine, collected without Set up: Daily preservatives, refrigerate during LAB URINE CREATNINE 24HR 600 - 2000 mg/24 hr Report available: Same day collection UCREAT24 CPT Code: 82570 1 ml blood (Gn -Li (PST)) or 1 mL serum (SS) CREATININE CLEARANCE -and- Serum creatinine must be ordered and 20 mL aliquot of 24-hr urine, collected drawn at some time during the 24 hr without preservatives; refrigerate during collection CREATININE CLEARANCE collection. Certain preservatives can be LAB Methodology: Colormetric 100 - 180 mL/min URINE used; see Appendix A. Specify total 24- CREATCL Set up: Daily hr volume on request form Report available: Same day NOTE: The blood specimen must be drawn at some point during the 24-hr CPT Code: 82575 urine collection including up to 2 hours before or after urine collection is completed.

CROSSMATCH FOR PACKED CELLS Methodology: Tube Agglutination 6.0 mL whole blood (Pink) Set up: As requested BBK LEUKOREDUCED PRBCS Report available: Same day Patient and specimen must be taged LRPRBC with a unique identification number band. CPT Code: 86920 Minimum: 6 mL citrated plasma (LB) ROOM TEMP

Fasting sample is required. Collect CRYOFIBRINOGEN (QUEST 376) blood into 3 LB tubes. Place Methodology: Cryoprecipitation immediately in 37°C water bath. Set up: Sun - Fri LAB CRYOFIBRINOGEN Accompanies report Centrifuge in centrifuge carriers Report available: 3 days CRYOFIBRIN prewarmed to 37°C at 3000 rpm for a minimum of 10 minutes. Separate CPT Code: 82585 plasma from cells, avoiding transfer of red cells, into plastic transport tube.

Minimum: 3 mL CRYOGLOBULINS, QUALITATIVE, 5.0 mL serum (R ) ROOM TEMP ANALYSIS After collection, allow specimen to clot at (QUEST 1012) 37°C for 3-60 minutes. Centrifuge CRYOGLOBULIN Methodology: Visual Inspection LAB Accompanies report clotted tube in a pre-warmed centrifuge. QUALITATIVE Set up: Daily CRYOGLOB Pour serum into a plastic, screw-capped Report available: 4 days vial. Minimum: 2.5 mL CPT Code: 82595

6.0 mL serum (R ) ROOM TEMP Allow serum to clot for 1 hr in 37°C heat CRYOGLOBULINS, QUANTITATIVE block. After clotting, centrifuge in Methodology: Visual Inspection prewarmed centrifuge (run centrifuge for QUEST 4003 Set up: Daily Universal Requisition Accompanies report 10 minutes prior to adding specimen) for Univ. Req. Report available: 4 days 10 minutes. Decant serum into screw- capped vial. CPT Code: 82595 Note: no other tests can be added to the sample; cryoglobulin evaluation only.

CRYPTOCOCCAL ANTIGEN WITH REFLEX TO TITER LAB (QUEST 11196) CSF CRYPTOCOCCAL AG 2.0 mL serum (SS) or CSF CRY AG CSF Methodology: Latex Agglutination -or- Accompanies report -or- Set up: Daily CRYPTOCOCAL AG SERUM Minimum: 0.5 mL LAB Report available: Next day CRY AG SER CPT Code: 86403 (86406 if titer indicated) CRYPTOCOCCAL ANTIBODIES Methodology: Agglutination 1 mL serum (SS) QUEST 30429 Set up: Mon - Sat Universal Requisition Accompanies report Univ. Req. Report available: 2 days Minimum: 0.5 mL CPT Code: 86403 CRYPTOSPORIDIUM, FECAL (QUEST 2134) Also detects Isospora and Cyclospora Random stool, collected in container Methodology: Smear with 10% formalin OR Total-Fix LAB CRYPTOSPORIDIUM STOOL Accompanies report Set up: Daily Unpreserved stool is unaceptable. CRYPTO Report available: Next day

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 SITE (INCLUDES GRAM STAIN) Send aerobic culturette (with 2 swabs A charge will be added for each organism inserted). Specify specimen source and identification and sensitivity that is indicated. specimen description. NOTE: Aerobic Methodology: Culture swabs do not support growth of MIC WOUND CULTURE No growth Set up: Sun - Sat anaerobic organisms. If anaerobes are WOUNDCULT Report available:Preliminary 1-2 day suspected, order a Culture, Anaerobic Final 2-5 days and submit an additional specimen in an anaerobic culture tube. CPT Code: 87070, 87205 WOUND CULTURE + STAPH PCR FOR SKIN AND SOFT TISSUE SOURCES (INCLUDES GRAM STAIN) A charge will be added for each organism Send aerobic culturette (with 2 swabs identification and sensitivity that is indicated. inserted). Specify specimen source and Methodology: Culture/PCR specimen description. NOTE: Aerobic MIC WOUND CULTURE PLUS Set up: Sun - Sat Culture: No growth Staph swabs do not support growth of Report available:PCR same day; WOUND+STAPHPCR STAPH PCR PCR: Not detected anaerobic organisms. If anaerobes are Culture: Preliminary 1-2 day suspected, order a Culture, Anaerobic Culture: Final 2-5 days and submit an additional specimen in an anaerobic culture tube. CPT Code: 87070, 87205, 87640, 87641

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 and CPAL laboratory if indicated. body fluids). Methodology: Culture MIC AFB CULTURE No acid-fast bacilli isolated Set up: Mon - Sat AFBCULT If TB is isolated or special request, Report available: 8 weeks (negative, sensitivities will be sent out to reference preliminary at 2, 4 and 6 weeks) 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 and CPAL laboratory if indicated. body fluids). Methodology: Culture MIC AFB SURGICAL CULTURE No acid-fast bacilli isolated Set up: Mon - Sat AFBSURG If TB is isolated or special request, Report available: 8 weeks (negative, sensitivities will be sent out to reference preliminary at 2, 4 and 6 weeks) laboratory on positive isolates. CPT Code: 87116, 87153 CULTURE, ACID-FAST (TB), BLOOD - See Culture, Mycobacterium, Blood) CULTURE, ADENOVIRUS - See Adenovirus Culture CULTURE,AEROBIC SURGICAL (INCLUDES GRAM STAIN) Send aerobic culturette (with 2 swabs A charge will be added for each organism inserted). Specify specimen source and identification and sensitivity that is indicated. specimen description. NOTE: Aerobic AEROBIC SURGICAL Methodology: Culture swabs do not support growth of MIC No growth CULTURE Set up: Sun - Sat anaerobic organisms. If anaerobes are AERSURG Report available:Preliminary 1-2 day suspected, order a Culture, Anaerobic Final 2-5 days and submit an additional 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 site and MIC ANAEROBIC CULTURE added for each oranism identification. anaerobic transport media (available 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 site and MIC added for each oranism identification. anaerobic transport media (available CULTURE 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. Methodology: Culture (BacTec) Set up: Daily 5 - 10 mL blood in both an aerobic and Report available: Preliminary 2 days anaerobic blood culture bottle MIC BLOOD CULTURE / BLOOD Final : 5-7 days No growth -or- BLDCULT -or- CULTURE, PEDIATRICS Positives are called immediately Minimum: 1 mL blood in pediatric blood BLDCULTPED Blood culture (adults): 1 set contains 1 culture bottle aerobic and 1 anaerobic bottle Blood culture (pediatrics): only contains 1 pediatric bottle

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 line and a CULTURE, BLOOD QUANTITATIVE second, separate tube via venipuncture. Collected at WellSpan Ephrata Community Label both tubes with the following Hospital and specimen referred to York information: Hospital for testing. a. Patient name and location QUANTITATIVE BLOOD LAB Methodology: Culture No growth b. Date/time of collection CULTURE 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 York Hospital within 16 hours of collection. Hold at ROOM TEMPERATURE until delivery.

CULTURE, CAMPYLOBACTER A charge will be added for each organism identification. Random fresh stool submitted in Cary- Methodology: Culture CAMPYLOBACTER Blair Transport Media. MIC Set up: As requested No Campylobacter isolated CULTURE 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) Hold distal end of catheter over a sterile status of the patient will be requested at <15 colony forming units of container, cut the cath tip with sterile MIC CATHETER TIP CULTURE thime of order placement. microorganisms, unless scissors and drop the last 2-3 inches CTCULT Methodology: Semiquantitative Culture otherwise clinically indicated into the container. Do not add liquid to Set up: Daily 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. 5 g stool in clean, dry container QUEST 2107 Universal Requisition Methodology: Culture None detected FROZEN Univ. Req. Set up: Daily Minimum: 1 g Report available: 4 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 organisms MIC CSF CULTURE CSF in sterile container Methodology: Culture, Gram Stain observed CSFCULT Set up: Daily Report available:Preliminary 1-2 day Final 3-5 days

CPT Code: 87070 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 EHEC. No Salmonella or Shigella Random fresh stool submitted in Cary- STOOL CULTURE AND A charge will be added for each organism isolated and no organisms Blair Transport Media. MIC SHIGALIKE TOX identification and sensitivity when indicated. seen resembling STOOLCULT Methodology: Culture Campylobacter. Minimum: 1 g 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 culture LAB BODY FLUID CULTURE No growth Methodology: Culture is requested on the same specimen, in BFCULT Set up: Daily addition to the aerobic culture, DO NOT Report available: Preliminary 1-3 day REFRIGERATE THE SPECIMEN. Final 3-5 days

CPT Code: 87070 CULTURE, FUNGUS, BLOOD (QUEST 4606X) If positive, a charge will be added for each 5.0 mL Blood in Bactec® Myco/F Lytic organism identification. aerobic blood bottle, ROOM TEMP Methodology: Culture Effective 9/14/09 - Green top Sodium LAB FUNGAL BLOOD CULTURE No fungus isolated Set up: Daily Heparin is not longer acceptable. CFUNGBLD Report available: 30 days (negative preliminary at 2 weeks) Minimum: 3 mL

CPT Code: 87103 CULTURE, FUNGUS (INCLUDES KOH PREP) Identification performed by PCR at the CPAL laboratory if indicated. Methodology: Culture Primary specimen in sterile container or MIC FUNGUS CULTURE No fungus isolated Set up: Daily culturette with swabs. FUNGUSCULT Report available: 3-6 weeks (negative preliminary at 1 week)

CPT Codes: 87101, 87153 CULTURE, FUNGUS, CSF (INCLUDES INDIA INK) Identification perfomed by PCR at CPAL laboratory if indicated. Methodology: Culture MIC CSF FUNGUS CULTURE No fungus isolated 1.0 mL CSF in a sterile container Set up: Daily CSFFUNG Report available: 3-6 weeks(negative preliminary at 1 week)

CPT Code: 87101, 87153 CULTURE, FUNGUS SURGICAL (INCLUDES KOH PREP) Identification performed by PCR at CPAL laoboatory if indicated. FUNGUS SURGICAL Methodology: Culture Primary specimen in sterile container or MIC No fungus isolated CULTURE Set up: Daily 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, Thayer- Methodology: Culture Martin), maintained at warm temperature Set up: Daily MIC NEISSERIA GONORRHOEAE No Neisseria gonorrhoeae and delivered to the Lab within 2 hours Report available: 3-5 days GCCULT CULTURE isolated of collection. Keep bottle upright when collecting See also - Neisseria gonorrhoeae, DNA specimen and inoculating medium. probe as alternative for cervical, urethral, or Replace bottle cap immediately. urine testing only

CPT Code: 87081

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

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 positive Nitrite, or if microscopic examination container. Specify specimen source. LAB UA CULTURE IF INDICATED Not indicated reveals the presence of bacteria or greater UACULTIF the 5 WBC/hpf, then the urine culture will be Minimum: 3 mL performed and charged.

Lung Biopsy or Aspirate: Place in sterile CULTURE, LEGIONELLA PNEUMOPHILA container (QUEST 960) Sputum: Pt to gargle with water then Methodology: Culture cough to collect; Set up: Mon-Fri night LAB LEGIONELLA Tissue: Add small amount of sterile, non- Report available: 10 days No Legionella isolated LEGIONELLA CULT PNEUMOPHILA CULTURE bacteriostatic, distilled water to prevent CPT Code: 87081 (A charge will be added drying, if necessary. Do not add saline. for each identification) REFRIGERATE

CULTURE, MYCOBACTERIUM, BLOOD (QUEST 4161) 5.0 mL Blood in Bactec® Myco/F Lytic Methodology: Continuous Blood Culture aerobic blood bottle System Effective 9/14/09 - Green top Sodium LAB AFB BLOOD CULTURE Set up: Daily No acid-fast bacilli isolated Heparin is not longer acceptable. C AFB BLD Report available: 6-8 weeks ROOM TEMP

CPT Code: 87116 (If positive, a charge will Minimum: 1 mL be added for each organism identification.)

CULTURE, MYCOPLASMA HOMINIS Urogenital, respiratory,body fluids, (QUEST 3888) tissues, wounds, urine semen or CSF in Methodology: Culture MYCOPLASMA HOMINIS 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 in VCM viral MYCO HOMINIS Methodology: Culture transport medium LAB Accompanies report UREAPLASMA CULT Set up: Daily M4RT not acceptable. MYCO-UREA CULT 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. Primary specimen : sputum, bronch MIC SPUTUM CULTURE Normal respiratory flora Methodology: Culture 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. MRSA SURVEILLANCE Methodology: Culture No Methicillin Resistant Transport swab. Specify culture source MIC CULTURE Set up: Daily Staph Aureus isolated and body site. MRSASUR Report available: 2-4 days

CPT Code: 87081 CULTURE, R/O VRE A charge will be added for each organism identification. VRE SURVEILLANCE Methodology: Culture No Vancomycin Resistant Transport swad. Specify culture source MIC CULTURE Set up: Daily Enterococci isolated and body site. VRECULT Report available: 2-4 days

CPT Code: 87081 CULTURE, THROAT or NOSE A charge will be added for each organism MIC identification and sensitivity when indicated. THROAT CULTURE THCULT Methodology: Culture Send transport swab. Specify culture -or Normal respiratory flora -or- Set up: Daily source and body site. NOSE CULTURE MIC Report available: 1-4 days NOSECULT CPT Code: 87070 CULTURE, TUBERCULOSIS - See Culture, Acid-fast (TB) CULTURE, UREAPLASMA UREALYTICUM (T-strain Mycoplasma) Methodology: Culture Swab (urogenital specimen) or sterile Set up: Daily fluid (1 mL minimum) or tissue or QUEST 5499 Universal Requisition Report available: 10 days Accompanies report respiratory samples (1 mL minimum) Univ. Req. preferred or pellet (urine) acceptable; all CPT Code: 87109 (If positive, this in M4 Transport Medium procedure progresses to a Ureaplasma identification for an additional charge.)

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 MIC 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. Methodology: Culture Normal urogenital flora and Send transport swab. Specify culture MIC GENITAL CULTURE Set up: Daily no beta-streptococci isolated source and body site. GENCULT Report available: 2-4 days

CPT Code: 87070 CULTURE, VIBRIO (QUEST 935) Methodology: Culture, Aerobic Isolation and 3.0 grams fresh random stool collected Identification Procedures in Cary-Blair QUEST 935 Set up: Daily Universal Requisition No Vibrio isolated ROOM TEMP LAB Report available: 3-6 days Minimum: 1 g CPT Code: 87046 (A charge will be added for each organism identification.) CULTURE, YEAST (INCLUDES GRAM STAIN) A charge will be added for each organism identification. Send aerobic culturette (with 2 swabs MIC YEAST CULTURE Methodology: Culture No yeast isolated inserted). Specify specimen source and YECULT Set up: Daily description. Report available: 5-7 days

CPT Code: 87102 CULTURE, YERSINIA (QUEST 4487X) Methodology: Culture and Identification 3 grams fresh random stool collected in Procedures Cary-Blair Set up: Daily LAB YERSINIA CULTURE No Yersinia isolated ROOM TEMP Report available: 3 days YERSINIA Minimum: 1 g CPT Code: 87046 (A charge will be added for each organism identification and sensitivity.) CYANIDE (Nitroprusside therapy should be monitored with thiocyanate, test code 879X THIOCYANATE). 10 mL whole blood (Gn) QUEST 400 Universal Requisition Methodology: Colormetric Accompanies report Univ. Req. 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 8812) 2 mL whole blood (L) Collect Methodology: Immunoassay as a trough 12 hours after last dose. LAB CYCLOSPORINE Set up: Daily Accompanies report CYCLOSPOR Reprt available: 2 days Minimum: 1 mL CPT Code: 80158 CYSTIC FIBROSIS CARRIER SCREEN (QUEST 140841) 4 mL EDTA whole blood (L); Methodology: PCR ROOM TEMP LAB CYSTIC FIBROSIS SCREEN Set up: Daily Accompanies report CYSTIC FIB Reprt available: 7 days Minimum: 3 mL

CPT Code: 81220

2 mL aliquot of 24-hr urine, no CYSTINE, URINE (24 HR) (QUEST 6016) preservatives; Specify total volume. Methodology: LC/MS Please note if patient is in pentacillamine Set up: Tues, Thurs LAB URINE CYSTINE 24HR Accompanies report therapy Reprt available: 5 days CYSTINE UR FREEZE CPT Code: 82131 Minimum: 5 mL

CYSTINE, RANDOM URINE (QUEST 6017) 1.8 mL of random urine, no preservative Includes creatinine FREEZE LAB URINE CYSTINE RANDOM Accompanies report Methodology: LC/MS CYSTINE RAN UR Set up: Tues, Thurs Minimum: 0.5 mL Reprt available: 5 days

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 frosted end of slide. Place slides in slide SMEAR ( (THIN PREP or PAP SMEAR) folder and seal with scotch tape. Submit Papanicolaou-stained smears are examined No atypical or abnormal cells specimen together with a CYTOLOGY LAB LAB ONLY microscopically for detection of fungus, detected. Method of REQUEST FORM with all pertinent GYN Trichomonas, viral changes, and cellular reporting; Bethesda System. patient history and information changes indicating inflammatory, dysplastic, 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 Vaginal wall smear collected as in CYTOLOGY, VAGINAL SMEAR(PAP Post Ovulatory: 0/70/30 cervical/vaginal pap smear above. LAB LAB ONLY SMEAR) WITH MI (MATURATION INDEX) Perimenopausal: 0/80/20 Label "vaginal" on slide with patient GYN Post menopausal: 50/50/0 name. 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, See pages CYTOLOGY section in the etc. Papanicolaou-stained smears are first section of the manual for specific examined microscopically for cellular No atypical or abnormal cells collection instructions. LAB CYTOLOGY ORDER changes indicating benign, inflammatory, detected. CYTO ORD dysplastic, and/or neoplastic lesions and are Submit a completed CYTOLOGY also examined for detection of organisms REQUEST FORM with the specimen. and viral changes (herpesm 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 may (Thyroid, lymph node, solid breast mass, be submitted in Saccomanno Solution No atypical or abnormal cells LAB CYTOLOGY ORDER liver, lung, etc.) Examination of fliud and (available in the laboratory) or in capped detected. CYTO ORD tissue fragments obtained by fine needle syringe without needle. Consult aspiration is performed using cytologic laboratory. techniques and stains. Submit a completed CYTOLOGY REQUEST FORM with the specimen.

CYTOMEGALOVIRUS (CMV) CULTURE Bronchial brushing or washing in sterile (QUEST 842) container; throat washing in sterile Methodology: Rapid culture container; throat swab in M4; urine in LAB CMV CULTURE Set up: Daily Negative sterile container. PLEASE NOTE: CMV CMV CULT Report available: 5 days culture is no longer performed on blood or biopsy specimens (7/6/10) CPT Code: 87254

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

CYTOMEGALOVIRUS IgG ANTIBODIES (CPAL 3001430) Methodology: Chemiluminescent 1 mL serum (SS) LAB CMV IGG ANTIBODY Set up: Mon-Fri Accompanies report CMVIGG Report available: Next day Minimum: 0.5 mL

CPT Code: 86644

CYTOMEGALOVIRUS IgM ANTIBODIES (CPAL 3001440) Methodology: Chemiluminescent 1 mL serum (SS) LAB CMV IGM ANTIBODY Set up: Mon - Fri Accompanies report CMV IGM Report available: Next day Minimum: 0.5 mL

CPT Code: 86645 CYTOMEGALOVIRUS IgG/IgM ANTIBODIES (CPAL 3001425) 2 mL serum (SS) Methodology: Chemiluminescent LAB CMV IGG/IGM GROUP Accompanies report Set up: Mon - Fri CMVGRP Minimum: 1.0 mL Report available: Next day

CPT Code: 86644,86645 Minimum: 1 mL citrated plasma (LB). Specimens should be centrifuged for 10 D-DIMER minutes at 3000 rpms to obtain platelet Methodology: Immunoturbidimetric poor plasma. The plasma should be Set up: Daily analyzed within 4 hours of collection. LAB DDIMER Accompanies report Report available: Same day Samples can be stored at 2-8C for 24 DDIMER hours. The assay can be performed on CPT Code: 85379 frozen plasma, which has been stored at ≤-18C for up to 4 weeks. Plasma must be frozen immediately after separation. DALMANE - See Flurazepam 24-hr urine, preserved with 25 mL 6N HCl DELTA-AMNIOLEVULINIC ACID (ALA) -or- Methodology: Colorimetric 2 mL aliquot of 24-hr urine, collected QUEST 219 Set up: Mon, Wed, Fri Universal Requisition 0.00 - 0.54 mg/dL same as above. Specify total volume. Univ. Req. Report available: 2 days Wrap container in aluminum foil to protect from light CPT Code: 82135 Minimum: 1 mL

DENGUE FEVER ANTIBODIES (IgG, IgM) Methodology: Immunoassay 1 mL serum (R ) QUEST 93256 Set up: Tues-Sat Universal Requisition Accompanies report Univ. Req. Report available: 1-3 days Minimum: 0.5 mL CPT Code: 86790(X2) DEPAKENE - See Valproic Acid DEPAKOTE - See Valproic Acid (QUEST 412) 3.0 mL serum (R ) Included when imipramine is ordered. Methodology: LC/MS/MS Minimum: 1.2 mL LAB DESIPRAMINE Detection limit: 5 ng/mL Accompanies report DESIP Set up: Mon - Fri Collect at steady-state trough Report available: 1 day concentration. Specimens should be collected >12 hrs after dose. CPT Code: 80335 DHEA (DEHYDROEPIANDROSTERONE) (QUEST 19894X) 1 mL serum (R ) Methodology: LC/MS/MS SS tubes will be rejected. LAB DHEA DIRECT Set up: Sun - Fri Accompanies report DHEA DIREC Report available: 6 days Minumim: 0.5 mL CPT Code: 82626 DHEA SULFATE (DEHYDROEPIANDROSTERONE SULFATE), DHEA-S (CPAL 1750222) 1 mL serum (SS) FROZEN LAB DHEA SULFATE Methodology: Chemiluminescence Accompanies report DHEA SULF Set up: Mon - Sat Minimum: 0.5 mL Report available: Next day

CPT Code: 82627 11-DESOXYCORTISOL 1 mL serum (R) Methodology: LC/MS/MS Separate serum after clotting. Ship QUEST 30543X Set up: Tues serum refrigerated or frozen. An early Universal Requisition Accompanies report Univ. Req. Report available: 3 days morning specimen is preferred. SS tubes will be rejected. CPT Code: 82634 Minimum: 0.25 mL DEXAMETHASONE SUPPRESSION 1 mL serum (SS) (DST), 1 specimen The ordering physician should (QUEST 20472) admininster 1 mg Dexamethasone Includes Cortisol between 11pm and midnight. Draw LAB DEXAMETHASONE Methodology: IA Accompanies report serum for cortisol testing between 7- DEXAMETH SUPPRESSION TEST Set up: Daily 9am the next morning. Mark all tubes Report available: Next day with date/time drawn.

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) AND METABOLITES (QUEST 12936) Includes Nordiazepam, Oxazepam, 1 mL serum (R). No SS tubes. Temazepam Promptly centrifuge and separate serum LAB DIAZEPAM Accompanies report Methodology: LC/MS/MS into plastic, screw-capped vial. DIAZEPAM Set up: Mon-Sat Minimum 0.4 mL Report available: 5 days

CPT Code: 80346 CHOLINESTERASE, SERUM, WITH DIBUCAINE INHIBITION (QUEST 7961) 1.0 mL serum (SST) CHOLINESTERASE WITH Methodology: Kinetic Spectrophotometric LAB Accompanies report DIBUCAINE Set up: Mon-Fri 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: Immunoassay Detection limit: 5 ng/mL 1 mL serum (R ) QUEST 417Z Universal Requisition Set up: Tues,Thurs Therapeutic: 10 - 30 ng/mL Univ. Req. Report available: 4 days Minimum: 0.25 mL

CPT Code: 80299 1 ml blood (Gn -Li (PST)) DIGOXIN or Methodology: Immunoassay 1 mL serum (SS) Set up: Daily collected during the post-distributive LAB DIGOXIN Accompanies report Report available: Same day phase which occurs between 8 and 24 hr DIG after any dose CPT Code: 80162 Minimum: 0.5 mL DIHYDROTESTOSTERONE (DHT) (QUEST 90567) Methodology: LC/MS/MS 1.0 mL serum (R) LAB DIHYDRO- Set up: Sun-Thurs Accompanies report DHT Report available: 4 days Minimum: 0.6 mL

CPT Code: 80327 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 discard (QUEST 33693) or use for other testing Methodology: Clot detection RUSSEL VIPER VENOM 2) Draw LB tube and centrifuge at LAB Set up: Mon-Sat Accompanies report TIME 3000 rpm for 10 minutes. RUSS VIPER Report available: Next day Remove plasma to a plastic tube using a CPT Code: 85613 plastic pipette. FREEZE IMMEDIATELY DIPHENYLHYDANTOIN - See Phenytoin

DIPHTHERIA ANTITOXOID ANTIBODY (QUEST 4865) 1 mL serum (SS) Methodology: ELISA DIPHTHERIA ANTITOXOID LAB Set up: Mon, Wed, Fri Accompanies report Minimum: 0.5 mL. Reject AB DIPHTH ANTITOX Report available: Next day gross hemolysis, gross lipemia, gross icterus. CPT Code: 86648 DIRECT COOMBS Methodology: Tube agglutination Set up: Daily BBK DIRECT COOMBS 6.0 mL whole blood (Pink) Report available: Same day DAT CPT Code: 86880 DISACCHARIDASES (QUEST 19701) 5 mg Biopsy Specimen. Instructions: 5 Includes Lactase, Sucrase, Maltase, mg small bowel biopsy collected in a 2 Palatinase mL cryovial polypropylene screw-cap LAB DISACCHARIDASES Methodology: Spectrophotometric Accompanies report tube; MUST be frozen within 2 hours of DISACCHARIDASES Set up: Tues-Sat Morning collection. Report available: 3 days Minimum: 2 mg biopsy specimen CPT Code: 84311(X4) DISOPYRAMIDE (QUEST 7772) 1 mL serum (DB, R). No SS tubes Methodology: Immunoassay Centrifuge and immediately separate Detection limit: 0.5 µg/mL LAB DISOPYRAMIDE Accompanies report serum from the cells into plastic, screw- Set up: Mon - Sat DISOPYRAMIDE cappe vial. Report available: Next day Minimum: 0.5 mL CPT Code: 80299 DISSEMINATED INTRAVASCULAR 2.7 mL blood (LB) COAGULATION (DIC) 5 mL blood (L) Always ordered STAT See individual tests for collection notes. Order: Protime, PTT, Platelet count, Some tests must be delivered to Lab Fibrinogen, Fibrin Split Products promptly. DNA ANALYSIS FOR FRAGILE X SYNDROME - Xsense Fragile X w/reflex & 5mL whole blood sodium heparin - Chromosome Analysis AND- 5ml whole blood EDTA QUEST 16326 Univ. Methodology: Mulitple Interpretation accompanies Universal Requisition Req. Set up: Varies with assay report Minimum: 1mL sodium heparin -AND- Report available: 10 days 3mL EDTA CPT Code: 81243, 88230, 88262 COMPLETE ATAXIA EVALUATION QUEST 900604 Effective 6/1/15, Quest has discontinued this Univ. Req test. There is no recommended alternative. DOPAMINE - See DOXEPIN 3.0 mL serum (R ). No SS tubes (QUEST 894) Includes desmethyldoxepin Minimum: 1.5 mL Methodology: LS/MS/MS 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 day frequest dosage schedule, draw blood just before receiving medication. CPT Code: 80335 DPD GENE MUTATION (DIHYDROPYRIMIDINE DEHYDROGENASE GENE) 5 mL EDTA blood (L) (QUEST 15538) ROOM TEMP LAB Methodology: PCR, Single Nucleotide DPD GENE MUTATION Accompanies report DPD Primer Extension Minimum: 3 mL Set up: Mon , Thurs Report available: 9 days

CPT Code: 81400 INFANT DRUG SCREEN, CONFIRMED (QUEST 17437X) Methodology: Enzyme-Linked DRUG SCR INFANT Immunoabsorbent Assay LAB 5.0 gram fresh meconium MECONIUM Set up: Mon-Sat DRG SCR IN Report available: 3 days

CPT Code: 80307

INFANT DRUG ABUSE SCREEN, URINE (QUEST 26717) Includes , metabolite, marijuana, opiate metabolites, PCP 20 mL urine, submitted in a plastic DRUG SCREEN INFANT Methodology: Immunoassay LAB None detected leakproof container. URINE Set up: Mon-Fri DRGSCR INFANT U Minimum: 5 mL. Report available: Next day

CPT Code: 80307

DRUG ABUSE SCREEN, INFANT,BREAST MILK Includes Amphetamines, Cocaine Metabolites, Marijuana, Opiates, PCP. 5 mL breast milk in a plastic container. QUEST 2287101 Methodology: Enzyme-Linked Universal Requisition None detected Univ. Req Immunoabsorbent Assay Minimum: 1 mL Set up: Mon - Sat Report available: 3 days

CPT Code: 80307 DRUG SCREEN STAT (9 panel) Includes Barbiturates, Methadone, Benzodiazepine, THC, Opiate, Amphetamine, Cocaine, PCP, Oxycodone LAB URINE DRUG SCREEN STAT Methodology: Immunoassay 25 mL urine DRGSCST Set up: Daily Report available: Same day

CPT Code: 80307 DRUG SCREEN 5 PANEL LAB DRUG SCR 5 PANEL URINE This test was discontinued effective 11/3/14. DRGSC5 There is no recommended alternative.

DRUG ABUSE SCREEN - 5 (SERUM) NO CORFIRMATORY TESTING PERFORMED (QUEST 22872) Includes amphetamines, cocaine 5 mL serum (R ) DRUG ABUSE 5 PANEL LAB metabolites, marijuana, opiates, PCP Accompanies report SERUM DRUG ABUSE SCR Methodology: ELISA Minimum: 1 mL Set up: Mon - Sat Report available: 2 days

CPT Code: 80307 WORKPLACE DRUG TESTING DRUG PROFILE #1, UNCONFIRMED 10 DRUGS (QUEST 19237) Drugs tested: Amphetamines, Barbiturates, Benzaodiazepines, Cocaine Metabolites, Marijuana Metabolites, Methadone, DRUG PROFILE 1 Methaqualone, Opiate Metabolites, PCP, LAB 30 mL urine UNCONFIRMED Propoxyphene DRG PRF UN Methodology: Immunoassay, GCMS Set up: Monday-Sunday all shifts Report available: 3-4 days

CPT Code: 80307 DRUG PROFILE #1, CONFIRMED 10 DRUGS (QUEST 19027) Drugs tested: Amphetamines, Barbiturates, Benzaodiazepines, Cocaine Metabolites, Marijuana Metabolites, Methadone, Methaqualone, Opiate Metabolites, PCP, DRUG PROFILE 1 LAB Propoxyphene 30 mL urine CONFIRMATION PROF#1CONF Methodology: Immunoassay, GCMS Set up: Mon - Friday morming Report available: 3 days

CPT Code: 80307 plus confirmatory CPT Codes if screen is positive

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 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: 80307 TOXICOLOGY SCREEN , SERUM (QUEST 2991)

This test has been discontinued, the recommended alternatives are GEN TOX 8 mL serum or plasma (DB or R or L) TOXICOLOGY SCREEN LAB WB (Quest 91358 Drug Test, General BLOOD TOX SCR B Toxicology, Whole Blood) or GEN TOX SER Minimum: 2 mL (Quest 91360 Drug Test, General Toxicology, Serum)

TOXICOLOGY SCREEN, GASTRIC CONTENTS (QUEST 17481X) 25 mL gastric contents TOXICOLOGY SCREEN Test has been discontinued, the LAB GASTRIC recommended alternative is GEN TOX UR TOX SCR G Minimum: 5 mL (Quest 91359 Drug Test, General Toxicology, Urine) TOXICOLOGY SCREEN, URINE (QUEST 299) 50 mL urine TOXICOLOGY SCREEN Test has been discontinued, the LAB URINE recommended alternative is GEN TOX UR TOX SCR UR Minimum: 10 mL (Quest 91359 Drug Test, General Toxicology, Urine) EB VIRUS - See Epstein-Barr Virus Antibodies EHRLICHIA CHAFFEENSIS ANTIBODIES, IgM and IgG (QUEST 34271X) 1.0 mL serum (R) E CHAFFEENSIS AB IGG Methodology: IFA LAB Accompanies report IGM Set up: Mon - Fri EHR CHAFF Minimum: 0.2 mL Report available: Next day

CPT Code: 86666(X2) PANCREATIC ELASTASE-1, FECAL (Quest 14693) Methodology: IA 1 gram stool in sterile, plastic container PANCREATIC ELASTASE 1 LAB Set up:: Tues, Thurs Accompanies report FECAL ELASTASE Report available: 2 days 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) Includes Sodium, Potassium and Fecal Osmo Gap. 10ml aliquot 24-hr fecal collection or 10 LAB OSMOTIC GAP FECES Methodology: Flame photometric Accompanies report gram random stool specimen FECAL OSMO GAP Set up: Mon - Fri FROZEN Report available: Next day

CPT Code: 84302, 84311 ELECTROLYTES, URINE Methodology: ISE 20 mL random urine Set up: Daily No reference ranges for LAB URINE ELECTROLYTES Report available: Same day random urine specimens. ULYTES Minimum: 1 mL CPT Code: 84300, 84133, 82436 ELECTROPHORESES - See Immunofixation EMA - See Tissue Transglutaminase ENA - See Tissue Transglutaminase ENDOMYSIAL ANTIBODY SCREEN (QUEST 15064) Methodology: IFA 1 mL serum (R) LAB Set up: Mon - Fri ANTI ENDOMYSIAL AB Accompanies report ANTI-ENDO Report available: Next day Minimum: 0.3 mL CPT Code: 86255 [If abnormal, titer will be performed at an additional charge (CPT 86256)] ENTAMOEBA HISTOLYTICA IgG, ELISA (QUEST 34278X) Methodology: EIA 1 mL serum (SS) ENTAMOEBA HISTOLYTICA LAB Set up: Wed, Sat Accompanies report AB ENT HIS AB Report available: 5 days Minimum: 0.5 mL

CPT Code: 86753 ENCEPHALITIS - See Arbovirus 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 ENTEROVIRUS CULTURE mixed with an equal amount of the M4 (QUEST 2647) transport medium. Do not place small Includes culture for Echoviruses, Group B volumes of fluid directly into the tube as and some Group A Coxsackie viruses, this causes over-dilution of the enteroviruses 68-71 and polioviruses 1-3. LAB specimen. ENTEROVIRUS CULTURE Methodology: IFA/ Rapid Culture Accompanies report PREFERRED: 3mL fresh stool, or 3 mL ENTERO CULT Set up: Daily brochial lavage/wash, or 3 mL throat Report available: 8 days swab, or 3 mL vesicle fluid/scrappings, or 3 mL conjunctival swab, submitted in CPT Code: 87254 (If positive, a charge will M4, refrigerated be added for organism identification.) -or- 1mL CSF, submitted in a sterile, leakproof container ACCEPTABLE: 3mL CSF in M4 ENTEROVIRUS PCR (CSF) (QUEST 15082X) Methodology: RT-PCR LAB CSF ENTEROVIRUS PCR Set up: Daily Not detected 1 mL CSF FROZEN ENTERO CSF Report available: 1 day

CPT Code: 87498 EOSINOPHIL COUNT LAB Effective 11/9/16, this test is no longer TOTEOS available. EOSINOPHILS, NASAL SMEAR Methodology: Microscopic exam Set up: Mon - Fri <20% of total WBC seen per 2 nasal smears, air dried, and labeled LAB NASAL EOSINOPHIL COUNT Report available: 24 - 48 hours high power field with patient name. EOSNAS CPT Code: 89190 EOSINOPHILS, URINE Methodology: Microscopic exam Random urine Set up: Mon - Fri LAB URINE EOSINOPHIL COUNT No eosinophils seen Report available: 24 - 48n hours UEOS Minimum: 1 mL CPT Code: 89050 EPINEPHRINE - See Catecholamines

EPSTEIN-BARR IGA Methodology: IFA 1 mL serum (R) QUEST 14972 Set up: Mon - Fri Universal Requisition Accompanies report Univ. Req. Report available: 3 days Minimum: 0.25 mL CPT Code: 86665

EPSTEIN-BARR VIRUS IGG ANTIBODIES TO EARLY ANTIGEN D (CPAL 3001340) Assays for antibodies to Diffuse (D) Early 0.5 mL serum (SS) Antigens LAB EBV EARLY (D) ANTIGEN Accompanies report Methodology: Chemiluminescence EBV EARLY AG Minimum: 0.2 mL Set up: Mon - Fri Report available: Next day

CPT Code: 86663

EPSTEIN-BARR VIRUS IGG ANTIBODIES TO NUCLEAR ANTIGENS (CPAL 3001310) 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) antibodies in the absence of EBV-NA1 LAB EBNA IgG Accompanies report antibodies can be indicative of recent EBNA IgG Minimum: 0.5 mL infection, while the presence of antibodies to both antigens suggests past infection. Methodology: Chemiluminescence Set up: Mon - Fri Report available: Next day

CPT Code: 86664 EPSTEIN-BARR VIRUS IGG ANTIBODIES TO VIRAL CAPSID ANTIGENS (EBV-VCA IgG) (CPAL 3001320) 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 1 mL serum (SS) adults have VCA antibodies. Therefore, the LAB VCA IgG Accompanies report demonstration of seroconversion or VCA IgG Minimum: 0.5 mL presence of IgM antibodies 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: Chemiluminescence Set up: Mon - Fri Report available: Next day

CPT Code: 86665

EPSTEIN-BARR VIRUS IgM ANTIBODIES TO VIRAL CAPSID ANTIGENS (EBV-VCA IgM) (CPAL 3001330) Can confirm heterophile-negative infectious mononucleosis. Presence of IgM anti-VCA 1 mL serum (SS) LAB EBV IgM antibodies can indicate recent primary Accompanies report EBV IgM infection with EBV. Minimum: 0.5 mL Methodology: Chemiluminescence Set up: Mon - Fri Report available: Next day

CPT Code: 86665

EPSTEIN-BARR VIRUS AB PANEL 1 (CPAL 3001350) EBNA IGG VCA IgG EBV IgM 2 mL serum (SS) EPSTEIN BARR VIRUS Designed to assist in the discrimination of LAB Accompanies report PANEL 1 recent or current infection from the past EBV PANEL 1 Minimum: 1 mL exposure of 6-8 weeks or more. Methodology: EIA Set up: Mon - Fri Report available: Next day EPSTEIN-BARR VIRUS AB PANEL 2 (CPAL 3001360) EBNA IGG VCA IGG EBV IGM 2 mL serum (SS) EPSTEIN BARR VIRUS EA (D) IGG LAB Accompanies report PANEL 2 An extended panel designated to assist in EBV PANEL 2 Minimun: 1 mL the discrimination of recent or current infection from the past exposure of 6-8 weeks or more ( see Epstein-Barr Panel 1) and to detect elevated titers of anti-VCA and anti-EBV-EA.

EPSTEIN-BARR VIRUS AB PANEL 3 (CPAL 3001370) EBNA IGG VCA IGG 2 mL serum (SS) EPSTEIN BARR VIRUS LAB Methodology: EIA Accompanies report PANEL 3 EBV PANEL 3 Set up: Mon - Fri Minimun: 1 mL Report available: Next day

CPT Code: 86664,86665

EPSTEIN-BARR VIRUS AB PANEL 4 (CPAL 3001380) EBNA IGG VCA IGG 2 mL serum (SS) EPSTEIN BARR VIRUS EA (D) IGG LAB Accompanies report PANEL 4 Methodology: EIA EBV PANEL 4 Minimun: 1 mL Set up: Mon - Fri Report available: Next day

CPT Code: 86663, 86664,86665 EPSTEIN-BARR VIRUS AB PANEL 5 (CPAL 3001390) VCA IGG EBV IGM 2 mL serum (SS) EPSTEIN BARR VIRUS LAB Methodology: EIA Accompanies report PANEL 5 EBV PANEL 5 Set up: Mon - Fri Minimum: 1 mL Report available: Next day

CPT Code: 86665 (X2) EPSTEIN-BARR VIRUS DNA, QN PCR 1 mL plasma (EDTA) Separate (QUEST 10186X) plasma from cells within 2 hours of Methodology: Real-time PCR collection. Transfer plasma to sterile, LAB EBV QUANT BY PCR Set up: Daily morning Accompanies report plastic, screw-capped tubes and EBV QUANT Report available: Next day refrigerate.

CPT Code: 87799 Minimum: 0.3 mL ERYTHEMA CHRONICUM MIGRANS - See Lyme Antibody ERYTHROCYTE PROTOPORPHYRIN - See Zinc Protoporphyrine (ZPP) ERYTHROPOIETIN, EIA (EPO) (QUEST 427) 1 mL serum (SS) ROOM TEMP Methodology: Immunoassay Due to diunal variation, it is LAB ERYTHROPOIETIN Set up: Mon - Fri Accompanies report recommended that specimens be ERYTHRO Report available: Next day collected between 7:30am and noon.

CPT Code: 82668 ESTERASE INHIBITOR, C1 - See Complement, C1 Esterase Inhibitor ESTRADIOL, 17 BETA (CPAL 1750031) Methodology: Chemiluminescence 1 mL serum (SS) LAB ESTRADIOL Set up: Mon - Sat Accompanies report ESTRADIOL Report available: 24 hours Minimum: 0.5 mL

CPT Code: 82670 ESTRADIOL, ULTRASENSITIVE (QUEST 30289) Methodology: LC/MS/MS 0.5 mL serum (R) LAB ESTRADIOL Set up: Sun - Fri Accompanies report ESTRADIOL ULTRA ULTRASENSITIVE Report available: 4 days Minimum: 0.2 mL

CPT Code: 82670 ESTRADIOL, FREE (QUEST 36169) Includes Free Estradiol and Estradiol 2.5 serum (R ) No SS tubes. LAB Methodology: LS/MS/MS ESTRADIOL FREE Accompanies report FROZEN ESTRADIOL FREE Set up: Mon, Wed Minimum: 1.5 mL Report available: 3-9 days

CPT Code: 82670(X2) ESTRIOL, UNCONJUGATED (QUEST 34883X) 0.5 mL serum (R) Methodology: LC/MS/MS SST tubes unacceptable LAB ESTRIOL Set up: Sun - Fri Accompanies report ESTRIOL Report available: 4 days Minimum: 0.3 mL CPT Code: 82677 ESTROGENS, FRACTIONATED (QUEST 36742) Includes Estrone, Estradiol Ultrasensitive and Estriol 2.5 mL serum (R). No SS tubes ESTROGENS LAB Methodology: LC/MS/MS Accompanies report FRACTIONATED ESTROGENS,FR Set up: Sun - Fri Minimum: 1.5 mL Report available: 7-9 days

CPT Code: 82671 ESTROGEN, TOTAL (QUEST 439) Methodology: Extraction, RIA 2.0 mL serum (SS) LAB ESTROGEN TOTAL Set up: Sun - Fri Accompanies report ESTROG TOT Report available: 2-5 days Minimum: 1 mL

CPT Code: 82672 ESTRONE, LC/MS/MS (QUEST 23244) Methodology: LC/MS/MS 0.5 mL serum (R) LAB ESTRONE Set up: Sun - Fri Accompanies report No SS tubes. ESTRONE Report available: 4 days Minimum: 0.25 mL

CPT Code: 82679 ETHANOL (Ethyl Alcohol) - See Alcohol, Ethyl ETHOSUXIMIDE (ZARONTIN) (QUEST 3852) 1 mL plasma (L) or serum (R). No Methodology: Immunoassay SS tubes. Collect LAB ETHOSUXIMIDE Set up: Mon - Sat Accompanies report as a trough, just prior to next dose. ETHOSUXI Report available: Next day Minimum: 0.5 mL CPT Code: 80299 ETHYLENE GLYCOL Methodology: GC Detection limit: 10 mcg/mL 3 mL whole blood (Gy) QUEST 1381 Universal Requisition Set up: Mon - Fri Accompanies report Univ. Req. Report available: 4 days Minimum: 1 mL

CPT Code: 82693 Minimum: 2 mL FROZEN citrated plasma (LB) EUGLOBILIN CLOT LYSIS 1) Draw plain red top tube and discard Methodology: Clot Dissolution or use for other testing. QUEST 462X Set up: Wed Universal Requisition Accompanies report 2) Draw LB tube and centrifuge at Univ. Req. Report available: 2 days 3000rpm for 10 minutes. CPT Code: 85360 Remove plasma to a plastic tube using a plastic pipette. FREEZE immediately in a -70C freezer. EXON12 (Performed at CPAL) 6.0 mL EDTA whole blood refrigerated Methodology: Sanger Sequencing LABNEXUS ORDER ONLY or 3.0 mL Bone Marrow refrigerated Set up: Mon-Fri (Order placed by Anatomic Accompanies report Report available: 1-2 days Pathology Dept.) CPT Code: 83891,83898x2, 83904, 83912, 81403 EXTRACTABLE NUCLEAR ANTIGENS - See Anti-ENA

1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top tube for 15 min at approximately 1500 x FACTOR II (QUEST 331) g within 60 minutes of collection. Using Methodology: Photometric Clot Detection a plastic pipette, remove plasma, taking Set up: Mon - Fri LAB FACTOR II Accompanies report care to avoid WBS/platelet buffy layer Report available: Next day FACTOR II and place into a plastic vial. Centrifuge a second time and transfer platelet-poor CPT Code: 85210 plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

FACTOR II MUTATION, DNA (PROTHROMBIN) (G20210A) (CPAL 7000270) Methodology: Real time PCR w/ melting 5 mL whole blood EDTA (L) or ACD (Y) curve analysis LAB FACTOR II MUTATION DNA Accompanies report tubes. ROOM TEMP 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) Instructions: Centrifuge light blue-top FACTOR V ACTIVITY (QUEST 29183) tube for 15 min at approximately 1500 x Methodology: Clotting assay g within 60 minutes of collection. Using Set up: Mon - Fri a plastic pipette, remove plasma, taking LAB FACTOR V Accompanies report Report available: 7 days care to avoid WBS/platelet buffy layer FACT V and place into a plastic vial. Centrifuge CPT Code: 85220 a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

FACTOR V MUTATION GENOTYPE (LEIDEN) (CPAL 7000250) 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 (Y) FACTOR V MUTATION LAB and pulminary embolism. Accompanies report tubes. ROOM TEMP LEIDEN FACTOR V Methodology: Real time PCR w/ melting curve analysis Set up: Mon,Tues, Thurs Report available: 4 days

CPT Code: 81241 Minimum: 1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top tube for 15 min at approximately 1500 x g within 60 minutes of collection. Using FACTOR VII (QUEST 29193) a plastic pipette, remove plasma, taking Methodology: Photometric Clot Detection care to avoid WBS/platelet buffy layer Set up: Mon - Fri LAB FACTOR VII Accompanies report and place into a plastic vial. Centrifuge Report available: Next day FACT VII a second time and transfer platelet-poor plasma into a new plastic vial. Plasma CPT Code: 85230 must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice. Note: Do not store specimen at 2-8°C as the Fector VII in the sample may be activated at this temperature range.

Minimum: 1 mL FROZEN citrated plasma (LB) FACTOR VIII (INCLUDED IN VON Instructions: Centrifuge light blue-top WILLEBRAND PANEL) tube for 15 min at approximately 1500 x (QUEST 8353) g within 60 minutes of collection. Using Methodology: Clotting assay a plastic pipette, remove plasma, taking LAB FACTOR VIII Accompanies report Set up: Mon - Fri care to avoid WBS/platelet buffy layer FACTOR 8 Report available: Next day and place into a plastic vial. Centrifuge a second time and transfer platelet-poor CPT Code: 85240 plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

Minimum: 1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top FACTOR IX (QUEST 29133) tube for 15 min at approximately 1500 x Methodology: Photometric Clot Detection g within 60 minutes of collection. Using Set up: Mon - Fri a plastic pipette, remove plasma, taking LAB FACTOR IX Accompanies report Report available: Next day care to avoid WBS/platelet buffy layer FACT IX and place into a plastic vial. Centrifuge CPT Code: 85250 a second time and transfer platelet-poor plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

Minimum: 1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top FACTOR X ACTIVITY tube for 15 min at approximately 1500 x (QUEST 29203) g within 60 minutes of collection. Using Methodology: Photometric Clot Detection a plastic pipette, remove plasma, taking LAB FACTOR X Set up: Mon - Fri Accompanies report care to avoid WBS/platelet buffy layer FACT X Report available: Next day and place into a plastic vial. Centrifuge a second time and transfer platelet-poor CPT Code: 85260 plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

Minimum 1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top FACTOR XI ACTIVITY tube for 15 min at approximately 1500 x (QUEST 29143) g within 60 minutes of collection. Using Methodology: Photometric Clot Detection a plastic pipette, remove plasma, taking LAB FACTOR XI Set up: Mon - Fri Accompanies report care to avoid WBS/platelet buffy layer FACT XI Report available: Next day and place into a plastic vial. Centrifuge a second time and transfer platelet-poor CPT Code: 85270 plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice.

MinimumL 1 mL FROZEN citrated plasma (LB) Instructions: Centrifuge light blue-top FACTOR XII ACTIVITY tube for 15 min at approximately 1500 x (QUEST 362X) g within 60 minutes of collection. Using Methodology: Photometric Clot Detection a plastic pipette, remove plasma, taking LAB FACTOR XII Set up: Mon - Fri Accompanies report care to avoid WBS/platelet buffy layer FACT XII Report available: Next day and place into a plastic vial. Centrifuge a second time and transfer platelet-poor CPT Code: 85280 plasma into a new plastic vial. Plasma must be free of platelets (<10,000/mcL). Freeze immediately and ship on dry ice. MinimumL 1 mL FROZEN citrated FACTOR XIII plasma (LB) (QUEST 42033) Instructions: Draw light blue-top tube(s). Referral test for QUEST. Fill to complete volume, and mix well. Methodology: Solubility Centrifuge 2000 x g for 10 minutes. LAB FACTOR XIII SCREEN Accompanies report Set up: Mon - Fri Remove plasma to a plastic tube using a FACT XIII Report available: 5 days plastic pipette. Centrifuge again. Pipette the platelet-poor plasma into clean, CPT Code: 85291 plastic, screw-capped vial(s). Freeze and ship frozen

FACTOR, EXTRINSIC PATHWAY ASSAY Minimum: 2mL FROZEN citrated plasma (Factors II, V, VII, and X) (LB) (QUEST 29163) Instructions: Draw light blue-top tube(s). Please submit a separate vial for each Fill to complete volume, and mix well. EXTRINSIC PATHWAY special coagulation assay ordered. Centrifuge 2000 x g for 10 minutes. LAB Accompanies report FACTOR ASSAY Methodology: Clotting Assay Remove plasma to a plastic tube using a FACT EXT Set up: Mon, Wed, Fri plastic pipette. Centrifuge again. Pipette Report available: Next day the platelet-poor plasma into clean, plastic, screw-capped vial(s). Freeze CPT Code: 85210, 85220, 85230, 85260 and ship frozen. FACTOR -VON WILLEBRAND FACTOR ANTIGEN - See Von Willebrand Factor Antigen FARMER's LUNG - See Hypersensitivity Pneumonitis FAT, FECAL, FRACTIONATION (QUEST 13217) 24, 48 or 72-hr fecal collection: Methodology: Gravimetric specimen will be processed ONLY if Set up: Mon - Thurs submitted in preweighed feces LAB FECAL FAT 72 HR Accompanies report Report available: 5 days container, FROZEN. FF 72 HR CPT Code: 82710 Minimum: 3 g

FAT, FECAL (QUALITATIVE) (QUEST 3967X) 5 gm of freshly-passed stool in clean, Methodology: Stain leak-proof, screw-cap plastic container LAB FECAL FAT SCR Set up: Mon - Fri Accompanies report FAT SCR Report available: Next day Minimum: 1 g stool CPT Code: 82705 FATTY ACIDS, FREE Methodology: SP, Enzymatic 1.0 mL serum (SS) FROZEN Overnight QUEST 449X Set up: Mon, Thurs fasting is preferred. Serum should be Universal Requisition Accompanies report Univ. Req. Report available: 3 days removed from cells immediately after collection. Minimum: 0.3 mL CPT Code: 82725 FECAL IMMUNOCHEMICAL TEST (InSure®) Methodology: Immunochromatography Fecal specimen collected from toilet QUEST 11290 Universal Requisition Set up: Daily Accompanies report water and brushed on InSure FOBT test Univ. Req. Report available: Next day card

CPT Code: 82274 FELBAMATE (FELBATOL) (QUEST 3081) 1 mL serum (R). No SS tubes Methodology: LC/MS/MS Optimum time to collect sample: 1 hour LAB FELBAMATE Set up: Tues, Fri Accompanies report before next dose. FELBAMATE Report available: 4 days Minimum: 0.5 mL CPT Code: 80299 FEP - See Zinc Protopotphyrin FERRITIN 1 mL blood (Gn-Li (PST) Methodology: Chemiluminescence or Set up: Daily LAB FERRITIN Accompanies report 1mL serum (SS) Report available: Next day FERRITIN Minimum: 0.5 mL CPT Code: 82728 FETAL CELL SCREEN Methodology: Tube agglutination FETAL SCREEN Set up: Daily BBK 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 LAB FIBRIN SPLIT PRODUCTS < 5 µg/Ml Centrifuge and freeze plasma if testing Report available: Same day FSP will be delayed more than 8 hours. CPT Code: 85362 FIBRINOGEN, QUANTITATIVE 2.7 mL blood (LB), tube must be filled to Methodology: Optical detection clotting the blue line indicated on the label. assay -or- LAB FIBRINOGEN Set up: Daily Accompanies report FIBRINOGEN Report available: Same day 1 mL FROZEN citrated plasma.

CPT Code: 85384 FISH PATHOLOGY SENDOUT Peripheral Blood: 2-5 mL sodium (Sent to Neogenomics) FISH heparin tube. EDTA tube is acceptable. Send copy of original order Methodology: FISH Accompanies report (Order placed by Anatomic Call Lab for other acceptable specimen Set up: Varies Pathology Dept.) types Report available: Varies 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 FIFTH DISEASE - See Parvovirus FILARIASIS IgG ANTIBODY (IgG4) Referral test for Quest Methodology: Elisa QUEST 34168 Universal Requisition Set up: Wed 1 mL serum (R or SS) Univ. Req. Report available: Next day

CPT Code: 86682 FINE NEEDLE ASPIRATION - See Cytology, Fine Needle Aspiration, General FISH - See Chromosome, FISH (BCR- ABL) FISH, URINE - See Urovysion TACROLIMUS, FK506, PROGRAF (CPAL 3500100) Methodology: Immunoassay 2 mL EDTA whole blood (L), refrigerated LAB TACROLIMUS Set up: Mon - Sat Accompanies report TACROLIMUS Report available: Next day Minimum: 1.0 mL

CPT Code: 80197 FLECAINIDE (TAMBOCOR) (QUEST 5309) 2 mL serum (R ) No SS tubes. Methodology: LC/MS/MS Optimum time to collect sample: 1 hr LAB FLECANIDE Set up: Tues, Thurs Accompanies report before next dose FLECAINIDE Report available: 6 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 LAB ONLY LAB Orderable only; use Lancaster General Laboratories. 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

Order through LabNexus. Storage/Acceptable specimens for Immunophenotyping are : Room Temperature specimens: Bone Marrow Aspirates and Peripheral blood (EDTA). FLOW CYTOMETRY Refrigerated specimens: CSF, LABNEXUS ORDER ONLY (Sent to CPAL) Effusions, Surgical biopsies and Fine (Order placed by Anatomic Methodology: Flow Cytometry needle aspirate biopsies. Pathology Dept.) Set up: Mon-Sat Storage/Acceptable specimen for PNH: Report available: within 24 hours EDTA whole blood stored at room temperature. Order must include date of collection, reason for request, specimen source and any pertinent history. 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 10203) 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 (PROZAC) 1 mL serum (DB, R) or 1 mL plasma (L). (Includes norfluoxetine) No SS tubes Collect as Methodology: LC/MS/MS steady-state trough concentration. QUEST 8389 Universal Requisition Set up: Thurs Accompanies report Specimen should be collected >12 hrs Univ. Req. Report available: 2 days after dose.

CPT Code: 83789 Minimum: 0.5 mL FLURAZEPAM AND METABOLITES SCREEN QUEST 12935 Effective 12/5/16, Quest has discontinued Univ. Req. this test. There is no recommended alternative. FLUVOXAMINE (LUVOX) Referral test for Quest. 3 mL serum (R) or plasma (L) Methodology: GC ROOM TEMP QUEST 30529 Universal Requisition Set up: Tues, Thurs Accompanies report No SS tubes Univ. Req. Report available: 5 days Minimum: 1.2 mL

CPT Code: 80332 FOLIC ACID, SERUM 1 mL blood (Gn-Li (PST) Methodology: Chemiluminescence or Set up: Daily 1mL serum (SS) LAB FOLIC ACID Accompanies report Report available: Next day (Stable 8 hrs refrigerated or frozen) FOLATE CPT Code: 82746 Minimum: 0.5 mL

2 mL whole blood (L) Room Temp Both a HCT and folate will be performed on FOLATE, RBC this tube. Do not freeze as this will Methodology: Immunoassay affect the HCT. Foil wrap samples to Set up: Mon - Fri QUEST 14178 Universal Requisition Accompanies report protect from light. Note: HCT must Report available: Next day Univ. Req. be performed within 48 hours. Only draw specimens Sunday-Thursday. CPT Code: 82747 Minimum: 0.2 mL

FOLLICLE STIMULATING HORMONE (FSH), SERUM Methodology: Chemiluminescence FOLLICLE STIMULATING LAB Set up: Daily Accompanies report 1 mL serum (SS) HORMONE FSH Report available: Next day

CPT Code: 83001 FOLLICLE STIMULATING HORMONE (FSH) ULTRA (3RD GENERATION) 0.5 mL serum (R) QUEST 36087X Methodology: ECLIA Universal Requisition Univ. Req. Set up: Mon, Thurs Report available: 3 days Minimum: 0.3 mL

CPT Code: 83001 FRAGILE X DNA ANALYSIS - See DNA Analysis for Fragile X FRANCISELLA TULARENSIS ANTIBODIES, TUBE TEST (QUEST 116982) < 1:20 1 mL serum (SS) FRANCISELLA TULARENSIS Methodology: Agglutination Comparison of acute and LAB FROZEN AB Set up: Mon - Fri convalescent titers is of FRAN TUL Minimum: 0.5 mL Report available: 3 days greatest diagnostic value.

CPT Code: 86000 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 FT3 FREE T4 - See T4, Free FFP - FRESH FROZEN PLASMA Includes ABORh and antibody screen. Methodology: Hemeagglutination 6.0 mL whole blood (Pink) properly BBK FRESH FROZEN PLASMA Set up: Daily labeled with Blood Bank armband FFP Report available: Same day

CPT Code: 86900, 86901, 86850 + product FRUCTOSAMINE (QUEST 8340) Methodology: Colorimetric 1 mL serum (SS) Set up: Mon - Fri LAB FRUCTOSAMINE Accompanies report Report available: Next day FRUCT Minimum: 0.5 mL CPT Code: 82985 FRUCTOSE, SEMINAL - See Seminal Fructose FTA-ABS (Fluorescent Treponemal Antibodies, Absorbed) (CPAL 3000130) 1 mL serum (SS) FROZEN Methodology: IFA LAB FTA Nonreactive Set up: Mon, Thurs FTA Minimum: 0.5 mL Report available: Next day

CPT Code: 86780 FTA-ABS, CSF Methodology: IFA QUEST 17088X Set up: Mon-Fri Universal Requisition Accompanies report 1 mL CSF Univ. Req. Report available: 4 days

CPT Code: 86780 FTA-ABS, IgM - See Treponema pallidum IgM Antibodies FUNGAL ANTIBODY PANEL 1, ID Includes Histoplasma, Blastomyces, Coccidiodes and Aspergillus (QUEST 7649X) 2 mL serum (R) Methodology: ID ROOM TEMP LAB FUNGAL AB PANEL Accompanies report Set up: Mon - Sat FUN AB PAN Report available: 6 days Minimum: 1 mL

CPT Code: 86606(X3), 86612, 86635, 86698 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 MIC 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 MIC SCABIES None detected Set up: Daily -or- SCABIES Report available: Same day Smear in a slide folder, labeled with patient name CPT Code: 87210 G-6-PD - See Glucose -6-Phosphate Dehydrogenase GAD - See Glutamic Acid Decarboxylase GABAPENTIN (NEURONTIN) 1 mL plasma (L). No SS tubes (QUEST 3557) Separate plasma from cells as soon Methodology: LC/MS/MS as possible. LAB GABAPENTIN / NEURONTIN Set up: Mon - Fri Accompanies report Draw sample 2 hours after last dose. GABAPENTIN Report available: Next day Minimum: 0.5 mL CPT Code: 80171

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 LAB GGT Set up: Daily Accompanies report 1 mL serum (SS) GGT Report available: Same day Minimum: 0.5 mL CPT Code: 82977 GAMMA-HYDROXYBUTYRIC ACID SCREEN Methodology: GC/MS 6 mL plasma EDTA (L) QUEST 37654 Universal Requisition Set up: Tues, Thurs Accompanies report Univ. Req. Report available: 4 days Minimum: 2.4 mL

CPT Code: 82486 GANGLIOSIDE GQ1b ANTIBODY (IgG), EIA (QUEST 34144) 1.0 mL serum (R) Methodology: EIA Overnight fasting is preferred. LAB GANGLIOSIDE GQ1b IGG AB Accompanies report Set up: Mon, Wed GQ1b AB Report available: 4 days Minimum: 0.2 mL

CPT Code: 83520 GARAMYCIN - See Gentamicin GASTRIC ANALYSIS, SINGLE SPECIMEN Includes Free and Total. Methodology: Titration 7 mL gastric fluid QUEST 10945X Universal Requisition Set up: Mon - Fri Accompanies report Univ. Req. Report available: Next day Minimum: 5 mL

CPT Code: 82930 GASTRIC ANALYSIS PROFILE, 5 SPECIMENS 7 mL gastric fluid for each sample See questdiagnostics.com Methodology: Titration Universal Requisition Accompanies report Univ. Req. Set up: Mon - Fri Minimum: 5 mL Report available: Same day

GASTRIC PARIETAL CELL ANTIBODY (QUEST 209) Methodology: ELISA 1.0 mL serum (R) LAB GASTRIC PARIETAL AB Set up: Tues, Thurs Accompanies report GAS PARIET Report available: Next day Minimum: 0.3 mL

CPT Code: 83516 GASTROCCULT - GASTRIC OCCULT BLOOD

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

CPT Code: 82271 1 mL serum (SS) FROZEN GASTRIN (QUEST 478) Overnight fasting for a minimum of 12 Methodology: Immunoassay hrs is required. Reject Set up: Mon - Fri LAB GASTRIN Accompanies report criteria: thawed specimens, gross Report available: Next day GASTRIN hemolysis, gross lipemia, grossly icteric CPT Code: 82941 Minimum: 0.5 mL

GBM ANTIBODIES - See Anti-Glomerular Basement Membrane Antibodies GBS CULTURE - See Culture Group B Strep GC PROBE - See Neisseria gonorrhoeae by PCR GENTAMYCIN, PEAK 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay Therapeutic: or Set up: Daily LAB GENTAMICIN PEAK Peak (Draw 30 minutes post- 1 mL serum (SS) Report available: Same day GENTP infusion): 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 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay Therapeutic: or GENTAMYCIN Set up: Daily Trough (Draw 30 minutes LAB 1 mL serum (SS) TROUGH Report available: Same day before next scheduled dose): GENTT < 2.0 µg/mL Minimum: 0.5 mL CPT Code: 80170 5 mL urine in a plastic, leakproof DRUG TEST, GENERAL TOXICOLOGY, container (Room temp) URINE (QUEST 91359) -or- Methodology: LC/MS LAB GENERAL TOXICOLOGY, 5ml dialysis fluid or gastric fluid Set up: Mon - Fri Accompanies report GEN TOX UR URINE submitted in a plastic, leakproof Report available: 2 days container (Room temp)

CPT Code: 80198, G0483 Minimum: 1 mL DRUG TEST, GENERAL TOXICOLOGY, SERUM (QUEST 91360) Methodology: LC/MS 3 mL serum (R) LAB GENERAL TOXICOLOGY, Set up: Mon - Fri Accompanies report (Room temp) GEN TOX SER SERUM Report available: 2 days Minimum: 1 mL

CPT Code: 80198, G0483

DRUG TEST, GENERAL TOXICOLOGY, WHOLE BLOOD (QUEST 91358) Methodology: LC/MS 3 mL whole blood (EDTA) LAB GENERAL TOXICOLOGY, Set up: Mon - Fri Accompanies report (Room temp) GEN TOX WB WHOLE BLD Report available: 2 days Minimum: 1 mL

CPT Code: 80198, G0483

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 10.0 grams stool in sterile, leakproof GIARDIA SPECIFIC ANTIGEN-65 container - FROZEN --OR- 10.0g (QUEST 8625) stool submitted in Cary-Blair media - Methodology: EIA GIARDIA LAMBLIA AG Refrigerate -OR- 10.0g LAB Set up: Daily Accompanies report STOOL stool submitted in Total-Fix container - GIAR ANTIG Report available: 3 days ROOM TEMP CPT Code: 87329 GIEMSA STAIN - See Malarial Smear GLIADIN/GLUTEN ANTIBODIES - See Anti-Gliadin/Gluten GLOMERULAR FILTRATION RATE - Included in Creat GLUCAGON, PLASMA (QUEST 519) 3 mL plasma (L) FROZEN Methodology: Extraction, RIA Overnight fasting is required. LAB GLUCAGON PLASMA Set up: Tues, Fri Accompanies report Minimum: 1.1 mL GLUCAGON Report available: 5 days Moderate or gross icterus unacceptable CPT Code: 82943 GLUCOSE 2HR POST PRANDIAL Methodology: Hexokinase Set up: Daily 1 ml blood (Gn -Li (PST)). Draw LAB GLU 2HR POST PRANDIAL Accompanies report Report available: Same day 2 hours after meal. GLUCPP CPT Code: 82947 GLUCOSE-6-PHOSPHATE DEHYDROGENASE (G-6-PD), QUANTITATIVE (QUEST 500) 1 mL whole blood (L) LAB G6PD Methodology: Ultra-violet, Kinetic Accompanies report G6PD Set up: Mon - Fri Minimum: 0.5 mL Report available: Next day

CPT Code: 82955 GLUCOSE, CEREBROSPINAL FLUID Methodology: Hexokinase 1 mL CSF Set up: Daily LAB CSF GLUCOSE Accompanies report 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 LAB GLUCOSE Accompanies Report or Report available: Same day GLUCOSE 1 mL serum (SS) centrifuged within 2 hours of collection. CPT Code: 82947 GLUCOSE, FLUID Performed at York Hospital Methodology: Hexokinase LAB GLUCOSE BODY FLUID Set up: Daily Accompanies report 2 mL fluid, no preservative BFGLUC Report available: Next day

CPT Code: 82945 GLUCOSE TOLERANCE TESTS Administer 50 g of Glucola and collect specimen at the appropriate time intervals. 1 ml blood (Gn -Li (PST)) Label tubes with the specimen number and or specimen time, e.g. 1 mL serum (SS) centrifuged within 1

GLUCOSE TOLERANCE 1 hour of collection. LAB Outpatient glucose tolerance tests are Accompanies report HR GTT1HR administered by appointment at WellSpan Minimum: 1 mL Ephrata Medical Laboratories. Call 738- 6336 to schedule appointments.

CPT Code: 82950

GLUCOSE TOLERANCE TESTS Collect fasting (baseline) specimen. Administer 75 g of Glucola and collect specimens at the appropriate time intervals. 1 ml blood (Gn -Li (PST)) Label tubes with the specimen number and or specimen time, e.g. 1 mL serum (SS) centrifuged within 1 Specimen 1, fasting hour of collection. Specimen 2, 2 hr GLUCOSE TOLERANCE 2 LAB Submit all specimens with one request form Accompanies report Please identify specimens as to time of HR GTT2HR and indicate number of specimens. draw. Outpatient glucose tolerance tests are administered by appointment at WellSpan Minimum: 1 mL Ephrata Medical Laboratories. Call 738- 6336 to schedule appointments.

CPT Code: 82951

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

CPT Code: 82951,82952

GLUTAMIC ACID DECARBOXYLASE -65 ANTIBODY (GAD) (QUEST 34878) 0.2 mL serum (R or SS) LAB GLUTAMIC ACID Methodology: Radiobinding Assay Accompanies report GAD-65 AB DECARBOXYLASE AB Set up: Tues, Thurs Minimum: 0.1 mL Report available: Next day

CPT Code: 86341 GLUTAMIC ACID IgE (QUEST 18725) Methodology: Hytec288 ELISA 1.0 mL serum (R ) LAB GLUTAMIC ACID IGE Set up: Mon - Fri Accompanies report GLUTAMIC IGE Report available: 5 days Minimum: 0.4 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 (CPAL 1750002) 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 GONADOTROPIN RELEASING HORMONE (QUEST 91903) 3.0 mL serum (R) Methodology: Enzyme Linked LAB GONADOTROPIN FREEZE Immunosorbent Immunoassay Extraction Accompanies report GRH RELEASING HORMONE Set up: Tues Minimum: 1 mL Report available: 7 days

CPT Code: 83727 GRAM STAIN SMEAR Methodology: Stain Send swab (culturette), or tissue/ fluid in Set up: Daily sterile container. Please specify site of MIC GRAM STAIN Accompanies report Report available: Same day specimen collection and associated GS clinical symptoms. CPT Code: 87205 GROWTH HORMONE 1 mL serum (R) FROZEN (QUEST 521) Random growth hormone collection Methodology: IA should be performed on fasting patients LAB GROWTH HORMONE Set up: Mon - Fri Accompanies report who have rested at least 30 minutes GROWTH HOR Report available: Next day prior to collection.

CPT Code: 83003 Minimum: 0.3 mL HAEMOPHILUS INFLUENZAE TYPE B ANTIBODY (IgG) 1.0 mL serum (R) (QUEST 35135) HAEMOPHILUS INFLUENZA Methodology: EIA LAB Accompanies report Minimum: 0.2 mL Reject B IGG AB Set up: Mon, Wed, Fri HAE TYPE B gross hemolysis, gross lipemia, gross Report available: 3 days icterus. CPT Code: 86684 HALOPERIDOL (HALDOL) (QUEST 564) 1.0 mL serum (DB, R) Methodology: LC/MS/MS Collect sample 11 - 17 hours after last LAB HALOPERIDOL Set up: Mon,Wed,Fri Accompanies report dose. HALDOL Report available: 4 days SS tube unacceptable. Minimum: 0.5 mL CPT Code: 80173 HAPTOGLOBIN (CPAL 3000460) 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 Methodology: Chemiluminescence 1 ml blood (Gn -Li (PST)) Set up: Daily LAB HCG QUANT Accompanies report 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 LAB HDL CHOLESTEROL Accompanies report 2 mL serum (SS) Report available: Same day HDL Minimum: 0.5 mL CPT Code: 83718 HE4, MONITORING (HUMAN EPIDIDYMIS PROTEIN 4) 0.5 mL serum (R) (QUEST 16500) Sample collected in red-top tube must Methodology: CMIA be allowed to clot for al least 30 minutes LAB HE4 Accompanies report Set up: Mon,Wed,Fri but no longer than 1 hr. HE4 Report available: 5 days Minimum: 0.3 mL CPT Code: 86305 HEAVY METALS GROUP, BLOOD Includes arsenic, lead, and mercury (QUEST 5991) 10 mL whole blood (DB with EDTA) HEAVY METALS GROUP Methodology: ICP-MS LAB Accompanies report BLOOD Set up: Mon, Wed, Fri HVYMTLGRP Minimum: 5 mL Report available: 3 days

CPT Code: 82175, 83655, 83825 HEAVY METALS GROUP, RANDOM URINE (QUEST 7207) Includes quantitative arsenic, mercury, delta- aminolevulinic acid, and creatinine. 100 mL aliquot of random urine LAB HEAVY METALS GROUP Appropriate for industrial and environmental submitted in an acid-washed, metal- Accompanies report HVYMETGRUR RANDOM UR screening. 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) Includes quantitative arsenic, mercury, delta- aminolevulinic acid, and creatinine. 100 mL aliquot of 24-hr urine preserved LAB HEAVY METALS GROUP Appropriate for industrial and environmental Accompanies report with 25 mL 50% acetic acid submitted in HVYMETGR 24HOUR 24HR URINE screening. an acid-washed, metal-free container Methodology: ICP-MS Set up: Mon, Wed, Fri Report available: 3 days

CPT Code: 82175,82135,83825,82570 HEINZ BODY PRECIPITATION (QUEST 7881) 2.0 mL whole blood (L). Must Methodology: Microscopic exam be 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) 0.5 gram fresh random stool, FREEZE Methodology: EIA Watery, diarrheal stool; stool in LAB H PYLORI AG STOOL Accompanies report Set up: Daily preservative will be rejected HELICO AG Report available: 1-4 days Minimum: 0.5 gram

CPT Code: 87338 HELICOBACTER PYLORI ANTIGEN, EIA STOOL (QUEST 34838) Methodology: EIA Set up: Daily Report available: 1-4 days

CPT Code: 87338 HELICOBACTER PYLORI IgG ANTIBODIES (CPAL 3001170) 1 mL serum (SS) Methodology: EIA LAB H PYLORI AB SERUM Accompanies report Set up: Mon & Thurs HELICO AB Minimum: 0.5 mL Report available: Same day

CPT Code: 86677 HELICOBACTER PYLORI IgM ANTIBODIES LAB H PYLORI IGM AB SERUM Effective 10/19/2015, test is no longer HELICO AB IGM available at Quest. There is no recommended alternative. 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 Methodology: Centrifugation HEMATOCRIT BODY FLUID Accompanies report BFHCT Set up: Daily Minimum: 1 mL Report available: Same day

CPT Code: 85013 HEMOCHROMATOSIS DNA MUTATION, C282Y, H63D, PCR (QUEST 35079X) 5.0 mL whole blood EDTA (L) HEMOCHROMATOSIS DNA Methodology: PCR ROOM TEMP LAB Accompanies report MUTATION Set up: Tues, Thurs, Sat HEMOCHROM Report available: 7 days Minimum: 3.0 mL

CPT Code: 81256 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 A2, QUANTITATIVE (QUEST 4581) 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 5 mL 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 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: 85018, 85014 HEMOGLOBIN PHENOTYPE- See Hemoglobinopathy Evaluation

HEMOGLOBINOPATHY EVALUATION W/O HEMOGRAM (QUEST 135651) 5.0 mL whole blood (L) Methodology: HPLC/Electrophoresis HEMOGLOBIN ROOM TEMP LAB Set up: Mon - Fri Accompanies report ELECTROPHORESIS HEMOELECT Report available: 1 - 5 days Minimum: 0.5 mL CPT Code: 83021 HEMOSIDERIN STAIN, URINE Methodology: Stain 30 mL first morning urine with one QUEST 518 Set up: Mon-Fri Universal Requisition Accompanies report Boric Acid tablet Univ. Req. Report available: 2 days Minumum: 20 mL 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 1 ml blood (Gn -Li (PST)) and 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) (CPAL 3000540) Includes IgG and IgM Methodology: Elisa LAB HEP A TOTAL IGG IGM AB Negative 1.0 mL serum (SS) Set up: Mon - Fri HEP A TOT Report available: Next day

CPT Code: 86708 HEPATITIS A IgM ANTIBODY (Anti-HAV, IgM) (CPAL 3000530) Methodology: Chemiluminescent LAB HEP A IGM AB 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) (CPAL 3400070) Methodology: EIA LAB HEP B CORE TOTAL AB Non-reactive 1.0 mL serum (SS) Set up: Mon - Sat HEP B TOT Report available: Next day

CPT Code: 86704 HEPATITIS B CORE IgM ANTIBODY (Anti- HBC, IgM) (CPAL 3000515) Methodology: Chemiluminescent LAB HEP B CORE IGM AB 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) (CPAL 3400160) 0.5 mL serum (SS) Methodology: EIA FREEZE LAB HEPATITIS BE AB Set up: Tues, Fri Negative HEP BE AB Report available: Next day Minimum: 0.2 mL CPT Code: 86707 HEPATITIS Be ANTIGEN (HBeAg) (CPAL 3400170) 0.5 mL serum (SS) Methodology: EIA FREEZE LAB HEPATITIS BE AG 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) (CPAL 1750042) Methodology: Chemiluminescense LAB HEP B SURFACE AB Set up: Mon - Sat Negative 1.0 mL serum (SS) HEP B ANTI Report available: Next day For post vaccine screens

CPT Code: 86706 HEPATITIS B SURFACE ANTIGEN (HBsAg) (CPAL 3400050) Methodology: EIA LAB HBSAG Non-reactive 2.0 mL serum (SS) or 2.0mL plasma (L) Set up: Mon - Sat HBSAG CPAL Report available: Next day

CPT Code: 87340 HEPATITIS B VIRUS DNA, 3 mL EDTA plasma (L) collected in 2 QUANTITATIVE, VIRAL LOAD EDTA lavender tubes (QUEST 8369) FROZEN HEPATITIS B DNA VIRAL Methodology: PCR LAB Accompanies report Centrifuge within 6 hours and LOAD 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 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 CHRONIC PROFILE (B+C) Performed at CPAL HEP C (Hepatitis C Ab) HEP B TOT (Hepatitis B Core Ab) 5 mL serum (SS) LAB ONLY HEP B ANTI (Hepatitis B Surface Ab) CHECK ORDER SETS HEP BC CHR HBSAG CPAL (Hepatitis B Surface Ag) (Order group) Currently we are seeing orders for this Minimum: 4 mL profile from Arthritis & Rheumatology.

CPT Code: 86803, 86704, 86706, 87340 HEPATITIS CHRONIC PANEL WELLSPAN Performed at CPAL HEP C (Hepatitis C Ab) HEP B TOT (Hepatitis B Core Ab) HEP B IGM (Hepatitis B Core IgM) 6.5 mL serum (SS) HEP BE ANT (Hepatitis BE Ag) LAB ONLY CHECK ORDER SETS HBSAG CPAL (Hepatitis B Surface Ag) HEP CHR WS Use for Hepatitis Chronic Panel orders (Order group) Minimum: 5 mL from WellSpan Family Medicine-Manheim and other WellSpan facilities.

CPT Code: 86803, 86704, 86705, 87350, 87340

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) (CPAL 3400090) HEPATITIS C AB NON AGE Methodology: Chemiluminescent LAB Non-reactive 1.0 mL serum (SS) BASED Set up: Mon - Sat HEP C Report available: Next day

CPT Code: 86803 HEPATITIS C VIRUS ANTIBODY AGE BASED SCREEN (Positive will reflex to PCR) (CPAL 3400095) This test is used for the screening of HEPATITIS C AGE BASED LAB individuals born between 1945 and 1965. Non-reactive 1.0 mL serum (SS) SCREEN HEP C AGE BASED Methodology: Chemiluminescent Set up: Mon - Sat Report available: Next day

CPT Code: G0472

HEPATITIS C VIRUS HEPTIMAX, RNA (QUEST 35645) 3.0 mL plasma (L) collected in two Please only order this test if Heptimax is EDTA tubes specified. Otherwise order HEP C QUAN. Separate plasma from whole blood LAB HEP C RNA PCR Methodology: PCR Accompanies report within 24 hours of collection by HEP C HEPT Set up: Daily centrifugation. Transfer to a plastic Report available: 2 days screw-cap vial and freeze. Minimum: 1 mL CPT Code: 87522 HEPATITIS C VIRUS RNA, QUALITATIVE (QUEST 37273) Methodology: Transcription Mediated- 2 mL EDTA plasma (L) FROZEN LAB Amplification Plasma must be separated and frozen HEP C RNA QUALITATIVE Accompanies report HEP C QUAL Set up: Mon,Wed,Fri within 6 hours of collection Minimum: Report available: 2-5 days 0.6mL

CPT Code: 87521 HEPATITIS C VIRUS QUANTITATIVE VIRAL LOAD (CPAL 3399945) Standard range quantitative HEP C PCR VIRAL LOAD 2 mL EDTA plasma (L), seperated from LAB Methodology: Real Time PCR Accompanies report QUANT cells and FROZEN IMMEDIATELY HEP C QUAN Set up: Tues & Thurs Report available: 72 hours

CPT Code: 87522 HEPATITIS C GENOTYPING (CPAL 7000600) Methodology: RT-PCR 2.0 mL EDTA (L) plasma (Frozen) LAB HEP C GENOTYPE Set up: Tues, Thurs Accompanies report Plasma must be separated and frozen HEP C GENO Report available: Next day within 6 hours of collection

CPT Code: 87902 HEPATITIS D ANTIBODY, TOTAL (QUEST 4990) Performed at Focus Diagnostics, Inc. 1.0 mL serum (SS) Methodology: Immunoassay LAB HEP D AB Accompanies report 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) Methodology: ELISA LAB HEPATITIS E IGG IGM AB Accompanies report Set up: Mon, Thurs HEP E AB Minimum: 0.2 mL Report available: 3 days

CPT Code: 86790(X2) HEPATITIS E VIRUS (HEV) IGG ANTIBODY Methodology: ELISA 0.5 mL serum (R or SS) QUEST 36583X Universal Requisition Set up: Mon, Thurs Accompanies report Univ. Req. Report available: 3 days Minimum: 0.1 mL

CPT Code: 86790 HEPATITIS E VIRUS (HEV) IGM ANTIBODY 0.5 mL serum (R or SS) Methodology: ELISA QUEST 36582X Universal Requisition Set up: Mon, Thurs Accompanies report Univ. Req. Minimum: 0.1 mL Report available: 3 days

CPT Code: 86790 HEROIN METABOLITES-FREE (UNCONJUGATED) 2.0 mL serum (R) no gel Includes Morphine-Free, 6-Monoactyl- Promptly centrifuge and separate serum morphine-Free, and Diacetylmorphine-Free QUEST 6865 into plastic, screw-capped vial. Universal Requisition Methodology: GCMS Univ. Req SS tubes is unacceptable Set up: Mon-Fri Report available: 6 days Minimum: 0.4 mL CPT Code: 80356

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

CPT Code: 86790(X2) HERPESVIRUS VIRUS 6 DNA, 1 mL serum (SS) QUALITATIVE RT-PCR Allow blood to clot at room temperature (QUEST 16001) and separate serum within 2 hrs of HERPES VIRUS 6 DNA PCR Methodology: RT-PCR LAB Accompanies report collection. Transfer serum to plastic, QUAL Set up: Daily HERPES 6 DNA screw-capped container. Report available: 1 day Minimum: 0.3 mL CPT Code: 87532 Preferred: Nasal/nasopharyngeal swab, HERPES SIMPLEX VIRAL CULTURE endocervical swab, eye swab or lesion WITH REFLEX TO TYPING aspirate swab, urethral swab, vaginal Methodology: Rapid Culture swab, rectal mucosa swab (without Set up: Daily feces) or throat swab collected in VCM QUEST 2725 Universal Requisition Report available: 2 days (Typing: 3-5 days) Accompanies report tube or equivalent. Univ. Req. Acceptable: 3 mL Bronchial lavage/wash CPT Code: 87255 [If virus is isolated, typing or nasopharyngeal lavage/wash or fresh will be performed at an additional charge (unfixed) tissue collected in VCM or (CPT Code: 87140x2)] equivalent or strile screw capped container.

Preferred: 2-3 mL biopsy specimens, HERPES SIMPLEX / VARICELLA-ZOSTER conjunctiva, body fluid, bronchial VIRUS, RAPID CULTURE lavage/wash, or tracheal aspirates (M4- (QUEST 16829) Multiuse Viral Transport Medium) HERPES SIMPLEX VZV Methodology: Rapid Culture LAB Accompanies report Acceptable: tissue specimen, body fluid, RAPID CULT Set up: Daily HSV-VZV CULT bronchial lavage/wash, or tracheal Report available: 5 days aspirates in sterile container. Note: effective 8/4/14, CSF no longer CPT Code: 87254(X2) acceptable HERPES SIMPLEX VIRUS TYPING (QUEST 2066) Methodology: Rapid Culture with Typing Available by telephone request upon HERPES SIMPLEX TYPING 1 LAB Set up: Mon, Wed, Fri Accompanies report isolation of the agent from any of the AND 2 HERP SIMP Report available: 12 days virus cultures.

CPT Code: 87140 HERPES VIRUS 1/2 PCR (QUEST 34257X) Preferred: 1 swab in M4 or viral Methodology: RT-PCR transport; 1 swab submitted in VCM LAB HERPES 1 AND 2 DNA QUAL Set up: Daily Accompanies report Alternative: 1 mL body fluids; 1 mL HERPES PCR Report available: Next Day frozen urine; 1mL serum (SS) CPT Code: 87529(X2) HERPES SIMPLEX VIRUS (1 AND 2) IgG ANTIBODIES (CPAL 3001445) 1 mL serum (SS) Methodology: Chemiluminescent LAB HERPES 1/2 IGG Accompanies report Set up: Mon - Sat HSV1-2 IGG Minimum: 0.5 mL Report available: Next day

CPT Code: 86695, 86696 HERPES SIMPLEX VIRUS 1/2 ANTIBODIES IGM, REFLEX TO TITER (QUEST 90849) 1 ml serum (R) Methodology: IFA Room temperature LAB Setup:Mon-Sat HERPES 1/2 ANTIBODY IGM Accompanies report HSV IGM AB Report available: 3 days Minimum: 0.3 mL CPT code: 86695,86696 [If screen is positive, titer will be performed at additional charge (HSV1: CPT code 86695) (HSV2: CPT code 86696)]

Place specimens in M4-Multiuse Viral Transport Medium immediately upon HERPES SIMPLEX VIRUS (HSV) collection. Remedies should be avoided CULTURE before specimen collection. (QUEST 2692X) Methodology: Centrifuge Enhanced Culture, -Nasopharyngeal swab, endocervical Histochemical stain swab, eye swab or lesion aspirate swab, HERPES SIMPLEX 1 AND 2 Set up: Daily urethral swab, vaginal swab, rectal LAB Negative CULTURE Report available: Next day mucosa swab (without feces) or throat HERP CULT swab collected in VCM tube or CPT Code: 87255 equivalent. - If Culture with reflex to typing is needed, 3mL Bronchial lavage/wash or please see Quest 2725 Herpes Simplex Nasopharyngeal lavage/wash or Viral Culture with Reflex to Typing. fresh(unfixed) tissue collected in VCM or equivalent or strile screw capped container.

HERPESVIRUS 6 ANTIBODIES (IgG, IgM) Methodology: IFA 0.5 mL serum (SS) QUEST 34282X Set up: Mon-Fri Universal Requisition Accompanies report Univ. Req. Report available: 4 days Minimum: 0.1 mL CPT Code: 86790(X2) HSV 1/2 DNA PCR CSF (CPAL) 1 mL CSF (CPAL 7000650) CSF HERPES 1 AND 2 DNA (0.5 ml Minimum) LAB Methodology: RT-PCR Accompanies report PCR Swab submitted in viral transport media. HSV 1-2 DNA CSF Refrigerate. CPT Code: 87529(X2) HERPES SIMPLEX VIRUS TYPE -1 SPECIFIC IgG ANTIBODY (CPAL 3001450) 1.0 mL serum (SS) Methodology: Chemiluminescent LAB HSV1 IGG Accompanies report Set up: Mon - Sat HSV1 IGG Minimum: 0.5 mL Report available: Next day

CPT Code: 86695 HERPES SIMPLEX VIRUS TYPE -2 SPECIFIC IgG ANTIBODY (CPAL 3001460) 1.0 mL serum (SS) Methodology: Chemiluminescent LAB HSV2 IGG Accompanies report Set up: Mon - Sat HSV2 IGG Minimum: 0.5 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 1 mL EDTA plasma (L) FROZEN Methodology: RIA Centrifuge immediately and freeze QUEST 36586X Set up: Tues, Fri Universal Requisition Accompanies report plasma in a plastic vial. Univ. Req. Report available: 3 days Minimum: 0.5 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. URINE HISTAMINE 24HR Set up: Tues, Fri Accompanies report HISTAMINE URINE Report available: 3 days Minimum: 2 mL CPT Code: 83088 HISTOPLASMA GALACTOMANNAN ANTIGEN, URINE (QUEST 91212) 10 mL random urine LAB Methodology: Immunoassay URINE HISTOPLASMA AG Accompanies report HISTO AG UR. Set up: Mon-Fri Minimum: 1 mL Report available: 4 days

CPT Code: 87385 HISTOPLASMA ANTIBODY, COMPLEMENT FIXATION Includes antibodies to Yeast and Mycelial antigens. 1 mL serum (SS) QUEST 938X Universal Requisition Methodology: CF Accompanies report Univ. Req. Set up: Mon - Fri Minimum: 0.5 mL Report available: 2 days

CPT Code: 86698(X2) HISTOPLASMA ANTIBODIES, IMMUNODIFFUSION (QUEST 526X) 1 mL serum (SS) Methodology: ID LAB HISTOPLASMA AB ID Accompanies report Set up: Tues,Thurs,Sat HISTO AB Minimum: 0.1 mL Report available: 3 days

CPT Code: 86698 HISTOPLASMA CAPSULATUM ANTIBODY PANEL Includes Histoplasma antibody, serum and Histoplasma Capsulatum Antibodies (H and 1 mL serum (SS) QUEST 37094X M bands) Universal Requisition Accompanies report Univ. Req. Methodology: ID and CF Minimum: 0.5 mL Set up: Mon - Sat Report available: 6 days

CPT Code: 86698(X3) 2 mL urine or 2 mL serum (R or SS) MVista ™ HISTOPLASMA QUANTITATIVE or ANTIGEN EIA 2 mL CSF (QUEST 58792) or Methodology: EIA 2 mL broncheal lavage/wash LAB HISTOPLASMA AG QUANT Accompanies report Set up: Mon - Fri or MVISTA HISTO AG Report available: 1-2 days 2 mL plasma (L)

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

Minimum: 1.5 mL Ship Monday-Thursday only

HIV-1 GENOTYPING, DNA SEQUENCING (QUEST 11509) 4 mL plasma (L) FROZEN Separate Methodology: DNA sequencing, RT-PCR plasma within 6 hours of collection. LAB HIV 1 GENOTYPE Set up: Mon - Fri Accompanies report Transfer plasma to plastic screw-capped HIV-1 GENOTYPE Report available: 7 days vial and ship frozen on dry ice. Minimum: 1 mL CPT Code: 87900, 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 HIV SUDS LAB ONLY Health Department to evaluate the source Negative 2.0 mL serum (SS) patient's HIV status. HIV must also be ordered. Methodology: MEIA Set up: As needed Report available: Same day HIV AG/AB SCREEN (CPAL 3400700) Methodology: Chemiluminescence 1.0 mL serum (SS). Refrigerate. Plasma Set up: Mon - Sat (sodium heparin and EDTA) is also LAB HIV AG AB SCREEN Nonreactive Report available: Next day acceptable. Please mark tube if HIVSCREEN If the screen is repeatedly reactive, a HIV specimen type is not serum. Multispot will be performed at CPAL CPT 87389 HIV-1 DNA QUALITATIVE (PCR) (VIRAL LOAD) (CPAL 3399905) Methodology: PCR LAB HIV 1 DNA PCR QUAL < 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) Methodology: Real Time-PCR 3 mL EDTA plasma (L) separated within LAB HIV-1 RNA PCR QUANT Accompanies report Set up: Mon - Sat 24 hours and immediately FROZEN HIV-1 RNA Report available: Next day

CPT Code: 87536 14 mL whole blood HLA-A, B, C LOW RESOLUTION TYPING (Yellow top-ACD-A) (QUEST 15484) or Methodology: PCR LAB HLA-A,B,C LOW 14 mL whole blood (L) Set up: Mon - Fri Accompanies report HLA-ABC RESOLUTION ROOM TEMP Report available: 7-9 days Minimum: 5 mL Specimens cannot be shipped on CPT Code: 81372 Saturday or the day before a holiday.

HLA-B27 CYTO ANTIGEN Minimum: 5 mL whole blood collected in (QUEST 528) sodium heparin (green top) tube Methodology: Flow cytometry ROOM TEMP LAB HLA B27 Set up: Mon - Sat Accompanies report (Note: Specimen at room temperature is HLA B27 Report available: 4 days now stabile for 7 days.) CPT Code: 86812

14 mL whole blood HLA-DQB1 LOW RESOLUTION TYPING (Yellow top-ACD-A) (QUEST 10953) or Methodology: PCR LAB HLA DQB1 LOW 14 mL whole blood (L) Set up: Mon - Fri Accompanies report HLA-DQB1 RESOLUTION ROOM TEMP Report available: 7-9 days Minimum: 5 mL Specimens cannot be shipped on CPT Code: 81376 Saturday or the day before a holiday.

14 mL whole blood HLA-DRB1 LOW RESOLUTION TYPING (Yellow top-ACD-A) (QUEST 10952) or Methodology: PCR LAB HLA-DRB1 LOW 14 mL whole blood (L) Set up: Mon - Fri Accompanies report HLA-DRB1 RESOLUTION ROOM TEMP Report available: 7-9 days Minimum: 5 mL Specimens cannot be shipped on CPT Code: 81376 Saturday or the day before a holiday.

14 mL whole blood HLA-DR/DQ LOW RESOLUTION TYPING (Yellow top-ACD-A) (QUEST 15485) or Methodology: PCR LAB HLA-DR/DQ LOW 14 mL whole blood (L) Set up: Mon - Fri Accompanies report HLA-DRDQ RESOLUTION ROOM TEMP Report available: 7-9 days Minimum: 5 mL Specimens cannot be shipped on CPT Code: 81375 Saturday or the day before a holiday. HLA COMPLETE (A,B,C,DR,DQ) - Order Quest 15484 and 15485 above HOMOCYSTEINE and HOMOCYSTEINE POST (CPAL 1750113 and 1750114) 1 mL serum or plasma (R, SS) , draw in Order both for Homocysteine Challenge LAB HOMOCYSTEINE chilled tube, transported on ice, separate Detection limit: 0.9 umol/L HOMOCYST -and- Accompanies report and FREEZE within 6 hours of collection. Methodology: Chemiluminescense and HONOCYSTEINE POST Set up: Mon - Sat HOMOCYST-POST Minimum: 0.5 mL Report available: Next day

CPT Code: 83090 , 24HR URINE 10 mL aliquot of 24-hr urine preserved (QUEST 530) with 25 mL 6N HCL during collection. Methodology: HPLC Specify total 24-hr urine volume on LAB HOMOVANILLIC ACID Set up: Tues, Thurs Accompanies report request form. Alternative preservatives HOMOVAN Report available: Next day can be used - See Appendix A.

CPT Code: 83150 Minimum: 5 mL HPV - See Human Papillomavirus HTLV-1/II ANTIBODY W/ REFLEX TO CONFIRMATORY ASSAY (QUEST 36175) Methodology: Immunoassay, 1mL serum (SS) Chemilluminescence

LAB HTLV I AND II AB SCR Set up: Tues-Sat Nonreactive Minimum: 0.7 mL HTLV I Report available: Next day

CPT Code: 86790 [If the test is reactive, a western blot will be added for an additional charge (CPT Code: 86689)]

HTLV-1/II CONFRIMATORY TEST 1 mL serum (R ) REFRIGERATE (QUEST 8511) Serum should be removed from cells Methodology: Line Immunoassay promptly after collection and transferred LAB HTLV I II CONFRIMATORY Set up: Tues and Thurs Accompanies report to a plastic screw-capped vial. HTLV I-II CONF Report available: 2-5 days Minimum: 0.5 mL CPT Code: 86689

Hu ANTIBODY NEURONAL NUCLEAR Methodology: IFA, WB Set up: Mon,Wed,Fri Report available: 4 days 3 mL CSF QUEST 37710 Universal Requisition Accompanies report Univ. Req. CPT Code: 86255 [If testing is positive, a Minimum: 1.5 mL CSF western blot and/or titer will be performed at an additional charge(s) (CPT Code(s) 84181, 86256)] NEURONAL NUCLEAR Hu ANTIBODY w/reflex to titer and WB Methodology: IFA, WB Set up: Mon,Wed,Fri 1 mL serum (SS) QUEST 37053 Report available: 4 days Universal Requisition Accompanies report Univ. Req. Minimum: 0.3 mL CPT Code: 86255 [If testing is positive, a western blot and/or titer will be performed at an additional charge(s) (CPT Code(s) 84181, 86256)] NEURONAL NUCLEAR HU, YO, and RI ANTIBODIES W/ REFLEX TO TITERS AND WB Methodology: IFA 1.5 mL serum (SS) QUEST 90138 Universal Requisition Set up: Mon, Wed, Fri Accompanies report Univ. Req. Report available: 3 days Minimum: 0.6 mL

CPT Code: 86255(X3) (Additional CPT codes may be reflexed based on results) HUMAN GROWTH HORMONE - See Growth Hormone HUMAN PAPILLOMAVIRUS (HPV) Can be added up to 3 weeks from date If testing is performed from a Thin Prep of collection specimen order HPV HIGH for high risk testing or HPV LOW risk testing. Order Thin Prep or digene both for comprehensive risk testing. HUMAN PAPILLOMAVIRUS HIGH RISK Tissue to be submitted in Thin Prep (CPAL 7000400) LAB HPV HIGH RISK CPAL Accompanies report HPV HIGH ROOM TEMP CPT Code: 87624

HUMAN PAPILLOMAVIRUS LOW RISK Tissue to be submitted in Digene LAB HPV LOW RISK CPAL Accompanies report HPV LOW CPT Code: 87623 ROOM TEMP HUMAN PAPILLOM VIRUS DNA, HIGH AND LOW RISK, ANAL-RECTAL (QUEST 17185) Cytobrush in Digene Transport Medium HPV DNA HIGH/LOW ANAL- Methodology: Hybrid Capture LAB Accompanies report (STM) Room RECTAL Set up: Tues, Thurs-Sat HPV DNA Temperature Report available: 3-5 days

CPT Code: 87624 HUMORAL IMMUNITY PANEL #3 (QUEST 48242) LAB Effective 3/27/17, Quest has discontinued HUMORAL IMM this test. There are no recommended alternatives. HUNTINGTON'S DISEASE MUTATION ANALYSIS (QUEST 111991) 5 mL EDTA whole blood (L) Methodology: PCR LAB HUNTINGTON DISEASE ROOM TEMP Set up: Wed Accompanies report HUNTINGTON D ANALYSIS Report available: 14 days Minimum: 3 mL CPT Code: 81401 17-HYDROXYCORTICOSTEROIDS (Porter- 20 mL aliquot of 24-hr urine preserved Silber) with 25 mL 50% acetic acid during (QUEST 2796) collection. Alternative preservatives can 17 HYDROXY- Methodology: Colorimetric LAB Accompanies report be used - See Appendix A. Specify total CORTICOSTEROIDS Set up: Tues, Thurs 17HCORSTER 24-hr volume on request form. Report available: Next day Minimum: 10 mL CPT Code: 83491 5-HYDROXYINDOLEACETIC ACID (5- 10 mL aliquot of 24-hr urine preserved HIAA) with 15 grams Boric Acid or 25 mL of 6N (QUEST 523X) HCL during collection. Alternative Methodology: HPLC preservatives can be used - See LAB URINE 5 HIAA 24HR Accompanies report Set up: Mon - Fri Appendix A. Specify total 24-hr urine UR5HIAA Report available: 2 days volume on request form.

CPT Code: 83497 Minimum: 5 Ml 2 ml plasma (Gn -Na-Hep (PST)) FROZEN HYDROXYPROLINE, TOTAL Methodology: LC/MS QUEST 37558X Collect plasma specimens after an Set up: Sun-Mon, Wed-Fri Univ. Req. Universal Requisition Accompanies report overnight fast (or at Report available: 6 days least 4 hours after a meal). Nonfasting samples are CPT Code: 83500 acceptable for pediatric patients.

5-HYDROXYTRYPTAMINE - See or , Blood HYPERCOAGULABLE PROFILE 6 - LB 3.2% sodium citrate tubes (QUEST 33743) required seperated as follows: Contains aPTT, Fibrinogen Activity (Clauss), Antithrombin III Activity, Protein C Activity, 3 tubes with 2 mL plasma (LB) Protein C Antigen, Protein S Total & Free, FROZEN Plasminogen Activity LAB HYPERCOAGULABLE Accompanies report and Methodology: Varies HYPERCOAG PROF PROFILE 3 tubes with 1 mL plasma (LB) Set up: Mon - Fri FROZEN Report available: Varies with assay

CPT Code: 85300, 85302, 85303, 85305,85306,85384,85420,85730 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 1 mL serum (SS) Universal Requisition Accompanies report Univ. Req. A. glaucus group. Minimum: 0.5 mL Methodology: ID Set up: Mon - Sat Report available: 6 days

CPT Code: 86606(X9) HYPERSENSITIVITY PNEUMONITIS, STANDARD BATTERY (QUEST 1682) To detect antibodies against separate antigens of Faenia retivirgula, Thermoactinomyces vulgaris (antigen 1), 1.0 mL serum (SS) Aspergillus niger, Aureobasidium pullulans, HYPER PNEUMONITIS STD LAB and pigeon serum Accompanies report BATTERY HYP PNE Methodology: ID Minimum: 0.5 mL Set up: Mon - Sat Report available: 6 days

CPT Code: 86331, 86606(X3), 86609(X2), 86671

HYPERSENSITIVITY PNEUMONITIS, THERMOPHILE BATTERY To detect antibodies against separate antigens of Faenia retivirgula, Saccharomonospora viridis, Thermoactinomyces candidus, 1.0 mL serum (SS) FROZEN QUEST 9782 Thermoactinomyces vulgaris (antigen 1,2), Universal Requisition None detected Univ. Req. Aureobasidium pullulans, Aspergillus flavus, and A. fumigatus (antigen 1). Minimum: 0.5 mL Methodology: ID Set up: Mon - Sat Report available: 6 days

CPT Code: 86606(X2), 86609(X5), 86671

IBT-IMMUNOBEAD - See Anti-Sperm Antibody IBUPROFEN (QUEST 5136) Methodology: HPLC 1 mL serum (R) Set up: Mon, Wed, Fri LAB IBUPROFEN Accompanies report SS tubes are unacceptable Report available: 3 days IBUPROFEN Minimum: 0.4 mL CPT Code: 80299 IGF BINDING PROTEIN-1 / IGFBP-1 (QUEST 36590) 1.0 mL serum (SS) Methodology: RIA Overnight fasting is preferred. Set up: Mon, Thurs LAB IGF BINDING PROTEIN-1 / Accompanies report Report available: 6 days Minimum: 0.2 mL IGFBP-1 IGFBP-1 CPT Code: 83519

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

IMMATURE PLATELET FRACTION Methodology: Hematology analyzer 4 mL blood (L) IMMATURE PLATELET Set up: Daily LAB Accompanies report FRACTION Report available: Same day IPF (AUTO) Minimum: 1 mL CPT Code: 85055

IMIPRAMINE (TOFRANIL) (QUEST 887) 3.0 mL serum (R) Includes imipramine, desipramine and total Methodology: LC/MS/MS Minimum: 1.5 mL LAB IMIPRAMINE Detection limit: 5 ng/mL Accompanies report IMIP Set up: Mon - Fri Collect at steady-state trough Report available: 2 days concentration. Specimen should be collected >12 hrs after dose. CPT Code: 80335

1.0 mL whole blood (Gn) sodium heparin ROOM TEMP IMMUNE CELL FUNCTION (QUEST 15435) Specimen must be received at Quest Methodology: Luminescent Detection by 4 pm on day of testing. Specimen LAB IMMUNE CELL FUNCTION Set up: Tues - Fri Accompanies report is stable for 30 hours at ROOM IMM CELL F Report available: 2 days TEMP. DO NOT Collect on weekends. 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) FROZEN complexes which are capable of activating NO SS tubes LAB C1Q BINDING ASSAY the classical complement pathway Accompanies report C1QBIND Methodology: ELISA Minimum: 0.2 mL Set up: Tues, Thurs Report available: Next day

CPT Code: 86332

IMMUNOFIXATION ELECTROPHORESIS Methodology: IFE 3 mL CSF QUEST 37962 Set up: Sun- Fri Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 1.5 mL CPT Code: 86335 IMMUNOFIXATION, SERUM (QUEST 549) 1mL serum (R) Methodology: Immunofixation Overnight fasting is preferred. LAB IMMUNOFIX SERUM Set up: Mon – Fri Afternoon Accompanies report IMMUNOFIX SERUM Report available: Next Day Minimum:0.5 mL CPT Code: 86334

IMMUNOFIXATION PROFILE I SERUM (QUEST 3432) Profile includes Serum Immunoglobulins G,A,M, Protein Electrophoresis, and 1.0 mL serum (SS) Immunofixation IMMUNOFIXATION LAB Methodology: Immunofixation PROFILE I SERUM Accompanies report Minimum: 0.2 mL IMMUNO PROF I Electrophoresis Set up: Quest Report available: Next Day CPT Codes: 82784(X3), 84155, 84165, 86334

IMMUNOFIXATION PROFILE IX, URINE (Total protein, creatinine, and protein electrophoresis) 50 mL Random urine (QUEST 123857) IMMUNOFIXATION PROF Minimum: 10 mL LAB Methodology: Electrophoresis Accompanies report RANDOM UR IMMUNO PROF IX Set up: Vary with assay Report available: Vary with assay

CPT Code: 82570,84156,84166,86335

IMMUNOFIXATION PROFILE IX 24 URINE (Total protein, creatinine, protein electrophoresis, and Kappa Lambda Light Chains) 50 mL well mixed 24-Hour Urine (QUEST 123856) Minimum 15 mL IMMUNOFIXATION PROF IX LAB Methodology: Electrophoresis Accompanies report Instructions: Collect 24-hour urine 24 UR IMMUN PRO IX 24 Set up: Varies with assay without preservative Report available: Varies with assay

CPT Code: 82570, 83883(X2), 84156, 84166, 86334 IMMUNOFIXATION, URINE (QUEST 213) 50 mL random urine. Methodology: Immunofixation Minimum:10 mL. LAB IMMUNOFIXATION URINE Set up: Mon – Fri Afternoon Accompanies report -OR- IMMUNOFIX UR Report available: Next Day 50 ml 24 Hr urine without preservative. CPT Code: 86335

IMMUNOGLOBULINS G,A,M (QUANT) (CPAL 3000456) Methodology: Nephelometry LAB IMMUNOGLOBULIN G A M Set up: Daily Accompanies report 3 mL serum (SS) IMM G,A,M Report available: Next day

CPT Code: 82784(X3) IMMUNOGLOBULIN A (CPAL 3000451) 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 (CPAL 3000450) 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 IMMUNOGLOBULIN G SUBCLASSES (QUEST 22672) Includes IgG Subclass 1,2,3,4 1.0 mL serum (SS) IMMUNOGLOBULIN G Methodology: Nephelometry LAB Accompanies report Overnight fasting is preferred. SUBCLASSES Set up: Mon - Sat IGG SUB Minimum: 0.5 mL Report available: Next day

CPT Code: 82787(X4)

IMMUNOGLOBULIN (IGG) SUBCLASS 4 (QUEST 143422) Methodology: Nephelometry 1.0 mL serum (SS) IMMUNOGLOBULIN G LAB Set up: Mon - Sat Accompanies report Overnight fasting is preferred. SUBCLASS 4 IGG SUB 4 Report available: Next day Minimum: 0.5 mL

CPT Code: 82787 IMMUNOGLOBULIN M (CPAL 3000452) Methodology: Nephelometry LAB IMMUNOGLOBULIN M Set up: Mon - Sat Accompanies report 1 mL serum (SS) IGM Report available: Next day

CPT Code: 82784 INDIA INK PREPARATION, CSF An India Ink preparation is examined microscopically for detection of fungi. 2 mL CSF MIC 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 AG Nasopharyngeal swab (Dacron rayon LAB Set up: Daily Negative SWAB swab) or nasal aspirate or sputum. INFAB Report available: Same day

CPT Code: 87804(X2) INFLUENZA TYPE A AND B ANTIBODIES, SERUM Only available for order by (QUEST 4892) 1 mL serum (SS) Lab- order INFLUENZA A Methodology: CF LAB Accompanies report AND B ANTIGENS Set up: Mon - Fri INF AB SERUM Minimum: 0.5 mL Report available: 2 days

CPT Code: 86710(X2) INFLUENZA TYPE A ANTIBODIES (IGG,IGM) LAB Quest test discontinued effective INF A AB 12/29/14. There is no recommended alternative. INFLUENZA TYPE B ANTIBODIES (IGG,IGM) Quest test discontinued LAB effective 12/29/14. There is no INF B AB recommended alternative. INFLUENZA VIRUS A/B RNA Nasopharyngeal swab (Dacron rayon (QUEST 16086) swab) submitted in VCM or M4 Methodology: Real-time PCR INFLUENZA A AND B RNA -OR- LAB Set up: Daily Accompanies report PCR 0.85 mL bronchial lavage/wash, sputum, INF AB RNA Report available: Next day or nasopharyngeal wash/aspirate submitted in sterile container. CPT Code: 87502

INFLUENZA TYPE A H1N1( 2009) RT-PCR (QUEST 16807) Includes A RNA and 2009 Influenza H1 gene Lab orderable only Methodology: RT-PCR 3 mL nasopharyngeal swab submitted LAB Accompanies report Set up: Daily in VCM, UTM or M4 Transport Medium INF A H1N1 Report available: Next day

CPT Code: 87502

INFLUENZA VIRUS CULTURE (QUEST 35945) Nasopharyngeal aspirate or wash, Nasal Methodology: Rapid Culture aspirate or wash, or throat swab in VCM INFLUENZA A AND B LAB Set up: Daily Accompanies report transport medium, or bronchial CULTURE INF CULT Report available: 5 days lavage/wash in sterile container. Specimen source required. CPT Code: 87254(X2) INHIBIN-A, TUMOR MARKER (QUEST 34472) Methodology: EIA 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 INHIBIN-B, ELISA (QUEST 34445) 1.0 mL serum (R ) FROZEN Methodology: Chemiluminescence LAB INHIBIN B Set up: Tues, Thurs, Sat Accompanies report Minimum: 0.5 mL INHIBIN B Report available: 2-4 days

CPT Code: 82397 INSULIN (CPAL 1750124) For diagnosis and monitoring of diabetes 1 mL serum (SS) FROZEN and insulin-secreting tumors. Overnight fasting is required LAB INSULIN Methodology: Chemiluminescent Accompanies report INSULIN Set up: Mon - Fri Minimum: 0.5 mL Report available: Next day

CPT Code: 83525 0.5 mL serum (SS) EACH. INSULIN - MULTIPLE SPECIMENS FROZEN See questdiagnostics.com Methodology: CIA Record date and time of collection on for test code Set up: Mon - Fri each specimen and on request form. Report available: Next day Minimum: 0.2 mL EACH INSULIN AUTOANTIBODIES, SERUM (QUEST 36178) 1 mL serum (R) Methodology: Radiobinding Assay SS tubes unacceptable LAB INSULIN AUTOANTIBODIES Set up: Sun, Tue, Thur Accompanies report INSULIN AUTOAB Report available: 5 days Minimum: 0.2 mL CPT Code: 86337 INSULIN, FREE(Bioactive) (QUEST 36700) 0.5 mL serum (R ) No gel. Methodology: Immunoassay A fasting sample is required LAB INSULIN FR(BIO) Set up: Tue, Thur, Sun morning Accompanies report INSULIN,FR(BIO) Report available: 3 days Minimum: 0.3 mL CPT Code: 83527 INSULIN, FREE & TOTAL LAB INSULIN FREE(BIO) (QUEST 36700 and 561) INSULIN,FR(BIO) -and- AND INSULIN Order INSULIN and INSULIN,FR(BIO) INSULIN seperately. INSULIN-LIKE GROWTH FACTOR-1 (IGF-1) (QUEST 16293) 1mL serum (R ) Formerly Somatomedin-C INSULIN LIKE GROWTH LAB Methodology: LS/MS Accompanies report Minimum: 0.5 mL FACTOR 1 INS GROWTH (or IGF-I) Set up: Sun - Fri Reject criteria: gross hemolysis, gross Report available: 4 days lipemia, grossly icteric

CPT Code: 84305 INSULIN-LIKE GROWTH FACTOR-2 (IGF- II) 0.5 mL serum (R), FROZEN (QUEST 92790) Separate serum from cells within 1 hour LAB INSULIN LIKE GROWTH Methodology: LC/MS/MS Accompanies report of collection and freeze. IGF-II FACTOR 2 Set up: Sun-Fri Minimum: 0.3 mL Report available: 4-5 days Overnight fasting is preferred CPT Code: 83789 INTRINSIC FACTOR BLOCKING ANTIBODIES 1.0 mL serum (SS) FROZEN (QUEST 568) Samples should not be collected from a Methodology: RIA patient who has received Vitamin B LAB INTRINSIC FACTOR Negative Set up: Mon - Fri injection therapy within the last week INTRIN FAC Report available: Next day Minimum: 0.3 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 IRON BINDING CAPACITY Includes transferrin, iron, and percent 1 ml blood (Gn -Li (PST)) saturation or TOTAL IRON BINDING Methodology: Calculation LAB accompanies report 1 mL serum (SS) CAPACITY Set up: Daily TIBC Report available: Same day Minimum: 0.5 mL CPT Code: 83540, 84466 IRON, LIVER TISSUE Methodology: ICP/MS 2 mg tissue specimen from a needle QUEST 8828X Set up: Wed biopsy of the liver Universal Requisition Accompanies report Univ. Req. Report available: 5 days FROZEN Parrafin block is acceptable. CPT Code: 83540 IRON, 24HR URINE 10.0 mL aliquot of a 24-hr urine Methodology: ICP/MS collected w/o preservative QUEST 17515X Set up: Tues, Thurs Universal Requisition Accompanies report Univ. Req. Report available: 4 days Minimum: 6 mL Please specify 24hr total volume on CPT Code: 83540 request form. ISLET CELL ANTIGEN-512 AUTOANTIBODY, IA-2 ANTIBODY (QUEST 121662) 1.0 mL serum (R) Methodology: RIA LAB ISLET CELL IA2 AB Accompanies report Set up: Tues, Fri IA-2 AB Minimum: 0.5 mL Report available: 4 days

CPT Code: 86341 ISOPROPANOL - See Alcohol, Isopropyl JAK2 (Performed at CPAL) Methodology: 6.0 mL EDTA whole blood refrigerated JAK2: RT-PCR, EXON12: Sanger LABNEXUS ORDER ONLY or 3.0 mL Bone Marrow refrigerated Sequencing (Order placed by Anatomic Accompanies report Set up: Mon-Fri Pathology Dept.) Report available: 1-2 days

CPT Code: 83891,83896(X2), 83912, 83914(X2), 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 LABNEXUS ORDER ONLY Sanger Sequencing or 3.0 mL Bone Marrow refrigerated (Order placed by Anatomic Set up: Mon-Fri Accompanies report Pathology Dept.) Report available: 1-2 days

CPT Code: 83891,83896(X2), 83912, 83914(X2), 81270 If EXON12 Performed: 83891, 83898(X2), 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" FREE KAPPA LIGHT CHAINS (CPAL 3500160) Methodology: Turbidimetric 1 mL serum (R or SS) LAB KAPPA LIGHT CHAINS FREE Set up: Daily Accompanies report KAPPA CHAINS Report available: Next day Minimum: 0.5 mL

CPT Code: 83883 KAPPA & LAMBDA LIGHT CHAINS, FREE, with K/L RATIO, SERUM (CPAL 3500150) 1 mL serum (R or SS) LAB KAPPA LAMBDA RATIO Methodology: Turbidimetric Accompanies report K-L GROUP SERUM Set up: Daily Minimum: 0.5 mL Report available: Next day

CPT Code: 83883(X2) KAPPA & LAMBDA LIGHT CHAINS, FREE, with K/L RATIO, URINE (QUEST 138837) 2 mL random urine LAB FREE KAPPA/LAMBDA W/ Methodology: Nephelometric Accompanies report FREE K-L URINE 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 KAPPA LAMBDA 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]

100 mL aliquot of 24-hr urine preserved 17-KETOGENIC STERIODS (total adrenal with 25 mL 50% acetic acid during corticosteriods) collection. Alternative preservatives can Methodology: Colorimetric QUEST 2806 be used - See Appendix A. Specify total Universal Requisition Set up: Thurs Accompanies report Univ. Req. 24-hr volume on request form. Report available: Next day ROOM TEMP CPT Code: 84311 Minimum: 20 mL 20 mL aliquot of 24-hr urine collection 17-KETOSTEROIDS preserved with 25 mL of 50% acetic acid (QUEST 2776) 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 volume 17-KETOSTE Report available: Next day on request form. CPT Code: 83586 Minimum: 10 mL KETAMINE AND METABOLITES Includes Ketamine and Norketamine Methodology: EIA 3 mL serum (R) or plasma (L) QUEST 11021X Universal Requisition Set up: Daily SS Tubes unacceptable Univ. Req. Report available: 9 days Minimum: 1.2 mL

CPT Code: 80299

KETAMINE SCREEN Methodology: MS 30 mL random urine QUEST 11326X Set up: Mon, Wed, Fri Universal Requisition Accompanies report Univ. Req. Report available: 3 days Minimum: 5 mL CPT Code: 80307

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 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 be sampled K-RAS MUTATION ANALYSIS (tumor) for testing must be clearly Performed by CPAL indicated on the stained slide. Blocks will Methodology: PCR and DNA sequencing not be accepted. LABNEXUS ORDER ONLY Set up: Mon, Wed (Order placed by Anatomic Report available: 3-5 days Accompanies report Specimens in which no desired sampling Pathology Dept.) area (tumor) is indicated will be returned CPT Code: 83907, 83892, 83891(X2), to the client so that the proper region of 83898(X2), 83904, 83909(X2), 83912, interest can be indicated and 81275 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 K-RAS MUTATION ANALYSIS with reflex formalin fixed tissue on slides. The to B-RAF if indicated portion of tissue on slide to be sampled Performed by CPAL (tumor) for testing must be clearly Methodology: PCR and DNA sequencing indicated on the stained slide. Blocks will Set up: Mon, Wed not be accepted. LABNEXUS ORDER ONLY Report available: 3-5 days (Order placed by Anatomic Accompanies report Specimens in which no desired sampling Pathology Dept.) CPT Code: area (tumor) is indicated will be returned K-RAS: 83907, 83892, 83891x2, 83898x2, to the client so that the proper region of 83904, 83909x2, 83912, 81275 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 2 mL plasma (Gy) Methodology: Colorimetric Draw WITHOUT tourniquet. Place on Set up: Daily ice. Centrifuge Immediate and LAB LACTIC ACID Accompanies report Report available: Same day separate plasma from cells within 15 LACTIC minutes of collection. Store CPT Code: 83605 refrigerated. FREE LAMBDA LIGHT CHAINS (CPAL 3500170) Methodology: Turbidimetric 1 mL serum (R or SS) LAB LAMBDA LIGHT CHAINS Set up: Daily Accompanies report LAMBDA CHAINS FREE Report available: Next day Minimum: 0.5 mL

CPT Code: 83883 LACTATE DEHYDROGENASE (LDH) FLUID Performed at York Hospital Methodology: Enzymatic LAB LDH BODY FLUID Set up: Daily Accompanies Report 2 mL fluid, no preservative BFLDH Report available: Next day

CPT Code: 83615 LACTATE DEHYDROGENASE (LDH) SERUM 1 ml blood (Gn -Li (PST)) Methodology: Enzymatic or LAB LDH Set up: Daily Accompanies report 1 mL serum (SS) LDH Report available: Same day Minimum: 0.5 mL CPT Code: 83615 LACTATE DEHYDROGENASE (LDH) ISOENZYMES PANEL (QUEST 4411X) Includes LD isoenzymes and LDH,Total 2 mL serum (SS) ROOM TEMP LAB LDH ISOENZYMES Methodology: SP/Electrophoresis Accompanies report LDH ISOS Set up: Mon, Wed, Fri Minimum: 0.5 mL Report available: Next day

CPT Code: 83615, 83625 PLACENTAL LACTOGEN, IHC WITH INTERPRETATION Send surgical pathology report with H&E Methodology: QUEST 19259X section and corresponding parrafin Universal Requisition Set up: Mon - Fri Univ. Req. block; or 3 unstained positively charged Report available: 2 days slides per marker requested. CPT Code: 88342 LACTOSE TOLERANCE 1 mL blood (Gy) , each specimen. Includes fasting, 1/2 hr, 1 hr, 2 hr, and 3 hr Collect fasting, 30 min, 60 min, 90 min specimens Increase of glucose less and 120 minutes after ingestion of 50 g (QUEST 7675X) LACTOSE TOLERANCE than 20 mg/dL over the of lactose. Label each with the specific LAB Methodology: SP TEST fasting level is suggestive of draw time. Lactose available from LAC TOL Set up: Daily an enzyme defect. Quest at 800-336-3718 (X67500) Report available: Next day Minimum: 0.5 mL CPT Code: 82951, 82952(X2) LAMICTAL (LAMOTRIGINE) 1 mL serum (R) (QUEST 22060) Draw 1/2 hr to 1 hr before next dose at Methodology: LC/MS/MS steady-state. LAB LAMICTAL Set up: Mon - Fri Accompanies report NO SS tubes. LAMICTAL Report available: 2 days Minimum: 0.5 mL CPT Code: 80175 LANOXIN - See Digoxin LAP - See Leukocyte Alkaline Phosphatase LASA - See Lipid Associated Sialic Acid LDH ISOENZYMES - See Lactate Dehydrogenase (LDH) Isoenzymes Electrophoresis LDL CHOLESTEROL, DIRECT 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric or Set up: Daily LAB LDL DIRECT Accompanies report 1 mL serum (SS) Report available: Same day LDLD Minimum: 0.2 mL CPT Code: 83721 LE - See Antinuclear Antibodies LEAD PROFILE (CPAL 1750175) Includes lead and ZPP (Zinc 2 tubes- 2 mL blood (DB with EDTA or Protoporphyrin). Fulfills requirements for L) OSHA lead screening program. Protected from light, wrap in aluminum LAB LEAD PROFILE See individual assays. Methodology: AA foil LEAD PROF Set up: Mon, Thurs Report available: Same day Minimum: 0.5 mL

CPT Code: 83655, 84202 LEAD, BLOOD (CPAL 1750180) 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, RANDOM URINE (Includes Creatinine) 7 mL random urine, collected in a Methodology: ICP/MS plastic, metal-free, non acid-washed, QUEST 601X Universal Requisition Set up: Mon, Wed, Fri Accompanies report leakproof container. Univ. Req. Report available: 1 day Minimum: 3 mL CPT Code: 82570, 83655 LECITHIN/SPHINGOMYELIN RATIO WITH PHOSPHATIDYLGLYCEROL (L/S Ratio with PG) - 6 mL uncentrifuged amniotic fluid (QUEST 19971) FREEZE; Wrap in foil, protect from Methodology: TLC light. Set up: Daily If red blood cells are present, do not LAB LS WITH PG RATIO Accompanies report Report available: Next day freeze before spinning at 140 x g for 10 LS PG min. and submit supernatant. If this test is needed STAT (prior to next day) please see FLM-TDX. Minimum: 4.0 mL

CPT Code: 82542, 83661 LEGIONELLA PNEUMOPHILA TOTAL ANTIBODY (QUEST 6589) LAB Effective 3/27/17, this test is no longer LEGIONAB available. The recommended alternative is test code 36580 Legionella pneumophila Antibody (IgG), IFA LEGIONELLA PNEUMOPHILA IgM ANTIBODIES Includes serogroups 1, 2-6, 8 (QUEST 30793) LAB Effective 3/27/17, this test is no longer LEGION, IGM available. The recommended alternative is test code 30268 Legionella pneumophilia Antibody IgM, IFA. LEGIONELLA PNEUMOPHILIA AG DFA (QUEST 34475) MUST ACCOMPANY CULTURE FOR LEGIONELLA PNEUMOPHILA (See CULTURE LEGIONELLA QUEST Lung biopsy, sputum, aspirate, or LAB 960) - DO NOT ORDER AS A STAND LEGIONELLA AG STAIN DFA None detected bronchial washing in sterile container LEGION AG DFA ALONE TEST Methodology: Direct Immunofloresence Set up: Daily Afternoon Report available: Next day CPT Code: 87278

LEGIONELLA ANTIGEN, URINE (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 ANTIBODY SCREEN WITH REFLEX TO TITER QUEST 16529 Effective 1/8/16, this test is no longer Univ. Req. available. There is no recommended alternative. LEUKOCYTE FILTER (RXL), RED CELLS Notify Blood Bank (ext. 6113) when BBK LAB ONLY transfusion of leuko-reduced packed cells is PALL RBC ordered.

LEUKOCYTE FILTER (PXL), PLATELETS Notify Blood Bank (ext. 6113) when BBK LAB ONLY transfusion of leuko-reduced platelets is PALL PLT ordered.

LEUKOCYTE MARKERS T CELLS: Minimum: 5 mL whole blood (EDTA) HELPER/INDUCER CD4 ROOM TEMP (QUEST 8360X) Includes Absolute Lymphocytes, CD4%, General instructions: CD4 CELLS Absolute CD4 Maintain at ambient temperature. DO LAB Accompanies report HELPER/INDUCER Methodology: FCM NOT REFRIGERATE. It is CD4 Set up: Mon - Sat recommended that the sample is Report available: Next day received within 24 hours of collection on Monday - Friday. CPT Code: 86361 Must be received in Lab by 12 noon. LEVETIRACETAM (KEPPRA) 1.0 mL serum Red top, No gel. (QUEST 15142) Collect at trough level (i.e. immediately Methodology: LC/MS/MS prior to next dose) LAB LEVETIRACETAM / KEPPRA Set up: Mon - Fri Accompanies report SS tubes unacceptable LEVETIR Report available: 2 days Minimum: 0.5 mL CPT Code: 80177 LHON mtDNA MUTATION PROFILE 2 (7 mL) EDTA whole blood (L) tubes Methodology: PCR ROOM TEMP QUEST 92315 Set up: Varies Universal Requisition Accompanies report Draw Mon - Wed only - Must be Univ. Req. Report available: 14-21 days received at Quest within 24 hours of collection. CPT Code: 81401 LIDOCAINE (QUEST 605) Methodology: Immunoassay 1 mL serum (R) LAB LIDOCAINE Set up: Mon - Fri Accompanies report Collect as trough prior to next dose. LIDO Report available: 2 days Minimum: 0.2 mL

CPT Code: 80176 LIPASE 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric or Set up: Daily LAB LIPASE Accompanies report 1 mL serum (SS) Report available: Same day LIPASE Minimum: 0.5 mL CPT Code: 83690 LIPID ASSOCIATED SIALIC ACID (LSA, LASA) 1 mL serum (R) Methodology: Colorimetric or QUEST 8343X Universal Requisition Set up: Tues, Fri Accompanies report 1 mL plasma (L) Univ. Req. Report available: 3 days Minimum: 0.2 mL CPT Code: 84275 LIPID PANEL (CARDIAC/CORONARY RISK) Total Cholesterol HDL Cholesterol 1 ml blood (Gn -Li (PST)) Triglycerides or LDL Cholesterol (Calculated) 1 mL serum (SS), LAB LIPID PANEL If Triglyceride >400, LDL Direct will be drawn after 12 - 14 hour fast LIPID performed. Methodology: Various Minimum: 0.5 mL Set up: Daily Report available: Same day

CPT Code: 80061 LIPOPROTEIN A (QUEST 29702) Methodology: Imunoturbidometric 1 mL serum (R) LAB LIPOPROTEIN A Set up: Daily Accompanies report LIPOPROT A Report available: Next day Minimum: 0.5 mL

CPT Code: 83695 LIPOPROTEIN ELECTROPHORESIS (QUEST 901292) Includes Cholesterol, Triglycerides, Chylomicrons, Beta Lipoproteins, Pre-Beta Lipoproteins, Serum Appearance, 2 mL serum (R no gel) LIPOPROTEIN LAB Interpretation Fasting for 9-12 hrs prior to collection. ELECTROPHORESIS LIP ELECT Methodology: Agarose Electrophoresis Set up: Wed, Sun Minimum: 1.0 mL Report available: 7 days

CPT Code: 82465, 82664, 84478 LISTERIA ANTIBODY, CF (QUEST 34329X) Methodology: Complement Fixation 1 mL serum (R ) LAB LISTERIA ANTIBODY Set up: Mon - Fri Morning Accompanies report LISTERIA AB Report available : 3 days Minimum: 0.5 mL

CPT Code: 86609 LITHIUM Methodology: Spectrophotometric Detection limit: 0.1 mmol/L 1 mL serum (R or SS) LAB LITHIUM Set up: Daily Accompanies report LITH Report available: Same day Minimum: 0.5 mL

CPT Code: 80178 LRPRBC Includes ABORh and antibody screen. Methodology: Hemeagglutination Set up: Daily LEUKO-REDUCED PACKED 6.0 mL whole blood (Pink) properly BBK Report available: Same day RED BLOOD CELLS labeled with Blood Bank armband LRPRBC 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 LIVER-KIDNEY MICROSOMAL ANTIBODIES (LKM-1) IgG (QUEST 15038) 1.0 mL serum (R or SS) LIVER KIDNEY Methodology: IA LAB Accompanies report MICROSOMAL AB Set up: Tues-Sat LKM-1 AB Minimum: 0.3 mL Report available: 1-4 days

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: 80346 LSD PRESUMPTIVE SCREEN Methodology: IA 10 mL random urine, protected from QUEST 37025 Set up: Mon - Fri light Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 1 mL CPT Code: 80307 LSD QUANTITATION BY GCMS Methodology: GC/MS 20 mL random urine, protected from QUEST 14455X Set up: Wed light Universal Requisition Accompanies report Univ. Req. Report available: 7 days Minimum: 15 mL CPT Code: 80323 6 mL citrated plasma (LB), separated LUPUS ANTICOAGULANT PROFILE into 4 different plastic vials and 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 Prothrombin time, Thrombin time. 3000 rpm for 10 minutes. LAB LUPUS ANTICOAG PROFILE Accompanies report Methodology: Various 3) Remove plasma to a plastic tube LUPUS PROF Set up: Mon - Fri using a plastic pipette. FREEZE Report available: Varies with assay immediately in a -70C freezer.

CPT Code: 85610, 85613, 85670, Patient must be heparin free for 24 85730(X2), 86147(X2) hours and Coumadin free for 72 hours. LUPUS ANTICOAGULANT - PNP (Platelet Neutralization Procedure) (QUEST 17408) 2 mL citrated plasma (LB) FROZEN Methodology: Clotting assay Set up: Mon - Sat Minimum: 1 mL FROZEN citrated LAB LUPUS ANTICOAGULANT Report available: Next day Accompanies report plasma LUPUS ANTI Please submit a separate vial for each CPT Code: 85730 [If PTT-LA Screen is special coagulation assay ordered. prolonged (>40 secs), Hexagonal Phase Rejection Criteria: Hemolysis Confirmation will be performed at an additional charge (CPT Code: 85598)]

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 6 mL serum (R ) LAB LUPUS SLE PANEL (QUEST 34992) Accompanies report Overnight fasting is required LUPUS PAN Methodology: Varies Minimum: 2.8 mL Set up: Mon - Sat Report available: 3 days

CPT Code: 83516(X3), 86038, 86160(X2), 86235(X5), 86255(X5), 86376, 86431

LUTENIZING HORMONE (LH) Methodology: Chemilluminescence Set up: Daily LAB LUTEINIZING HORMONE Accompanies report 1 mL serum (SS) Report available: Same day LH CPT Code: 83002

LUTENIZING HORMONE (LH), Pediatrics 0.5 mL serum (SS) Methodology: Immunoassay Separate the serum immediately. Do QUEST 36086 Set up: Sun - Thur Universal Requisition Accompanies report not use hemolyzed or icteric samples. Univ. Req. Report available: 3 days Minimum: 0.3 mL CPT Code: 83002

LYME ANTIBODY, SERUM This test has been discontinued effective LAB 7/13/15. Please use Lyme Antibody LYME PROF Progressive as an alternative.

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. LYME IGG IGM AB LAB (CPAL 3003082) Accompanies report 2 mL serum (SS) PROGRESSIVE LYME PROG Methodology: EIA Set up: Wed, Fri, Sat Report available: Next day

CPT Code: 86618 LYME ANTIGEN, URINE 10 mL random urine (QUEST 132487) Methodology: EIA Minimum: 8 mL LAB LYME AG 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 LYME DISEASE CSF AB INDEX for CNS Infection(B. BURGDORFERI AB INDEX) (QUEST 34194) 2.0 mL CSF Methodology: ELISA, Nephelometric AND LAB LYME CSF AB INDEX Set up: Tues, Fri Accompanies report 2 mL serum (SS) LYME CSF INDEX Report available: 5 days Minimum: 1 mL CPT Code: 82040, 82042, 82784(X2), 86618(X4)

LYME DISEASE CUSTOM PANEL (CSF) QUEST 72194 Universal Requisition Effective 4/29/16, Quest has discontinued Univ. Req. this test.

LYME CSF IgG, IgM ANTIBODIES, IBL Methodology: Immunoblot 2 mL CSF QUEST 72234 Set up: Mon, Wed, Fri Universal Requisition Accompanies report Univ. Req. Report available: 6 days Minimum: 0.5 mL CPT Code: 86617(X2)

LAB LYME PCR W LYME DNA, PCR QUALITATIVE Whole blood Whole blood= QUEST 15777 LYME DNA PCR WHOLE 1.0 mL EDTA whole blood (L) at ROOM Serum = QUEST 52962 BLOOD TEMP CSF/FLUID = QUEST 15564 -or -or- LAB LYME DNA PCR SERUM Not detected 1.0 mL serum (SS) FROZEN LYME PCR S Methodology: PCR -or- -or- Serum Set up: Tues, Thurs Morning LYME DNA PCR CSF OR 1.0 mL CSF or synovial fluid FROZEN Report available: 1 days SYNOVIAL MIN CSF 0.5 mL LAB CPT Code: 87801 LYME PCR F Fluid LYME DISEASE ANTIBODIES (IgG, IgM) (QUALITATIVE) (QUEST 8593) 1.0 mL serum (R) Methodology: Immunoblot LAB LYME BANDS Accompanies report Set up: Mon, Wed, Fri LYME BANDS Minimum: 0.5 mL Report available: Next day

CPT Code: 86617(X2)

LYME IgG/IgM WESTERN BLOT WITH BANDS LAB Methodology: Western Blot 1.0mL serum (R) Lyme IgG/IgM Western Blot Accompanies report LYMEWB Set up: Mon, Wed, Fri Report available: Next day

CPT Code: 86617(X2) LYME DISEASE ANTIBODY (IgG), IMMUNOBLOT Methodology: Immunoblot 1.0 mL serum (SS) QUEST 29477 Universal Requisition Set up: Mon - Fri Accompanies report Univ. Req. Report available: Next day Minimum: 0.1 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 or Set up: Daily LAB MAGNESIUM Accompanies report 1 mL serum (SS)) Report available: Same day MG Minimum: 0.5 mL CPT Code: 83735 MAGNESIUM (OB) Specifically for OB patients receiving 1 ml blood (Gn -Li (PST)) magnesium sulfate I.V. or Methodology: Colorimetric Therapeutic: 4.0 - 7.0 mg/dL LAB MAGNESIUM OB 1 mL serum (SS) Set up: Daily Critical: > 7.0 mg/dL MGOB Report available: Same day Minimum: 0.5 mL CPT Code: 83735 MAGNESIUM, RBC (ERYTHROCYTE) (QUEST 10551) Methodology: ICP/MS 0.5 mL whole blood (L) LAB MAGNESIUM, RBC Set up: Tues - Sat Accompanies report MG RBC Report available: 4 days Minimum: 0.2 mL

CPT Code: 83735 MAGNESIUM, 24 HR URINE Includes Magnesium and Creatinine, 24 hr 10 mL of a 24-hr urine specimen urine preserved with 25 mL 50% acetic acid or QUEST 27446 Methodology: Atomic Absorption Universal Requisition Accompanies report 25 mL 6N HCL Please Univ. Req. Set up: Mon, Wed, Fri specify total 24 hr urine volume on Report available: Next day request form CPT Code: 83735 MAGNESIUM, RANDOM URINE Includes Creatinine 10 mL of a random urine, preserved with (QUEST 14460) 30 mL 6N HCl, submitted in a plastic, URINE MAGNESIUM Methodology: AAS LAB Accompanies report leakproof container. RANDOM Set up: Mon, Wed, Fri MG UR Report available: Next day Minimum: 0.5 mL CPT Code: 83735, 82570 Fresh fingerstick (preferred) or MALARIA SMEAR fresh (<30 min) EDTA blood smears, Methodology: Microscopic exam prepared just before or immediately Set up: Daily upon onset of fever; 2 thin smears LAB MALARIA SMEAR No malaria parasites seen Report available: Next day required. MALARIASM Or CPT Code: 87207 4 mL EDTA blood (L) All positives will be sent to State for confirmation testing. MANGANESE, BLOOD Methodology: ICP/MS QUEST 626 Set up: Tues, Fri 2 mL whole blood in an EDTA (DB tube) Universal Requisition Accompanies report Univ. Req. Report available: 5 days Minimum: 1.0 mL

CPT Code: 83785 MAPLE SYRUP URINE DISEASE (MSUD) (QUEST 90909) 4 mL whole blood (LAV EDTA) Methodology: PCR, Allele specific primer ROOM TEMP extension, Florescent detection/color coded See Questdiagnostic.com website for LAB MSUD MUTATION ANALYSIS microspheres Accompanies report additional required information prior MSUD MUT ANALY Set up: Tues, Fri morning to specimen submission. Report available: 8 days MinimumL 3 mL CPT Code: 81205 MARIJUANA METABOLITE PRESUMPTIVE SCREEN Methodology: EMIT 20 mL random urine QUEST 14551X Detection limit: Equivalent to 20 ng/mL Universal Requisition None detected Univ. Req. Set up: Mon - Fri Minimum: 10 mL Report available: Next day

CPT Code: 80349 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: 0.5 mL

CPT Code: 80349 MDMA/MDA , QUANTITATIVE, URINE (Ecstasy) Includes MDA, MDMA, MDEA 20 mL random urine, no preservatives QUEST 17161 Methodology: MS Universal Requisition Accompanies report Univ. Req. Set up: Tues-Sat Minimum: 5 mL Report available: 3 days

CPT Code: 80359 MDMA AND METABOLITE (Ecstacy) Includes MDA, MDMA, MDEA 5 mL serum (R) Methodology: GS/MS Centrifuge serum specimens within 1 hr QUEST 11332X Universal Requisition Set up: Tues, Sat Accompanies report of collection Univ. Req. Report available: 8 days Minimum: 3 mL CPT Code: 80359 MEASLES - See Rubeola Virus Antibodies MEBARAL - See Mephobarbital MELANIN Methodology: Colorimetric 20 mL random urine FREEZE protected QUEST 631X Set up: Thurs from light Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 10 mL CPT Code: 81005 MELLARIL - See Thioridazine MEPERIDINE, GC/MS, SERUM Methodology: GC/MS Detection limit: 0.05 mcg/mL 5 mL serum (DB) QUEST 411 Universal Requisition Set up: Tues, Thurs Accompanies report Univ. Req. Report available: 4 days Minimum: 2 mL

CPT Code: 80362 MEPHOBARBITAL, SERUM (QUEST 900183) (As phenobarbital, the active metabolite) 1 mL serum (R) Methodology: IA LAB Accompanies report MEPHOBARBITAL Set up: Mon-Sat MEPHOBARB Minimum: 0.5 mL Report available: Next day

CPT Code: 80345 MEPROBAMATE (EQUANIL) (MILTOWN) (QUEST 5051) Methodology: GC/MS 2 mL serum (R) LAB EQUANIL / MEPROBAMATE Set up: Tues, Thurs Accompanies report Collect just prior to next dose. EQUANIL Report available: 4 days Minimum: 1.5 mL

CPT Code: 80369 MERCURY, BLOOD (QUEST 636) Methodology: ICP/MS 4 mL whole blood (DB EDTA) Detection limit: 4 mcg/L Avoid seafood consumption for 48 hrs LAB MERCURY WHOLE BLOOD Accompanies report Set up: Mon, Wed, Fri before collection. MERCURY Report available: Next day Minimum: 2.0 mL

CPT Code: 83825 , FRACTIONATED, 24 HR URINE 5 mL aliquot of 24-hr urine collection (QUEST 14962X) preserved with 25 mL 6N HCL during Includes , Normetanephrine, collection. Alternative preservatives can URINE METANEPHRINES Total Metanephrines LAB Accompanies report be used (see Appendix A). Specify total FRAC 24 HR Methodology: LS/MS/MS METANEPUR 24-hr volume on request form. Set up: Mon - Fri Report available: 3 days Minimum: 1.5 mL CPT Code: 83835 METANEPHRINES, PLASMA (QUEST 19548) 2 mL EDTA (L) plasma FROZEN Note: Includes Metanephrine, Normetanephrine, Must be spun and plasma frozen within 2 Total Metanephrines hours of collection. LAB METANEPHRINES PLASMA Methodology: LC/MS/MS Accompanies report Please note: Overnight fasting is METANEP PL Set up: Mon - Fri preferred. Patient should avoid alcohol, Report available: 2 days coffee, tea, tobacco and strenuous exercise prior to collection. CPT Code: 83835 METHACHOLINE CHALLENGE TEST - Refer to Respiratory Therapy METHADONE PRESUMPTIVE SCREEN Methodology: Immunoassay 30 mL random urine QUEST 19017 Set up: Mon - Fri Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 10 mL CPT Code: 80307

METHADONE CONFIRMATION BY GCMS (QUEST 2082) Methodology: GC/MS 5 mL serum (DB or R) LAB Detection limit: 50 ng/mL LAB ONLY Accompanies report METHADONE CONF Set up: Mon-Sat Minimum: 1.2 mL serum Report available: 3 days

CPT Code: 80358 METHANOL - See Alcohol, Methyl METHAQUALONE (QUAALUDE) Methodology: GCMS Detection limit: 50 ng/mL 5 mL serum ( R) QUEST 645 Universal Requisition Set up: Wed Accompanies report Univ. Req. Reprot available: 3 days Minimum: 1.5 mL

CPT Code: 80368 METHAQUALONE PRESUMPTIVE SCREEN Methodology: Kenetic Interaction of 30 mL random urine QUEST 19007 Microparticles in Solution Universal Requisition Accompanies report Univ. Req. Set up: Mon-Fri Minimum: 10 mL Report available: Next day

CPT Code: 80375 METHEGLOBIN - refer to Respiratory Therapy METHOTREXATE 1 mL serum ( R) FREEZE Methodology: IA Collect 24, 48, or 72 hours after dose. QUEST 648 Set up: Mon - Sat Protect from light. Record hours from Universal Requisition Accompanies report Univ. Req. Report available: Next day last dose on specimen container.

CPT Code: 80299 Minimum: 0.2 mL

METHYL ALCOHOL - See Alcohol, Methyl

METHYLENETETRAHYDROFOLATE REDUCTASE (MTHFR) DNA MUTATION 5 mL whole blood (L) ANALYSIS (QUEST 17911) ROOM TEMP METHYLENETETRA- Methodology: Hybeacons LAB Accompanies report Minimum: 3 mL HYDROFOLATE Set up: Daily MTHFR Report available: 4 days

CPT Code: 81291

METHYLMALONIC ACID (MMA), URINE Includes Creatinine Methodology: GC/MS/MS 1.7 mL random urine, no preservative QUEST 91032 Universal Requisition Set up: Tues,Fri Accompanies report Univ. Req. Report available: 4 days Minimum: 0.6 mL

CPT Code: 82570, 83921 METHYLMALONIC ACID (MMA), 2.0 mL serum (R), FROZEN QUANTITATIVE, SERUM Centrifuge the specimen as soon as (QUEST 34879) possible after complete clot formation Methodology: Mass Spectrometry LAB METHYLMALONIC ACID Accompanies report has taken place. Transfer serum to a Set up: Mon - Fri METHYLMAL plastic screw-capped vial and transport Reprot available: 3 days frozen Minimum: 1.0 mL CPT Code: 83921 MEXILETINE (MEXITIL) (QUEST 1806) Methodology: Gas Chromatography 2 mL serum (R) Detection limit: 0.1 µg/mL LAB MEXILETINE / MEXITIL Accompanies report SS tubes unacceptable Set up: Tues, Thurs MEXILETINE Minimum: 0.5 mL Reprot available: 5 days

CPT Code: 80299 MHA-TP - See Treponema pallidum Antibodies MICROALBUMIN MICROALBUMIN/CREATININE GROUP LAB CREATININE RATIO Effective 9/1/15, see ALB-CREA MICRO-CREA MICROHEMATOCRIT - See Hematocrit, Manual MICRO IDENTIFICATION Characterizes 16S or 18S bacteial and non-dermatophyte fungi and AFB fungal 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 MITOTANE, SERUM (QUEST 11889) 1 mLserum (R) Methodology: Gas Chromatography ROOM TEMP LAB MITOTANE SERUM Set up: Tues, Thurs Accompanies report SS tubes unacceptable 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, BILE (POSTMORTEM ONLY) Methodology: GCMS 5 mL postmortem bile QUEST 183191 Set up: Tues, Fri Universal Requisition Accompanies report Univ. Req. Report available: 3 days Minimum: 2.5 mL CPT Code: 80361 MPL515 (Performed at CPAL) Methodology: 6.0 mL EDTA whole blood refrigerated LABNEXUS ORDER ONLY Real Time PCR or 3.0 mL Bone Marrow refrigerated (Order placed by Anatomic Set up: Mon-Fri days Accompanies report Pathology Dept.) Report available: 1-2 days

CPT Code: 81402, 83891, 83896X2, 83912, 83914 X2 MPN PANEL (JAK2 performed initially, If JAK2 negative, allows Exon 12 to be added as a reflex test, if EXON12 negative, MPL515 added as a reflex test) (Performed at CPAL) 6.0 mL EDTA whole blood refrigerated Methodology: Real Time PCR LABNEXUS ORDER ONLY or 3.0 mL Bone Marrow refrigerated Set up: Mon-Fri (Order placed by Anatomic Accompanies report Report available: 1-2 days Pathology Dept.) CPT Code: 83891,83896x2, 83912, 83914x2, 81270 If EXON12 Performed: 83891, 83898X2, 83904, 83912, if MPL515 performed 81402, 83891, 83896 x2, 83912, 83914 x2 Nasal swab only. RAPID MRSA ADMITTED LAB Methodology: Molecular DNA Negative Double Culturette (red top) with MRSA ADMIT MRSA ADMIT Set up: 24/7 Stuarts Media. Report Available 2 hours NICU ONLY: 2 Mini-tip swabs with CPT Code: 87641 Stuarts media. Nasal swab only. RAPID MRSA TRANSFER LAB Methodology: Molecular DNA Negative Double Culturette (red top) with MRSA TRANSFER Set up: 24/7 Stuarts Media. Report Available 2 hours NICU ONLY: 2 Mini-tip swabs with CPT Code: 87641 Stuarts media. MRSA TRANSFER

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 Minimum: 1.8 mL CSF and 1 mL serum ratio, 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 duration Report available: Next day between CSF and serum draw times). Both CSF and serum must be sent for CPT Code: 82040, 82042, 82784(X2), calculation of synthesis rate by 83873, 83916 nephelometry. CSF must be crystalline clear.

MUMPS VIRUS IgG ANTIBODIES (CPAL 3000312) The EIA is considerably more sensitive than the CF test and is recommended for determination of immune status in response LAB MUMPS IGG AB to past infection or to vaccination. Accompanies report 1 mL serum (SS) FREEZE MUMPS IGG Methodology: EIA Set up: Mon and Thurs Report available: Next day

CPT Code: 86735 MUMPS VIRUS IgM ANTIBODIES (QUEST 36565) Methodology: IFA 1 mL serum (SS) LAB MUMPS IGM AB Set up: Tues-Sat Accompanies report Minimum: 0.2 mL MUMPS IGM Report available: 1-3 days

CPT Code: 86735 MUMPS VIRUS ANTIBODIES IgG and IgM (QUEST 36564) Methodology: IA / IFA 1 mL serum (R or SS) LAB MUMPS IGG IGM AB Set up: Tues, Thurs Accompanies report MUMPS IGG IGM Report available: Next day Minimum: 0.5 mL

CPT Code: 86735(X2) MURAMIDASE (LYSOZYME) (QUEST 619) 1.0 mL serum (SS) FREEZE Methodology: Enzymatic Centrifuge serum specimens within 1 hr LAB MURAMIDASE / LYSOZYME Set up: Mon-Sat Accompanies report of collection MURAMIDASE 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 18842) Methodology: RIA LAB 2.0 mL serum (SS) MUSK TITER AB Set up: Sun-Fri Accompanies report MUSK TITER AB Minimum: 0.5 mL Report available: 4-7 days

CPT Code: 83519 MYCOBACTERIAL (AFB) LAB IDENTIFICATION- See MICRO ID MICRO ID (Laboratory use only) LAB USE ONLY MYCOPHENOLIC ACID 1 mL serum (R) (QUEST 10662) Optimum time to collect sample: 0.5 to 1 Includes Mycophenolic Acid and MPA hour before next dose (trough) at steady- Glucuronide state (3-5 days after treatment with oral LAB MYCOPHENOLIC ACID Methodology: LC/MS/MS Accompanies report doses). Minimum: 0.5 mL MYCOPHENOLIC Set up: Mon - Sat Report available: 2 days

CPT Code: 80180 MYCOPLASMA PNEUMONIAE DNA, QUALITATIVE, PCR Methodology: PCR QUEST 15498 Universal Requisition Set up: Mon, Wed, Fri 1 mL tissue REFRIGERATED Univ. Req. Report available: 1-2 days

CPT Code: 87581 MYCOPLASMA PNEUMONIAE IgM ANTIBODIES Methodology: EIA 1 mL serum (SS) LAB MYCOPLASMA AB IGM Set up: Daily Negative MYCOANTB Report available: Same day Minimum: 0.5 mL

CPT Code: 86738 MYCOPLASMA PNEUMONIAE ANTIBODIES (IgG, IgM) (QUEST 34127) 1 mL serum (SS) LAB MYCOPLASMA Methodology: IA Negative MYCO IGG-IGM PNEUMONIAE IGG IGM Set up: Mon - Fri Minimum: 0.2 mL Report available: Next day

CPT Code: 86738(X2) MYELIN BASIC PROTEIN (QUEST 663) 1 mL CSF Methodology: IA Note: Blood contamination and LAB CSF MYELIN PROTEIN Set up: Mon - Fri Accompanies report hemolysis may interfere with results. CSF MYELIN Report available: Next day Minimum: 0.5 mL CPT Code: 83873 MYASTHENIA GRAVIS PANEL 2 (QUEST 10104) Includes Acetylcholine Receptor Binding Antibody, Acetylcholine Receptor Blocking Antibody, Acetylcholine Receptor Modulating 2 mL serum (SS) MYASTHENIA GRAVIS LAB Antibody Accompanies report PANEL 2 MYAS GRAV PAN2 Methodology: RIA Minimum: 0.7 mL Set up: Mon, Thurs Morning Report available: 3 days

CPT Code: 83519(X3) MYOGLOBIN, SERUM (QUEST 660) Methodology: Nephelometry 1.0 mL serum (SS), FROZEN MYOGLOBIN SERUM LAB Set up: Mon - Sat Accompanies report QUANT MYOGLOBIN Report available: Next day Minimum: 0.5 mL

CPT Code: 83874 MYOGLOBIN, URINE (QUEST 661) Exactly 4.0 mL random urine in Methodology: Fixed Rate Time Myoglobin Transport Tube, FROZEN Nephelometry Transfer urine to the Myoglobin transport LAB URINE MYOGLOBIN Accompanies report Set up: Mon - Sat tube within 1 hr of collection and freeze. MYOGLOBUR Report available: Next day Non-Myoglobin transport tubes will be rejected. CPT Code: 83874 MYOSITIS PLUS JO-1 ANTIBODIES Includes Autoantibodies for PL-7, PL-12, Mi- 2 (3 mL) tubes of serum (R). 2, Ku, EJ, OJ, SRP and Jo-1.

QUEST 10185X Methodology: RIPA / IA Universal Requisition Accompanies report Separate serum within 4 hours of Univ. Req. Set up: Tues-Thurs collection. Split serum into 2 plastic, Report available: 3 days transfer tubes, 3 mL in each. CPT Code: 83516(X5), 86235(X3) NABFERON (R) (IFN-B) ANTIBODY (Interferon-Beta IgG), MAID (QUEST 19509) Methodology: Multi-analyte Imunodetection 1.5 mL serum (R) (MAID) Set up: Mon Minimum: 0.5 mL INTERFERON BETA IGG LAB Report available: 3 days Accompanies report MAID IFN-B IGG Collect sample at least 8 hours after CPT Code: 83520 [If the Interferon-beta interferon injection. Include Interferon IgG is positive, Interferon-beta (IFNb) drug being used. Antibody Neutralization Assay will be performed at an additional charge (CPT Code(s): 86382, 87253)] N-ACETYLPROCAINAMIDE - See Procainamide N-METHYL HISTAMINE, URINE (QUEST 10243X) 5.0 mL unpreserved 24-hour urine or Includes Creatinine random urine URINE N METHYL Methodology: LC/MS/MS / Enzymatic Record total volume on specimen LAB Accompanies report HISTAMINE Set up: Tues, Thurs container. N-METHYL HIST Report available: 5 days Minimum: 3 mL CPT Code: 83789, 82570 HLA-DQ TYPING FOR NARCOLEPSY 14 mL whole blood (QUEST 92549) (Yellow top-ACD-A) Methodology: PCR followed by Sequence or LAB HLA TYPING FOR Specific Oligonucleotide Probes 14 mL whole blood (L) Accompanies report HLA NARCOLEPSY NACROLEPSY Set up: Mon - Sat ROOM TEMP Minimum: Report available: 5-7 days 5 mL Specimens cannot be shipped on Saturday or the CPT Code: 81383 day before a holiday. N TERMINAL SPECIFIC PTH - See Parathyroid Hormone N DNA - See Anti-dsDNA NASAL EOSINOPHILS Methodology: Microscopic exam Set up: Daily < 20% of total white blood LAB NASAL EOSINOPHIL COUNT 2 nasal smears Report available: Next day cells per high power field EOSNAS CPT Code: 89190 NEISSERIA GONORRHOEAE BY PCR Recommended specimens: FOR CERVICAL SPECIMENS Female: Endocervical swab. Use kits (CPAL 3009004) for cervical swabs provided from CPAL NOTE: The PCR test for C. trachomatis can be run from the same specimen. If both N GONORRHOEAE tests are desired, order appropriate STD LAB Negative Specimens collected from other body CERVICAL Probe Panel. NG CERV sites will be rejected. Methodology: PCR Set up: Mon - Fri **For collection and testing of Report available: 3 days specimens from non-genital see GCCULT ** CPT Code: 87591 NEISSERIA GONORRHOEAE BY PCR FOR THIN PREP Recommended specimens: (CPAL 3009010) Female: THIN PREP VIAL NOTE: The PCR test for C. trachomatis can be run from the same specimen. If both N GONORRHOEAE THIN tests are desired, order appropriate STD Specimens collected from other body LAB Negative PREP Probe Panel. sites will be rejected. NG CYTO Methodology: PCR Set up: Mon - Fri **For collection and testing of Report available: 3 days specimens from non-genital see GCCULT ** CPT Code: 87591 NEISSERIA GONORRHOEAE BY SDA N GONORRHOEAE FOR URETHRAL SPECIMENS LAB URETHRAL Test has been inactivated, please use NG NG URETH URINE as an alternative. NEISSERIA GONORRHOEAE BY PCR FOR URINE Recommended specimens: (CPAL 3009006) Minimum 20 ml urine NOTE: The PCR test for C. trachomatis can be run from the same specimen. If both tests are desired, order appropriate STD Specimens collected from other body LAB N GONORRHOEAE URINE Negative Probe Panel. sites will be rejected. NG URINE Methodology: PCR Set up: Mon - Fri **For collection and testing of Report available: 3 days specimens from non-genital see GCCULT ** CPT Code: 87591 NEISSERIA GONORRHOEAE BY PCR Recommended specimens: FOR VAGINAL SPECIMEN Vaginal swab. Use kits for vaginal (CPAL 3009008) swabs provided from CPAL. NOTE: The PCR test for C. trachomatis can be run from the same specimen. If both N GONORRHOEAE tests are desired, order appropriate STD LAB Negative Specimens collected from other body VAGINAL Probe Panel. NG VAG sites will be rejected. Methodology: PCR Set up: Mon - Fri **For collection and testing of Report available: 3 days specimens from non-genital see GCCULT ** CPT Code: 87591 LAB MISC NEO-GEN (NEWBORN SCREENING) - Universal Requisition FMU has supplies for draw NEONATAL HEMOGLOBINOPATHY - See Hemoglobin, Neonate NEURON-SPECIFIC ENOLASE (NSE) 1 mL serum ( R) Methodology: IA Note: NSE is high in platelets and RBCs. QUEST 34476 Set up: Tues, Fri Therefore, plasma and hemolyzed Universal Requisition Accompanies report Univ. Req. Report available: 5 days specimens are unacceptable.

CPT Code: 86316 Minimum: 0.2 mL 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 Accompanies report NEUR PARA PROF PARANEOPLASTIC PROF consent is not required. Minimum: 2 mL Methodology: ELIA, WB, IB Set up: Mon - Fri Report available: 16 days

CPT Code: 83516, 84181, 84182 NEUTROPHIL ANTIBODIES - See Anti- PR3 NH3 - See Ammonia NICOTINE AND COTININE, SERUM (QUEST 90642) Methodology: LS/MS/MS 1.0 mL serum (R) LAB NICOTINE AND Set up: Mon, Wed, Fri Accompanies report SS tubes are unacceptable NICOTINE SERUM METABOLITE SERUM Report available: 4 days Minimum: 0.5 mL

CPT Code: 80323 NICOTINE AND COTININE, URINE (QUEST 90646) Methodology: LC/MS/MS 1.0 mL Random Urine LAB URINE NICOTINE AND Set up: Mon,Wed Fri Accompanies report NICOTINE UR METABOLITE Report available: 4 days Minimum: 0.5 Ml

CPT Code: 80323 NIFEDIPINE (ALDOLAT) Methodology: HPLC 1 mL serum (R) QUEST 6225X Set up: Wed Universal Requisition Accompanies report Univ. Req. Report available: 3 days Protect from light. CPT Code: 80299 NORDIAZEPAM - See Diazepam NOREPINEPHRINE, EPINEPHRINE, DOPAMINE - See Catecholamines NORPACE - See Disopyramide NORPRAMIN - See Desipramine NORPROPOXYPHENE - See Propoxyphene NORTHEAST REGIONAL MIXED PANEL #1 (QUEST 43062) See page 1 of Appendix A for allergens 6.3 mL serum (SS) included. Minimum: 3.2 mL LAB NORTHEAST REGIONAL Accompanies report Methodology: FEIA NE REGION PANEL Set up: Mon - Fri Centrifuge within 1 hour of collection Report available: 4 days

CPT Code: 86003(X21) NMR LIPOPROFILE QUEST 141363 Quest test discontinued effective Univ. Req. 12/29/14. The recommended alternative is Cardio IQ Lipid Panel (Quest 91716).

NORTRIPTYLINE (AVENTYL) (PAMELOR) (QUEST 272) 3.0 mL serum (R) Methodology: LC/MS/MS Collect at steady-state trough NORTRIPTYLINE / NORTRIP LAB Set up: Mon - Fri Accompanies report concentration. Specimen should be / AVENTYL NORTRIP Report available: 2 days collected >12 hrs after dose. Minimum: 1.2 mL CPT Code: 80335 N-PEPTIDE INSULIN - See Insulin, Free & Total N-TELOPEPTIDE URINE - See Osteomark NTX - See Osteomark 5' NUCLEOTIDASE (QUEST 14624) Methodology: Colorimetric, Kinetic 1 mL serum (SS) LAB 5 NUCLEOTIDASE Set up: Sun - Fri Accompanies report 5' NUCLEOTIDASE Report available: 1-3 days Minimum: 0.2 mL

CPT Code: 83915 OBSTETRICS PANEL 6.0 mL whole blood (Pink) CBC, HbsAg, Rubella, RPR, Type and AND LAB Order individual tests Screen 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 blood Report available: Same day OCCBLD STOOL OCCULT BLOOD Negative slide. or CPT Code: 82270 (OCCBLD) OCCBLDDIAG Minimum: 1 gram 82272 (OCCBLDDIAG)

OLIGOCLONAL BANDS IN CSF/SERUM (QUEST 674X) 1 mL CSF and 1 mL serum (SS) Includes IgG/total protein ratio Specimens must be drawn within 24 CSF OLIGOCLONAL Methodology: Isoelectric Focusing hours of each other. LAB Accompanies report PROTEIN Set up: Mon - Fri CSF OLIGO Report available: 4 days Minimum: 0.5 mL CSF and 0.5 mL serum. CPT Code: 83916 OPIATE METABOLITES Screen for morphine, morphine glucuronide, and codeine 30 mL random urine QUEST 14539X Methodology: EMIT Universal Requisition Accompanies report Univ. Req. Set up: Mon - Fri Minimum: 10 mL Report available: Next day

CPT Code: 80307 OPIATE SCREEN WITH CONFIRMATION (QUEST 71797) Screens for opiate metabolites and confirmations performed if indicated. 20 mL random urine OPIATE SCREEN WITH Methodology: Immunoassay LAB Accompanies report CONFIRM Detection limit: 300 ng/mL of morphine OPIATE SCREEN Minimum: 15 mL Set up: Mon - Fri Report available: 4 days

CPT Code: 80307 OPIATE VERIFICATION BY GCMS Includes morphine, codeine, hydromorphone, hydrocodone, oxycodone, 6- Monoacetylmorphine 8mL whole blood (R-no gel) QUEST 20901 Universal Requisition Methodology: GCMS Accompanies report SS tubes unaccepable Univ. Req. Set up: Mon, Thurs Minimum: 2.0 mL Report available: 3 days

CPT Code: 80361 ORGANIC ACID, QUALITATIVE, URINE Includes 63 Organic Acids and Creatinine Methodology: GC/MS 15 mL random urine FREEZE QUEST 90404 Universal Requisition Set up: Tues, Fri Accompanies report Split specimen into 2 separate Univ. Req. Report available: 7 days containers and freeze both containers.

CPT Code: 83919, 82570

OSMOLALITY, FECES Methodology: Freezing Point Depression 1.0 mL liquid stool FREEZE QUEST 968 Set up: Mon - Fri Reference range not Universal Requisition Univ. Req. Report available: Next day established Formed stool will not be accepted. CPT Code: 84999

OSMOLALITY, SERUM Methodology: Freezing point Depression 1 mL serum (SS) Set up: Daily LAB OSMOLALITY SERUM 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 URINE OSMOLALITY 50 - 1200 mOsm/kg Report available: Same day UOSMO Minimum: 0.5 mL CPT Code: 83935 OSTEOMARK COLLAGEN CROSS- LINKED N-TELOPEPTIDE (NXT) (QUEST 36167) Includes Creatinine 2 mL unpreserved urine, second URINE OSTEOMARK / N Methodology: Enhances morning void LAB TELOPEPTIDE / NTX / Accompanies report Chemiluminescence OSTEOMARK OSTEOMARK Set up: Mon - Sat Minimum 1 mL Report available: Next day

CPT Code: 82523, 82570 OVA AND PARASITES, STOOL CONCENTRATE AND PERMANENT SMEAR (QUEST 681X) If stool is soft or liquid, send PVA and 10% formalin or one Total-fix vial. If parasitic Collect enough specimen to fill both infestation is strongly suspected, there PVA and 10% formalin containers -or- should be at least three stool specimen one Total-fix vial to the level indicated collections and examinations since a single OVA AND PARASITE STOOL on the containers. Mix well. LAB specimen can be negative. For optimum Accompanies report / O AND P / OP Container(s) are available from the OP recovery, specimens should be collected Laboratory. every other day. If Giardia is strongly suspected, see Giardia Specific Antigen-65 ROOM TEMPERATURE (Quest 3471). Methodology: Smear Set up: Mon-Fri Report available: 5 days

CPT Code: 87209, 87177 OVA AND PARASITES, URINE QUEST 2127 Effective 8/15/16, Quest has discontinued Universal Requisition Univ. Req. this test. There is no recommended alternative. OVA1(R ) TEST (QUEST 16991) Effective 8/10/15, this test is no longer LAB OVA1(R ) TEST available. Patients with this order must go OVA1 to a Quest Patient Service Center to be drawn. (A special kit needs to be used.)

OXALATE (OXALIC ACID), 24 HR URINE 10 mL aliquot of 24-hr urine, preserved (QUEST 6816) with 30 mL of 6N HCL during collection. Methodology: Spectrophotometric Alternative preservatives cannot be LAB URINE OXALATE 24HR Set up: Mon, Wed, Fri Accompanies report used. Specify total 24-hr volume on OX 24 UR Report available: Next day request form.

CPT Code: 83945 Minimum: 2 mL OXAZEPAM Methodology: LC/MS/MS 2.0 mL serum (R ) FREEZE QUEST 90855 Set up: Fri Universal Requisition Accompanies report SS tube unacceptable Univ. Req. Report available: 3 days Minimum: 1.0 mL CPT Code: 80346 OXCARBAZEPINE (TRILEPTAL) (QUEST 36637) 1 mL serum (R) Methodology: LC/MS/MS or OXCARBAZEPINE / LAB Set up: Mon - Sat Accompanies report 1 mL plasma (L) TRILEPTAL OXCARBAZEP Report available: 1-3 days Minimum: 0.5 mL CPT Code: 80299 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: 4 days

CPT Code: 80307 OXYTRIPHYLLINE - See Theophylline P-ANCA - See Anti-Myeloperoxidase PACKED CELLS Effective 4/27/11 Use LRPRBC to order PC. BBK PC inactivated. PC PAMELOR- See Nortriptyline PAIN MANAGEMENT, AMPHETAMINES, QUANTITATIVE, URINE Includes Amphetamine, (QUEST 16913) 20 mL urine PAIN MGMT LAB Methodology: Mass Spectrometry Accompanies report AMPHETAMINES URINE PM AMPHETAMINES Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80324 PAIN MANAGEMENT, BARBITURATES, QUANTITATIVE, URINE (QUEST 16912) Includes Amobarbital, Butalbital, 20 mL urine PAIN MGMT Pentobarbital, Secobarbital, Phenobarbital LAB Accompanies report BARBITURATES URINE Methodology: Mass Spectrometry PM BARBITURATES Minimum: 5 mL urine Set up: Daily Report available: 3 days

CPT Code: 80345

PAIN MANAGEMENT, BENZODIAZEPINES, QUANTITATIVE, URINE (QUEST 16914) Includes Alphahydroxylprozolam, Alphhyrdroxylmidazolam, 20 mL urine PAIN MGMT Alphahydroxytriazolam, Aminoclonazepam, LAB Accompanies report BENZODIAZEPINES UR Hydroxyethylflurazepam, Lorazepam, PM BENZODIAZ U Minimum: 5 mL urine Nordiazepam, Oxaepam, Temazepam Methodology: Mass Spectrometry Set up: Mon-Sat Report available: 4 days

CPT Code: 80346

PAIN MANAGEMENT, BUPRENORPHINE, QUANTITATIVE, URINE (QUEST 16213) Includes Buprenorphine, Norbuprenophrine 20 mL urine PAIN MGMT LAB Methodology: Mass Spectrometry Accompanies report BUPRENORPHINE URINE PM BUPRENOR U Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80348

PAIN MANAGEMENT, COCAINE METABOLITE, QUANTITATIVE, URINE (QUEST 16916) Includes Benzoylecgonine 20 mL urine PAIN MGMT COCAINE LAB Methodology: Mass Spectrometry Accompanies report METAB URINE PM COCAINE U Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80353

PAIN MANAGEMENT, CARISOPRODOL METABOLITE, QUANTITATIVE, URINE (QUEST 16902) Includes Meprobamate 20 mL urine PAIN MGMT LAB Methodology: Mass Spectrometry Accompanies report CARISOPRODOL URINE PM CARISOPRODOL Set up: Daily Minimum: 7 mL urine Report available: 3 days

CPT Code: 80369 PAIN MANAGEMENT, FENTANYL, QUANTITATIVE, URINE (QUEST 16900) Includes Fenanyl, Norfentanyl 20 mL urine PAIN MGMT FENTANYL LAB Methodology: Mass Spectrometry Accompanies report URINE PM FENTANYL U Set up: Daily Minimum: 7 mL urine Report available: 3 days

CPT Code: 80354 PAIN MANAGEMENT, HEROIN METABOLITE, QUANTITATIVE, URINE (QUEST 90329) Includes 6-Acetylmorphine 20 mL urine PAIN MGMT HEROIN METAB LAB Methodology: Mass Spectrometry Accompanies report URINE PM HEROIN METAB Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80356

PAIN MANAGEMENT, MARIJUANA METABOLITE, QUANTITATIVE, URINE (QUEST 16917) 20 mL urine PAIN MGMT MARIJUANA Methodology: Mass Spectrometry LAB Accompanies report URINE Set up: Daily PM MARIJUANA U Minimum: 5 mL urine Report available: 3 days

CPT Code: 80349 PAIN MANAGEMENT, MEPERIDINE, QUANTITATIVE, URINE (QUEST 16905) Includes Meperidine, Normeperidine 20 mL urine PAIN MGMT MEPERIDINE LAB Methodology: Mass Spectrometry Accompanies report URINE PM MEPERIDINE U Set up: Daily Minimum: 7 mL urine Report available: 3 days

CPT Code: 80362 PAIN MANAGEMENT, METHADONE, QUANTITATIVE, URINE (QUEST 16918) Includes EDDP, Methadone 20 mL urine PAIN MGMT METHADONE LAB Methodology: Mass Spectrometry Accompanies report URINE PM METHADONE U Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80358 PAIN MANAGEMENT, METABOLITE, QUANTITATIVE, URINE (QUEST 90246) 20 mL urine PAIN MGMT Includes Ritalinic Acid LAB Accompanies report METHYLPHENIDATE UR Methodology: Mass Spectrometry PM METHYLPHEN U Minimum: 5 mL urine Set up: Daily Report available: 3 days

CPT Code: 83789 PAIN MANAGEMENT,OPIATES EXPANDED, QUANTITATIVE, URINE (QUEST 16298) Includes Codeine, Hydrocodone, Hydromorphone, Morphine, 20 mL urine Norhydrocodone, Noroxycodone, LAB PAIN MGMT OPIATES URINE Accompanies report Oxycodone, Oxymorphone PM OPIATES QN U Minimum: 5 mL urine Methodology: Mass Spectrometry Set up: Daily Report available: 3 days

CPT Code: 80361, 80365 PAIN MANAGEMENT, , QUANTITATIVE, URINE (QUEST 16921) 20 mL urine PAIN MGMT Methodology: Mass Spectrometry LAB Accompanies report PHENCYCLIDINE URINE Set up: Daily PM PHENCYC QN U Minimum: 5 mL urine Report available: 3 days

CPT Code: 83992

PAIN MANAGEMENT PROFILE 1 WITH CONFIRMATION, WITHOUT medMATCH, URINE (QUEST 92458) Includes Creatinine, Oxidant, pH, Amphetamines, Barbiturates, Benzodiazepines, Marijuana Metabolite, 30 mL urine PAIN MGMT PROFILE W Cocaine Metabolite, Methadone Metabolite, LAB Accompanies report CONFIRM UR Opiates, Oxycodone, Phencyclidine. PM PROF W CONF Minimum: 7 mL urine Quantitative confirmation of positives will be performed at an additional charge(s). Methodology: IA/ MS Set up: Daily Report available: 3 days

CPT Code: 80307, 82570, 83986, 84311

PAIN MANAGEMENT, PROPOXYPHENE METABOLITE, QUANTITATIVE, URINE (QUEST 16921) Includes Norpropoxyphene 20 mL urine PAIN MGMT LAB Methodology: Mass Spectrometry Accompanies report PROPOXYPHENE URINE PM PROPOXY U Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 80367 PAIN MANAGEMENT, TAPENTADOL, QUANTITATIVE, URINE (QUEST 90243) Includes Tapentadol, Nortapentadol 20 mL urine PAIN MGMT TAPENTADOL LAB Methodology: Mass Spectrometry Accompanies report URINE PM TAPENTADOL U Set up: Daily Minimum: 5 mL urine Report available: 3 days

CPT Code: 83789 PAIN MANAGEMENT, TRAMADOL, QUANTITATIVE, URINE (QUEST 16906) Includes Desmethyltramadol, Tramadol 20 mL urine PAIN MGMT TRAMADOL LAB Methodology: Mass Spectrometry Accompanies report URINE PM TRAMADOL U Set up: Daily Minimum: 7 mL urine Report available: 3 days

CPT Code: 83789 PARAINFLUENZA (1,2,3) VIRUS ANTIBODIES (QUEST 7691) 1 mL serum (SS) Methodology: CF LAB PARAINFLUENZA VIRUS AB Accompanies report Set up: Mon - Fri PARA AB Minimum: 0.5 mL Report available: 2 days

CPT Code: 86790(X3) PARAINFLUENZA VIRUS CULTURE Nasopharyngeal or tracheal swab in LAB PARAINFLUENZA VIRUS (QUEST 3318) VCM; nasal turbinate swab in VCM; Accompanies report PARAINF CULT CULTURE Methodology: Rapid Culture bronchial lavage/wash in sterile Set up: Daily container. PARAINFLUENZA VIRUS DIRECT IF LAB (QUEST 5398) PARAINF DIF This test is no longer available effective 2/10/14. PARANEOPLASTIC ANTIBODIES - See Neuronal Nuclear Antibody PARASITE IDENTIFICATION Suspected parasite in a clean container MIC LAB ONLY labeled with patient name. PARASITE ID CPT Code: 87169 PEDIATRIC MIXED FOOD PANEL #1 (QUEST 8742) Contains Egg White, Milk, Codfish, Wheat, 1.8 mL serum (SS) Peanut, Soybean Room Temperature (can be sent LAB PEDIATRIC MIXED FOOD Methodology: Immunoassay Accompanies report refrigerated also) PED FOOD PANEL1 PANEL 1 Set up: Mon - Sat Report avail: Next day Minimum: 0.9 mL

CPT Code: 86003(X6) PEDIATRIC MIXED FOOD PANEL #2 (QUEST 120562) Contains Green Bean, Egg White, Milk, Wheat, Rye, Barley, Oat, Corn, Rice, Pea, 4.2 mL serum (SS) Peanut, Soybean, Tomato, Pork, Orange, Room Temperature (can be sent LAB PEDIATRIC MIXED FOOD Potato, Strawberry, Yeast, Egg Yolk, Cocoa, Accompanies report refrigerated also) PED FOOD PANEL2 PANEL 2 Banana Methodology: Immunoassay Minimum: 2.1 mL Set up: Mon - Sat Report avail: Next day

CPT Code: 86003(X21) PEDIATRIC MIXED FOOD PANEL #3 (QUEST 133382) 1.2 mL serum (SS) Contains Egg White, Milk, Wheat, Soybean Room Temperature (can be sent LAB PEDIATRIC MIXED FOOD Methodology: Immunoassay Accompanies report refrigerated also) PED FOOD PANEL3 PANEL 3 Set up: Mon - Sat Report avail: Next day Minimum: 0.6 mL CPT Code: 86003(X4) PARATHYROID HORMONE, INTACT Report includes calcium Gn -Li (PST) (Full tube) Methodology: Chemiluminescence (Stable 8 hrs refrigerated or frozen) LAB PTH INTACT Set up: Daily Accompanies report PTH, INTACT Report available: Next day

CPT Code: 83970, 82310

INTACT PTH PROFILE #1 (PTH INTACT, PLUS) (QUEST 1316) 2.0 mL serum (SS) Contains calcium, phosphorus, creatinine FREEZE IMMEDIATELY AFTER LAB w/eGFR, PTH intact and PTH nomogram INTACT PTH PROFILE 1 Accompanies report CENTRIFUGATION. PTH INTACT PROF Methodology: Immunoassay Set up: Mon - Fri Minimum: 0.5 mL Report avail: 2 days

CPT Code: 82310, 82565, 83970,84100

PARATHYROID HORMONE, INTRAOPERATIVE, Performed as a STAT test from the O.R. Gn -Li (PST) (Full tube) Methodology: Chemiluminescence LAB PTH INTRAOPERATIVE Accompanies report Set up: Daily PTH-IO 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 collection, mix PARATHYROID HORMONE RELATED the tube by inverting gently. Centrifuge PROTEIN (PTH-RP) the specimen as soon as possbile for at (QUEST 34478) least 15 minutes. Transfer the plasma to LAB Methodology: Immunoassay PTH RELATED PROTEIN Accompanies report a plastic transport tube and ship at PTH-RP Set up: Tues-Fri ROOM TEMPERATURE. Mark the Report avail: 4 days specimen type as plasma on the transport tube. DO NOT submit unspun CPT Code: 83519 tubes.

Minimum: 0.3 mL PARIETAL CELL ANTIBODIES - See Gastric Parietal Cell Antibody 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 and store refrigerated or frozen. It is not RT-PCR necessary to transfer the plasma from a PPT tube to aliquot tubes. (QUEST 5319) Whole blood and bone marrow: Collect LAB PARVOVIRUS B19 DNA, QL Methodology: RT-PCR Accompanies report in sterile tubes containing EDTA or ACD PARVO DNA RT-PCR Set up: Daily as anticoagulant. Store and ship Report available: Next day 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. PARVOVIRUS B19 IgG and IgM AB, ACUTE (QUEST 8946) 2 mL serum (SS) Methodology: EIA LAB PARVO B19 ACUTE PANEL Accompanies report Set up: Mon - Sat PARVO ACUTE Minimum: 0.5 mL Report available: Next day

CPT Code: 86747(X2) PARVOVIRUS B19 IgG and IgM AB, CONVALESCENT (QUEST 3483) 1 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: 86747(X2) 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 (NEMBUTAL) Methodology: Chromatography 3 mL serum ( R) QUEST 700X Set up: Daily Collect just before next dose. Universal Requisition Accompanies report Univ. Req. Report available: 3 days SS tubes are unacceptable Minimum: 1.0 mL CPT Code: 80345 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 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 PHENOBARBITAL / Set up: Daily LAB Accompanies report 1 mL serum (SS)) PHENOBARB Report available: Same day PHENOBARB Minimum: 0.3 mL CPT Code: 80184 , BLOOD 0.4 mL plasma (Gn, sodium heparin) Methodology: HPLC Collect specimen after an overnight fast QUEST 37356 Set up: Tues, Thurs Universal Requisition Accompanies report (or at least 4 hrs after a meal) if possible Univ. Req. Report available: 5 days Minimum: 0.2 mL CPT Code: 84030 PHENYTOIN (DILANTIN) 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay or Set up: Daily LAB DILANTIN / PHENYTOIN Accompanies report 1 mL serum (SS) Report available: Same day DILA Minimum: 0.5 mL CPT Code: 80185 PHENYTOIN, FREE Methodology: Ultrafiltration/Immunoassay QUEST 3189X Set up: Mon - Sat 2.5 mL serum (R) Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 1.5 mL CPT Code: 80186 PHOSPHATIDYLSERINE IgG, IgM, IgA ANTIBODY PANEL (QUEST 10062X) 1.0 mL plasma (LB) PHOSPHATIDYLSERINE Methodology: IA LAB Accompanies report PANEL Set up: Tues, Thurs PHOSPHATID Minimum: 0.5 mL Report available: Next day

CPT Code: 86148(X3) PHOSPHOLIPID ANTIBODY PANEL - (QUEST 148908) Includes Beta -2 Glycoprotein antibodies, Cardiolipin antibodies, Phosphatidylserine antibodies 5 mL serum (SS) LAB PHOSPHOLIPID AB PANEL Methodology: Immunoassay Accompanies report PHOS PANEL Set up: Tues, Thurs Minimum: 2.3 mL Report available: Next day

CPT Code: 86146(X3), 86147(X3), 86148(X3) PHOSPHOLIPIDS Methodology: Spectrophotometric 1.0 mL serum (R) QUEST 717X Set up: Mon, Thurs Universal Requisition Accompanies report Centrifuge within 1 hr of collection. Univ. Req. Report available: Next day Minimum: 0.5 mL CPT Code: 84311 PHOSPHORUS 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric 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, RANDOM URINE Methodology: Colorimetric 10 mL random urine at room temp Set up: Daily LAB PHOSPHORUS,URINE None available Report available: Same day UPHOS Minimum: 2.0 mL CPT Code: 84105

PHOSPHORUS, URINE Methodology: Colorimetric 10 mL aliquot of 24-hr urine collection Set up: Daily preserved with 30 mL 6N HCL LAB PHOSPHORUS 24 HR URINE Accompanies report Report available: Same day PHOS UR 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 PHOS UR and container. Report available: Next day

CPT Code: 87169 HEPARIN INDUCED PLATELET Red Top Tubes ONLY (BD Vacutainer AGGREGATION STUDY Plus plastic serum tube with clot Sent to WellSpan York Hospital activator). After collection, mix by inverting tube 5-6 times. Specimens Set up: Performed all shifts by York Hospital must be allowed to clot for 60 minutes HEPARIN INDUCED PLT Core Lab. before centrifugation. Centrifuge for 10 LAB Accompanies report AGG Report Available: Same day minutes. Serum should be separated HEP IND PL from cells within 2 hours of draw. CPT Code: 86022 Aliquot serum. Refrigerate. Call STAT courier pickup. Please see SPR30 Processing HIPA specimens to York Hospital for full instructions.

PLATELET AGGREGATION STUDY NON HEPARIN INDUCED Patients must go to HMC for this test. Specimens cannot be sent. Patient must schedule this test with the Special Hematology Lab at HMC. Call 531-8559. PLATELET ANTIBODY, DIRECT (IgG) (QUEST 50198) 6 mL whole blood EDTA (L) tubes Methodology: Flow Cytometry LAB stored at ROOM TEMP PLATELET AB DIRECT Set up: Daily morning Accompanies report PLT AB DIR Report available: 4 days Minimum: 3 mL CPT Code: 86023 PLATELET ANTIBODY, INDIRECT (IgG) (QUEST 16288) Effective 3/6/17, test is no longer available LAB for Quest. Please order LAB MS QUEST PLT AB IND using test code 94303.

PLATELET ANTIBODIES, INDIRECT (IgG, IgA, IgM) Methodology: FC 2 mL serum (SS) QUEST 34327 Universal Requisition Set up: Mon-Sat Accompanies report Univ. Req. Report available: 4 days Minimum: 1 mL

CPT Code: 86022(X3) 5 mL blood (L); Maintain at ambient PLATELET COUNT temperature. For patients with known Methodology: Automated platelet clumping, submit full sodium Set up: Daily LAB PLATELET COUNT 140 - 440 x 109/L citrate tube (LB) also. Make note under Report available: Same day PLT Special Instructions on request form. CPT Code: 85049 Minimum: 1 mL 2 tubes 4.5 mL whold blood (LB). PLATELET FUNCTION ANALYSIS ROOM TEMPERATURE. Methodology: Shear Flow Stress Must be received within 4 hours of PLATELET FUNCTION Set up: Daily LAB Accompanies report collection. Must complete PFA ANALYSIS Report available: Same day PFA Patient History Form. **Test to be drawn in Main Lab and CPT Code: 85576 Diagnostic Center only PLATELET NEUTRALIZATION PROCEDURE - See Lupus Anticoagulant - PNP PLATELETS Includes ABORh and antibody screen. Methodology: Hemeagglutination Set up: Daily ACRODOSE PLATELETS BBK Report available: Same day -or- 6.0 mL whole blood (Pink) properly ACRODOSE PLTS SINGLE DONOR PHERESIS labeled with Blood Bank armband or For acrodose platelets order ACRODOSE PLATELET SDPL PLTS For Single donor platelets order SDPL

CPT Code: 86900, 86901, 86850 + product

PNEUMOCOCCAL IgG SEROTYPES (6 SEROTYPES) (QUEST 34263X) LAB Effective 3/27/17, Quest has discontinued PNEUMO 6 this test. PNEUMO 14 Pneumococcal IgG Serotypes (Quest 19564) as an alternative.

PNEUMOCOCCAL IgG SEROTYPES (14 SEROTYPES) (QUEST 19564) Includes Serotypes 1, 3, 4, 5, 8, 9 (9N), 14, 0.5 mL serum (SS or R) PNEUMO IGG 14 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 LAB Accompanies report SEROTYPES Methodology: MAID PNEUMO 14 Minimum: 0.25 mL Set up: Mon-Sat Report available: 1-3 days

CPT Code: 86317(X14) PNEUMOCYSTIS CARINII (JIROVECI), DFA 3 mL bronchial lavage/washings (QUEST 12200) submitted in sterile, screw-capped Includes Pneumoncystis carinii DFA and container. PNEUMOCYSTIS CARINII Concentration -Or- LAB Accompanies report DFA Methodology: DFA 3 mL sputum submitted in sterile, screw- P CARINII DFA Set up: Mon - Sun capped container. Report available: Next day Minimum: 2 mL CPT Code: 87015, 87281 POLIOVIRUS ANTIBODY NEUTRALIZATION (IMMUNE STATUS) LAB (QUEST 56772) POLIO AB NEUT Effective 6/27/16, Quest has discontinued this test. POLIOVIRUS CULTURE - See Enterovirus Culture POLYMYCITIS ANTIBODY (SRP ANTIBODIES) Methodology: Radioimmunoprecipitation 1 mL serum (R) QUEST 117822 Assay Separate serum within 4 hrs of Universal Requisition Accompanies report Univ. Req. Set up: Tues-Thurs collection. Report available: 9 days Minimum: 0.5 mL

CPT Code: 86235 PORPHOBILINOGEN, QUALITATIVE, URINE 20 mL random urine Methodology: Colorimetric Collect after first morning void and QUEST 2286 Universal Requisition Set up: Tues, Fri Accompanies report before early evening. Protect from light Univ. Req. Report available: Next day Minimum: 2 mL CPT Code: 84106 PORPHOBILINOGEN, URINE, QUANTITATIVE (Quest 6329) 10 mL random urine, no preservatives URINE PORPHOBILINOGEN Methodology: Colorimetric protect from light LAB Accompanies report RANDOM Set up: Tues, Fri PORPHO UR Report available: Next day Minimum: 2 mL

CPT Code: 84110 PORPHYRINS, FECAL, QUALITATIVE (QUEST 35518) 10 g random stool FREEZE Protect Methodology: Fluorometric from light LAB PORPHYRINS STOOL Set up: Tues Accompanies report PORPHY ST Report available: Next day Minimum: 5 g CPT Code: 84311

PORPHYRINS, FRACTIONATED QUANTITATIVE, 24-HOUR URINE Includes Coproporphyrin III, Hepta- 2 mL aliquot of 24-hr urine preserved carboxyporphyrin, Hexacarboxyporphyrin, with 5 g Na2CO3 during collection; Pentacarboxyporphyrin, Total Porphyrins, protect from light and refrigerate. QUEST 729X Universal Requisition Uroporphyrin I, Uroporphyrin III Accompanies report Specify total 24-hr volume on request Univ. Req. Methodology: HPLC form. Set up: Sun, Tues - Fri Report available: 5 days Minimum: 1 mL

CPT Code: 84120

PORPHYRINS, BLOOD - See Zinc Protoporphyrin (ZPP) 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 WITH CREAT Methodology: ISE urine. 24 hour volume required. LAB Accompanies report 24HR UR Set up: Daily K W-CREAT 24H U Report available: 4 days Minimum: 2 mL

CPT Code: 84133, 82570 POTASSIUM , URINE - See Electrolytes URINE POTASSIUM Urine also LAB RANDOM UK CPT Code: 84133 PR3 - See Anti-PR3 PREECLAMPSIA PANEL Includes: CBC, AST, ALT, Protein Creatine Ratio, Creatine Clearence, Urine Total Protein 24 Hour, Uric Acid 4 mL blood (EDTA), Methodology: Various 4 mL blood (Gn-Li), LAB Set up: Daily Accompanies report PREECLAMPSIA PANEL 24 hour urine collection, 5mL PREECLAMPAN Report available: Same day random urine CPT Code: 85025,84450,84460,82570,84156,82575, 84156, 84550 1 mL serum (R) PREGABALIN (LYRICA) , S/P (QUEST 18866) Minimum: 0.4 mL Methodology: LC/TMS LAB Set up: Tues, Thurs, Sat Accompanies report PREGABALIN / LYRICA Specimen Stability: PREGABALIN 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) Methodology: LC/MS/MS 0.5 mL serum (R) Set up: Sun - Thurs SST tube unacceptable LAB PREGNENOLONE Accompanies report Report available: 6 days PREGNENOLONE Minimum: 0.2 mL CPT Code: 84140

PRIMIDONE (MYSOLINE) 1 mL plasma (L) (QUEST 6381) or Includes Phenobarbital 1 mL serum (R or DB) Methodology: Immunoassay LAB PRIMIDONE / MYSOLINE Accompanies report SST unacceptable Set up: Mon - Sat PRIMIDONE Collect as through just prior to next Report available: Next day dose. Minimum: 0.5 mL CPT Code: 80188, 80184 14-3-3 PROTEIN, CSF (PRION DISEASE) 5.0 mL CSF FROZEN Methodology: IA Freeze within 20 minutes of collection. QUEST 900888 Set up: Mon-Fri Universal Requisition Accompanies report Store and transport frozen on dry ice. Univ. Req. Report available: 10 days Ship Monday- Wednesday only. Minimum: 1.0 mL CPT Code: 83520 PROCAINAMIDE (PRONESTYL) Includes N-acetylprocainamide (NAPA) (QUEST 3782) 1 mL serum (R) Methodology: Immunoassay Collect as a trough just before next LAB PROCAINAMIDE PLUS NAPA Accompanies report Set up: Mon-Sat dose. PROC-NAPA Report available: Next day Minimum: 0.2 mL

CPT Code: 80192 PROCALCITONIN Methodology: Enzyme Immunoassay 1 mL serum (SST) Set up: Daily LAB PROCALCITONIN 0-0.05 ng/mL Report available: Same day PCT Minimum: 0.5 mL CPT Code: 84145 PROGESTERONE Methodology: Chemiluminesence 1 mL serum (SS) Set up: Daily LAB PROGESTERONE Accompanies report Report available: Next day PROGEST Minimum: 0.5 mL CPT Code: 84144 PROGESTERONE FOR IN VITRO FERTILIZATION Methodology: Chemiluminescence 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/MS/MS 0.5 mL serum (R) LAB PROGESTERONE 17 ALPHA Set up: Mon - Fri Accompanies report PROGEST 17 Report available: 2 days Minimum: 0.25 mL

CPT Code: 83498 PROGRAF - See FK506 1 mL serum (SS) FREEZE Overnight fasting is required. Allow blood to fully clot (about 1/2 hour) at PROINSULIN (QUEST 7091) room temperature (20-25 degrees C). Methodology: Immunoassay Centrifuge in a refrigerated centrifuge Set up: Mon LAB Accompanies report and separate immediately. Specimens PROINSULIN Report available: 4 days PROINSULIN collected in serum separation tubes should be removed from the gel after CPT Code: 84206 centrifugation.

Minimum: 0.8 mL PROLACTIN Methodology: Chemiluminesence Set up: Daily LAB PROLACTIN Accompanies report 1 mL serum (SS) Report available: Next day PROLACTIN CPT Code: 84146 PROMETHAZINE Methodology: GC 3 mL serum (R) QUEST 12237 Set up: Sun - Fri Universal Requisition Accompanies report or Univ. Req. Report available: 4 days 3 mL EDTA plasma (L) CPT Code: 80342 PROMETHEUS Send out to Athena Diagnostics - Must be drawn at WellSpan Ephrata Medical Laboratories (EML) PRONESTYL - See Procainamide PROPAFENONE (RHYTHMOL) (RISMOL) (QUEST 6278) 1.0 mL serum (R) Methodology: LC/MS/MS PROPAFENONE / Draw 2 - 6 hours post oral dose LAB Set up: Tues, Thurs Accompanies report RHYTHMOL SS tube unacceptable PROPAF Report available: 6 days Minimum: 0.5 mL CPT Code: 80299 PROPOXYPHENE, QUANTITATIVE (DARVON) Includes Propoxyphene, Norpropoxyphene, and Combined Total 4.0 mL serum (R) QUEST 35267X Universal Requisition Methodology: GC/MS Accompanies report Univ. Req. Set up: Tues-Sat Minimum: 3.0 mL Report available: 3 days

CPT Code: 80367 PROPOXYPHENE PRESUMPTIVE SCREEN Methodology: Immunoassay 30 mL random urine QUEST 18997 Detection limit: 300 ng/mL Universal Requisition Accompanies report Univ. Req. Set up: Daily Minimum: 10 mL Report available: Next day

CPT Code: 80307 PROSTATE SPECIFIC ANTIGEN (PSA) DIAGNOSTIC (use for diagnostic diagnosis codes) Methodology: Chemiluminescence 1 mL serum (SS) LAB PSA DIAGNOSTIC Accompanies report Set up: Daily (Stable 24 hrs refrigated or frozen) PSA DIAG Report available: Next day

CPT Code: 84153 PROSTATE SPECIFIC ANTIGEN (PSA) SCREEN (use for screening diagnosis codes) Methodology: Chemiluminescence 1 mL serum (SS) LAB PSA SCREEN Accompanies report Set up: Daily (Stable 24 hrs refrigated or frozen) PSA SCR Report available: Next day

CPT Code: 84153 PROSTATE SPECIFIC ANTIGEN TOTAL AND FREE Includes Total PSA, Free PSA, % Free PSA (calculated) 2 mL serum (SS) FREEZE (QUEST 31348) LAB PSA FREE AND TOTAL Accompanies report Methodology: IA PSA FR+TOT Minimum: 0.6 mL Set up: Mon - Fri Report available: Next day

CPT Code: 84153, 84154 PROSTATE SPECIFIC ANTIGEN (PSA) POST-PROSTATECTOMY (ULTRASENSITIVE PSA) (QUEST 14808) 1 mL serum (SS) PSA POST- LAB Methodology: ICMA Accompanies report PROSTATECTOMY PSA POST-PROST Set up: Mon, Wed, Fri Minimum: 0.5 mL Report available: 3 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 19673) 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 ANTIGEN Accompanies report testing. Methodology: IA 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 URINE PROTEIN LAB Set up: Daily See individual components 5 mL random urine CREATININE RATIO UPROTCREA Report available: Same day

CPT Code: 84156, 82570 2 mL FROZEN citrated plasma (LB)

1) Draw LB tube and centrifuge within PROTEIN C RESISTANCE, ACTIVATED 60 minutes of collection (APC RESISTANCE) at 3000 rpm for 15 minutes. (QUEST 58653) 2) Remove plasma to a plastic ACTIVATED PROTEIN C Methodology: RVVT Clot Based Assay tube using a plastic pipette, taking care LAB Accompanies report RESISTANCE Set up: Mon - Sat to avoid platelet buffy layer.. APC RESISTANCE Report available: Next day 3) Centrifuge a 2nd time and transfer platelet-poor plasma into a new plastic CPT Code: 85307 vial. 4) FREEZE immediately in a -70C freezer and ship on dry ice.

Minimum: 1 mL PROTEIN ELECTROPHORESIS, CEREBROSPINAL FLUID Includes Total Protein, Protein Electrophoresis QUEST 749X 6 mL CSF Universal Requisition Methodology: Varies Accompanies report Univ. Req. Minimum: 3 mL Set up: Mon - Sat Report available: 2 days

CPT Code: 84157, 84166

Protein Electrophoresis TEST NO LONGER DONE AT CPAL. RECOMMEND SPEP SERUM QUEST 747.

Protein Electrophoresis, SERUM,PROGRESSIVE TEST NO LONGER DONE AT CPAL. RECOMMEND EP MSPIKE QUEST 131682

PROTEIN ELECTROPHORESIS, SERUM (QUEST 747) Includes Total protein and protein 2mL serum (R ) or (SS) electrophoresis PROTEIN Overnight fasting is preferred Gross LAB Methodology: Electrophoresis / SP Accompanies report ELECTROPHORESIS SERUM hemolysis is unacceptable. SPEP SERUM Set up: Mon – Sat Minimum: 1 Ml Report available: Next Day

CPT Code: 84155, 84165

PROTEIN ELECTROPHORESIS with M SPIKE PANEL, PROGRESSIVE (QUEST 131682) When M Spike is detected on the Protein Electrophoresis, test reflexes to 2mL serum (R) PROTEIN ELECTRO SERUM Immunofixation at an additional charge. Fasting specimen is required. LAB Accompanies report PROG Methodology Electrophoresis EP MSPIKE Set up: Mon - Sat Minimum: 1 mL Report available: Next Day

CPT Code: 84155, 84165

Protein Electrophoresis,URINE TEST NO LONGER DONE AT CPAL. RECOMMEND UPEP RAN (QUEST 8525)

PROTEIN TOTAL AND PROTEIN ELECTROPHORESIS, URINE (QUEST 8525) Total protein with quantitation of protein, 25 mL unpreserved, first catch, morning creatinine, and protein/creatinine ratio; and urine Protein Electrophoresis with quantitation of (Note: Random, urpreserved urines are PROTEIN immunoglobulins G, A, M. Includes M-Spike LAB Accompanies report acceptable) ELECTROPHORESIS URINE quantitation. UPEP RAN Methodology: Electrophoresis / SP Minimum: 15 mL Set up: Mon – Sat Report available: Next Day

CPT Code: 82570, 84156, 84166 Protein Electrophoresis Urine Progressive TEST NO LONGER DONE AT CPAL. RECOMMEND UPEP M SPK (QUEST 133577) PROTEIN ELECTROPHORESIS with M SPIKE, PROGRESSIVE, RANDOM URINE (QUEST 133577) Total protein, protein electrophoresis, quantitation of immunoglobulins G, A, M, and urine immunofixation. Includes M-Spike 10 mL unpreserved random urine quantitation. Immunofixation PROTEIN ELECTRO URINE LAB will be performed, if indicated, at an Accompanies report PROG Minimum: 5 mL UPEP M SPK additional charge. Methodology Electrophoresis Set up: Mon – Sat Report available: Next Day

CPT Code: 82570, 84156, 84166

TOTAL PROTEIN, BODY FLUID Performed at York Hospital Methodology: Colorimetric LAB PROTEIN BODY FLUID Set up: Daily 2 mL fluid, no preservative BFPROT Report available: Next day

CPT Code: 84157 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. 1 mL citrated platelet-poor plasma (LB), 3.2% sodium citrate, FREEZE Draw blood in light blue-top tube containing 3.2% sodium citrate, and mix gently by inverting 3-4 times. Centrifuge PROTEIN S ANTIGEN, FREE 15 minutes at 1500 x g within 1 hour of (QUEST 10170) collection. Using a plastic pipette, Methodology: Immunoturbidimetric LAB remove plasma taking care to avoid the PROTEIN S ANTIGEN FREE Set up: Mon - Fri Accompanies report PROT S AG FREE WBC/platelet buffy layer and place into Report available: Next day a plastic vial. Centrifuge a second time transfer platelet-poor plasma into a new CPT Code: 85306 plastic vial(s). Freeze immediately and transport on dry ice.

Minimum: 0.5 mL

2 mL platelet-poor plasma (LB), 3.2% sodium citrate), FREEZE Platelet-poor plasma: Centrifuge light blue-top tube 15 minutes at approximately 1500 x g within PROTEIN S, TOTAL and FREE 60 minutes of collection. Using a plastic (QUEST 36457) pipette, remove plasma, taking care to Please submit a separate vial for each avoid the WBC/platelet buffy layer and special coagulation assay ordered. PROTEIN S TOTAL AND place into a plastic vial. Centrifuge a LAB Methodology: Immunoturbidimetric Accompanies report FREE second time and transfer platelet-poor PROT S Set up: Mon - Fri plasma into a new plastic vial. Plasma Report available: Next day must be free of platelets (< 10,000/mcl). Freeze immediately and ship on dry ice. CPT Code: 85305, 85306 Minimum: 1 mL

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 / TP Accompanies report 1 mL serum (SS) Report available: Same day TP Minimum: 0.5 mL CPT Code: 84155 PROTEIN, TOTAL, 24HR URINE 100 mL aliquot of 24-hr urine or random Methodology: Colorimetric urine sample, collected without URINE TOTAL PROTEIN 24 Set up: Daily preservatives and refrigerated. Specify LAB Accompanies report HOUR Report available: Same day 24-hr total volume on the request form. UTP24 CPT Code: 84156 Minimum: 2 mL

PROTEIN, TOTAL, RANDOM URINE Methodology: Colorimetric URINE TOTAL PROTEIN Set up: Daily LAB Accompanies report 5 mL urine RANDOM Report available: Same day UTP CPT Code: 84156 PROTHROMBIN GENE ANALYSIS - See Factor II Mutation

2.7 mL blood (LB); Stable for 24 hours or Protime: 10.9 - 12.8 sec. 1 mL FROZEN citrated plasma, if not submitted in 24 hours. INR: 2.0 - 3.0 for most medical PROTHROMBIN TIME (PT), WITH INR Draw blood into a light blue top tube, and surgical thromboembolic Methodology: Optical Clot Detection filling tube to complete volume. Invert states Set up: Daily gently 3 - 4 times. If patient is a difficult LAB PROTIME 2.0 - 3.0 for recurrent Report available: Same day stick or specimen is collected using a PROTIME embolism butterfly, draw a plain red top tube & 2.5 - 3.5 for mechanical CPT Code: 85610 discard or use for other testing. heart valves 3.0 - 3.5 for lupus Refrigerate until pickup; specimen must anticoagulant be tested within 24 hours of collection.

PROTOPORPHYRIN, ZINC - See Zinc Protoporphyrin (ZPP) PROTOPORPHYRINS, ERYTHROCYTE - See Zinc Protoporphyrin (ZPP) PSA II - See Prostate Specific Antigen, Free & Total PSEUDOCHOLINESTERASE - See Cholinesterase, Serum or Plasma PSITTACOSIS - See Chlamydia IgG PTH - See Parathyroid Hormone 4.0 mL blood (L) Draw and immediately mixed with 4.0 PYRUVIC ACID (PYRUVATE) mL ice cold 7% or 8% perchloric acid. (QUEST 50411) Let mixture stand for 10 min and Methodology: Enzymatic centrifuge. Separate and submit LAB PYRUVIC ACID Set up: Mon, Wed, Fri Accompanies report supernatant fluid for assay. Please PYRUVIC Report available: Next day specify volumes of blood and perchloric acid used. CPT Code: 84210 Minimum: 2 mL mixed with 2 mL perchloric acid QUAALUDE - See Methaqualone QUAD SCREEN (QUEST 30294) 2.5 mL serum (SS) Includes AFP, unconjugated Estriol, hCG, Patient must be between 16 - 20 Dimeric Inhibin A and Maternal Risk weeks gestation Gross Interpretation hemolysis or gross lipemia LAB QUAD SCREEN Accompanies report Methodology: IA unacceptable. QUAD SCREEN Set up: Mon - Fri See Alpha-Fetoprotein Triple Screen for Report available: Next day additional information

CPT Code: 82105, 84702, 82677, 86336 SPECIAL COLLECTION TUBES Collect in 3 separate collection tubes. All 3 tubes must be received for complete testing. Specimens need to QUANTIFERON TB GOLD be received in original collection tubes (CPAL 3520000) with 1 mL of whole blood in each. Methodology: (EIA) Enzyme Immunoassay LAB QUANTIFERON TB GOLD Accompanies report Shake specimen and incubate for 16-24 Set up: Mon - Fri QFTB hours in a 37 C incubator. Incubation must begin within 16 hours of collection. CPT Code: 86480 After 24 hours, place at room temperature.

DO NOT REFRIGERATE OR SPIN

QUINIDINE (CARDIOQUIN) (QUINIDEX) (QUEST 766) 1 mL serum (R) Methodology: IA Collect just before next dose. SS LAB QUINIDINE Set up: Mon-Sat Accompanies report tubes unacceptable QUIN Report available: Next day Minimum: 0.2 mL CPT Code: 80194 RA GROUP Includes Anti-CCP and RF Quant. (CPAL 3000314) LAB Methodology: EIA & Nephelometry RA GROUP Accompanies report 1mL serum (SS) FREEZE RA GRP Set up: Wed and Sat Report available: Next day

CPT Code: 86200, 80194 RA LATEX - See Rheumatoid Factor (RF) RABIES VACCINE RESPONSE Referral test for Quest 2 mL serum ( R) Methodology: RFFIT Minimum: 1mL QUEST 18232 Universal Requisition Set up: Mon, Thurs Accompanies report UNIV. Req. Report available: 30 days

CPT Code: 86382 3 mL serum ( R) FROZEN Let RAJI CELL IMMUNE COMPLEX ASSAY stand for 2 hrs, then separate serum Methodology: Quant Flow Cytometry from cells within 1 hr and freeze QUEST 901418 Set up: Tues Universal Requisition Accompanies report immediately. Separate specimens must Univ. Req. Report available: 11 days be submitted when multiple tests are ordered. CPT Code: 86332 Minimum: 0.5 mL RAPAMYCIN (SIROLIMUS) (QUEST 36712) Methodology: LC/MS/MS 2 mL EDTA whole blood (L) LAB RAPAMYCIN / SIROLIMUS Set up: Mon - Sat Accompanies report Collect specimen 1 hr prior to next dose. RAPAMYCIN Report available: Next day Minimum: 1 mL

CPT Code: 80195 RAST - See Allergy Testing RED BLOOD CELL FOLATE - See Folic Acid, Red Blood Cell RED CELL ANTIBODY IDENTIFICATION - See Antibody Identification, Red Cell 5 mL blood (Green Na-Hep no RBC FRAGILITY, INCUBATED seperator) DO NOT OPEN TUBE- (QUEST 139731) MUST BE STERILE. Methodology: Colorimetric / Kinetic LAB RBC OSMOTIC FRAGILITY Set up: Daily Accompanies report MUST BE RECEIVED AT LAB BY RBC FRAG INC Report available: 3 days 1200 PM MONDAY THROUGH WEDNESDAY. CPT Code: 85557 Minimum: 5 mL REDUCING SUBSTANCES, FECAL (QUEST 91018) Methodology: Benedicts Solution REDUCING SUBSTANCES 10 mL random stool FROZEN LAB Set up: Mon - Fri Accompanies report STOOL Minimum: 3 g RED SUB Report available: Next day

CPT Code: 84376 RENAL FUNCTION PANEL BASIC/BMP (Basic Metabolic Panel) PHOS (Phosphorus) ALB (Albumin) 5 mL serum (SS) LAB ONLY check order sets This order group corresponds to the RENAL PAN Renal Function Panel ordered by Minimum: 5 mL (Order group) WellSpan Family Practice-Manheim and other WellSpan facilities CPT Code: 80069 RENIN, DIRECT (QUEST 16846) Methodology: LC/MS/MS 0.8 mL EDTA plasma (L) FROZEN LAB RENIN ACTIVITY PLASMA Set up: Daily Accompanies report Do not refrigerate the sample RENIN Report available: 1-4 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 Based Assay 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 only. Methodology: EIA RESPIRATORY SYNCYTIAL Please refer to RSV RT-PCR for LAB Set up: As received Negative VIRUS / RSV patients age 5 years or greater. RSV Report available: Same day Nasopharyngeal wash or aspirate CPT Code: 87420 RESPIRATORY SYNCYTIAL VIRUS (RSV) DIRECT IF TEST 3 mL nasal wash or aspirate in sterile, (QUEST 5291) container 9/9/13: Methodology: DFA Bronchial washings and lavages are now LAB RSV DIRECT IF ASSAY Accompanies report Set up: Mon - Fri acceptable RSV DIF Report available: 2 days Minimum: 1 mL CPT Code: 87280 Nasopharyngeal wash/aspirate in VCM RESPIRATORY SYNCYTIAL VIRUS (RSV) Transport Medium. RNA, RT-PCR Minimum: 1 mL (QUEST 16047) Or Reference Send Out Test for Quest Nasopharyngeal swab - dacron LAB RSV REAL TIME PCR Methodology: Real-Time PCR Accompanies report polyester or rayon tipped in VCM RSV PCR Set up: Mon - Sat Transport Medium. NO calcium alginate Report available: 1-3 days swabs. CPT Code: 87798 Nasopharyngeal wash/aspirate in VCM RESPIRATORY SYNCYTIAL VIRUS (RSV) Transport Medium. IMMUNOASSAY Minimum: 1 mL Only availablefor order by (QUEST 271373) Or Lab- order Methodology: Immunochromatography Nasopharyngeal swab - dacron LAB Accompanies report RESPIRATORY SYNCYTIAL Set up: Daily polyester or rayon tipped in VCM RSV - QUEST VIRUS Report available: Next day Transport Medium. NO calcium alginate swabs. CPT Code: 87807 FROZEN

RESPIRATORY VIRUS PANEL, PCR (performed by Wellspan at York Hospital) Panel includes Adenovirus, Coronavirus, Influenza A, Influenza B, Metapneumovirus, Source: Nasopharyngeal A Parainfluenza, Rhinovirus/Enterovirus, dry sterile synthetic flock NP swab in LAB Respiratory Syncytial Virus (RSV), Viral Transport Media (VTM). (See RESPIRATORY VIRUS Universal Requisition Bordetella pertussis, Chlamydophila Accompanies report RESP VIRUS PCR for non-flock NP PANEL by PCR to YORK pneumoniae, Mycoplasma pneumoniae swab sources) HOSPITAL Methodology: Real-Time PCR Set up: Daily Report available: 1 day

CPT Code: 87633

RESPIRATORY VIRUS PANEL PCR (QUEST 91233) Minimum 1mL sputum, or bronchial Panel includes Influenza A&B, RSV, lavage/wash, or nasopharyngeal Adenovirus, Rhinovirus, Human RESPIRATORY VIRUS aspirate/wash, or tracheal lavage/wash LAB Metapneumovirus, and Parainfluenza Accompanies report PANEL PCR submitted in sterile, leakproof container. RESP VIRUS PCR Methodology: Real-time PCR Set up: Daily Report available: 3-5 days CPT code: 87632 RETICULIN IGG and IGA SCREEN WITH REFLEX TO TITER (QUEST 8962) Methodology: IA 1 mL serum (SS) RETICULIN IGG IGA Set up: Mon - Fri LAB Accompanies report SCREEN Report available: Next day RETIC IGG-IGA Minimum: 0.5 mL CPT Code: 86255(X2) [If screen(s) is positive, the antibody titer(s) will be added at an additional charge(s) (CPT 86256)] RETICULIN IGA SCREEN WITH REFLEX TO TITER (QUEST 37520) Methodology: IA 0.5 mL serum (SS) Set up: Mon - Fri LAB RETICULIN IGA SCREEN Accompanies report Report available: Next day RETIC IGA SCR Minimum: 0.1 mL CPT Code: 86255 [If screen is positive, a titer will be perfomed at an additional charge (CPT code: 86256)] RETICULIN IGG SCREEN WITH REFLEX TO TITER (QUEST 16530) Methodology: IA 0.5 mL serum (SS) Set up: Mon - Fri LAB RETICULIN IGG SCREEN Accompanies report Report available: Next day RETIC IGG SCR Minimum: 0.1 mL CPT Code: 86255 [If screen is positive, a titer will be perfomed at an additional charge (CPT code: 86256)] <1 day: 1.8 - 4.6 % RETICULOCYTE COUNT (RETIC GROUP 1 day - < 4 days: AUTOMATED) 0.7 - 2.9 % Test includes Retic%, Retic#, Immature 4 days: 1.0 - 1.4 % Retic Fraction(IRF), Reticulocyte 5 days: 0.4 - 0.8 % Hemoglobin Equivalent (RET-HE) 6 days - 1 month 5 1 mL blood (L) LAB RETICULOCYTE COUNT days: 0.1 - 1.7 % RETICAUTO Methodology: automated:flow cytometry 1 month 7 days - 2 Minimum: 0.5 mL Set up: Daily months 23 days: Report available: same day 0.4 - 1.0 % >2 months 23 days: CPT Code: 85046 0.5 - 1.5 %

RHEUMATOID FACTOR (CPAL 3000168) Methodology: Latex agglutination 1 mL serum (SS) RHEUMATOID FACTOR / RA LAB Set up: Mon - Sat Negative QUANT / RA RF Report available: Next day Minimum: 1 mL

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 RHOGAM INVESTIGATION - less than 20 weeks gestation. BBK 6.0 mL whole blood (Pink) ANTENATAL Includes ABO Blood Group, Rh Type, ANTE RHIG 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, BBK LAB ONLY Patient and specimen must be assigned Antibody Screen, Fetal Cell Screen if POST RHIG a unique Blood Bank identification indicated. number. CPT Code: 86900, 86901, 86850, 85461

RIBOSOMAL P ANTIBODY (QUEST 35432) Methodology: Immunoassay 1 mL serum (SS) LAB RIBOSOMAL P AB Set up: Mon - Sat Accompanies report RIBOSOMAL P Report available: Next day Minimum: 0.5 mL

CPT Code: 83516 RICKETTSIAL AGENTS ANTIBODY PANEL (QUEST 37478) Includes assays for antibodies against a spotted fever group antigen (IFA), typhus 2.0 mL serum (SS) fever group antigen (IFA), and Q-fever LAB RICKETTSIAL AB PANEL Accompanies report phase I and phase II antigens (CF). RICK AB PAN Minimum: 0.9 mL Methodology: Varies Set up: Varies with assay Report available: 7 days

CPT Code: 86638(X4), 86757(X4) Minimum: 1 mL FROZEN citrated plasma (LB) RISTOCETIN COFACTOR (QUEST 34173) 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 RICKETTSIA ANTIBODY PANEL WITH REFLEX TO TITERS Includes Rocky Mountain Spotted Fever and Typhus IgG and IgM and titers if indicated (additional charge) 1 mL serum (SS) LAB RICKETTSIA PANEL WITH (QUEST 37507) Accompanies report RICKETTSIA PAN TITER Methodology: IFA Minimum: 0.2 mL Set up: Mon - Fri Report available: Next day

CPT Code: 86757(X4) RICKETTSIA / ROCKY MOUNTAIN SPOTTED FEVER ABS WITH REFLEX TO TITERS Includes RMSF IgG and IgM and titer if indicated (additional charge) 1 mL serum (SS) LAB RICKETTSIA RMSF IGG IGM (QUEST 6419) Accompanies report RMSF ABS AB Methodology: IFA Minimum: 0.2 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 IGG Accompanies report Methodology: IFA TYPHUS ABS IGM AB Minimum: 0.2 mL Set up: Mon - Fri Report available: 2 days

CPT Code: 86757(X2) ROTAVIRUS Methodology: EIA Stool (1 gram) in a sterile container; do Set up: Daily LAB ROTAVIRUS Negative not submit specimen in VCT. Report available: Same day ROTAVIRUS Refrigerate. CPT Code: 87425 ROTAVIRUS ANTIGEN DETECTION Methodology: EIA 5 mL stool in a sterile container, QUEST 706X Set up: Mon, Wed, Fri FROZEN Universal Requisition Accompanies report Univ. Req. Report available: 2 days Minimum: 1 mL CPT Code: 87425

RPR (CPAL 3000100) Positive screen will have RPR Quantitative performed at additional charge. 1 mL serum (SS) RAPID PLASMIN REAGENT / LAB Methodology: Flocculation Nonreactive 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 (CPAL 3000284) Methodology: MEIA 1 mL serum (SS) LAB RUBELLA IGG AB 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) LAB RUBELLA IGM AB Set up: Mon - Fri Accompanies report RUBELLA IGM Report available: Next day Minimum: 0.6 mL

CPT Code: 86762 RUBEOLA VIRUS IgG ANTIBODIES (CPAL 3001190) Methodology: EIA LAB RUBEOLA IGG AB Set up: Mon, Wed, Fri Positive 1 mL serum (SS) RUBEOLA Report available: Next day

CPT Code: 86765 RUBEOLA VIRUS IgM ANTIBODIES (MEASLES IGM) (QUEST 34256) 1 mL serum (SS) RUBEOLA IGM AB / Methodology: IFA LAB Accompanies report MEASLES IGM Set up: Tues, Thurs RUBEOLA IGM Minimum: 0.2 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 33693) discard or use for other Methodology: Clotting assay RUSSEL VIPER VENOM testing. LAB Set up: Mon - Sat 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 (ASPIRIN) Methodology: Immunoassay 1 ml blood (Gn -Li (PST)) Set up: Daily Accompanies report LAB SALICYLATE / ASPIRIN or Report available: Same day SALIC 1 mL serum (SS) CPT Code: 80329 Nasal swab only. STAPH AUREUS NASAL COMPLETE LAB Methodology: Molecular DNA Not Detected Double Culturette (red top) with SANASAL SA NASAL COMPLETE Set up: Daily Stuarts Media. Report available: 1 day NICU ONLY: 2 Mini-tip swabs with CPT Code: 87640, 87641 Stuarts media. SALMONELLA TOTAL ANTIBODY Includes Salmonella H Type A, Salmonella H Type B, Salmonella H Type D, Samonella O Type D, Salmonella O Type Vi QUEST 10582X Universal Requisition Methodology: EIA Negative 0.5 mL serum (SS) Univ. Req. Set up: Mon - Fri Report available: 3 days

CPT Code: 86768(X5) SCHISTOSOMIASIS ANTIBODY (IgG) Methodology: FMI QUEST 34306X Set up: Wed, Sat Universal Requisition Accompanies report 1 mL serum (SS) Univ. Req. Report available: 5 days

CPT Code: 86682

SCLERODERMA (Sci-70) ANTIBODIES (CPAL 3000826) Methodology: Fluroenzyme Immunoassay 0.5 mL serum (SS) FROZEN ANTI SCLERODERMA AB / LAB Set up: Mon, Wed, Fri Accompanies report SCL 70 ANTI-SCLER Report available: Next day Minimum: 0.2 Ml

CPT Code: 86235

SECOBARBITAL Methodology: GC/MS 3.0 mL serum (DB or R) QUEST 817X Set up: Tues-Sat SS tubes unacceptable Universal Requisition Accompanies report Univ. Req. Report available: 3 days Minimum: 1.0 mL CPT Code: 80345 Male: Under 50 yr: 0-15 mm/hr SEDIMENTATION RATE (ESR) Over 50 yr: 0-20 4 mL blood (L). Methodology: Westergren (manual) mm/hr Specimen must be received within 12 ERYTHROCYTE Set up: Daily LAB Female: hours of collection. SEDIMENTATION RATE Report available: Same day ESR Under 50 yr: 0-20 mm/hr Minimum: 2 mL CPT Code: 85652 Over 50 yr: 0-30 mm/hr SELENIUM (QUEST 5507) 2.0 mL serum (DB) FROZEN Methodology: Inductiely Couples Centrifuge serum or plasma specimen LAB Plasma/Mass Spectrometry SELENIUM Accompanies report within 1 hour of collection. Immediately SELENIUM Set up: Tues, Fri separate serum or plasma from the cells Report available: 2 days into special trace element collection vial CPT Code: 84255 SEMEN ANALYSIS Specimen should be delivered within 1 Methodology: Microscopic exam hour of collection. Call for appointment. Set up: Mon - Fri 0800 am - 1100 am Physician offices are provided with LAB SEMEN ANALYSIS Accompanies report Report available: 2 days instruction sheet. SEMANALYSIS 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, QUANTITATIVE Methodology: Colorimetric 1 mL fresh semen, FROZEN QUEST 3152X Set up: Tues Universal Requisition Accompanies report Univ. Req. Report available: Next day Minimum: 0.5 mL CPT Code: 84376 SERAX - See Oxazepam SEROQUEL (QUETIAPINE) 1 mL serum (R ) Methodology: LC/MS/MS Collect as trough prior to next dose. QUEST 35299 Set up: Mon ,Wed, Fri Universal Requisition Accompanies report Cellect serum and remove from cells. Univ. Req. Report available: 2 days SS tubes unacceptable Minimum: 0.4 mL CPT Code: 80299 SEROTONIN, BLOOD (QUEST 9651) Minimum: Draw one 5 mL lavendar tube Methodology: HPLC / Fluorescence and transfer immediately to a plastic Detection LAB SEROTONIN BLOOD Accompanies report bottle containing 35 mg ascorbic acid Set up: Mon - Fri SEROTONIN BL (supplied by lab); Mix, freeze, and send Report available: 2 days FROZEN CPT Code: 84260 SEROTONIN RELEASE ASSAY (SRA), UFH (QUEST 14627) Methodology: Radiobinding 14C Serotonin SEROTONIN RELEASE 1 mL serum FROZEN LAB Radiolabel Accompanies report ASSAY Minimum: 0.4 mL SEROTONIN REL Set up: Mon - Fri Report available: Next day

CPT Code: 86022 SERTRALINE AND DESMETHYLSERTRALINE Referral test for Quest 1.0 mL serum (R ) FROZEN QUEST 8871Z Methodology: GC SST tubes not acceptable. Universal Requisition Accompanies report Univ. Req. Set up: Tues, Fri Report available: 3 days Minimum: 0.4 mL

CPT Code: 83789 SERUM VISCOSITY - See Viscosity, Serum SEX HORMONE BINDING GLOBULIN (SHBG) (QUEST 30740) 0.7 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 SHELLFISH ALLERGY PANEL #1 (QUEST 113482) Includes Blue mussel, Clam, Crab, Lobster, 1.2 mL serum (SS) SHELLFISH ALLERGY Shrimp, and Oyster Methodology: IA LAB Accompanies report PANEL Set up: Mon - Fri morning SHELLFISH Minimum: 0.6 mL Report available: 4 days

CPT Code: 86003(X6) SHINGLES CULTURE - See Herpes Simplex Virus Culture and Varicella Zoster Virus Culture SICKLE SOLUBILITY TEST (QUEST 825) Methodology: Solubility 4 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) (CPAL 3000820) Methodology: Ouchterlony Gel LAB SJOGRENS SYNDROME AB Accompanies report 1 mL serum (SS) Set up: Wed, Sat SSASSB Report available: 2 days

CPT Code: 86235(X4) SKIN ANTIBODIES Includes Intercellular and Basement Antibody Screens with reflex to titers 1 mL serum (SS) QUEST 37097 Methodology: IFA Universal Requisition Accompanies report Univ. Req. Set up: Wed, Fri Minimum: 0.5 mL Report available: 8 days

CPT Code: 86255(X2) SLE - See Lupus Sm and RNP ANTIBODIES - See Anti- ENA 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 URINE SODIUM RANDOM available for random urine Report available: Same day UNA 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 HR Accompanies report 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 Test no longer available effective 7/14/14. There are no recommended alternatives. 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 SSYCE - Order C STOOL and YERSINIA (Stands for Salmonella, Shigella, Campylobacter, E. coli, and Yersinia) STAPHYLOCOCCAL ANTIBODIES - See Teichoic Acid Antibodies STD (PCR) CERVICAL PROBE PANEL (CPAL 3009020) Recommended specimens: For Chlamydia trachomatis and Neisseria Female: Endocervical swab. Use kits gonorrhoeae for cervical swabs provided from CPAL. LAB STD PROBE CERVICAL Methodology: PCR Probe Negative CTNGCER Set up: Mon - Fri For urine specimens see Report available: 3 days STD PROBE URINE CPT Code: 87491, 87591

STD (PCR) THIN PREP PROBE PANEL (CPAL 3009050) For Chlamydia trachomatis and Neisseria Recommended specimens: gonorrhoeae Female: Thin Prep Vial. LAB STD PROBE THIN PREP Methodology: PCR Probe Negative CTNGCYT Set up: Mon - Fri For urine specimens see Report available: 3 days STD PROBE URINE

CPT Code: 87491, 87591

STD (PCR) URETHRAL PROBE PANEL LAB STD PROBE URETHRAL Test has been inactivated, please use CTNGURETH CTNGURN as an alternative. STD (PCR) URINE PROBE PANEL (CPAL 3009025) For Chlamydia trachomatis and Neisseria Recommended specimens: gonorrhoeae Random urine (20 mL) LAB STD PROBE URINE Methodology: PCR Probe Negative CTNGURN Set up: Mon - Fri Report available: 3 days

CPT Code: 87491, 87591

Recommended specimens: STD (PCR) VAGINAL PROBE PANEL Vaginal swab. Use kits for vaginal (CPAL 3009040) swabs provided from CPAL. For Chlamydia trachomatis and Neisseria gonorrhoeae For urine specimens see LAB STD PROBE VAG Methodology: PCR Probe Negative STD PROBE URINE CTNGVAG Set up: Mon - Fri Report available: 3 days **For collection and testing of specimens from non-genital (ex. rectal CPT Code: 87491, 87591 or oral sources) 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. URINE STONE RISK Methodology: Various 24 hour urine collected in a STONE LAB Accompanies report PROFILE Set up: Daily RISK container. Available from the Lab. STONERISK Report available: 1 week

CPT Code: 82340, 83945, 84560, 82507, 83986, 84300, 82570, 84133, 84105, 83735, 84392, 82140 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 swabs MIC STREP SCREEN throat culture when indicated. Negative and swabs with wooden shafts are not STREPSC Methodology: Immunoassay; acceptable. Set up: Daily Report available: 24 - 36 hours

CPT Code: 87880 STREPTOCOCCUS PNEUMONIAE ANTIGENS, URINE (QUEST 10287) 3 mL urine in sterile container LAB STREP PNEUMONIAE AG Methodology: Immunochromatography Accompanies report STREP AG UR URINE Set up: Daily Minimum: 0.5 mL Report available: Next day

CPT Code: 87899 STREPTOMYCIN LEVEL Referral test for Quest 2 mL serum (R), FROZEN Methodology: HPLC QUEST 901262 Universal Requisition Set up: Mon-Fri Accompanies report Univ. Req. Minimum: 0.5 mL Do Report available: 9 days not ship on Friday or Saturday CPT Code: 80299 STREPTOZYME (STREPTOCOCCAL EXOENZYME ANTIBODY SCREEN) -See ANTI-STREP

STRIATED MUSCLE ANTIBODY WITH REFLEX TO TITER (QUEST 266) Methodology: IFA Set up: Tues-Fri 0.5 mL serum (R ) LAB STRIATED MUSCLE PROF Report available : 5 days < 1:10 STR MUSCLE PROF Minimum: 0.1 mL CPT Code: 86255 [If screen is positive, a titer will be performed at an additional charge (CPT code: 86256)]

STRONGYLOIDES IgG ANTIBODY (QUEST 34309) Methodology: Immunoassay 1.0 mL serum (SS) LAB STRONGYLOIDES IGG AB Set up: Mon, Wed, Fri Accompanies report STRONGYLOIDES Report available: 4 days Minimum: 0.5 mL

CPT Code: 86682 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, sulfamethazine, 3 mL serum (R of DB) sulfamethizole, sulfamethoxazole, or QUEST 8561 sulfamethylthiazole, sulfanilamide, sulfanilyl Universal Requisition Accompanies report 3 mL plasma (L) Univ. Req. sulfarinamide, sulfapyrazine, sulfapyridine, sulfasalazine, sulfasuxidine, sulfathiazole, Minimum: 1.5 mL sulfasoxazole, triple sulfa. Methodology: Colorimetric Set up: Tues, Thurs Report available: 4 days

CPT Code: 80299 LAB MISC Universal Requisition SULFA-SALICYLATE ACID, URINE 12 mL random urine SULFONAMIDES - See Sulfa Drugs SURMONTIL - See Trimipramine SWEAT TEST - Refer patient to Chester County, DuPont SYNOVIAL FLUID ANALYSIS Minimum: LAB Includes cell count and WBC differential (if 2 mL anticoagulated fluid (L) SYN FLUID CELL COUNT SYNCELLCT indicated) AND -or- Methodology: Various 2 mL unanticoagulated fluid (Y no SYN FLUID CELL CT DIFF IF SYNCELLCTDIFF Set up: Daily Accompanies report additive) IND (diff if indicated) Report available: Next day -or- Specimens delivered in any other SYN FLUID DIFF SYN DIFF CPT Code: cell count - 89050 manner may be rejected as unsuitable diff - 89051 for testing. SYNOVIAL FLUID CRYSTALS ANALYSIS Methodology: Polarizing microscopy Set up: Mon - Sun LAB SYN FLUID CRYSTALS None detected Minimum: 2 mL fluid (Y no additive) Report available: Next day CRYSTALS CPT Code: 89060 SYNOVIAL FLUID URIC ACID Performed at York Hospital Methodology: Colorimetric LAB URIC ACID BODY FLUID Set up: as needed Accompanies report 2 mL fluid, no preservative BFURIC Report available: Next day

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 T3 UPTAKE (TU) (QUEST 861) Methodology: IA 1 mL serum (SS) LAB T3 UPTAKE Set up: Daily T3U Report available: Next day Minimum: 0.5 mL

CPT Code: 84479 T3, FREE BY DIALYSIS w/ T3 TOTAL (QUEST 36598) Includes Free T3 and T3 Total 1.0 mL serum (SS or R) Methodology: RIA / ICMA LAB T3 FREE BY DIALYSIS Accompanies report Set up: Tues,Thurs T3 FR DIAL Minimum: 0.5 mL Report available: 2 days

CPT Code: 84480, 84481 T3, FREE Methodology: Chemiluminescent 1 mL plasma (Gn-Li) Set up: Daily LAB T3 FREE Accompanies report Report available: Next day FT3 Minimum: 0.5 mL CPT Code: 84481 T3, REVERSE (QUEST 90963) 0.5 mL serum (R or SS) Methodology: LC/MS/MS If collected in SS tube, remove serum LAB REVERSE T3 Set up: Mon - Fri Accompanies report from gel within 24 hrs. REVERSE T3 Report available: 2 days Minimum: 0.3 mL CPT Code: 84482 T3, TOTAL Methodology: Chemiluminescent 1 mL plasma (Gn-Li) Set up: Daily LAB T3 TOTAL Accompanies report Report available: Next day T3 TOTAL Minimum: 0.5 mL CPT Code: 84480 T4 (THYROXINE) ANTIBODY (QUEST 36576) Methodology: Radiobinding Assay 1 mL serum (SS) LAB ANTI THYROXINE AB Set up: Wed, Sun Accompanies report T4 ANTIBODY Report available: 4 days Minimum: 0.5 mL

CPT Code: 83519 T4, FREE Methodology: Chemiluminescence 1 ml blood (Gn -Li (PST)) Set up: Daily LAB FREE T4 / FREE THRYOXINE Accompanies report or Report available: Next 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 BY DIALYSIS Methodology: Equilibrium Dialysis LAB Accompanies report EQUIL Set up: Mon - Thurs FT4 BY DE Minimum: 0.5 mL Report available: Next day

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 TAY-SACHS DISEASE MUTATION ANALYSIS (QUEST 90903) Methodology: PCR, Allele specific primer 4 mL blood (L), ROOM TEMP TAY SACHS DISEASE extension, Flourescent detection/color coded LAB Accompanies report MUTATION microspheres TAY SACHS MUTAT Minimum: 3 mL Set up: Tues, Thurs, Sat Report available: 6 days

CPT Code: 81255 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: Chemiluminescence 1 mL serum (R) or (SS) THYROXINE BINDING LAB Set up: Mon - Fri Accompanies report GLOBULIN TBG Report available: Next day Minimum: 0.5 mL

CPT Code: 84442 TEGRETOL - See Carbamazepine TEICHOIC ACID ANTIBODIES SCREEN WITH REFLEX TO TITER (QUEST 36568) LAB This test has been discontinued by Quest TEICHOIC effective 12/19/16. There is no recommended alternative. TESTOSTERONE, FREE 1.0 mL serum (SS) (CPAL 1750094) Effective 2/28/15, if there is a 72 hour Methodology: Calculation delay in time of collection and specimen LAB TESTOSTERONE FREE Set up: Mon - Sat Accompanies report getting to CPAL, remove serum from TESTOS FREE Report available: Next day gel.

CPT Code: 84402 TESTOSTERONE, TOTAL 1.0 mL serum (SS) (CPAL 1750075) Effective 2/28/15, if there is a 72 hour Methodology: Chemiluminescence delay in time of collection and specimen LAB TESTOSTERONE TOTAL Set up: Mon - Sat Accompanies report getting to CPAL, remove serum from TESTOS TOT Report available: Next day gel.

CPT Code: 84403 TESTOSTERONE, FREE & TOTAL (T2) 1.0 mL serum (SS) (CPAL 1750074) Effective 2/28/15, if there is a 72 hour Methodology: Chemilluminescence delay in time of collection and specimen TESTOSTERONE FREE AND LAB Set up: Mon - Sat Accompanies report getting to CPAL, remove serum from TOTAL TESTOS F+T Report available: Next day gel.

CPT Code: 84402, 84403 TESTOSTERONE FREE BIOAVAILABLE & TOTAL (QUEST 14966) Includes Total Testosterone, Free and 2.8 mL serum (R) No SS tubes Bioavailable (calculated), Sex Hormone or TESTOSTERONE Binding Globulin, and Albumin LAB Accompanies report 2.8 mL plasma (GN Na-hep) BIOAVAILABLE Methodology: Calculation, SP, LC/MS/MS, TESTOS BIOAVAIL Immunochemilluminescence Minimum: 1.3 mL Set up: Mon - Fri Report available: 2 days

CPT Code: 82040, 84270, 84403 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 TETANUS ANTITOXOID (QUEST 53952) Methodology: ELISA 1 mL serum (SS or R) LAB TETANUS ANTITOXOID AB Set up: Mon, Wed, Fri Accompanies report TETANUS TOXIN Report available: Next day Minimum: 0.2 mL

CPT Code: 86774 THALASSEMIA & HEMOGLOBINOPATHY COMPREHENSIVE PANEL (QUEST 12658) 15 mL whole blood (L) Min: 5 mL Includes Hemoglobin A2, Hemoglobin F, and Ferritin, and Hemogram (WBC, RBC, 1 mL serum (SS) Min: 0.5 mL Hemoglobin, Hematocrit, MCV, MCH, THALASSEMIA and LAB MCHC, RDW) Accompanies report HEMOGLOBINOPATHY 1 mL plasma (EDTA LAV) THAL-HGB PANEL Methodology: CZE, HPLC, ICMA Min: 0.5 mL Set up: Mon - Fri Report available: 5 days Hemolyzed specimens are unacceptable CPT Code: 82728, 83021, 85041, 85018, 85041 THEOPHYLLINE Methodology: Immunoassay 1 mL serum (SS, R) Set up: Daily LAB THEOPHYLLINE Accompanies report Report available: Same day THEO Minimum: 0.5 mL CPT Code: 80198

THIAMINE - See Vitamin B1 THIOCYANATE Active metabolite of sodium nitroprusside Methodology: Colorimetry QUEST 879X 3 mL serum (R or DB) or plasma (L) Universal Requisition Set up: Mon, Wed, Fri Accompanies report Univ. Req. Minimum: 1.5 mL Report available: 3 days

CPT Code: 84430 THIOPURINE METABOLITES (6-MP METABOLITES) (QUEST 91745) Includes 6-Thioguanine (6-TG) and 6- 5 mL EDTA whole blood (L) A LAB Methylmercaptopurine (6-MMP) trough is required (within 1 hr prior to THIOPURINE METABOLITES Accompanies report THIOPURINE Methodology: LC/MS/MS next dose) Set up: Tues-Sat Minimum: 2.5 mL Report available: 3 days

CPT Code: 83789 THIOPURINE METHYLTRANSFERASE (TPMT), ERYTHROCYTES (QUEST 18831) Draw 2 separate EDTA (L) tubes, 3-5ml LAB Methodology: LC/MS/MS each, 6ml total TPMT ERYTHROCYTES Accompanies report TPMT RBC Set up: Mon,Wed,Fri Minimum: 2 separate tubes, 3ml total Report available: 4 days

CPT Code: 83789 THIORIDAZINE and Metabolite Includes Thioridazine and Mesoridazine Methodology: GC 2.0 mL serum (R ) or 2.0 mL plasma (L) QUEST 23232Z Universal Requisition Set up: Sun - Fri Accompanies report Univ. Req. Report available: 4 days Minimum: 0.7 mL

CPT Code: 80342 THIOTHIXENE (Cis Isomer), URINE Methodology: GC 3 mL urine QUEST 900987 Set up: Mon, Wed, Fri Universal Requisition Accompanies report Univ. Req. Report available: 5 days Minimum: 1.2 mL CPT Code: 80299 THORAZINE - See Chorpromazine 4 mL citrated plasma (LB) THROMBIN TIME Obtain platelet poor plasma. Room Perfomed at York Hospital temperature up to 4 hours; Freeze if >4 Methodology: Photo-optical LAB Universal Requisition hours. Analyze within 6 hours of Set up: All shifts THROMBIN collection. CPT Code: 85670 3 tubes (1mL) plasma (LB)FROZEN THROMBOPHILIA PANEL AND QUEST (14934) 1 tubes (3 mL) plasma (LB)FROZEN Includes:PTT-LA, Protein C Activity, AND Prothrombin Gene Analysis, Protein S 1 tubes (2 mL) plasma (LB)FROZEN Activity, Cardiolipin IgM, Cardiolipin IgG, AND LAB Cardiolipin IgA, DRVVT, Homocysteine, 2 tubes (5 mL) EDTA whole blood (L) THROMBOPHIL PAN THROMBOPHILIA PANEL Factor V Leiden Accompanies report RM TEMP Methodology: Various AND Set up: Mon - Fri 1 mL EDTA plasma (L) REFRIG Report availbale: Varies with assay AND CPT Code: 81241,81240,83090, 85300, 3 tubes (1 mL) serum (SS) REFRIG 85303, 85306, 85613, 85730, 86147(X3)

THYROGLOBULIN (CPAL 1750029) Methodology: Chemiluminescense 1 mL serum (SS) LAB THYROGLOBULIN Set up: Mon - Sat Accompanies report THYROGLOB Report available: Next day Minimum: 0.5 mL

CPT Code: 84432 THYROGLOBULIN PANEL Includes Thyroglobulin and Anti-Thyrogloblin Antibody (CPAL 1750030) 1.0 mL serum (SS) LAB THYROGLOBULIN PANEL Methodology: EIA, CIA Accompanies report THYRO PAN Set up: Mon - Sat Minimum: 0.5 mL Report availbale: Next day

CPT Code: 86800, 84432 THYROGLOBULIN ANTIBODIES - See Anti-Thyroglobulin Antibodies THYROID ANTIBODIES - See Anti- Thyroglobulin Antibodies, Anti-Thyroid Microsome (TPO) Antibodies

RESISTANCE TO THYROID HORMONE (RTH) MUTATION ANALYSIS (QUEST 16053) 5 ml whole blood (EDTA LAV) RESISTANCE TO THYROID Methodology: PCR, DNA sequencing LAB Accompanies report HORMONE Set up: as needed; minimum 1x per week THYROID MUTAT Minimum: 3 mL Report available: 28 days

CPT Code: 81405

THYROID PEROXIDASE (TPO) ANTIBODIES- See Anti-Thyroid Micorsome (TPO) Antibodies

THYROID PROFILE- See Thyroid Stimulating Hormone Progressive

THYROID STIMULATING HORMONE (TSH), HIGHLY SENSITIVE Methodology: Chemiluminescence 1 ml blood (Gn -Li (PST)) THYROID STIMULATING LAB Set up: Daily Accompanies report or HORMONE / TSH TSH Report available: Next day 1 mL serum (SS)

CPT Code: 84443 THYROID STIMULATING HORMONE (TSH), PROGRESSIVE If TSH is abnormal, a Free T4 will be performed at an additional charge. 1 ml blood (Gn -Li (PST)) LAB TSH PROGRESSIVE Methodology: Chemiluminescence Accompanies report or TSHPR Set up: Daily 1 mL serum (SS) Report available: Same day

CPT Code: 84443 THYROID STIMULATING HORMONE (TSH), ANTIBODY (QUEST 36577) 1 ml serum (SS) Methodology: RIA LAB Accompanies report TSH AB Set up: Wed, Sun TSH ANTIBODY Minimum: 0.5 mL Report available: 4 days

CPT Code: 83519 THYROID STIMULATING HORMONE (TSH), 3RD GENERATION (QUEST 899) 1 ml serum (SS) Methodology: Immunoassay LAB Accompanies report TSH 3RD GENERATION Set up: Daily TSH 3RD GEN Minimum: 0.7 mL Report available: Next day

CPT Code: 84443 THYROID STIMULATING IMMUNOGLOBULIN (TSI) (QUEST 30551) 1 mL serum (SS) THYROID STIMULATING Methodology: In Vitro Bioassay LAB Accompanies report IMMUNO Set up: Mon - Sat THY STIM I Minimum: 0.2 mL Report available: 3 days

CPT Code: 84445 THYROTROPIN BINDING INHIBITORY IMMUNOLOBULIN (TBII) (Quest 5738) 1.0 mL serum (SS) LAB THYROTROPIN BINDING Methodology: Radioreceptor Assay Accompanies report TBII. INHIBITORY Set up: Tues, Fri Minimum: 0.5 mL Report available: 2 days

CPT Code: 83519 THYROXINE, TOTAL - See T4, Total THYROXINE BINDING GLOBULIN - See TBG (Thyroxine Binding Globulin) TISSUE TRANSGLUTAMINASE ANTIBODY PANEL (IgA, IgG) (QUEST 11073) Includes tTG IgA and IgG antibodies LAB TISSUE TRANS AB PANEL Methodology: EIA Accompanies report 1.0 mL serum (SS) TISS PANEL Set up: Mon - Fri Report available: Next day

CPT Code: 83516(X2) TISSUE TRANSGLUTAMINASE tTG) IgA ANTIBODY (QUEST 8821) Methodology: EIA 1 mL serum (SS) LAB TISSUE TRANS IGA AB Set up: Mon - Fri Accompanies report TISS TRANS Report available: Next day Minimum: 0.5 mL

CPT Code: 83516 TOBRAMYCIN (QUEST 3012) 1 mL serum (R) Methodology: Immunoassay Collect as a trough just prior to next LAB Detection limit: 1.0 μg/mL dose. Collect peak 30 minutes after end TOBRA TOBRAMYCIN Accompanies report Set up: Mon-Sat of IV infusion or 60-90 minutes after IM Report available: Next day dose. Minimum: 0.2 mL CPT Code: 80200 TOCOPHEROLS - See Vitamin E TOFRANIL - See Imipramine TOPIRAMATE (TOPOMAX) 1 mL serum (R or DB) (QUEST 30965) or Methodology: LC/MS/MS 1 mL heparanized plasma (Gn) LAB TOPIRAMATE / TOPOMAX Set up: Mon - Sat Accompanies report Draw at peak (2-4 hours after dose) or TOPIRAMATE Report available: 2 days trough (0.5-1 hr before dose) at steady- state. CPT Code: 80201 Minimum: 0.5 Ml TORCH GROUP (Quest 234) LAB Effective 3/6/17, this test has been TORCH GRP discontinued by Quest.

TORCH GROUP, IgM Includes CMV IgM antibodies, HSV 1&2 IgM antibodies, RPR, Rubella IgM antibodies, and Toxoplasma IgM antibodies. 2 mL serum (R, SS) QUEST 18482 Methodology: EIA, RPR, Microparticle EIA Universal Requisition Accompanies report Univ. Req. Set up: Mon - Fri Minimum: 1.3 mL Report available: Next day

CPT Code: 86592, 86645, 86695, 86762, 86778

TOXICOLOGY SCREEN, SERUM, BLOOD, PLASMA (QUEST 2991) This test has been discontinued, the recommended alternatives are GEN TOX 8 mL serum or plasma (DB,R,L) LAB TOXICOLOGY SCREEN WB (Quest 91358 Drug Test, General Accompanies report TOX SCR B BLOOD Toxicology, Whole Blood) or GEN TOX SER Minimum: 2 mL (Quest 91360 Drug Test, General Toxicology, Serum)

TOXICOLOGY SCREEN, GASTRIC (QUEST 2998) Test has been discontinued, the 25 mL gastric contents LAB TOXICOLOGY SCREEN recommended alternative is GEN TOX UR Accompanies report TOX SCR G GASTRIC (Quest 91359 Drug Test, General Minimum: 5 mL Toxicology, Urine)

TOXICOLOGY SCREEN, URINE (QUEST 2997) Test has been discontinued, the 50 mLrandom urine LAB TOXICOLOGY SCREEN recommended alternative is GEN TOX UR Accompanies report TOX SCR UR URINE (Quest 91359 Drug Test, General Minimum: 10 mL Toxicology, Urine)

TOXOPLASMA GONDII IgG ANTIBODIES (CPAL 3001410) Methodology: Chemiluminescent 1 mL serum (SS) TOXOPLASMA IGG LAB Set up: Mon - Fri Accompanies report ANTIBODY TOXOIGG Report available: Next day Minimum: 0.5 mL

CPT Code: 86777

TOXOPLASMA GONDII IgM ANTIBODIES (CPAL 3001420) Methodology: Chemiluminescent 1 mL serum (SS) TOXOPLASMA IGM LAB Set up: Mon - Fri Accompanies report ANTOBODY TOXOIGM Report available: Next day Mnimum: 0.5 mL

CPT Code: 86778 TOXOPLASMA IGG/IGM GROUP (CPAL 3001405) Methodology: Chemiluminescent LAB TOXOPLASMA IGG/IGM 2 mL serum (SS ) Set up: Mon - Fri Accompanies report TOXOGRP GROUP Minimum: 1mL Report available: Next day

CPT Code: 86777, 86778 TOXOPLASMA ADULT PANEL Includes Toxoplasma gondii IgM, IgA, IgG and IgE QUEST 14524X Methodology: ELISA 2 mL serum (R ) Universal Requisition Accompanies report Univ. Req. Set up: Mon - Fri Minimum: 0.5 mL Report available: 10 days

CPT Code: 86777(X3), 86406, 86778 TRANSFERRIN 1 ml blood (Gn -Li (PST)) Methodology: Turbidometric or Set up: Daily LAB TRANSFERRIN Accompanies report 1 mL serum (SS) Report available: Same day TRANSFER Minimum: 0.5 mL CPT Code: 84466 PERCENT SATURATION - Order TIBC TRANSTHYRETIN (PREALBUMIN) Methodology: Turbidometric 1 mL serum (SS) Set up: daily LAB PREALBUMIN Accompanies report Report available: Same day PREALB Minimum: 0.5 mL CPT Code: 84134 TRANXENE - See Clorazepate TRAZADONE (DESYREL) (QUEST 1312) Referral test for Quest 1 mL serum (R ) or 1ml plasma (L) Methodology: LC/MS/MS LAB TRAZADONE Accompanies report SS tubes are unacceptable Set up: Thurs TRAZADONE Minimum: 0.5 mL Report available: 4 days

CPT Code: 80299 TREPONEMA PALLIDUM ANTIBODIES (QUEST 653) Methodology: Particle Agglutination 1 mL serum (SS) LAB TREPONEMA PALLIDUM AB Set up: Mon - Fri Accompanies report TREP ANTIB Report available: Next day Minimum: 0.5 mL

CPT Code: 86780 TRIAVIL - See Amitriptyline TRICHOMONAS WET MOUNT Cotton swab (vaginal secretions, Methodology: Microscopic exam urethral discharge or prostatic Set up: Daily secretions) in sterile saline, kept warm, LAB WET PREP None detected Report available: Next day and delivered to the Lab IMMEDIATELY WETPREP . Test not suitable for off site collection. CPT Code: 87210

TRICYCLIC ANTIDEPRESSANTS IDENTIFICATION AND QUANTITATION Includes Amytriptyline, Nortiptyline, Imipramine, Desipramine, Doxepin, Desmethyldoxepin, Clompiramine, 3 mL serum (DB or R) or plasma (L) QUEST 17482X Universal Requisition Desmethylclomipramine Accompanies report Collect >12 hrs after dose. Univ. Req. Methodology: LC/MS/MS Minimum: 1.5 mL Set up: Mon - Sat Report available: Varies per individual test

CPT Code: 80377

TRIFLUOPERAZINE ( STELAZINE) (QUEST 14371) Referral test for Quest 2 mL serum (R ) or 2 ml plasma (L) STELAZINE / Methodology: HPLC/TMS REFRIGERATE (effective 9/8/14) LAB Accompanies report TRIFLUOPERAZINE Set up: Wed,Fri STELAZINE Report available: 5 days Minimum: 0.7 mL

CPT Code: 80342 1 ml blood (Gn -Li (PST)) TRIGLYCERIDES or Methodology: Enzymatic 1 mL serum (SS), Set up: Daily LAB TRIGLYCERIDES Accompanies Report preferably drawn following 12 - 14 hour Report available: Same day TRIG fast CPT Code: 84478 Minimum: 0.5 mL TRIGLYCERIDES - PERITONEAL FLUID Performed at York Hospital Methodology: Enzymatic TRIGLYCERIDES BODY LAB Set up: Daily 2 mL fluid, no preservative FLUID BFTRIG Report available: Next day

CPT Code: 84478 TRIIODOTHYRONINE - See T3, Total or T3, Free TRILEPTAL - See Oxcarbazepine TRIPLE SCREEN - See Alph-Fetoprotein Triple Screen TROPHYREMA WHIPPELLI DNA Qual, RT- PCR 0.7 mL EDTA whole blood (L) (QUEST 11769) LAB Methodology: Real Time PCR T WHIPPLEI DNA QUAL Accompanies report Minimum: 0.3 mL T WHIPPLEI Set up: Mon, Wed, Fri Report available: 1-2 days

CPT Code: 87798 TROPONIN I (QUANTITATIVE) Methodology: Chemiluinescence 4 mL blood (Gn -Li (PST)) Set up: Daily LAB TROPONIN I Accompanies report Spin down within 2 hours and remove Report available: Same day TROPI plasma. CPT Code: 84484 TRYPSIN Referral test for QUEST Methodology: IA QUEST 30329 1.0 mL serum (R ) Universal Requisition Set up: Sun, Wed Accompanies report Univ. Req. Minimum: 0.5 mL Report available: 1-5 days

CPT Code: 83519 TRYPTASE (QUEST 34484) 1 mL serum (R). Methodology: Flourenzyme Immunoassay SS tubes are unacceptable LAB TRYPTASE Set up: Tues, Thurs Accompanies report TRYPTASE Report available: 3 days Minimum: 0.5 mL CPT Code: 83520

TSH - See Thyroid Stimulating Hormone TTG - See Tissue Transglutaminase IgA Antibodies TULAREMIA - See Francisella tularensis Antibodies TWAR - See Chlamydia pneumoniae (TWAR) TYLENOL - See Acetaminophen TYPE & SCREEN Includes ABORh and antibody screen. Methodology: Hemeagglutination Set up: Daily BBK TYPE AND SCREEN Report available: Same day 6.0 mL whole blood (Pink) TS For Type & Crossmatch order "PC"

CPT Code: 86900, 86901, 86850 TYPHUS FEVER ANTIBODIES - See Rocky Mountain Spotted Fever Antibodies, Typhus Fever Antibodies Collect smear on slide and air dry. Place order for Cytology and comment LAB CYTO ORDER TZANK STAIN "Tzank Stain". Slide is stained by Wright- CYTO ORD Geimsa in Hematology and read by Cytotechnologist. UGT1A1 GENOTYPING (QUEST 165218) Test is no longer available from Quest LAB effective 7/28/14. Please use UGT1A1 UGT1A1 Gene Polymorphism (Quest 17813) as the recommended alternative. UGT1A1 GENE POLYMORPHISM (TA REPEAT) Methodology: PCR 5 mL whole blood (L) ROOM TEMP QUEST 17813 Universal Requisition Set up: As needed; 1X/week Accompanies report Record draw time and date on tube. Univ. Req. Report available: 7 days after setup Minimum: 3 mL

CPT Code: 81350 UPEP - See Protein Electrophoresis, Urine UREA NITROGEN, BLOOD - See Blood Urea Nitrogen UREA NITROGEN, RANDOM URINE Methodology: Enzymatic 10 mL random urine at room temp Set up: Daily LAB UREA NITROGEN, URINE None available Report available: Same day U UREA Minimum: 2 mL CPT Code: 84540 UREA NITROGEN, 24HR URINE Methodology: Enzymatic 10 mL aliquot of a 24-hr urine collection, UREA NITROGEN URINE Set up: Daily collection preserved with 6N HCL LAB Accompanies report 24HR Report available: Same day UREA NIT U Minimum: 2 mL CPT Code: 84540 URIC ACID 1 ml blood (Gn -Li (PST)) Methodology: Colorimetric or Set up: Daily LAB URIC ACID Accompanies report 1 mL serum (SS) Report available: Same day URIC Minimum: 0.5 mL CPT Code: 84550 URIC ACID, RANDOM URINE Methodology: Colorimetric 10 mL random urine room temp Set up: Daily LAB URIC ACID, URINE None available Report available: Same day URINE URIC ACID Minimum: 2 mL CPT Code: 84560 URIC ACID, 24 HR URINE Methodology: Colorimetric 10 mL aliquot of 24-hr urine collection, Set up: Daily preserved with 10mL 5% NaOH LAB URIC ACID 24 HR URINE Accompanies report Report available: Same day URIC URINE Minimum: 2 mL CPT Code: 84560 URINE, FISH - See Urovysion URINALYSIS, ROUTINE If protein, leukocyte esterase, or blood parameters are chemically positive, or if urine appearance is other than clear, a 12 mL random urine microscopic examination is performed LAB URINALYSIS automatically Accompanies report Minimum: 2 mL (insufficient for UA Methodology: Reflectance (dipstick) performance of microscopic Set up: Daily examination) Report available: Same day

CPT Code: 81003 URINE MICROSCOPIC Methodology: Microscopy Set up: Daily LAB URINE MICROSCOPIC ONLY Report available: Same day Accompanies report 12 mL random urine UAMICRO **Must also order UA**

CPT Code: 81015 URINE NTX - See Osteomark URINE PREGNANCY TEST - See Chorionic Gonadotropin, Urine Qualitative URINE PROTEIN - See Protein, Total, Urine UROPORPHYRIN AND COPROPORPHYRIN - See Porphyrins, Fractionation Urine URORISK PROFILE Sent to Speciality Laboratory. Profile of urine chemistry designed to assess a patient risk for developing kidney stones. Includes Calcium, Oxalate, Uric Acid, Citrate, pH, Sodium, Phosphorus, Magnesium, Potassium, Creatinine, Calcium Oxalate, 24-hr urine collected in a URORISK LAB URORISK PROFILE Brushite, Sodium Urate, Uric Acid, Sulfate, Accompanies report container (available from Lab) URORISK Total Volume Methodology: Various Set up: Mon - Sat Report available: 5 days

CPT Code: 82340, 83945, 84560, 82507, 83986, 84300, 82570, 84133, 84105, 83735 50.0 mL Voided First Morning Urine Specimen - Refrigerated Collect Monday-Friday only. Must be received in the Main Lab by 1400. In order to meet the 1400 time, please UROVYSION,FISH only accept specimens at the (NeoGenomics) following locations: Main Lab, LAB Methodology: FISH Ephrata Diagnostic Center, Garden UROVYSION, FISH Accompanies report URO FISH Report available: 3-5 days Spot Village.

CPT Code: 88121-26 X4 Mix urine with supplied fixative tablet. Please send a copy of the following with the specimen: Order form, Insurance Card(s), and Hospital Admission Form.

Minimum: 30 mL

UTSH - See Thyroid Stimulating Hormone, Highly Sensitive VPA - See Valproic Acid (Depakote) VALIUM - See Diazepam VALPROIC ACID 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay or Set up: Daily LAB VALPROIC / DEPAKOTE Accompanies report 1 mL serum (SS) Report available: Same day DEPAKOTE Minimum: 0.5 mL CPT Code: 80164 1 ml blood (Gn -Li (PST)) VANCOMYCIN, PEAK or Methodology: Immunoassay 1 mL serum (SS) Set up: Daily LAB VANCOMYCIN PEAK Accompanies report Draw 60 minutes after completion of IV Report available: Same day VANCOP infusion. CPT Code: 80202 Minimum: 0.5 mL VANCOMYCON, RANDOM 1 ml blood (Gn -Li (PST)) Methodology: Immunoassay or Set up: Daily LAB VANCOMYCIN RANDOM 1 mL serum (SS) Report available: Same day VANCO Minimum: 0.5 mL CPT Code: 80202 1 ml blood (Gn -Li (PST)) VANCOMYCIN, TROUGH or Methodology: Immunoassay 1 mL serum (SS) Set up: Daily LAB VANCOMYCIN TROUGH Accompanies report Draw 30 minutes prior to the start of the Report available: Same day VANCOT next scheduled infusion CPT Code: 80202 Minimum: 0.5 mL 5 mL blood (Gn - Lithium) VENOUS O2 SATURATION Submit to Respiratory Therapy VENOUS OXYGEN Contact Respiratory Therapy Department LAB Department after order is placed. SATURATION VEN O2 SAT CPT Code: 82810 Minimum: 2 mL VOLTAGE-GATED CALCIUM CHANNEL (VGCC) ANTIBODY ASSAY (QUEST 34057) 1 ml serum (R) VOLTAGE-GATED CALC Methodology: Radiobinding Assay LAB Accompanies report CHANNEL AB Set up: Wed VGCC ANTIBODY Minimum: 0.2 mL Report available: 4 days

CPT Code: 83519 (VMA) (QUEST 934X) 10 mL aliquot of 24-hr urine collection Methodology: HPLC, Electrochemical preserved with 25 mL of 6N HCL during Detection collection. Specify total 24-hr volume on LAB URINE VMA 24HR Accompanies report Set up: Mon - Fri request form. VMA Report available: 2 days Minimum: 5 mL CPT Code: 84585 VARICELLA-ZOSTER VIRUS (VZV) DNA, QN Real-Time PCR (QUEST 18270) 1 mL whole blood (LAV EDTA) or 1 ml VARICELLA ZOSTER DNA Methodology: RT-PCR CSF LAB Accompanies report PCR Set up: Daily VZV DNA PCR Report available: Next day Minimum: 0.3 mL

CPT Code: 87799 VARICELLA-ZOSTER VIRUS IgG ANTIBODIES (CPAL 3001790) 1 mL serum (SS) FREEZE Methodology: EIA LAB VARICELLA ZOSTER IGG AB Accompanies report Set up: Mon, Wed, Fri VZV IGG Minimum: 0.1 mL Report available: Next day

CPT Code: 86787 VARICELLA-ZOSTER VIRUS IgM ANTIBODIES (QUEST 8683) 1 mL serum (SS) VARICELLA ZOSTER IGM Methodology: Immunoassay LAB Accompanies report AB Set up: Mon - Fri VZV IGM Minimum: 0.5 mL Report available: Next day

CPT Code: 86787 VCA - See Epstein Barr testing VASOACTIVE INTERSTINAL LAB POLYPEPTIDE (VIP) VIP This test has been discontinued by Quest effective 5/26/15. VAP CHOLESTEROL (QUEST 13761) This test has been discontinued by Quest LAB VAP CHOLESTEROL effective 11/3/14. Please use Quest 92145 VAP CHOL Cardio IQ® Advanced Lipid Panel as an alternative (CARDIO IQ LIPID). VDRL, CSF (QUEST 7244) Methodology: Micro slide-flocculation 1 mL CSF LAB CSF VDRL Set up: Mon- Sat Accompanies report Collected in a plastic, screw-cap vial CSF VDRL Report available: Next day Minimum: 0.2 mL

CPT Code: 86592 VIRAL CULTURE Contact physician office for specific virus to be cultured. See Appendix B for specimen type and transport media. VISCOSITY, SERUM (QUEST 918) Methodology: Kinematic Viscometric 2.0 mL serum (SS) LAB SERUM VISCOSITY Set up: Mon - Fri Accompanies report VISCOSITY Report available: Next day Minimum: 1.2 mL

CPT Code: 85810 VITAMIN A (RETINOL) (QUEST 921) 2.0 mL serum (SS) or (R ) FROZEN Methodology: HPLC Protect from light LAB VITAMIN A Set up: Mon - Sat Accompanies report Overnight fast is required VITAMIN A Report available: 3 days Minimum: 0.7 mL CPT Code: 84590 VITAMIN B1, PLASMA (THIAMINE) 2.0 mL EDTA plasma (L) FROZEN (QUEST 90353) Remove plasma within 4 hours of Methodology: LC/MS/MS collection and transfer to a light LAB THIAMINE / VITAMIN B1 Set up: Mon-Fri Accompanies report protected pour off tube. Freeze. THIAMINE PLAMSA Report available: 3 days Overnight fasting is required.

CPT Code: 84425 Minimum: 1 mL VITAMIN B1, WHOLE BLOOD (THIAMINE) (QUEST 5042) 2.0 mL whole blood (L) FROZEN Protect Methodology: LC/MS/MS LAB from light; Overnight fasting is required VITAMIN B1 WHOLE BLOOD Set up: Mon-Sat Accompanies report VIT B1 WB Report available: 2-3 days Minimum: 1 mL CPT Code: 84425 VITAMIN B2 (RIBOFLAVIN) (QUEST 36399) 2.0 mL EDTA plasma (L) FROZEN Methodology: HPLC / Fluorometric Protect from light; Overnight fasting is Detection LAB VITAMIN B2 Accompanies report required. Set up: Tues-Sat VITAMIN B2 Report available: 3-4 days Minimum: 0.5 mL CPT Code: 84252 VITAMIN B3 (NICOTINIC ACID) NIACIN & METABOLITES 2.0 mL Serum (R ) FROZEN (QUEST 91029) This test is set to a different Quest Methodology: LC/MS/MS LAB VIT B3 Accompanies report location and cannot be shared. Must Set up: Tues, Thurs, Sat VITAMIN B3 have own tube. Report available: 4 days Minimum: 1.0 mL CPT Code: 84591 VITAMIN B6 (PYRIDOXINE) (QUEST 926) 1.0 mL EDTA plasma (L) FROZEN Methodology: LC/MS/MS Protect from light LAB VITAMIN B6 Set up: Mon - Fri Accompanies report Overnight fast is required. VIT B6 Report available: 4 days Minimum: 0.5 mL CPT Code: 84207 VITAMIN B12 1 mL blood (Gn-Li (PST) Methodology: Chemiluminescence or LAB Set up: Daily 1mL serum (SS) VITAMIN B12 Accompanies report VIT B12 Report available: Same day (Stable 24 hrs refrigerated or frozen)

CPT Code: 82607 Minimum: 0.5 mL VITAMIN B12 & FOLATE 1 mL blood (Gn-Li (PST) Methodology: Chemiluminescence or Set up: Daily 1mL serum (SS) LAB VITAMIN B12 + FOLATE See individual assays. Report available: Same day (Stable 8 hrs refrigerated or frozen) VIT B12+FO CPT Code: 82746, 82607 Minimum: 0.5 mL VITAMIN B12 UNSATURATED BINDING CAPACITY (TRANSCOBALAMIN) (QUEST 928) 1.0 mL serum (R or SS) FROZEN B12 BINDER / Methodology: RIA LAB Accompanies report TRANSCOBALAMIN Set up: Tues, Thurs B12 BINDER Minimum: 0.2 mL Report available: Next day

CPT Code: 82608 VITAMIN C (ASCORBIC ACID) (QUEST 929) 1.0 mL serum (R), FROZEN Methodology: LC/MS/MS Protect from light LAB VITAMIN C / ASCORBIC Set up: Tues-Sat Accompanies report Overnight fast is preferred VITAMIN C ACID Report available: 3-4 days Ship frozen on dry ice. Minimum: 0.5 mL CPT Code: 82180 VITAMIN D TOTAL (VITAMIN D,25-OH) (CPAL 1750200) Methodology: Chemiluminescent 0.5 mL serum (SS) VITAMIN D 25 OH / VITAMIN LAB Set up: Mon - Fri Accompanies report D TOTAL VIT D,25-OH Report available: Next day Minimum: 0.3 mL

CPT Code: 82306

VITAMIN D, 25-Hydroxy, LC/MS/MS, INCLUDES D2 AND D3 SUBUNITS (QUEST 92888) Includes Vitamin D, 25-OH, Total; Vitamin 0.5 mL serum (R ) ROOM TEMP D, 25-OH, D3; Vitamin D, 25-OH, D2 LAB VITAMIN D 25 OH D2 AND D3 Accompanies report Methodology: LC/MS/MS VIT D(D2,D3) Minimum: 0.3 mL Set up: Mon - Sat Report available: 2 days

CPT Code: 82306 VITAMIN D, 1, 25-DIHYDROXY (QUEST 16558) Includes Vitamin D, 1,25 (OH)2,Total; Vitamin D3, 1,25(OH)2; Vitamin D2, 1,25 2.0 mL serum (R ) ROOM TEMP (OH)2 LAB VITAMIN D 1 25 Accompanies report Methodology: LC/MS/MS VIT D,1,25 Minimum: 1.1 mL Set up: Mon - Sat Report available: 4 days

CPT Code: 82652 VITAMIN E (TOCOPHEROL) (QUEST 931) Includes Alpha-Tocopherol, Beta-Gamma- 2.0 mL serum (SS) FROZEN Tocopherol Protect from light. Overnight fasting is LAB VITAMIN E Methodology: HPLC Accompanies report required. VITAMIN E Set up: Mon - Sat Report available: 2-3 days Minimum: 0.5 mL

CPT Code: 84446 VITAMIN K (QUEST 3578) 3.0 mL EDTA plasma (L) FROZEN Methodology: HPLC Protect from light LAB VITAMIN K Set up: Tues Accompanies report Overnight fast is preferred VITAMIN K Report available: 2 days Minimum: 1.5 mL CPT Code: 84597 VLDL - See Coronary Risk Profile VMA - See Vanillylmandelic Acid 1 mL FROZEN citrated plasma (LB) Minimum: 0.5 ml VON WILLEBRAND FACTOR ANTIGEN 1) Draw plain red top tube and (QUEST 4919) discard or use for other Please submit a sperate vial for each testing. special coagulation assay ordered. VON WILLEBRAND FACTOR 2) Draw LB tube and centrifuge LAB Methodology: Immunoturbidimetric Accompanies report AG at 3000 rpm for 10 minutes. VON WILL Set up: Mon - Fri 3) Remove plasma to a plastic Report available: Next day tube using a plastic pipette. Freeze immediately in a CPT Code: 85246 -70C freezer. *Overnight fast is preferred 1.0 mL FROZEN sodium citrated plasma (LB) Minimum: 0.2 ml VON WILLEBRAND'S FACTOR 1) Draw plain red top tube and MULTIMERIC ANALYSIS discard or use for other (QUEST 47963) testing. LAB VON WILLEBRAND FACTOR Methdology: Elecrophoresis Accompanies report 2) Draw LB tube and centrifuge VON WILL MULT MULTIMER Set up: Mon - Thurs at 3000 rpm for 10 minutes. Report available: 3 days 3) Remove plasma to a plastic tube using a plastic pipette. CPT Code: 85247 Freeze immediately in a -70C freezer.

3 (2ml ea) FROZEN sodium citrate plasma (LB) 1) Draw plain red top tube and VON WILLEBRAND'S SCREEN discard or use for other (QUEST 90271) testing. Includes aPTT; Factor VIII Activity, Clotting; 2) Draw blood into light blue-top von Willebrand Factor Antigen; Ristocetin tubes, filling to complete volume. Cofactor LAB VON WILLEBRAND PANEL Accompanies report 3) Centrifuge specimen at Methodology: Various VON PAN 3000 rpm for 10 minutes. Set up: Mon - Fri 4) Pipette platelet- poor plasma Report available: Next day into 3 clean, plastic, screw-capped vials (2 ml each). CPT Code: 85240, 85245, 85246, 85730 Freeze immediately in a -70C freezer.

Minimum: 3(2) mL FROZEN sodium VON WILLEBRAND'S COMPREHENSIVE citrated plasma (LB) PANEL (QUEST 197908) 1) Draw plain red top tube and Includes APTT; Factor VIII Activity; VW discard or use for other Factor Antigen; Ristocetin Cofactor; VW testing. LAB VON WILLEBRAND Antigen, Multimeric Analysis; Interpretation Accompanies report 2) Draw LB tube and centrifuge VW COMP PANEL COMPREHENSIVE Methdology: Various at 3000 rpm for 10 minutes. Set up: Mon - Fri 3) Remove plasma to a plastic Report available: 4 days tube using a plastic pipette. Freeze immediately in a CPT Code: 85240, 85245, 85246, 85247, -70C freezer. 85730 Minimum: 3(1) mL FROZEN sodium citrated plasma (LB) VON WILLEBRAND'S PROFILE #2 (QUEST 115023) 1) Draw plain red top tube and Includes Factor VIII Activity, VW Factor discard or use for other Antigen, Ristocetin Cofactor Activity testing. LAB VON WILLEBRAND PANEL 2 Methdology: Various Accompanies report 2) Draw LB tube and centrifuge VON WILL PROF2 Set up: Varies at 3000 rpm for 10 minutes. Report available: Next day 3) Remove plasma to a plastic tube using a plastic pipette. CPT Code: 85240, 85245, 85246 Freeze immediately in a -70C freezer.

V-Z VIRUS ANTIBODIES - See Varicella- Zoster Virus Antibodies WARFARIN - See Coumadin WELLBUTRIN - See Bupropion WET PREP - See Trichomonas Wet Mount WBC, FECAL Methodology: Smear Random fecal specimen in clean Set up: Mon - Sat container (no preservatives) or in Total- MIC STOOL FOR WBC None detected Report available: Next day Fix preservative, labeled with patient STWBC name CPT Code: 89055 WHITE BLOOD COUNT (WBC), WITH DIFF 4 mL blood (L) Methodology: Hematology analyzer If greater than a 24 hour delay is Set up: Daily expected in submitting the specimen Report available: Same day Accompanies report a. Maintain at ROOM TEMP LAB LAB ONLY b. Submit a peripheral blood smear in WBC WITH DIFF Note: If indicated, a manual WBC addition to the blood specimen. Differential will be performed. Minimum: 2 mL CPT Code:85004 EMPLOYEE WELLNESS SCREEN FASTING The screen includes the following: 1 ml blood (Gn -Li (PST)) Glucose Accompanies report or LAB LAB ONLY Lipid Panel 1 mL serum (SS) WELLF Height Weight Minimum: 0.5 mL Blood Pressure EMPLOYEE WELLNESS SCREEN NON- FASTING The screen includes the following: 1 ml blood (Gn -Li (PST)) Glucose Accompanies report or LAB LAB ONLY Cholesterol 1 mL serum (SS) WELLR HDL Height Minimum: 0.5 mL Weight Blood Pressure WEST NILE VIRUS (IgG, IgM), CSF (QUEST 36597) Methodology: EIA 2 mL CSF LAB CSF WEST NILE VIRUS Set up: Mon, Wed, Fri Accompanies report WEST CSF Report available: Next day Minimum: 0.7 mL

CPT Code: 86788, 86789 WEST NILE VIRUS (IgG, IgM), SERUM (QUEST 36596) Methodology: EIA 2 mL serum (R or SS) LAB WEST NILE VIRUS SERUM Set up: Mon, Wed, Fri Accompanies report WEST SERUM Report available: Next day Minimum: 0.7 mL

CPT Code: 86788, 86789 WESTERN BLOT - See HIV-1 Antibodies, Western Blot XANAX - See Alprazolam XYLOCAINE - See Lidocaine Test must be scheduled with the Lab at least 48 hours in advance. d-XYLOSE, ABSORBTION TEST, URINE, 20 mL aliquot of 5-hr urine collection 5HR post oral ingestion of d-xylose. D-xylose Methodology: Colorimetic QUEST 941X powder available from Quest. Please Universal Requisition Set up: Mon , Thurs Accompanies report Univ. Req. specify total 5-hr volume on request Report available: Next day orm. Specimen must be FROZEN immediately. CPT Code: 84620 Minimum: 1mL Test must be scheduled with the Lab d-XYLOSE ABSORPTION TEST, BLOOD at least 48 hours in advance. Methodology: Colorimetic 4 mL blood (Gy), drawn at 30 min, 1 QUEST 147502 Set up: Mon , Thurs hour, or 2 hour post oral ingestion of d- Universal Requisition Accompanies report Univ. Req. Report available: Next day xylose. D-xylose powder available from Quest. CPT Code: 84620 Minimum: 1mL YERSINIA - See Culture, Yersinia YEAST - See Culture, Fungus YEAST IDENTIFICATION - See FUNGAL IDENTIFICATION, YEAST ZINC PROTOPORPHYRIN (ZPP) (CPAL 1750185) 1 mL blood (L or Gn), Methodology: Fluorometric protect from light LAB ZINC PROTOPORPHYRIN Set up: Mon, Thurs Accompanies report ZINC PROTO Report available: Same day Minimum: 05 mL CPT Code: 84202 2 mL plasma (DB-EDTA) or 2 mL serum (DB - no additive) ZINC (QUEST 945) Minimum: 0.7 mL Methodology: ICP/MS or AS LAB ZINC Set up: Wed, Fri, Sun Accompanies report Separate plasma or serum from cells ZINC Report available: Next day within two hours. Transfer separated plasma/serum to a plastic, acid-washed CPT Code: 84630 or metal-free vial.

0.5 mL red blood cells(DB-EDTA) ZINC, RBC Red Blood Cells Trace Metal: Use the (QUEST 6354) royal blue-top trace metal evacuated Methodology: ICP/MS tube with EDTA for RBC trace metal LAB ZINC RBC Set up: Tues-Sat Accompanies report testing. Centrifuge and separate RBCs ZINC RBC Report available: 2-4 days into an acid washed plastic screw cap vial within two hours of collection. CPT Code: 84630 Minimum: 0.3 mL

ZOLOFT - See Sertraline ZONISAMIDE (ZONOGRAM) (QUEST 12938) Methodology: LC/MS/MS 1 mL serum (R ) LAB ZONISAMIDE / ZONOGRAM Set up: Mon, Wed, Fri Accompanies report SS tubes unacceptable ZONISAMIDE Report available: 4 days Minimum: 0.5 mL

CPT Code: 80203