Test Directory

800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory

Billing Code Test Code [sunquest] (1,3)-BETA-D-GLUCAN (FUNGITELL) 13BGA 13BGA

Synonyms Fungitell; Glucan Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Hemolyzed, lipemic and icteric samples Reference Laboratory ARUP Reference Lab Test Code 2002434 CPT Codes 87449 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Semi-Quantitative Colorimetry Test Includes (1,3-beta-D-glucan, pg/mL; (1,3-beta D-glucan Interpretation. Notes Reference ranges for pediatric patients (less than 18 years old) have not been established. Assay ranges were validated in adult subjects. Supply Item Number 1372

Billing Code Test Code [sunquest] 1, 5 ANHYDROGLUCITOL (GLYCOMARK) GLYMAR GLYMAR Synonyms Anhydroglucitol, 1,5 AD; GlycoMark® Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Lavender (EDTA) Reference Laboratory ARUP Reference Lab Test Code 0081335 CPT Codes 84378 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Quantitative Enzymatic Test Includes GlycoMark, ug/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] 11-DEOXYCORTISOL, LC/MS/MS 11DXC 11DXC Container Type Red top tube (plain) Store and Transport Transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Patient Prep An early morning specimen is preferred Specimen Processing Separate serum from cells and put in a separate plastic tube. Room Temp 4 days Refrigerated 4 days Frozen (-20°C) 28 days Unacceptable Condition Sample collected in an SST tube. Do not submit glass tubes. Alternate Specimens Plasma, EDTA (lavender-top), EDTA (royal blue-top), Sodium heparin (green-top), Lithium heparin (green-top) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 30543X CPT Codes 82634 Test Schedule Sat Turnaround Time 4-12 days Method Liquid Chromatography Tandem Mass Spectrometry

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Billing Code Test Code [sunquest] 14-3-3 PROTEIN, CSF (PRION DISEASE) PRION PRION

Synonyms Prion Disease; Protein 14-3-3, CJD; Creutzfeldt-Jacob Disease (CJD); Creutz-Jacob Disease; Transmissable Spongiform Encephalopathies (TSE) Container Type Sterile screw cap vial Store and Transport Frozen on dry ice. Ship Category B Specimen Type Frozen CSF Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Collect CSF by lumbar puncture. Discard first 2 mL that flows from tap. Collect next 5 mL CSF, avoiding bloody tap. Specimen Processing The CSF should be frozen as quickly as possible (preferably within 20 minutes) and stored at -80C freezer (or, lacking that, in a -20C freezer) until shipment on dry ice. Required Patient Info Please complete and send the National Prion Requisition form, available on the PAML website at www.paml.com under the FORMS and BROCHURES link with the sample. Room Temp 20 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Frozen (-70°C) 1 year Reference Laboratory National Prion Disease Pathology Surveillance Center at Case Western Reserve University CPT Codes 86317, 84182 Test Schedule Mon-Fri Turnaround Time 16-21 days Method Immunoassay Test Includes 14-3-3 Protein, CSF Notes Patient is also asked to submit a frozen urine sample for validation of a recently published diagnostic test on Creutzfeldt-Jakob disease; no report will be issued. Please inform patient and/or family that urine is used for research on a diagnostic test and obtain oral consent.

A recent re-evaluation of the recommendation to ship CSF specimens frozen with dry-ice showed shipment by Federal Express at ambient temperature caused an average loss of -50% for the 14-3-3 protein (range -32 to -91%) and -9% for tau. It is essential to ship CSF specimens frozen with dry-ice in order to obtain reliable results.

Specimens should be shipped Monday through Thursday to avoid Saturday and holiday delivery. Supply Item Number 7211

Billing Code Test Code [sunquest] 17 HYDROXYCORTICOSTEROIDS, URINE 24HR 17OHQ 17OHQ Synonyms 17-OHcorticosteroids Container Type 24-hour leakproof plastic urine container Store and Transport Frozen Specimen Type 24-hour urine collection Preferred Volume 12 mL Minimum Volume 12 mL Collection Procedure Refrigerate during collection Specimen Processing Aliquot 12 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container and freeze. Record total volume. Required Patient Info Total volume and collection period Room Temp 4 hours with preservative Refrigerated 1 week with preservative Frozen (-20°C) 1 month Unacceptable Condition Alkali preservatives Alternate Specimens Random samples (but they are reported as mg/L with no reference ranges), samples refrigerated with preservatives. Sample pH must be 5-7. Mix well, add 1 gram boric acid/100 mL urine, adjust pH (with boric acid) to 5-7 and freeze. Reference Laboratory ARUP Reference Lab Test Code 70490 CPT Codes 83491 Test Schedule Tue, Fri Turnaround Time 4-7 days Method Quantitative Colorimetry Test Includes Collection Period, h; Volume, mL; 17-Hydroxycorticosteroids, mg/d; 17-Hydroxycorticosteroids, mg/gCr; Creatinine Urine, mg/dL; Creatinine Urine, mg/d Supply Item Number 1108

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Billing Code Test Code [sunquest] 17-HYDROXYPREGNENOLONE, LC/MS/MS 17HPG 17HPG Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) 28 days Unacceptable Condition Received room temperature, serum separator tube (SST) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 8352X CPT Codes 84143 Test Schedule Mon, Thu Turnaround Time 4-6 days Method Liquid Chromatography/Tandem Mass Spectrometry Notes Infants with 21-hydroxylase deficiency may present with non-elevated results Supply Item Number 1372

Billing Code Test Code [sunquest] 17-HYDROXYPROGESTERONE 17HPRG 17HPRG Synonyms 17-OH Progesterone Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or frozen. Room Temp 2 days Refrigerated 7 days Frozen (-20°C) 6 months Alternate Specimens EDTA or sodium heparinized plasma(lavender or green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83498 Test Schedule Mon, Wed, Fri evenings Turnaround Time 3-5 days Method RIA Test Includes 17-Hydroxyprogesterone, ng/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] 17-HYDROXYPROGESTERONE, LC/MS/MS 17OHP 17OHP Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 7 days Frozen (-20°C) 2 years Unacceptable Condition Samples collected in SST tubes. Do not submit glass tubes. Alternate Specimens Plasma; EDTA (lavender-top) , EDTA (royal blue-top), sodium heparin (green-top), or lithium heparin (green-top) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 17180 CPT Codes 83498 Test Schedule Sun-Fri Turnaround Time 3-4 days Method Liquid Chromatography Tandem Mass Spectrometry Supply Item Number 1372

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Billing Code Test Code [sunquest] 17-KETOSTEROIDS, URINE 24HR KETO 17KSUQ Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 4 mL Minimum Volume 4 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Record total volume and collection interval on transport tube and request form. Required Patient Info Record total volume and collection time interval on transport tube and request. Room Temp 4 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Alternate Specimens 24 hour urine preserved with 6N HCl to a pH of 2-4. A pH of LT 2 will decrease analyte stability. Reference Laboratory ARUP Reference Lab Test Code 80650 CPT Codes 83586 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method Spectrophotometric (Zimmerman Reaction) Test Includes Time, h; Volume, mL; 17 Keto Steriods, mg/dL; 17 Keto Steroids, mg/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d Supply Item Number 1108

Billing Code Test Code [sunquest] 18-HYDROXYCORTICOSTERONE 18OHCC 18OHCC Separate samples must be submitted when multiple tests are ordered. Critical frozen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Room Temp 1 day Refrigerated 2 days Frozen (-20°C) 3 months (only 2 freeze/thaw cycles) Unacceptable Condition Plasma Reference Laboratory Esoterix Reference Lab Test Code 500778 CPT Codes 82542 Test Schedule Mon Turnaround Time 4-10 days Method HPLC/MS Test Includes 18-Hydroxycorticosterone, ng/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] 21-HYDROXYLASE ANTIBODY 21HYAB 21HYAB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Adrenal Antibodies Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 70265 CPT Codes 83519 Test Schedule Tue Turnaround Time 3-10 days Method Quantitative Radioimmunoassay Test Includes 21-Hydroxylase Antibodies, U/mL Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1372

Billing Code Test Code [sunquest] 3-ALPHA-ANDROSTANEDIOL GLUCURONIDE 3-AAG 3AAG Synonyms 3-Alpha-Diol Glucuronide; 3-Alpha Diol G; 17B-Diol Glucuronide; 3-Alpha AG; 3a-Androstanediol Glucuronide Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Samples received at room temperature. Reference Laboratory Quest Reference Lab Test Code 16808P CPT Codes 82154 Test Schedule Tue Turnaround Time 7-12 days Method Enzyme Digestion/Chrom/RIA Test Includes 3-Alpha-Diol Glucuronide, ng/dL. Supply Item Number 1467

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Billing Code Test Code [sunquest] 5' NUCLEOTIDASE 5NT 5NT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Room temperature specimens greater than 4 hours old Limitations Avoid repeated freeze/thaw cycles; Avoid hemolysis Reference Laboratory ARUP Reference Lab Test Code 80235 CPT Codes 83915 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Enzymatic Test Includes 5' Nucleotidase, U/L. Supply Item Number 1467

Billing Code Test Code [sunquest] 5-A-DIHYDROTESTOSTERONE BY TMS 5ADHTA 5ADHTA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.6 mL Collection Procedure Collect between 6-10 am Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 2 hours Refrigerated 24 hours Frozen (-20°C) 6 months Unacceptable Condition Hemolyzed or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 2002349 CPT Codes 82651 Test Schedule Mon, Wed, Sat Turnaround Time 2-5 days Method HPLC-TMS Test Includes Dihydrotestosterone LC-MS/MS, pg/mL

Billing Code Test Code [sunquest] 5-FLUOROCYTOSINE, HPLC 5FHPLC 5FHPLC Synonyms Antifungal Level, 5-Fluorocytosine Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a sterile aliquot tube and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 14 days Unacceptable Condition Serum separator tube; other body fluids; plasma Reference Laboratory Focus Reference Lab Test Code 14675 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 4-6 days Method High Performance Liquid Chromatography Clinical Significance 5-Fluorocytosine (flucytosine) is an antifungal that is converted to 5-fluorouracil by the fungal enzyme cytosine deaminase upon ingestion by the target fungal cell. The converted 5-fluorouracil is falsely incorporated into fungal RNA in place of uracil during enzymatic transformations throughout RNA synthesis, ultimately inhibiting the transcription of essential fungal proteins dependent on the corrupted RNA. Measurement of serum 5-fluorocytosine levels may be helpful to optimize drug dosing regimens, particularly where there is non-compliance, concern about drug interactions, pharmacokinetic variability, or suspected toxicity. 2.1 www.paml.com 4/16/2013 page 6 5 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory 5

Billing Code Test Code [sunquest] 5-HIAA, URINE (RANDOM) HIAUR HIAUR Synonyms Serotonin Metabolite, Urine, Random; 5-Hydroxyindoleacetic Acid, Urine Random; 5HIAA, Urine, Random Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 25 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 25 mL of a random urine specimen. Adjust pH to 1-4 with 6N HCl. Store and transport refrigerated. Room Temp Acidified: 1 month, Unacidified: Unacceptable Refrigerated Acidified: 1 month, Unacidified: 1 week. Frozen (-20°C) Unacidified: 2 weeks Unacceptable Condition room temperature unacidified samples. Limitations A pH less than 1 can interfere with assay perfomance. Patient should avoid avocados, bananas, plums, walnuts, pineapple, tomatoes and eggplant for 48 hours prior to and during collection. If possible, medication, including tryptophan supplements, should be withheld 3-4 days before collection. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83497, 82570 Test Schedule Tue, Thu Turnaround Time 2-6 days Method HPLC/Electro Det/Enzymatic (IDMS traceable) Test Includes Creatinine, Urine Random, mg/dL; 5-HIAA, Urine,Random, mg/L; 5-HIAA(Calculation), mg/gCr. Supply Item Number 1388

Billing Code Test Code [sunquest] 5-HIAA, URINE 24HR 5-HIAA HIAAUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mL. It will report the collection & total volume. There is no charge for this test. Synonyms Serotonin Metabolite, Urine; 5-Hydroxyindoleacetic Acid; 5-HIAA, Urine Quant; 5-Hydroxyindolacetic Acid, Urine Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection Preferred Volume 25 mL Minimum Volume 1 mL Patient Prep Patient should avoid avocados, bananas, plums, walnuts, pineapple, tomatoes and eggplant for 48 hours prior to and during collection. If possible medication, including trytophan supplements, should be withheld 3-4 days prior to collection. Collection Procedure Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 25 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt, adjust pH to 1-4 with 6N HCl. Record collection time and total volume. Required Patient Info Collection period and total volume. Room Temp Unacidified: unacceptable, Acidified: 1 month Refrigerated Unacidified: 7 days, Acidified: 1 year Frozen (-20°C) Unacidified: 2 weeks Alternate Specimens 24-hour urine collected with 10 grams of boric acid or 25 mL of 50% acetic acid and then pH to 1-4 with 6N HCl. Limitations A pH less than 1 can cause assay interference. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83497 Test Schedule Tue, Thu days Turnaround Time 2-6 days Method HPLC/Electrochemical Detection Test Includes Time, h; Volume, mL; 5-HIAA, Urine, mg/24h. Supply Item Number 1108

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Billing Code Test Code [sunquest] 6-MONOACETYLMORPHINE (6MAM) CONFIRMATION BY LC- MS6MAM MS6MAM MS/MS Synonyms Heroin; 6-AM; 6AM; Smack; H; Ska; Junk; Al Capone; Ballot; Cheese; Chocolate Rock; Dog Food; Eighth; Ferry Dust; Gato; Hard Candy; Joy; Mexican Horse; Noise; Old Steve Container Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Room Temp 10 days Refrigerated 1 month Limitations 10 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 1-2 days Method LC-MS/MS Test Includes 6-monoactylmorphine Supply Item Number 1388

Billing Code Test Code [sunquest] 6-MONOACETYLMORPHINE (6MAM) SCREENING BY EMIT 6MAM 6MAM (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Heroin; 6-AM; 6AM; Smack; H; Ska; Junk; Al Capone; Ballot; Cheese; Chocolate Rock; Dog Food; Eighth; Ferry Dust; Gato; Hard Candy; Joy; Mexican Horse; Noise; Old Steve Container Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Room Temp 10 days Refrigerated 1 month Limitations 10 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes 6-monoacetylmorphine Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will MS6MAM 83925 automatically be run

Billing Code Test Code [sunquest] 7 AMINO CLONAZEPAM CONFIRMATION BY LC-MS/MS CLONMS CLONMS Synonyms Klonopin; Clonapin; Rivotril Container Type Random collection in a leak proof plastic uine container Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Specimen Processing Protect from light Room Temp 10 days Refrigerated 20 days Limitations 25 ng/mL Department PAML Toxicology CPT Codes 80154 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Liquid Chromatography/Tandem Mass Spectrometry Test Includes 7 Amino Clonazepam Notes Test is also included in Drug Facilitated Sexual Assault panel, DFSA1 Supply Item Number 1388

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Billing Code Test Code [sunquest] 7 AMINO FLUNITRAZEPAM CONFIRMATION BY LC-MS/MS FLUNMS FLUNMS Synonyms Rohypnol; Forget-Me Pull; Mexican Valium; R2; Roche; Roofies; Roofinol; Rope; Rophies; Circles Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 20 days Limitations 25 ng/mL Department PAML Toxicology CPT Codes 80154 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Liquid Chromatography/Tandem Mass Spectrometry Test Includes 7 amino Flunitrazepam Notes Test is also included in Drug Facilitated Sexual Assault panel, DFSA1 Supply Item Number 1388

Billing Code Test Code [sunquest] ABACAVIR HYPERSENSITIVITY: HLA-B*5701 GENOTYPING ABACHS ABACHS Container Type Lavender top tube (EDTA) Store and Transport Ambient (room temperature) or refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Whole blood (1 mL minimum, 5 mL preferred) in EDTA, sodium citrate, or ACD tube Specimen Processing Submit original and unopened tube only; Do not transfer from original draw tube Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Plasma, serum, heparin, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 7 days old and specimens not received in the original collection tubes. Alternate Specimens Sodium citrate or ACD tubes Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81400 Test Schedule Wed Turnaround Time 7-10 days Method PCR and fluorescent monitoring Test Includes Genotyping of HLA-B*5701 Result, Interpretation, Comment, Method, Comment Clinical Significance Abacavir (Ziagen) is a nucleotide reverse-transcriptase inhibitor (NRTI) with activity against the human immunodeficiency virus (HIV). The drug can be used in combination with other antiretroviral agents, and shows a favorable long-term toxicity profile. Abacavir hypersensitivity reaction (ABC- HSR) occurs in approximately 6-8% of Caucasians and 2-3% of African Americans. Hypersensitivity to abacavir has been strongly linked to the major histocompatibility complex class I human leukocyte antigen (HLA), specifically HLA-B*5701. The FDA now recommends that all patients be screened for the HLA-B*5701 allele prior to abacavir administration and that patients testing positive should not be treated with abacavir. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

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Billing Code Test Code [sunquest] ABO & RH ABO/RH MABORH Synonyms Blood Type; Group Type; Type and RH; Blood Grouping & RH Typing Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Refrigerated 10 days Unacceptable Condition Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples. Alternate Specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted. Department PAML Immunology CPT Codes 86900, 86901 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hemagglutination Test Includes ABO; RH. Supply Item Number 1222

Billing Code Test Code [sunquest] ABO GROUP ABO M1ABO Synonyms Blood Type; Group; Type Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Refrigerated 10 days Unacceptable Condition Hemolyzed cells and all samples in plain red top tubes that are not cord blood samples. Alternate Specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood. Other specimen types collected in red top tubes will not be accepted. Department PAML Immunology CPT Codes 86900 Test Schedule Mon-Sat & STAT Turnaround Time 1-2 days Method Hemagglutination Test Includes ABO. Supply Item Number 1222

Billing Code Test Code [sunquest] ABO GROUP & RH TYPE ABOOBI ABOOBI Container Type EDTA (lavender top tube) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 4 mL Room Temp 24 hours Refrigerated 3 days Frozen (-20°C) Unacceptable Limitations Sample must be received within 3 days of collection. Reference Laboratory OBI CPT Codes 84999 Turnaround Time 2-4 days Method Beckman Coulter PK 7200 Test Includes ABO, RH

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Billing Code Test Code [sunquest] ACETAMINOPHEN TYLEN TYL Synonyms Tylenol Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Draw peak specimen 1 hour post IM dose or 1/2 hour post IV infusion. Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Required Patient Info Peak or trough specimen, time of dose. Refrigerated 2 weeks Frozen (-20°C) 45 days Unacceptable Condition EDTA plasma, samples drawn immediately after the introduction of NAC (N-acetylcysteine), used for acetaminophen toxicity treatment. Alternate Specimens SST or Sodium heparinized plasma (green top tube) or 1 microtainer. Limitations If testing is delayed more than 24 hours freeze specimen. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82003 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Acetaminophen, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ACETAMINOPHEN (URINE ONLY) TEST ALSO INCLUDED IN TLCACE TLCACE DRUG-SUR. Synonyms Tylenol Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Frozen (-20°C) 6 months Limitations 5000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Acetaminophen Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] ACETAMINOPHEN, URINE ACETAM ACETAM Synonyms Tylenol, Urine; Datril, Urine Container Type Urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 5 mL Specimen Processing Collect 30 mL random urine in a leakproof plastic urine container. Room Temp 10 days Refrigerated 1 month Frozen (-20°C) 6 months Unacceptable Condition Blood, serum, or plasma Department PAML Toxicology CPT Codes 82003 Test Schedule Mon-Fri Turnaround Time 1-2 days Method GC/MS Test Includes Acetaminophen, ug/mL Supply Item Number 1388

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Billing Code Test Code [sunquest] ACETAZOLAMIDE SERUM/PLASMA ACETAZ ACETAZ Synonyms Acetazolamide; DiamoX Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated. Room Temp 15 days Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition SST or PST. Alternate Specimens Plasma Reference Laboratory NMS Reference Lab Test Code 0050SP CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method HPLC Test Includes Acetazolamide,ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ACETONE ACETONE KET Synonyms Ketones Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum or plasma from cells and and transfer to a standard PAML aliquot tube. Alternate Specimens EDTA or sodium heparinized plasma (lavender or green top tube) Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82009 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Acetest/Nitroprusside Test Includes Acetone Notes Dilutions will no longer be performed or reported on positive results. Supply Item Number 1467

Billing Code Test Code [sunquest] ACETONE FOR TOXICOLOGY PURPOSES ACET ACET Included in Volatiles or can be ordered separate. Container Type Serum (red top tube); oxalated whold blood (grey top tube); or heparinized whole blood (green top tube) Specimen Type Blood Preferred Volume 2 mL Minimum Volume 1 mL Room Temp 3 months Refrigerated 3 months Frozen (-20°C) 1 year Alternate Specimens Urine or vitreous humor Limitations Container must be keep sealed. Limit of Detection 10 mg/dL. Department PAML Toxicology CPT Codes 84600 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Gas Chromatography (GC) Supply Item Number 1372 7357

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Billing Code Test Code [sunquest] ACETYLCHOLINE RECEPTOR BINDING ANTIBODY ACRBDA ACRBDA Synonyms ACHr Container Type Serum seperator tube (gold, brick, SST or corvac) Store and Transport Room temperature Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 14 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Hemolysis, Lipemia, Contaminated specimens, Icteric specimens, Radioactive compounds from in vivo testing, Plasma samples Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 206 CPT Codes 83519 Test Schedule Sun-Thu Turnaround Time 4-7 days Method Radioimmunoassay

Billing Code Test Code [sunquest] ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY ACRBA ACRBA Synonyms ACHr Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Store and transport room temperature Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 14 days Refrigerated 14 days Frozen (-20°C) 1 year Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 34459 CPT Codes 83519 Test Schedule Mon, Thu Turnaround Time 3-7 days Method Radioimmunoassay

Billing Code Test Code [sunquest] ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY ACRMA ACRMA Synonyms ACHr Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 1 year Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 26474 CPT Codes 83519 Test Schedule Mon, Wed Turnaround Time 5-8 days Method Radiobinding Assay Clinical Significance Myasthenia gravis (MG) is a neuromuscular disorder characterized by muscle weakness, most commonly due to autoantibody-mediated loss of functional acetylcholine receptors (AChR) in the neuromuscular junction. Modulating Antibody to AChR causes weakness by inhibiting or modulating binding to the receptors. Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.

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Billing Code Test Code [sunquest] ACETYLCHOLINESTERASE, AMNIOTIC FLUID AACHE AACHE Synonyms AACHE; ACHE, Amniotic Fluid Container Type Sterile screw-top plastic tube Specimen Type Amniotic fluid Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Do not centrifuge specimen. If cytogenetics is also ordered, do not split or pour off specimen; send all specimen to SHMC cytogenetics. Complete a SHMC cytogenetics form. Store and transport at room temperature. These specimens will be sent to Genzyme Genetics. They will be put in special tubes provided in the Genzyme kit and the requisition from Genzyme will be included. Required Patient Info Clinical indication, maternal birthdate, maternal weight, gestational age in weeks & days as determined by LMP or ultrasound (identify method), maternal diabetic status, maternal race, family history of previous Down Syndrome or neural tube defect (NTD), &/or twin or multiply pregnancy. Room Temp 7 days Refrigerated 7 days Reference Laboratory Genzyme Genetics Reference Lab Test Code 330 CPT Codes 82013 Test Schedule Mon-Sun Turnaround Time 4-6 days Method EIA Test Includes Acetylcholinesterase, Amniotic Fluid; Interpretation; Reviewed by; Date. Supply Item Number 1766

Billing Code Test Code [sunquest] ACID FAST BACILLUS, MIC 12 DRUG PACKAGE M12NJ M12NJ

Synonyms MIC 12 Drug Package Container Type See below Store and Transport Ship Category A Specimen Type See below Patient Prep See below Collection Procedure See below Specimen Processing Send pure culture of isolate on appropriate AFB media. Complete a National Jewish Mycobacteriology Services requisition to accompany the specimen. Store and transport at room temperature. Required Patient Info Identify organism and source Unacceptable Condition Leakage or breakage, unclear labeling, insufficient information about the specimen, no signature/name on the requisition, incomplete billing or reporting information. Reference Laboratory National Jewish CPT Codes 87188 Test Schedule Varies Turnaround Time 14 days or more Method Bactec MIC Test Includes Source; Organism; MIC 12 Drug Package. Supply Item Number Client supplied

Billing Code Test Code [sunquest] ACID MUCOPOLYSACCHARIDES, URINE ACMPS ACMPS Synonyms Acid MPS, Urine Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated. Required Patient Info Patient's age and clinical information. Reference Laboratory Child Ortho Hosp CPT Codes 83864 Test Schedule Thu- Interp on Monday Turnaround Time 7-10 days Method Colorimetric Test Includes Acid Mucopolysaccharides, Urine (Quant), mg/L; Acid Mucopolysaccharides Calculation, mg/gCreat; MPS Interpretation. Supply Item Number 1388

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Billing Code Test Code [sunquest] ACID PHOSPHATASE WITH TARTRATE STAIN SS.TRAP TRAP Synonyms TRAP; Cytochemical Stain Container Type See below Store and Transport Ambient (room temperature); protect from light Specimen Type See below Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained, and unfixed. EDTA and heparin slides are acceptable. Specimen Processing Protect from light Required Patient Info Source Limitations Specimen must be processed within 12 hours of collection. Protect from light. Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88319 x 2 Test Schedule Mon-Sat Turnaround Time 72 hours Method Cytochemical Stain; TRAP Stain Test Includes Source; Tartrate Resistant Acid Phosphatase Stain; TRAP Interpretation; Reviewed by Supply Item Number 1222 and Slides

Billing Code Test Code [sunquest] ACTIVATED PROTEIN C RESISTANCE APCRES APCR Separate samples must be submitted when multiple tests are ordered. Synonyms Protein C Resistance, Activated Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 2-1 mL aliquots Minimum Volume 2-0.5 mL aliquots Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85307 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Clot-based Assay Test Includes APC Resistance, Ratio. Supply Item Number 1050

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Billing Code Test Code [sunquest] ACYLCARNITINE, QUANTITATIVE PROFILE, PLASMA ACYLQA ACYLQA Separate samples must be submitted when multiple tests are ordered.

Biochemical Genetics Patient History Form available at www.aruplab.com is needed for appropriate interpretation. Critical frozen Container Type Green top tube (sodium or lithium heparin) Store and Transport Frozen Specimen Type Plasma Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate plasma or serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube and freeze. Avoid hemolysis. CRITICAL FROZEN. Required Patient Info Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (eg, TPN therapy), drug therapy, and family history. Room Temp Unacceptable Refrigerated 12 hours Frozen (-20°C) 1 month Unacceptable Condition Room temperature specimens and specimens that have been refrigerated for longer than 12 hours. Alternate Specimens Red top tube (plain) Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0040033 CPT Codes 82017 Test Schedule Tue, Thu, Sat Turnaround Time 3-7 days Method Tandem Mass Spectrometry Supply Item Number 1398 1370

Billing Code Test Code [sunquest] ADAMTS13 EVALUATION (REFLEXIVE) ADAM13 ADAM13 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms VWF Cleaving Protease Container Type Citrate (light blue top tube) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 1.5 mL (3 aliquots of 0.5 mL each) Minimum Volume 0.8 mL (2 aliquots of 0.4 mL each) Specimen Processing Separate plasma from cells and transfer to 3 separate plastic aliquot tubes and freeze. Place frozen specimens in insulated container with at least 5 lbs of dry ice. Frozen (-20°C) 14 days Unacceptable Condition Specimens not received frozen or samples collected in EDTA are not acceptable. Alternate Specimens Serum Reference Laboratory Blood Center of Wisconsin Reference Lab Test Code 1295 CPT Codes 85397 Test Schedule Mon-Fri Turnaround Time 3-5 days Method FRET-Based Kinetic Assay Test Includes ADAMTS13 Activity, %; ADAMTS13 Inhibitor, Inhibitor Units; ADAMTS13 Antibody, Arbitrary Units Notes ADAMTS13 Activity is always performed.

ADAMTS13 Evaluation is a reflexive testing algorithm. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Activity LT or = to 30% ADAMTS13 Inhibitor 85335 If Inhibitor LT or = to 0.7 Inhibitor Units ADAMTS13 Antibody 83520

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Billing Code Test Code [sunquest] ADENOSINE DEAMINASE, CSF ADCSF ADCSF Container Type CSF plastic tube Store and Transport Frozen Specimen Type CSF Preferred Volume 0.3 mL Minimum Volume 0.1 mL Collection Procedure Collect specimens in leakproof container. Indicate source. Specimen Processing Centrifuge specimen at room temperature. Transfer 0.3 mL fluid to a transport tube. Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Whole blood, bronchoalveolar lavage (BAL) specimens, turbid specimens Reference Laboratory ARUP Reference Lab Test Code 2006098 CPT Codes 84311 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method Quantitative Spectrophotometry Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Billing Code Test Code [sunquest] ADENOSINE DEAMINASE, PERITONEAL FLUID ADPF ADPF Container Type Fluid, peritoneal Store and Transport Frozen Specimen Type Fluid, peritoneal Preferred Volume 0.3 mL Minimum Volume 0.1 mL Collection Procedure Collect specimens in leakproof container. Indicate source on requisition. Specimen Processing Centrifuge specimen at room temperature. Transfer 0.3 mL fluid to a transport tube. Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Whole blood, bronchoalveolar lavage (BAL) specimens, turbid specimens Reference Laboratory ARUP Reference Lab Test Code 2006101 CPT Codes 84311 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method Quantitative Spectrophotometry Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Billing Code Test Code [sunquest] ADENOSINE DEAMINASE, PLEURAL FLUID ADPLF ADPLF Container Type Fluid, pleural Store and Transport Frozen Specimen Type Fluid, pleural Preferred Volume 0.3 mL Minimum Volume 0.1 mL Collection Procedure Collect specimens in leakproof container Specimen Processing Centrifuge specimen at room temperature. Transfer 0.3 mL to a transport tube. Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Whole blood, bronchoalveolar lavage (BAL) specimens, turbid specimens Reference Laboratory ARUP Reference Lab Test Code 2006096 CPT Codes 84311 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method Quantitative Spectrophotometry Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. 2.1 www.paml.com 4/16/2013 page 17 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ADENOSINE DEAMINASE, RBC ADA.RBC ADARBC Synonyms Red Blood Cell Adenosine Deaminase Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 3 mL Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) Unacceptable Unacceptable Condition Frozen specimens Alternate Specimens Sodium or lithium heparin whole blood (green top tube) Reference Laboratory ARUP Reference Lab Test Code 83001 CPT Codes 84311 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method Spectrophotometry Test Includes Adenosine Deaminase, RBC, U/gHgb Supply Item Number 1222

Billing Code Test Code [sunquest] ADENOVIRUS ANTIBODY, IGG & IGM ADENGM ADENGM Acute and convalescent samples advised. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.05 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent samples must be received within 30 days of the acute samples. Mark specimens plainly as 'acute' or 'convalescent.' Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma. Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens Reference Laboratory ARUP Reference Lab Test Code 51077 CPT Codes 86603 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Adenovirus Antibody, IgG; Adenovirus Antibody, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] ADENOVIRUS DNA, QUANTITATIVE, RT-PCR ADQPCR ADQPCR Container Type M4 or V-C medium Specimen Type Respiratory specimen Preferred Volume 1 mL Minimum Volume 0.35 mL. Specimen Processing Store and transport refrigerated. Required Patient Info Source Room Temp 48 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Frozen whole blood. Alternate Specimens Sputum, bronchial lavage/wash, plasma or whole blood or bone marrow (ACD, EDTA), serum (no additive red top tube or SST), CSF or urine. Reference Laboratory Focus Reference Lab Test Code 46995 CPT Codes 87799 Test Schedule Daily Turnaround Time 2-4 days Method RT-PCR Test Includes Source; Adenovirus DNA Quantitative RT-PCR, copies/mL. Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of the test.

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Billing Code Test Code [sunquest] ADIPONECTIN ADIPA ADIPA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms ACRP30; Adipocyte Complement-Related Protein Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Patient Prep Patient must be fasting Specimen Processing Separate serum from the cells and put in separate plastic tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Samples that are not separated from the red cells; nonfasting; lipemic samples Reference Laboratory ARUP Reference Lab Test Code 0070262 CPT Codes 83520 Test Schedule Wed Turnaround Time 2-9 days Method ELISA Test Includes Adiponectin, ug/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing.

Billing Code Test Code [sunquest] ADRENAL ANTIBODY SCREEN WITH REFLEX TO TITER ADNLAB ADNLAB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 4645X CPT Codes 86255 Test Schedule Tue-Fri Turnaround Time 2-5 days Method Immunofluorescence Assay (IFA) Clinical Significance Adrenal Antibody is detected in patients with autoimmune adrenal disease, e.g., Addison's disease. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Adrenal Antibody Screen is positive, Adrenal Antibody Titer 86256 Adrenal Antibody Titer with Pattern will be performed

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Billing Code Test Code [sunquest] ADRENOCORTICOTROPIC HORMONE ASSAY ACTH ACTH Synonyms ACTH Container Type Lavender top tube (EDTA) Store and Transport Store and transport frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Patient should be fasting Collection Procedure Draw between 7:00 A.M. and 10:00 A.M. Patient should be fasting. Draw in pre-chilled tubes. Specimen Processing Separate plasma from cells immediately in a refrigerated centrifuge and place in separate plastic tube and freeze. Frozen (-20°C) 30 days Unacceptable Condition RT or refrigerated specimens and specimens drawn in non-siliconized tubes. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82024 Test Schedule Mon-Fri Turnaround Time 1-4 days Method Chemiluminesence DPC Immulite Test Includes ACTH, pg/mL. Supply Item Number 1222

Billing Code Test Code [sunquest] ALANINE AMINOTRANSFERASE SGPT ALT Synonyms SGPT; ALT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells within two hours of collection. Refrigerated 2 weeks Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84460 Test Schedule Mon-Sat nights and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes ALT, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALBUMIN ALB ALB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within two hours of collection. Refrigerated 2 weeks Unacceptable Condition Icteric specimens and sodium fluoride-potassium oxalate plasma (grey top tube) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82040 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric (BCG) Test Includes Albumin, g/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] ALBUMIN, CSF ALB-C ALBSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate fluid from cells ASAP and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition RBC contamination Department PAML Immunology CPT Codes 82042 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes Albumin, CSF, mg/dL Supply Item Number 7211

Billing Code Test Code [sunquest] ALBUMIN, FLUID ALBFL ALBFL Container Type Red top tube (plain) Specimen Type Body fluid. Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated. Required Patient Info Type of fluid. Room Temp 8 hours Refrigerated 8 days Frozen (-20°C) 1 month. Avoid repeated freeze thaw cycles. Alternate Specimens Heparinized (green top tube) specimens. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82042 Test Schedule Daily Turnaround Time 24-48 hours Method Colorimetric Test Includes Albumin, Fluid, g/dL. Supply Item Number 1372

Billing Code Test Code [sunquest] ALBUMIN, GLYCATED GLYCOALBUMIN GLYALB Synonyms Glycosylated Albumin Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 2 hours Refrigerated 8 days Frozen (-20°C) 3 months Alternate Specimens EDTA plasma (lavender top tube). Reference Laboratory ARUP Reference Lab Test Code 80700 CPT Codes 82985 Test Schedule Tue Turnaround Time 3-10 days Method Turbidimetric Immunoassay Test Includes Albumin, Glycated, %. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALCOHOL SCREEN (REFLEXIVE) ALCOHOL,U ALC20 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Ethanol; Urine Alcohol Container Type Random urine container Specimen Type Urine Preferred Volume 10 mL Minimum Volume 1 mL Room Temp 10 days Refrigerated 1 month Frozen (-20°C) 1 year Limitations Limit of detection 20 mg/dL in urine. Container must be kept sealed. Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-3 days Method ADH Screen, Gas Chromatography (GC) Confirmation Notes Keep container sealed to prevent evaporation of alcohol. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will ALCOHOL,E 82055 automatically be run

Billing Code Test Code [sunquest] ALCOHOL, ETHYL (CONFIRMATION) ALCOHOL,E ALC Synonyms Blood Alcohol; Ethanol; Alcohol; ETOH Container Type Grey top tube preferred. Will test whole blood, serum, and plasma; whole blood (grey top tube) OR plasma 3 mL (grey, green, or lavender top tube); OR serum 3 mL Store and Transport Ambient (room temperature); Refrigerate if specimen arrival will exceed 48 hours Specimen Type Whole blood, plasma, or serum Preferred Volume 7 mL whole blood; 3 mL plasma; 3 mL serum Minimum Volume 0.6 mL Unacceptable Condition Do not use ethyl alcohol prep to cleanse skin prior to venipuncture. Limitations Container must be kept sealed. Department PAML Toxicology CPT Codes 82055 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Gas Chromatography (GC)

Billing Code Test Code [sunquest] ALDOLASE, SERUM ALDO ALDO Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 6 months Unacceptable Condition Specimen types other than serum; hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 20012 CPT Codes 82085 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Enzymatic Notes Ordering Recommendation: Do not use as a stand-alone test. This non-specific test has been replaced by more specific markers for muscle or liver damage. It has largely been replaced by other enzyme tests such as CK, alanine aminotransferase (ALT), and aspartate aminotransferase (AST) as markers of muscle or liver damage. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALDOSTERONE, SERUM ALDOSTERONE ALDOS Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 7 days Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma (lavender top tube). Alternate Specimens Heparinized plasma (green top tube). If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82088 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method RIA Test Includes Aldosterone, ng/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] ALDOSTERONE, URINE 24HR ALDOSTERONE- ALDUQ U Separate samples must be submitted when multiple tests are ordered Container Type 24-hour dark plastic urine container Store and Transport Frozen Specimen Type Urine, 24 hour Preferred Volume 4 mL Minimum Volume 0.5 mL Collection Procedure Collect a 24-hour urine. Urine must be refrigerated during collection. Add 1 g boric acid per 100 mL urine Specimen Processing Aliquot 4 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container and freeze. Record total volume and collection period Required Patient Info Record total volume and collection time interval on transport tube and test request form Room Temp 2 hours Refrigerated 1 week with preservatives Frozen (-20°C) 1 month Unacceptable Condition Random urine specimen Alternate Specimens Preserved urine; adjust the pH of the sample to 2-4 with 6M HCL or 50% acetic acid Reference Laboratory ARUP Reference Lab Test Code 70480 CPT Codes 82088 Test Schedule Tue, Thu, Sat Turnaround Time 3-5 days Method Quantitative Radioimmunoassay Test Includes Time, h; Volume, mL, Aldosterone, Urine, ug/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d Supply Item Number 1108

Billing Code Test Code [sunquest] ALDOSTERONE/RENIN RATIO ALDREN ALDREN Container Type Serum separator tube (gold, brick, SST, or corvac) and lavender top tube (EDTA) Store and Transport Renin, frozen. Aldosterone, refrigerated or frozen Specimen Type Serum and frozen plasma Preferred Volume 4 mL frozen plasma and 2 mL serum Minimum Volume 0.5 mL serum & 2.5 mL frozen plasma, pediatric-1.0 mL plasma Specimen Processing Separate EDTA plasma from cells within 6 hours of collection and transfer to a standard PAML aliquot tube, label for renin and freeze immediately. Store and transport frozen. Critical frozen. Separate serum from cells and transfer to a standard PAML aliquot tube and label for aldosterone. Store and transport refrigerated or frozen. Both specimen types must be submitted and properly labeled. Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244, 82088 Test Schedule Renin, Mon-Fri; Aldosterone, Sun, Wed, Fri Turnaround Time 2-4 days Method RIA Test Includes Aldosterone, ng/dL; Renin, ng/mL/h; Aldosterone/Renin Ratio, ratio Supply Item Number 1467 1222 2.1 www.paml.com 4/16/2013 page 23 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALKALINE PHOSPHATASE AKP ALKP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within two hours of collection. Refrigerated 2 weeks Unacceptable Condition EDTA or sodium fluoride-potassium oxalate plasma (lavender or grey top tubes) or hemolyzed samples Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84075 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Alkaline Phosphatase, U/L Notes Previously frozen serum may show a marked decrease in values immediately upon thawing. The activity then increases to initial values. Supply Item Number 1467

Billing Code Test Code [sunquest] ALKALINE PHOSPHATASE ISOENZYMES (HEAT STABLE) AKP-ISO AKPISO Synonyms Fractionated Alk Phos Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within two hours of collection. Refrigerated 5 days Unacceptable Condition EDTA, fluoride and oxalate plasma specimens Limitations Do not freeze Department PAML Chemistry CPT Codes 84075, 84078 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Color w/ Heat Fract Test Includes Alk Phos, U/L; Alk Phos, Heat Stable, U/L; Alk Phos, % Heat Stable %. Supply Item Number 1467

Billing Code Test Code [sunquest] ALKALINE PHOSPHATASE, BONE SPECIFIC ALKPBS ALKPBS Synonyms Alkaline Phosphatase; Bone Specific Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen - Separate samples must be submitted when multiple tests are ordered. Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 2 hours Refrigerated 2 days Frozen (-20°C) 2 months Unacceptable Condition Urine. Grossly hemolyzed samples Alternate Specimens Sodium or lithium heparin plasma (green top tube) Reference Laboratory ARUP Reference Lab Test Code 70053 CPT Codes 84080 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Chemiluminescent Immunoassay Test Includes Alkaline Phosphatase, Bone Specific, ug/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALKALINE PHOSPHATASE, ISOENZYMES AKPIAR AKPIAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Overnight fasting sample is recommended Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube refrigerate or freeze. Room Temp 1 hour Refrigerated 1 week (total activity will increase 2% per day) Frozen (-20°C) 1 year Unacceptable Condition EDTA, sodium fluoride/potassium oxalate plasma samples, grossly hemolyzed samples or lipemic samples Alternate Specimens Sodium or lithium heparin plasma (green top tube) Reference Laboratory ARUP Reference Lab Test Code 0021020 CPT Codes 84075, 84080 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Kinetic Heat Inactivation/Enzymatic Test Includes Alkaline Phosphatase, U/L; Liver, U/L; Bone, U/L

Billing Code Test Code [sunquest] ALLERGEN, ACACIA TREE, IGE ICTAC ICTAC Synonyms Acacia longifolia; Wattle; Port Jackson; White sallow; Sydney Golden Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Acacia Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ACREMONIUM KILIENSE, IGE ICMCP ICMCP Synonyms Cephalosporium Acremonium Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma. Alternate Specimens EDTA or heparin plasma (lavender or green top tube). Department PAML Immunochemistry CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Acremonium Kiliense, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, ALMOND, IGE ICFAL ICFAL Synonyms Amygdalus communis; A. dulcis; Prunus amygdalus; P. dulcis; Sweet Almond; Bitter Almond Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Almond, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ALMOND, IGG4 ICALI ICALI Synonyms Amyqdalus communis, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 month Reference Laboratory IBT Reference Lab Test Code 50122 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Almond,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ALPHA-LACTALBUMIN, IGE ICFALA ICFALA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Alpha-Lactalbumin, IgE, kU/L. Clinical Significance ALA represents approximately 25% of Lactoserum (Whey) proteins in cow's milk.

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Billing Code Test Code [sunquest] ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE ICMAL ICMAL Synonyms Alternaria Alternata Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Alternaria Tenuis (Alternata), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, AMERICAN BEECH TREE, IGE ICTAB ICTAB Synonyms Fagus Grandifolia; American Beech; Carolina Beech; Gray Beech; Red Beech; Ridge Beech; White Beech Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, American Beech Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, AMERICAN CHEESE, IGE ICACI ICACI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 31310 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, American Cheese, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, AMOXICILLOYL, IGE ICDAMO ICDAMO Synonyms Amoxcillin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Amoxicilloyl, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, AMPICILLOYL, IGE ICDAMP ICDAMP Synonyms Ampicillin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Ampicilloyl, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, APPLE, IGE ICFAP ICFAP Synonyms Malus domestica; M. communis; M. pumila; M. sylvestris; Cultivated Apple; Crabapple Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Apple, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, APPLE, IGG4 ICAPI ICAPI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 50222 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Apple,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, APRICOT, IGE ICFAPR ICFAPR Synonyms Prunus Armeniaca; Prunus Armeniaca Variety, Vulgaris; Armerniaca Vulgaris; Amygdalus Armeniaca Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Apricot, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, ARTICHOKE, IGE ICACEI ICACEI Synonyms Cynara scolymus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 30610S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Artichoke, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, ASPARAGUS, IGG ICASI ICASI Synonyms Asparagus officinalis Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 55520 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Asparagus,IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ASPEN, IGE ICASP ICASP Synonyms Populus tremuloides Container Type Serum seperator tube (gold brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Unacceptable Condition Lipemic samples may lead to rejection Reference Laboratory Viracor-IBT Reference Lab Test Code 64610S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Radioimmunoassay (RIA) Test Includes Aspen (Populus tremuloides) IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, ASPERGILLUS FLAVUS, IGE ICAFEI ICAFEI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 191010E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Aspergillus Flavus, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, ASPERGILLUS FUMIGATUS, IGE ICMAF ICMAF Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Aspergillus Fumigatus, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ASPERGILLUS NIGER, IGE ICMAN ICMAN Synonyms Black Mold Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Aspergillus Niger, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, AUREOBASIDIUM PULLULANS (PULLULARIA), IGE ICMPU ICMPU Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Aureobasidium Pullaulans (Pullularia), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, AUSTRALIAN PINE TREE, IGE ICTAP ICTAP Synonyms Casuarina equisetifolia; Australian Pine; Common Ironwood; Beefwood; Bull Oak; Whistling Pine; Horsetail Tree Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Australian Pine, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, AVOCADO, IGE ICFAVO ICFAVO Synonyms Persea Americana; Alligator Pear; Midshipman's Butter; Vegetable Butter; Butter Pear Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Avocado, IgE; kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BAHIA GRASS, IGE ICGBA ICGBA Synonyms Paspalum notatum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Bahia Grass, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, BAKERS YEAST, IGG4 ICBYG4 ICBYG4 Synonyms Yeast, IgG4; Bakers Yeast, IgG4; Yeast (Saccaromyces cerevisiae), IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 53522 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Bakers Yeast,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BANANA, IGE ICFBN ICFBN Synonyms Musa acuminata; M. sapientum; M. paradisiaca; Plantain Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3days Method ImmunoCap FEIA Test Includes Allergen, Banana, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BANANA, IGG4 ICBNG4 ICBNG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 50322 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Banana,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BARLEY, IGE ICFBA ICFBA Synonyms Hordeum vulgare; Barleycorn Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Barley, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BARLEY, IGG4 ICBAG4 ICBAG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 50422 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Barley,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BASIL, IGE ICBASL ICBASL Synonyms Octimum basilicum, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or room temperature Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 41910 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method FEIA Test Includes Allergen, Basil, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BASS BLACK, IGE ICBSEI ICBSEI Synonyms Centrachidae spp; Sea Bass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 1 month Reference Laboratory IBT Reference Lab Test Code 43310S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Bass Black, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, BEEF, IGE ICFBF ICFBF Synonyms Bos spp.; Bovine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Beef, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BEEF, IGG4 ICBEBI ICBEBI Synonyms Box Species, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 55022 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Beef,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BELL PEPPER/PAPRIKA, IGE ICFBPP ICFBPP Synonyms Capsicum annuum; Sweet Pepper; Paprika; Green Pepper; Hungarian Pepper; Red Pepper; Pimento; Pimiento Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Bell Pepper/Paprika, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BENTGRASS, IGE ICGBG ICGBG Synonyms Agrostis stolonifera; Agrostis alba; Redtop; Water Bent grass; Creeping Bent; Creeping Bentgrass; Carpet Bentgrass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Bentgrass, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BERLIN BEETLE, IGE ICIBB ICIBB Synonyms Trogoderma Angustum; Khapra Beelte; Solier Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Berlin Bettle, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, BERMUDA GRASS, IGE ICGBM ICGBM Synonyms Cynodon dactylon; Panicum dactylon; Scutch Grass; Wire Grass; Star Grass; Bahama Grass; Devil Grass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. X Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Bermuda Grass, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BETA-LACTOGLOBULIN, IGE ICFBLA ICFBLA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Beta-Lactoglobulin, IgE, kU/L. Clinical Significance BLG represents approximately 50% of Labtoserum (Whey) proteins in cow's milk.

Billing Code Test Code [sunquest] ALLERGEN, BIRD FANCIER'S PRECIPITIN PANEL 1 ICBFP ICBFP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 401707 CPT Codes 86331 x 10 Test Schedule Tue, Fri Turnaround Time 4-6 days Method Gel Diffusion (Ouchterlony) Test Includes Canary Droppings; Chicken Serum; Cockatiel Droppings; Finch Droppings; Parakeet Droppings; Parakeet Serum; Parrot Droppings; Parrot Serum; Pigeon/Dove Droppings; Pigeon/Dove Serum Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BLACK PEPPER, IGE ICFBP ICFBP Synonyms Piper Nigrum Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Black Pepper, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, BLACKBERRY, IGE ICBBEI ICBBEI Synonyms Rubus fruiticosus; Blackberry; Common Blackberry; Allegheny Blackberry; European Blackberry; Bramble; Bramble-kite; Brambleberry; Brameberry Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 48410E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Blackberry, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, BLOMIA TROPICALIS MITE, IGE ICDMBT ICDMBT Synonyms Storage mite; Flour mite; Grain mite Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Blomia tropicalis Mite, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, BLOOD WORM, IGE ICIBW ICIBW Synonyms Chironomus Thummi; Chironomus Riparius Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Blood Worm, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, BLUE MUSSEL, IGE ICFBM ICFBM Synonyms Mytilus edulis Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Blue Mussel, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BLUEBERRY, IGE ICBLAR ICBLAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0055426 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Blueberry, IgE; kU/L Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been apporved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BOTRYTIS CINEREA, IGE ICMBC ICMBC Synonyms Grey Mold Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Botrytis Cinerea, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, BOTRYTIS CINEREA, IGG ICBCGI ICBCGI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 76420 CPT Codes 86671 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Botrytis cinerea, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, BOX ELDER, IGE ICTBE ICTBE Synonyms Acer Negundo; Maple Tree; Maple Ash; Ash Maple; Ashleaf Maple; Manitoba Maple; Box Elder Maple; Western Box Elder; Black Ash; California Boxelder; Cutleaf Maple; Cut-leaved Maple; Negundo Maple; Red River Maple; Stinking Ash; Sugar Ash; Three-leaved Maple Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Box Elder, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BRAZIL NUT, IGE ICFBZ ICFBZ Synonyms Bertholletia excelsa; Para-nut; Cream Nut Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunology CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Brazil Nut, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BROCCOLI, IGE ICFBR ICFBR Synonyms Brassica oleracea var. italica; Spear Cauliflower; Winter Cauliflower; Purple Cauliflower; Calabrese; Romanesco Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Broccoli, IgE, kU/L. Notes Not to be confused with 'Traditional Cauliflower.' Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, BROME GRASS, IGE ICGBR ICGBR Synonyms Bromus inermis; Bromegrass; Smooth Brome, Rescue Grass Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Brome Grass, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, BUCKWHEAT, IGE ICFBW ICFBW Synonyms Fagopyrum Esulentum; Beechwheat; Fagopyrum; French Wheat; Garden Buckwheat Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Buckwheat, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, CABBAGE, IGE ICFCAB ICFCAB Synonyms Brassica oleracea var. capitata; Head Cabbage; Heading Cabbage Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cabbage, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, CANDIDA ALBICANS, IGE ICMCA ICMCA Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Candida Albicans, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CARMINE/RED DYE-COCHINEAL, IGE ICREDI ICREDI Synonyms Dactylopius coccus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or room temperature Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 184110E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method FEIA Test Includes Allergen, Carmine Dye/Red Dye-Cochineal, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CARROT, IGE ICFCA ICFCA Synonyms Daucus carota Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Carrot, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CASEIN, IGG ICFCSI ICFCSI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 58020 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-4 days Method EIA Test Includes Casein,IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CASEIN, IGE ICFCS ICFCS Synonyms Bos spp. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Casein, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CASHEW NUT, IGE ICFCW ICFCW Synonyms Anacardium occidentale Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cashew Nut, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CAT DANDER, IGE ICECE ICECE Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cat Dander, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CELERY, IGE ICFCEL ICFCEL Synonyms Apium graveolens; Stick Celery; Celeriac; Celery Root; Root Celery; Celery Tuber; Knob Celery Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Celery, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CHEESE, CHEDDAR TYPE, IGE ICFCC ICFCC Synonyms Hard Cheese Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cheese, Cheddar Type, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CHEESE, MOLD TYPE, IGE ICFMC ICFMC Synonyms Soft Cheese; White Cheese; includes Camembert, Brie, Gorgonzola, Roquefort Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cheese, Mold Type, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CHERRY, IGE ICFCHE ICFCHE Synonyms Prunus avium; Sweet Cherry; Wild Cherry Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cherry, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CHICKEN FEATHERS, IGE ICECF ICECF Synonyms Gallus Domesticus Feathers Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Chicken Feathers, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, CHICKEN MEAT, IGG ICFCKI ICFCKI Synonyms Gallus species, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 50620 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Chicken Meat, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CHICKEN MEAT, IGE ICFCK ICFCK Synonyms Gallus spp. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Chicken Meat, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CHICKPEA, IGE ICCPAR ICCPAR Synonyms Garbanzo Bean Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0055200 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Chickpea, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CHOCOLATE, IGG4 ICCHG4 ICCHG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) >1 month Reference Laboratory Viracor-IBT Reference Lab Test Code 50722 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 4-5 days Method ImmunoCAP FEIA Test Includes Chocolate,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CHOCOLATE/CACAO, IGE ICFCH ICFCH Synonyms Theobroma cacao; Cacao; Cacao Powder Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Chocolate/Cacao, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CINNAMON, IGE ICCIAR ICCIAR Synonyms Cinnamonmum spp; True Cinnamon; Ceylon Cinnamon; Cassia; Chinese Cinnamon; ImmunoCAP F220 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0098876 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Cinnamon, IgE, kU/L Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CLADOSPORIUM HERBARUM, IGE ICMCH ICMCH Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cladosporium Herbarum, IgE, kU/L. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 48 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGEN, CLADOSPORIUM HERBARUM, IGG ICCHGI ICCHGI Synonyms Cladosporium herbarum; Hormodendrum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 75420 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Cladosporium herbarum, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, CLAM, IGE ICFCL ICFCL Synonyms Manilla Clam; Littleneck Clam; Carpet Shell Clam Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Clam, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COCKLEBUR, IGE ICWCB ICWCB Synonyms Xanthium commune; Rough Cocklebur; Common Cocklebur Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cocklebur, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, COCKROACH, IGE ICICR ICICR Synonyms Blatella germanica; Roach; German Cockroach Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cockroach, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COCONUT, IGE ICFCOC ICFCOC Synonyms Cocus nucifera; Common Coconut Container Type SST Tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Coconut, IgE; kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CODFISH (WHITEFISH), IGE ICFCD ICFCD Synonyms Gadus morhua; Atlantic Cod Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Codfish (Whitefish), IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, COFFEE, IGG ICCOI ICCOI Synonyms Coffea species, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51020 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Coffee, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COFFEE, IGE ICCFI ICCFI Synonyms Coffea spp; Coffee; C. Arabica-Arabica or Arabian Coffee; C. canephora-Robusta or Congo Coffee; C. liberica-Liberian Coffee Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51010A CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Coffee, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, COMMON SILVER BIRCH , IGE ICTBR ICTBR Synonyms Betula verrucosa; Betula pendula; Common Birch; Birch; Birch Tree Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Common Silver Birch , IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CORIANDER/CILANTRO, IGE ICCOCI ICCOCI Synonyms Coriandrum savtivum, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or room temperature Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 44110 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method FEIA Test Includes Allergen, Coriander/Cilantro, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CORN (MAIZE), IGE ICFCN ICFCN Synonyms Zea mays; Maize; Sweet Corn; Indian Corn; Field Corn Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Corn (Maize), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CORN, IGG4 ICCNG4 ICCNG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 51122 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Corn,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CORN/MAIZE (ZEA MAYS), IGG ICFCNI ICFCNI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51120 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-4 days Method EIA Test Includes Corn/Maize(Zea mays)IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COTTONWOOD TREE, IGE ICTCW ICTCW Synonyms Populus deltoides; Poplar Tree Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cottonwood Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COW DANDER, IGE ICECD ICECD Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cow Dander, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, COW'S MILK, IGE ICFCM ICFCM Synonyms Bos spp.; Bovine Milk Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cow's Milk, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, COWS MILK, IGG4 ICMCG4 ICMCG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 51722 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Cows Milk,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CRAB, IGE ICFCR ICFCR Synonyms Cancer pagurus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Crab, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CUCUMBER, IGE ICFCUC ICFCUC Synonyms Cucumis Sativus; Cuke; Gherkin; Cowcumber Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cucumber, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, CULTIVATED OAT, IGE ICGCO ICGCO Synonyms Avena sativa; Common Oat Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Cultivated Oat, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CUMIN, IGE ICCUMA ICCUMA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 30210 CPT Codes 86003 Test Schedule Mon, Wed, Thu, Fri Turnaround Time 4-6 days Method RIA Test Includes Allergen, Cumin, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. According to CLIA regualtions, this test can be used for clinical purposes and shoud not be regarded as investigational or for research. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, CURRY (SANTA MARIA), IGE ICCURI ICCURI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 45110E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 4-6 days Method Immunocap FEIA Test Includes Allergen, Curry (Santa Maria), IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, CURVULARIA LUNATA, IGE ICMCL ICMCL Synonyms Cochilobolus Lunatus; Acrothecium Lunatum Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Curvularia Lunata, IgE, kU/L. Notes There appears to be extensive cross-reactivity between Curvularia, Stemphylium, and Alternata.

Billing Code Test Code [sunquest] ALLERGEN, D. FARINAE (MITE), IGE ICDM2 ICDM2 Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, D. farinae (Mite), IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, D. PTERONYSSINUS (MITE), IGE ICDM1 ICDM1 Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, D. pteronyssinus (Mite), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, DANDELION (TARAXACUM VULGARE) IGE ICDAN ICDAN Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Unacceptable Condition Lipemic samples may lead to rejection Reference Laboratory Viracor-IBT Reference Lab Test Code 70110S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA

Billing Code Test Code [sunquest] ALLERGEN, DOG DANDER, IGE ICEDD ICEDD Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Dog Dander, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, DUCK FEATHERS, IGE ICEDF ICEDF Synonyms Anas Platyrhynca Feathers Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Duck Feathers, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, EGG WHITE, IGE ICFEW ICFEW Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Egg White, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, EGG WHITE, IGG ICFEWI ICFEWI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51220 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-4 days Method EIA Test Includes Egg White, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, EGG WHOLE, IGE ICFEG ICFEG Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Egg Whole, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, EGG WHOLE, IGG ICEWI ICEWI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 47820 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Egg Whole, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, EGG WHOLE, IGG4 ICWEG4 ICWEG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 47822 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Egg Whole,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, EGG YOLK, IGE ICFEY ICFEY Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Egg Yolk, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, EGG YOLK, IGG ICEYI ICEYI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51320 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Egg Yolk, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ELM TREE, IGE ICTEL ICTEL Synonyms Ulmus americana; White Elm; American Elm Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Elm Tree, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, ENGLISH PLANTAIN (RIBWORT), IGE ICWEP ICWEP Synonyms Plantago lanceolata; Ribwort Plantain; Ribwort Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, English Plantain (Ribwort), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, EPICOCCUM PURPURASCENS, IGE ICMEP ICMEP Synonyms Epicoccum Nigrum Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Epicoccum Purpurascens, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, ETHYLENE OXIDE, IGE ICOEO ICOEO Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Ethylene Oxide, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, EUCALYPTUS (GUM) TREE, IGE ICTEU ICTEU Synonyms Eucalyptus spp.; Gum Tree; Blue Gum Tree; Fever Tree Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Eucalyptus (Gum) Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, EUROPEAN HORNET, IGE ICIEH ICIEH Synonyms Vespa Crabro Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, European Hornet, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, FALSE RAGWEED, IGE ICWFR ICWFR Synonyms Franseria acanthicarpa; Ambrosia acanthicarpa; Bur Ragweed; Annual Burweed Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, False Ragweed, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, FEATHER MIX, IGE ICFEMA ICFEMA Synonyms Feather Mixture (Chicken, Duck, Goose, Turkey) Allergens, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 55037 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Feather Mix, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FERRET EPITHELIUM, IGE ICFEEI ICFEEI Synonyms Mustela putorius; Ferret; Household Ferret; Polecat Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 83810A CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Ferret Epithelium, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, FIRE ANT, IGE ICIFA ICIFA Synonyms Solenopsis Invicta Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Fire Ant, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, FLOUNDER, IGG4 ICFLI ICFLI Synonyms Bothidae/Pleuronectidae Family, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 53722 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Flounder,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FLY HORSE, IGE ICFHI ICFHI Synonyms Tabanus species, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 91610A CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Fly Horse, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Laboratories. It has not been cleared or approved by FDA. According to CLIA regulations, this test should not be regarded as investigational or for research. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FOOD PANEL 1, IGG4 FDPNG4 FDPNG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) >1 month Reference Laboratory IBT Reference Lab Test Code 403195P CPT Codes 86001 x 20 Test Schedule Mon, Wed, Fri Turnaround Time 4-5 days Method ImmunoCAP FEIA Test Includes Banana IgG4, mcg/mL; Barley IgG4, mcg/mL; Green Bean IgG4, mcg/mL; Chocolate, IgG4, mcg/mL; Corn IgG4, mcg/mL; Egg Whole IgG4, mcg/mL; Cows Milk, IgG4, mcg/mL; Oat IgG4, mcg/mL; Orange IgG4, mcg/mL; Pea Green IgG4, mcg/mL; Peanut IgG4, mcg/mL; Pork IgG4, mcg/mL; Potato White IgG4, mcg/mL; Rice IgG4, mcg/mL; Rye, IgG4, mcg/mL; Soybean IgG4, mcg/mL; Tomato IgG4, mcg/mL; Strwberry IgG4, mcg/mL; Wheat IgG4, mcg/mL; Bakers Yeast, IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 64 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGEN, FOOD, HADDOCK, IGE ICHDAR ICHDAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 98864 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Haddock, IgE, kU/L Clinical Significance Interpretive Data: Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FOOD, RASPBERRY, IGE ICRAAR ICRAAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0099493 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Raspberry, IgE, kU/L Clinical Significance Interpretive Data: Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, FOOD, SUNFLOWER SEED (HELIANTHUS ANNUS), ICSUSI ICSUSI IGE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 56510E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method RIA Test Includes Sunflower Seed (Helianthus annus), IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FORMALDEHYDE/FORMALIN, IGE ICFOI ICFOI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 92610E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Formaldehyde/Formalin, IgE, kU/L; Class Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, FUSARIUM OXYSPORUM/VASINFECTUM, IGE ICFOEI ICFOEI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 79110E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Fusarium oxysporum/vasinfectum, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, FUSARIUM PROLIFERATUM, IGE ICMFP ICMFP Synonyms Fusarium Moniliforme; Cephalosporium Proliferatum Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Fusarium Proliferatum, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, FUSARIUM SOLANIE, IGE ICFSI ICFSI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 76110S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method RIA Test Includes Fusarium solanie, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GARLIC, IGE ICFGA ICFGA Synonyms Allium sativum; Cultivated Garlic; Poor Man's Treacle Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Garlic, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, GELATIN BOVINE, IGE ICDBG ICDBG Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Gelatin Bovine, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, GIANT RAGWEED, IGE ICWGR ICWGR Synonyms Ambrosia trifida; Great Ragweed; Tall Ragweed Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Giant Ragweed, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GINGER, IGE ICGINT ICGINT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 4 weeks Reference Laboratory IBT Reference Lab Test Code 49410 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method FEIA Test Includes Allergen, Ginger, IgE; kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, GLUTEN, IGE ICFGT ICFGT Synonyms Tri a Gluten; Gliadin; Gamma-Gliadin; Omega-gliadin Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Gluten, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GLUTEN, IGG ICGGI ICGGI Synonyms Gluten; Tri a Gluten; Gliadin; Gamma-Gliadin; Omega-gliadin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 53620 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Allergen, Gluten, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, GOLDENROD, IGE ICWGD ICWGD Synonyms Solidago virgaurea; European Goldenrod Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Goldenrod, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, GOOSE FEATHERS, IGE ICEGF ICEGF Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Goose Feathers, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GRAPE (RAISIN), IGE ICFGR ICFGR Synonyms Vitis vinifera; Vitis vinifera subsp. Sylvestris; Vitis sylvestris; Vitis vinifera subsp. Vinifera Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Grape (Raisin), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GRAPEFRUIT, IGE ICFGF ICFGF Synonyms Citrus Paradisi; Shaddock Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Grapefruit, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, GRAPEFRUIT, IGG ICGFGI ICGFGI Synonyms Citrus paradisi; Grapefruit; Shaddock Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 41820 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Grapefruit,IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, GRASS, ALFALFA, IGE ICAFAR ICAFAR Synonyms Medicago sativa; Medick; Lucerne; Lucerne Grass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.25 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 99901 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative ImmunoCAPÂ® Fluorescent Enzyme Immunoassay Test Includes Allergen, Alfalfa, IgE, kU/L Clinical Significance Interpretive Data: Allergen results of 0.10-0.34 kU/L are intended for specialist use as the clinical relevance is undetermined. Even though increasing ranges are reflective of increasing concentrations of allergen-specific IgE, these concentrations may not correlate with the degree of clinical response or skin testing results when challenged with a specific allergen. The correlation of allergy laboratory results with clinical history and in vivo reactivity to specific allergens is essential. A negative test may not rule out clinical allergy or even anaphylaxis. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, GREEN BEAN, IGE ICGBAR ICGBAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0099649 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Green Bean, IgE; kU/L Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been apporved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GREEN BEAN, IGG4 ICGBG4 ICGBG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 51422 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Green Bean,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GREEN NIMITTI, IGE ICIGN ICIGN Synonyms Cladotanytarsus Lewisi; Sudan Fly Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Green Nimmitti, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, GREEN PEA, IGG4 ICGPG4 ICGPG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 54622 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Green Pea,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GREY ALDER TREE, IGE ICTAL ICTAL Synonyms Alnus incana; Speckled Alder Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Grey Alder Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, GUINEA PIG EPITHELIUM, IGE ICEGPE ICEGPE Synonyms Cavia porcellus, Cavy Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Guinea Pig Epithelium, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, HALIBUT, IGE ICHBAR ICHBAR Synonyms Hippoglossus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.25 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0098516 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay Test Includes Allergen, Halibut, IgE Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, HAMSTER EPITHELIUM, IGE ICEHE ICEHE Synonyms Cricetidae; Cricetus cricetus-Common Hamster; Phodopus sungorus-Siberian Hamster or Dwarf Hamster; Mesocricetus auratus-Golden Hamster Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Hamster Epithelium, IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, HAZEL NUT (FILBERT), IGE ICFHZ ICFHZ Synonyms Corylus avellana; Hazel nut; Filbert; Cobnut; Cob Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Hazel Nut (Filbert), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, HAZEL NUT TREE, IGE ICTHZ ICTHZ Synonyms Corylus avellana; Hazel Tree Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Hazel Nut Tree, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, HONEYBEE VENOM, IGE ICIHB ICIHB Synonyms Apis mellifera Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture, no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Honeybee Venom, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, HONEYDEW/CANTALOUPE, IGE ICFWM ICFWM Synonyms Cucumis melo spp.; Melon; Common Melon; Muskmelon; Armenian Cucumber; Winter Melon Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Honeydew/Cantaloupe, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, HORSE DANDER, IGE ICEHH ICEHH Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Horse Dander, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, HOUSE DUST (GREER), IGE ICHDG ICHDG Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green tup tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, House Dust (Greer), IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, HOUSE DUST (HOLLISTER-STEIR), IGE ICHDS ICHDS Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, House Dust (Hollister-Steir), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, INSULIN HUMAN, IGE ICDHI ICDHI Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Insulin Human, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, JAPANESE CEDAR, IGE ICTRW ICTRW Synonyms Cupressus japonica; Sugi Tree Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Japanese Cedar, IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, JOHNSON GRASS, IGE ICGJO ICGJO Synonyms Sorghum halepense; S. controversum; S. miliaceaum; Holcus halapensis; Holcus halepensis; Johnsongrass; Sorghum Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Johnson Grass, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, JUNIPER WESTERN, IGE ICJWEI ICJWEI Synonyms Juniperus occidentalis; Sierra Juniper Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 68310S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Juniper Western, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, KIDNEY BEAN, IGE IKDBNA IKDBNA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 55440 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Kidney Bean, IgE, kU/L Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 78 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGEN, KIWI, IGE ICFKIW ICFKIW Synonyms Actinidia deliciosa; Actinidia latifolia var. deliciosa; Actinidia chinensis deliciosa; Chinese Gooseberry; Kiwifruit; Monkey Peach; Sheep Peach; Gold Kiwi; Green Kiwi Container Type SST Tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Kiwi, IgE; kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, KOCHIA (FIREBUSH), IGE ICWKO ICWKO Synonyms Kochia scoparia; Bassia scoparia; Chenopodium scoparia; Firebush; Common Kochia Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Kochia (Firebush), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, LAMB (MUTTON), IGE ICFLAM ICFLAM Synonyms Ovis Spp. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lamb (Mutton), IgE, kU/L.

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Billing Code Test Code [sunquest] ALLERGEN, LAMB'S QUARTERS (GOOSEFOOT), IGE ICWLQ ICWLQ Synonyms Chenopodium album; Goosefoot; Common Lamb's Quarters; Lambsquarter; White Goosefoot Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lamb's Quarters (Goosefoot), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, LATEX (BRAZILIAN RUBBER TREE), IGE ICOLT ICOLT Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Latex (Brazilian Rubber Tree), IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, LEMON, IGG ICLEGI ICLEGI Synonyms Citrus Lemon Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 41020 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Lemon, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, LEMON, IGE ICFLEM ICFLEM Synonyms Citrus Limon Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lemon, IgE, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, LENTIL, IGE ICFLEN ICFLEN Synonyms Lens Esculenta; Lens Culinaris; Cicer Lens; Lentilla Lens Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lentil, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, LETTUCE, IGE ICFLE ICFLE Synonyms Lactuca sativa; Garden Lettuce; Prickly Lettuce; Head Lettuce; Stem Lettuce; Leaf Lettuce; Romaine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lettuce, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, LIMA BEAN/WHITE BEAN, IGE ICLBAR ICLBAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0099766 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Lima Bean/White Bean, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, LIME, IGE ICLEI ICLEI Synonyms Citrus aurantifolia; Lime, Green Lemon; Sour Lemon; Citrus acida; Citrus Lima; Citrus Medica; Limonia aurantifolia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 46410A CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Lime, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, LIME, IGG ICLIGI ICLIGI Synonyms Citrus aurantifolia; Lime; Green Lemon; Sour Lemon; Citrus acida; Citrus Lima; Citrus Medica; Limonia aurantifolia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 46420 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Lime IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, LINDEN TREE, IGE ICTLIN ICTLIN Synonyms Tilia cordata; Basswood; European Lime; Small Leaved European Linden; Small Leaved Lime; Small Leaved Linden Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Linden Tree, IgE, kU/L.

Billing Code Test Code [sunquest] ALLERGEN, LOBSTER, IGE ICFLB ICFLB Synonyms Homarus gammarus; Homarus americanus; European Lobster; American Lobster Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Lobster, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MACADAMIA NUT (MACADAMIA TERNIFOLIA), IGE ICMNI ICMNI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 44810S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 2-3 days Method FEIA Test Includes Macadamia Nut (Macadamia ternifolia), IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, MALT, IGE ICFML ICFML Synonyms Hordeum vulgare; Barley Malt Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Malt, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MANGO, IGE ICFMAN ICFMAN Synonyms Mangifera indica Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mango, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE ICGKB ICGKB Synonyms Poa pratensis; Meadow Grass; Smooth Meadow-Grass; Kentucky Bluegrass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Meadow (Kentucky Blue) Grass, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, MEADOW FESCUE, IGE ICGMF ICGMF Synonyms Festuca elatior; Festuca pratensis; English Bluegrass; Tall Fescue Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Meadow Fescue, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MILK GOAT, IGE ICMGI ICMGI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 40310E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Milk Goat, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MILK SHEEP, IGE ICMSEI ICMSEI Synonyms Ovis spp Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 38710A CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Milk Sheep, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, MOSQUITO, IGE ICIMO ICIMO Synonyms Aedes Communis Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Mosquito, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, MOUNTAIN CEDAR (JUNIPER) TREE, IGE ICTMC ICTMC Synonyms Juniperus sabinoides; Juniperus ashei; Mountain Juniper; Ashe Juniper Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mountain Cedar (Juniper)Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MOUSE EPITHELIUM, SERUM & URINE PROTEINS, ICEMOU ICEMOU IGE Synonyms Mus spp; Mouse; House Mouse; Common House Mouse Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mouse Epithelium, Serum & Urine Proteins, IgE, kU/L Notes Includes mouse epithelium, serum, and urine proteins.

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Billing Code Test Code [sunquest] ALLERGEN, MOZZARELLA CHEESE, IGE ICMCI ICMCI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 49010 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Mozzarella Cheese, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. According to CLIA regualtions, this test can be used for clinical purposes and shoud not be regarded as investigational or for research. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MUCOR RACEMOSUS, IGE ICMMR ICMMR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mucor Racemosus, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MUGWORT, IGE ICWMW ICWMW Synonyms Artemisia vulgaris; Chrysanthemum Weed; Common Wormwood; Felon Herb; Wild Wormwood Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mugwort, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, MULBERRY TREE, IGE ICTML ICTML Synonyms Morus alba; White Mulberry; Silkworm Mulberry Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mulberry Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MUSHROOM, IGE ICMUAR ICMUAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0099770 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Mushroom, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, MUSTARD, IGE ICFMS ICFMS Synonyms Brassica/Sinapis spp.; White Mustard; Yellow Mustard; Black Mustard; Brown Mustard; Oriental Mustard; Chinese Mustard; Indian Mustard; Leaf Mustard; Sarepta Mustard; Asiatic Mustard Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Mustard, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, NETTLE, IGE ICWNT ICWNT Synonyms Urtica dioica; Stinging Nettle; American Stinging Nettle; European Stinging Nettle; Hoary Nettle; Hairy Nettle Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Nettle, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, OAK TREE, IGE ICTOK ICTOK Synonyms Quercus alba; White Oak; Forked-Leaf White Oak; Fork-Leaf Oak Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Oak Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, OAT IGG4 ICOTG4 ICOTG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 51822 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Oat,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, OAT, IGE ICFOT ICFOT Synonyms Avena sativa; Oats; Oatmeal; Oat Groats Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Oat, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, OCTOPUS, IGE ICFOCT ICFOCT Synonyms Octopus Vulgaris Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Octopus, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, OLIVE RUSSIAN, IGE ICORI ICORI Synonyms Elaeagnus angustifolia; Russian Olive; Russian Silverberry; Oleaster; Silverberry Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 66410S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method FEIA Test Includes Allergen, Olive Russian, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, OLIVE TREE, IGE ICTOL ICTOL Synonyms Olea europaea Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Olive Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ONION, IGE ICFON ICFON Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Onion, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ORANGE, IGE ICFOG ICFOG Synonyms Citrus sinensis; Citrus cinensis; Citrus macracantha; Citrus aurantium; Sweet Orange Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Orange, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, ORANGE, IGG ICORGI ICORGI Synonyms Citrus sinensis; Citrus Aurantium-Sour/Bitter Variety; Citrus cinensis; Citrus macracantha; Orange, Sweet Orange Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 51920 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Orange IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, ORANGE, IGG4 ICOGG4 ICOGG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 51922 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Orange,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ORCHARD GRASS (COCKSFOOT), IGE ICGOG ICGOG Synonyms Dactylis glomerata; Cocksfoot Grass; Cock's Foot Grass; Cock's Foot; Orchardgrass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Orchard Grass (Cocksfoot), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, OREGANO, IGE ICORGN ICORGN Synonyms Origanum vulgare, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or room temperature (ambient) Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 44910 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method FEIA Test Includes Allergen, Oregano, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, OYSTER, IGE ICFOY ICFOY Synonyms Ostrea edulis Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Oyster, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PAPAYA, IGE IPAPR IPAPR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 55250 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Immunocap Test Includes Allergen, Papaya, IgE, kU/L Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratories necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 93 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGEN, PAPER WASP VENOM, IGE ICIPW ICIPW Synonyms Polistes spp. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Paper Wasp Venom, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PARSLEY, IGE ICFPAR ICFPAR Synonyms Petroselinum Crispum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Parsley, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, PEA, GREEN, IGE ICFGP ICFGP Synonyms Pisum sativum; Pisum humile; Pea; Common Pea; Greenpea; Green Pea; Dry Pea; Snow Pea; Sugar Snap Pea Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pea, Green, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PEACH, IGE ICFPCH ICFPCH Synonyms Prunus persica; Freestone; Clingstone; Nectarine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Peach, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PEANUT, IGE ICFPN ICFPN Synonyms Arachis hypogaea; Groundnut; Monkeynut Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Peanut, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PEANUT, IGG4 ICPNG4 ICPNG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52022 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Peanut, IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PEAR, IGE ICFPR ICFPR Synonyms Pyrus communis Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pear, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PECAN (HICKORY) TREE, IGE ICTPE ICTPE Synonyms Carya Pecan; Hickory Tree Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pecan (Hickory) Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PECAN FOOD, IGG4 ICPFI ICPFI Synonyms Carya Illinoensis, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 month Reference Laboratory IBT Reference Lab Test Code 52122 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Recan Food,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PECAN NUT, IGE ICFPE ICFPE Synonyms Carya illinoensis; Carya illinoinensis; Hickory Nut Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pecan Nut, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PENICILLIUM CHRYSOGENUM, IGE ICMPN ICMPN Synonyms Penicillium Notatum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Penicillium Chrysogenum, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PENICILLIUM CHRYSOGENUM/NOTATUM, IGG ICPCGI ICPCGI Synonyms Penicillium Notatum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 75720 CPT Codes 86671 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Allergen, Penicillium chrysogenum/notatum, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, PENICILLOYL G, IGE ICDRP ICDRP Synonyms Penicillin G (major); Penicillin (injectable); Penicillin (IV) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after the drug reaction. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Penicilloyl G, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PENICILLOYL V, IGE ICDRPV ICDRPV Synonyms Penicillin V (minor); Penicillin (oral) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Penicilloyl V, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PEPPER CAYENNE, IGE ICPECY ICPECY Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or room temperature (ambient) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 57610S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 4-5 days Method RIA Test Includes Allergen, Pepper, Cayenne, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. According to CLIA regualtions, this test can be used for clinical purposes and shoud not be regarded as investigational or for research. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PEPPER JALAPENO/CHIPOLTE, IGE ICPJEI ICPJEI Synonyms Capsicum frutescens Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 36510E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Pepper Jalapeno/Chipolte, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, PEPPER WHITE, IGE ICPWEI ICPWEI Synonyms Piper spp Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 44010S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Pepper White, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, PERCH OCEAN, IGE ICPERI ICPERI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Unacceptable Condition Lipemic samples may lead to rejection Reference Laboratory IBT Reference Lab Test Code 45310S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Perch, Ocean IgE Class, kU/L Compliance Remarks This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, PERENNIAL RYE GRASS, IGE ICGPR ICGPR Synonyms Lolium perenne; Rye Grass; Ray-Grass; Annual Ryegrass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Perennial Rye Grass, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PHOMA BETAE, IGE ICMPB ICMPB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Phoma Betae, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, PIGWEED, IGE ICWPG ICWPG Synonyms Amaranthus retroflexus; Common Pigweed; Redroot Pigweed Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pigweed, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PINE NUT, IGE ICNAR ICNAR Synonyms Pignola; Pignoles; Pine Kernals; Pinon Nut; Pinus edulis; Pinyon Nut Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.25 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0055445 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method ImmunoCAP® Fluorescent Enzyme Immunoassay Test Includes Allergen, Pine Nut, IgE; kU/L Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PINEAPPLE, IGE ICFPA ICFPA Synonyms Ananas comosus; Ananas; Pina Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pineapple, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, PINTO BEAN, IGE ICPBEI ICPBEI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 56310S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days from receipt Method Radioimmunoassay Test Includes Allergen, Pinto Bean, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PISTACHIO, IGE ICFPIS ICFPIS Synonyms Pistacia vera; Pistachio Nut Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pistachio, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PITYROSPORUM ORBICULARE, IGE ICMPOR ICMPOR Synonyms Malassezia Furfur; Tinea Versicolor; Cradle Cap Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Pityrosporum Orbiculare, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, PLUM, IGE ICFPLM ICFPLM Synonyms Prunus Domestica; Gage; Prune Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Plum, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, PORK, IGE ICFPK ICFPK Synonyms Sus spp.; Swine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pork, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PORK, IGG4 ICPKG4 ICPKG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52322 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Pork,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, POTATO (WHITE), IGE ICFPT ICFPT Synonyms Solanum tuberosum; Irish Potato; Spud Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Potato (White), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, POTATO WHITE, IGG4 ICPTG4 ICPTG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52422 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Potato White,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, PUMPKIN, IGE ICFPUM ICFPUM Synonyms Cucurbita pepo; C. moschata; C. maxima; C mixta; Cucumis pepo; Pumpkin; Field Pumpkin; Naked- Seeded Pumpkin; Cheese Pumpkin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Pumpkin, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, RABBIT EPITHELIUM, IGE ICERE ICERE Synonyms Oryctolagus Cuniculus; European Rabbit; Common European Rabbit; Domestic Rabbit Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rabbit Epithelium, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, RABBIT HAIR, IGE ICRHEI ICRHEI Synonyms Common European Rabbit; European Rabbit; Oryctolagus cuniculus; Domestic Rabbit Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 80610S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Rabbit Hair, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, RABBIT MEAT, IGE ICFRAB ICFRAB Synonyms Oryctolagus spp Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rabbit Meat, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, RAT EPITHELIUM, SERUM & URINE PROTEINS, IGE ICERAT ICERAT Synonyms Rattus norvegicus; Rat; Brown Rat; House Rat; Norway Rat Container Type Separate serum from cells and transfer to a standard PAML aliquot tube. Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rat Epithelium, Serum & Urine Proteins, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, RHIZOPUS NIGRICANS, IGE ICMRN ICMRN Synonyms Bread Mold Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Rhizopus Nigricans, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, RHIZOPUS NIGRICANS, IGG ICRNGI ICRNGI Synonyms Bread Mold Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 76520 CPT Codes 86671 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Rhizopus nigricans, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, RICE, IGE ICFRC ICFRC Synonyms Oryza sativa; Jasmine Rice; Wild Rice; Basmati Rice; Popped Rice; Rice Semolina Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rice, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, RICE, IGG4 ICRCG4 ICRCG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52522 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Rice,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, ROUGH MARSH ELDER, IGE ICWME ICWME Synonyms Iva ciliata; Rough Marshelder; Annual Marshelder; Annual Marsh-elder; Sumpweed Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rough Marsh Elder, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, RUSSIAN THISTLE (SALTWORT), IGE ICWRT ICWRT Synonyms Salsola kali; Prickly Saltwort; Prickly Glasswort; Tumbleweed Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Russian Thistle (Saltwort), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, RYE, IGG4 ICRYG4 ICRYG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52622 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Rye, IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, RYE, IGE ICFRY ICFRY Synonyms Secale cereale; Rogge Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Rye, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, SAGE, IGE ICSAEI ICSAEI Synonyms Salvia officinalis; Sage; Garden Sage; Salvia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 45010S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Sage, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, SALMON, IGE ICFSA ICFSA Synonyms Salmo salar; Atlantic Salmon Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Salmon, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SALMON, IGG4 ICSAI ICSAI Synonyms Salmo salar, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 month Reference Laboratory IBT Reference Lab Test Code 56622 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Salmon, IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, SCALE (LENSCALE), IGE ICWSC ICWSC Synonyms Atriplex lentiformis; Lenscale; Salt Bush; Saltbrush; Quail-Brush; Quailbush Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Scale (Lenscale) IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SCALLOP, IGE ICFSC ICFSC Synonyms Pecten spp.; Fan shells Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Scallop, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SCOTCH BROOM, IGE ICSCIB ICSCIB Synonyms Cytisus scoparious, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 74910E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method FEIA Test Includes Allergen, Scotch Broom, IgE, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, SESAME SEED, IGE ICFSS ICFSS Synonyms Sesamum indicum; Sesamum radiatum; Sesamum schum; Sesamum thoron; Sesame; Benne Seed Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Sesame Seed, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SETOMELANOMMA ROSTRATA / ICMHL ICMHL HELMINTHOSPORIUM HALODES, IGE Synonyms Helminthosporium, H. halodes, Helminthosporium halodes Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Setomelanomma rostrata, Helminthosporium halodes, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SHEEP SORREL (YELLOW DOCK), IGE ICWSO ICWSO Synonyms Rumex crispus; Yellow Dock; Curled Dock; Curly Dock; Narrowleaf Dock, Sour Dock Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, SHORT (COMMON) RAGWEED, IGE ICWRG ICWRG Synonyms Ambrosia elatior; Ambrosia artemisifolia; Annual Ragweed, Common Ragweed; Short Ragweed; Roman Wormwood; American Wormwood Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Short (Common) Ragweed, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SHRIMP, IGE ICFSH ICFSH Synonyms Pandalus borealis; Penaeus monodon; Metapenaeopsis barbata; Metapenaus joyneri; Deep Water Shrimp; Cold Water Shrimp; Northern Shrimp; Alaskan Pink Shrimp; Pink Shrimp; Northern Red Shrimp; Giant Tiger Prawn; Black Tiger Prawn; Leader Prawn; Grass Prawn; Shiba Shrimp; Whiskered Velvet Shrimp; Red Rice Shrimp; Fired Prawn Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Shrimp, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SILK, IGE ICOSI ICOSI Synonyms Bombyx Mori Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Silk, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, SOYBEAN (GLYCINE MAX), IGG ICFSBI ICFSBI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 52820 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-4 days Method EIA Test Includes Soybean, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SOYBEAN, IGE ICFSB ICFSB Synonyms Glycine max; Soja hispida; Soya Bean; Soy; Soya Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Soybean, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SOYBEAN, IGG4 ICSBG4 ICSBG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52822 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Soybean,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, SPINACH, IGE ICFSP ICFSP Synonyms Spinachia oleracea; Savoy spinach Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Spinach, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SQUASH SUMMER, IGE ICSSI ICSSI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 54710 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method FEIA Test Includes Allergen, Squash Summer, IgE; kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Laboratory. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SQUID (PACIFIC), IGE ICFPSQ ICFPSQ Synonyms Todarodes Pacificus; Pacific Flying Squid; Calamari; Surume Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Squid (Pacific), IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, STEMPHYLIUM BOTRYOSUM, IGG ICSBGI ICSBGI Synonyms Pleospora herbarum; Stemphylium botryosum; Stemphylium herbarum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 78420 CPT Codes 86671 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ImmunoCap FEIA Test Includes Allergen, Stemphylium botryosum, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, STEMPHYLIUM HERBARUM, IGE ICMSH ICMSH Synonyms Stemphylium Botryosum; Pleospora Herbarum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Stemphylium Herbarum, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, STRAWBERRY, IGE ICFST ICFST Synonyms Fragaria vesca; Fragaria alpina; Fragaria chiloensis; Fragaria virginiana Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Strawberry, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, STRAWBERRY, IGG4 ICSTG4 ICSTG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 52922 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Strawberry,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SUNFLOWER SEED (OCCUPATIONAL), IGE ICOSUN ICOSUN Synonyms Helianthus Annuus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Sunflower Seed (Occupational), IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, SWEET POTATO, IGE ICFSWP ICFSWP Synonyms Ipomoea Batatas; Yam; Batata Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Sweet Potato, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, SWEET VERNAL GRASS, IGE ICGSV ICGSV Synonyms Anthozanthum odoratum; Large Sweet Vernal Grass; Sweet Grass; Spring Grass Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Sweet Vernal Grass, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, SYCAMORE TREE, IGE ICTSY ICTSY Synonyms Maple Leaf Sycamore; London Plane Tree; American Sycamore; Plantus Acerifolia; Plantus Hispanica; Plantus Hybrida Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Sycamore Tree, IgE, kU/L Notes Not to be confused with the Maple tree (Acer spp), i.e. Box Elder (A negundo) Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, TILAPIA, IGE ICTIEI ICTIEI Synonyms Oreochromis sp Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 38010E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Tilapia, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA.

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Billing Code Test Code [sunquest] ALLERGEN, TIMOTHY GRASS, IGE ICGTM ICGTM Synonyms Phleum pratense; P. nodosum; P. parnassicum; Timothy; Herd's Grass; Cat's Tail Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Timothy Grass, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, TOMATO, IGE ICFTM ICFTM Synonyms Lycopersicon esculatum; Garden Tomato; Love Apple Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Tomato, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, TOMATO, IGG4 ICTMG4 ICTMG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 53122 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Tomato,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, TRICHODERMA VIRIDE, IGE ICMTV ICMTV Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Trichoderma Viride, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, TRICHOPHYTON RUBRUM, IGE ICMTR ICMTR Synonyms Athlete's Foot; Jock Itch; Ringworm Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Trichophyton Rubrum, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, TRICHOPHYTON RUBRUM, IGG ICTRGI ICTRGI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 76220 CPT Codes 86671 Test Schedule Mon-Fri Turnaround Time 2-3 days from receipt Method ImmunoCAP FEIA Test Includes Allergen, Trichophyton rubrum, IgG, kU/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, TROUT, IGE ICFTF ICFTF Synonyms Oncorhynchus Mykiss; Rainbow Trout; Pacific Salmon; King Salmon; Coho Salmon; Pink Salmon; Chub Salmon Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Trout, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGEN, TUNA, IGE ICFTU ICFTU Synonyms Thunnus albacares; Yellow Fin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Tuna, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, TURKEY FEATHERS, IGE ICETF ICETF Synonyms Meleagris gallopavo Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Turkey Feathers, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGEN, TURKEY MEAT, IGE ICFTR ICFTR Synonyms Meleagris gallopavo Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Turkey Meat, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, TURKEY, IGG4 ICTUI ICTUI Synonyms Meleagris gallopavo, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 55122 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Turkey,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, VENOM BUMBLE BEE, IGE ICVBBI ICVBBI Synonyms Bombus terrestrus, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 91810E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Venom Bumble Bee, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by FDA. According to CLIA regulations this test can be used for clinical purposes and should not be regarded as investigational or for research. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WALNUT FOOD, IGG4 ICWAI ICWAI Synonyms Juglans Species, IgG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Reference Laboratory IBT Reference Lab Test Code 143722 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method ImmunoCAP FEIA Test Includes Walnut Food,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WALNUT TREE, IGE ICTWL ICTWL Synonyms Juglans californica; California Black Walnut; California Walnut; Jupiter's Nuts; Carya persica (Greek); Carya basilike (Greek) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Walnut Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WALNUT, IGE ICFWL ICFWL Synonyms Juglans regia; English Walnut; Persian Walnut; Black Walnut; Asian Butternut; American Butternut Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Walnut, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WATERMELON, IGE ICWTAR ICWTAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 55157 CPT Codes 86003 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Allergen, Watermelon, IgE; kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WESTERN RAGWEED, IGE ICWWR ICWWR Synonyms Ambrosia psilostachya; Perennial Ragweed Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Western Ragweed, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WHEAT (TRITICUM AESTIVUM), IGG ICFWTI ICFWTI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 53420 CPT Codes 86001 Test Schedule Mon-,Fri Turnaround Time 3-4 days Method EIA Test Includes Wheat (Triticum aestivum), IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WHEAT CULTIVATED (TRITICUM SATIVUM), IGG ICWHE ICWHE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 61920 CPT Codes 86003 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Wheat Cultivated (T. sativum),IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WHEAT, IGE ICFWT ICFWT Synonyms Triticum aestivum; Triticum hybernum L.; Triticum macha Dekap. & Menab.; Triticum sativum Lam.; Triticum sphaerococcum Percival; Triticum vulgare Vill; Common Wheat; Bread Wheat; Club Wheat; Durum Wheat; Spelt Wheat; Rivet Wheat; Emmer Wheat; Poulard Wheat; Polish Wheat; Persian Wheat; Oriental Wheat; Einkorn Wheat; Wild Einkorn Wheat Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Wheat, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WHEAT, IGG4 ICWTG4 ICWTG4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory IBT Reference Lab Test Code 53422 CPT Codes 86001 Test Schedule Mon, Wed, Fri Turnaround Time 3-4 days Method ImmunoCAP FEIA Test Includes Wheat,IgG4, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WHEY, IGE ICWHEI ICWHEI Synonyms Bos spp; Cows Whey Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 49710E CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunocap FEIA Test Includes Allergen, Whey, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, WHEY, IGG ICWHGI ICWHGI Synonyms Bos spp; Cow's Whey Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 49720 CPT Codes 86001 Test Schedule Mon-Fri Turnaround Time 3-5 days Method EIA Test Includes Allergen, Whey, IgG, mcg/mL Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, WHITE ASH TREE, IGE ICTWA ICTWA Synonyms Fraxinus americana Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, White Ash Tree, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WHITE PINE TREE, IGE ICTWP ICTWP Synonyms Pinus strobus; Eastern White Pine; Northern White Pine; Weymouth Pine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, White Pine Tree, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WHITE-FACED HORNET VENOM, IGE ICIWF ICIWF Synonyms Dolichovespula maculata Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, White-faced Hornet Venom, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, WHITE/NAVY BEAN, IGE ICFWB ICFWB Synonyms Phaseolus vulgaris; Phaseolus vulgaris var. humilis; Cannellini Bean; Marrow Bean; Great Northern Bean; White Kidney Bean; Haricot Bean Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, White/Navy Bean, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, WILLOW BLACK, IGE ICWBEI ICWBEI Synonyms Salix nigra Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 164810S CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RIA Test Includes Allergen, Willow Black, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by Vircor-IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, WINGSCALE, IGE ICWISI ICWISI Synonyms Atriplex canescens, IgE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 72110S CPT Codes 86003 Test Schedule Mon-,Fri Turnaround Time 3-4 days Method RIA Test Includes Wingscale, IgE, kU/L; Class Compliance Remarks This test was developed and its performance characteristics determined by IBT Lab. It has not been cleared or approved by the FDA.

Billing Code Test Code [sunquest] ALLERGEN, WORM WOOD (SAGEBRUSH), IGE ICWSG ICWSG Synonyms Artemisia absinthium; Grande Wormwood; Absinthe Wormwood; Common Wormwood; Absinthe; Sagewort Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Worm Wood (Sagebrush), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGEN, YEAST (BAKERS OR BREWERS), IGE ICFBY ICFBY Synonyms Saccharomyces cerevisiae; Baker's Yeast; Brewer's Yeast Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Yeast (Bakers or Brewers), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, YELLOW JACKET VENOM, IGE ICIYJ ICIYJ Synonyms Vespula spp.; Common Wasp Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Yellow Jacket Venom, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGEN, YELLOW-FACED HORNET VENOM, IGE ICIYF ICIYF Synonyms Dolichovespula arenaria Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after the insect sting. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Allergen, Yellow-faced Hornet Venom, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, ADULT FOOD PROFILE 22 ADFP22 ADFP22 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Beef, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Clam, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Garlic, IgE, kU/L; Pea, Green, IgE, kU/L; Mustard, IgE, kU/L; Orange, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Soybean, IgE, kU/L; Shrimp, IgE, kU/L; Tomato, IgE, kU/L; Tuna, IgE, kU/L; Walnut, IgE, kU/L; Wheat, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, BIRD & MOLD PRECIPITIN PANEL II ICBFP2 ICBFP2 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 401708 CPT Codes 86331 x 12 Test Schedule Tue & Fri Turnaround Time 4-7 days Method Gel Diffusion (Ouchterlony) Test Includes Canary Droppings Gel Diffusion; Chicken Serum Gel Diffusion; Cockatiel Droppings Gel Diffusion; Finch Droppings Gel Diffusion; Parakeet Droppings Gel Difusion; Parakeet Serum Gel Diffusion; Parrot Droppings Gel Diffusion; Parrot Serum Gel Diffusion; Pigeon/Dove Droppings Gel Diffusion; Pigeon/Dove Serum Gel Diffusion; Aspergillus fumigatus Mix Gel Diffusion; Aureobasidium pullulans Gel Diffusion Compliance Remarks This test was developed and its perfromance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, BIRD FANCIERS PROFILE PANEL III ICBFP3 ICBFP3 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 401709 CPT Codes 82785, 86003 x 5, 86331 x 12 Test Schedule Varies Turnaround Time 4-8 days Method Gel Diffusion (Ouchterlony), Immulite 2000, FEIA Test Includes IgE, IU/mL; Chicken Feathers, IgE, kU/L; Parrot Australian (Budgerigar Droppings, IgE, kU/L; Parrot Australian (Budgerigar) Feathers, IgE, kU/L; Parrot Australian (Budgerigar) Serum Proteins, IgE, kU/L; Pigeon Droppings, IgE, kU/L; Canary Droppings Gel Diffusion; Chicken Serum Gel Diffusion; Cockatiel Droppings Gel Diffusion; Finch Droppings Gel Diffusion; Parakeet Droppings Gel Difusion; Parakeet Serum Gel Diffusion; Parrot Droppings Gel Diffusion; Parrot Serum Gel Diffusion; Pigeon/Dove Droppings Gel Diffusion; Pigeon/Dove Serum Gel Diffusion; Aspergillus fumigatus Mix Gel Diffusion; Aureobasidium pullulans Gel Diffusion Compliance Remarks Some of these tests were developed and their perfromance characteristics determined by IBT Reference Lab. They have not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, CEREAL PROFILE 5 CERL5 CERL5 Container Type SST Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 24 hours Refrigerated 7 days Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 5 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Barley, IgE, kU/L; Buckwheat, IgE, kU/L; Gluten, IgE, kU/L; Rice, IgE, kU/L; Rye, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGENS, CHILDHOOD (FOOD & ENVIRONMENTAL) PROFILE CHLD15 CHLD15 15 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 15 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Codfish, IgE, kU/L; Egg White, IgE, kU/L; Cows Milk, IgE, kU/L; Peanut, IgE, kU/L; Shrimp, IgE, kU/L; Soybean, IgE, kU/L; Walnut, IgE, kU/L; Wheat, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGENS, DUST/MITE PROFILE 4 IDM4 IDM4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 4 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. pteronyssinus (mite), IgE, kU/L; D. farinae (mite), IgE, kU/L; Cockroach, IgE, kU/L; House dust (Hollister Stier), IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGENS, FOOD PANEL II IGG FDP2Q FDP2Q Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 5 mL Minimum Volume 2.8 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code P1565B CPT Codes 86001 x 19 Test Schedule Tue-Sat Turnaround Time 2-4 days Method ImmunoCAP Test Includes Barley IgG, mcg/mL; Beef IgG, mcg/mL; Casein IgG, mcg/mL; Chicken meat IgG, mcg/mL; Cacao (Chocolate) IgG, mcg/mL; Codfish IgG, mcg/mL; Corn IgG, mcg/mL; Egg White IgG, mcg/mL; Malt IgG, mcg/mL; Oat IgG, mcg/mL; Orange IgG, mcg/mL; Peanut IgG, mcg/mL; Pork IgG, mcg/mL; Potato IgG, mcg/mL; Rye IgG, mcg/mL; Soybean IgG, mcg/mL; Tomato IgG, mcg/mL; Wheat IgG, mcg/mL; Yeast (bakers/brewers) IgG, mcg/mL Compliance Remarks This test(s) was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute, Valencia, CA. This test should not be used for diagnosis without confirmation by other medically established means.

Billing Code Test Code [sunquest] ALLERGENS, FOOD PROFILE 10 FOOD10 FOOD10 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 10 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Egg White, IgE, kU/L; Cows Milk, IgE, kU/L; Codfish (whitefish), IgE, kU/L; Wheat, IgE, kU/L; Corn (Maize), IgE, kU/L; Peanut, IgE, kU/L; Soybean, IgE, kU/L; Shrimp, IgE, kU/L; Walnut, IgE, kU/L; Clam, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, GRASS PROFILE 9 GRASS9 GRASS9 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 9 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Brome Grass, IgE, kU/L; Meadow Kentucky Blue Grass, IgE, kU/L; Meadow Fescue, IgE, kU/L; Orchard Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Sweet Vernal Grass, kU/L; Timothy Grass, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, HYMENOPTERA PANEL VENOM5 VENOM5 Synonyms Allergens, Stinging Insect Panel; Allergens, Hymenoptera Venom Panel Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.75 mL Minimum Volume 0.5 mL Collection Procedure Blood should be drawn by venipuncture no sooner than 2 to 3 weeks and no later than 6 months after an insect sting. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 5 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Honeybee Venom, IgE, kU/L; Paper Wasp Venom, IgE, kU/L; Whitefaced Hornet Venom, IgE, kU/L; Yellowfaced Hornet Venom, IgE, kU/L; Yellow Jacket Venom, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, INHALANT SCREEN 9 ISCRN9 ISCRN9 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 9 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Elm Tree, IgE, kU/L; Olive Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Short (Common) Ragweed, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, INLAND NORTHWEST 17 INW17 INW17 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 17 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Oak Tree, IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, INTERMOUNTAIN WEST 14 IMW14 IMW14 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 14 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey AlderTree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Pigweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, MOLD PROFILE 5 MOLD5 MOLD5 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.75 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 5 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Candida albicans, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Penicillium chrysogenum, Ige, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, NORTH DAKOTA FOOD PANEL NDFPQ NDFPQ Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code P1565C CPT Codes 86001 x 7 Test Schedule Tue-Sat Turnaround Time 2-4 days Method ImmunoCAP Test Includes Casein IgG, mcg/mL; Corn IgG, mcg/mL; Egg White IgG, mcg/mL; Orange IgG, mcg/mL; Soybean IgG, mcg/mL; Wheat IgG, mcg/mL; Yeast(bakers/brewers) IgG, mcg/mL Compliance Remarks This test(s) was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute, Valencia, CA. This test should not be used for diagnosis without confirmation by other medically established means.

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Billing Code Test Code [sunquest] ALLERGENS, NUT PROFILE 6 NUT6 NUT6 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 6 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Almond, IgE, kU/L; Cashew, IgE, kU/L; Hazelnut, IgE, kU/L; Pecan nut, IgE, kU/L; Peanut, kU/L; Walnut, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, PACIFIC NORTHWEST 14 PNW14 PNW14 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 14 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, PEDIATRIC FOOD PROFILE 21 PDFP21 PDFP21 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 21 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Barley, IgE, kU/L; Banana, IgE, kU/L; Yeast (Bakers/Brewers), IgE, kU/L; Codfish, IgE, kU/L; Chocolate/Cacao, IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Pea, Green, IgE, kU/L; Orange, IgE, kU/L; Oat, IgE, kU/L; Pork, IgE, kU/L; Peanut, IgE, kU/L; Potato (White), IgE, kU/L; Rice, IgE, kU/L; Rye, IgE, kU/L; Soybean, IgE, kU/L; Strawberry, IgE, kU/L; Tomato, IgE, kU/L; White/Navy Bean, IgE, kU/L; Wheat, IgE, kU/L Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 136 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGENS, PEDIATRIC PROFILE 11 PEDS11 PEDS11 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 11 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Cows Milk, IgE, kU/L; Soybean, IgE, kU/L; Egg White, IgE, kU/L; Wheat, IgE, kU/L; Peanut, IgE, kU/L; Codfish (Whitefish), IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PANEL, REGION 3, RDPSA RDPSA SOUTH ATLANTIC REGION Synonyms Respiratory Disease Profile Region 3, South Atlantic Region Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Bahia Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PANEL, REGION 4, NEW RDPNFL RDPNFL FLORIDA (SOUTH OF ORLANDO) Synonyms Respiratory Disease Profile Region 4, New Florida (South of Orlando) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Blomia tropicalis Mite, IgE,kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Bahia Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Australian Pine Tree, IgE, kU/L; Box Elder, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, Ige, kU/L; Oak Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 1, RDPNA RDPNA NORTH ATLANTIC STATES (CT, MA, NJ, NY, PA, VT, ME, NH, RI) Synonyms Respiratory Disease Profile Region 1, North Atlantic States (CT, MA, NJ, NY, PA, VT, ME, NH, RI) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 25 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 10 RDPSWG RDPSWG SOUTHWESTERN GRASSLAND STATES (TX, OK) Synonyms Respiratory Disease Profile Region 10, Southwestern Grassland States (TX, OK) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 25 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 11, RDPRM RDPRM ROCKY MOUNTAIN STATES (AZ [MTN], ID [MTN], NM, WY, CO, UT [MTN], MT) Synonyms Respiratory Disease Profile Region 11, Rocky Mountain States (AZ[MTN], ID [MTN],NM, WY, CO, UT [MTN], MT) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 24 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 12, RDPASW RDPASW ARID SOUTHWEST (S. AZ, SE CA DESERT) Synonyms Respiratory Disease Profile Region 12, Arid Southwest (S. AZ, SE CALIF Desert) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, kU/L; Perennial Rye Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Acacia Tree IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 13 RDPSCC RDPSCC SOUTH COASTAL CALIFORNIA (CA) Synonyms Respiratory Disease Profile Region 13 South Coastal California (CA) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 24 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 14, RDPCC RDPCC CENTRAL CALIFORNIA (CA) Synonyms Respiratory Disease Profile Region 14, Central California (CA) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 23 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 15, RDPIMW RDPIMW INTERMOUNTAIN WEST (SOUTH ID, NV) Synonyms Respiratory Disease Profile Region 15, Intermountain West (South ID, NV) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 16, RDPINW RDPINW INLAND NORTHWEST (CENTRAL & EASTERN WA, OR) Synonyms Respiratory Disease Profile Region 16, Inland Northwest (Central and Eastern WA, OR) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 21 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Mugwort, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 17, RDPCPN RDPCPN CASCADE/PACIFIC NORTHWEST (NW CA, WESTERN WA & OR) Synonyms Respiratory Disease Profile Region 17, Cascade/Pacific Northwest (NW CA, Western WA and OR) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 23 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed,IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 18, RDPAK RDPAK ALASKA (AK) Synonyms Respiratory Disease Profile Region 18, Alaska (AK) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 15 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch, kU/L; Cottonwood, IgE, kU/L; Mugwort, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 2, RDPMA RDPMA MID-ATLANTIC STATES (DE, MD, VA, DC, NC) Synonyms Respiratory Disease Profile Region 2, Mid-Atlantic States (DE, MD, VA, DC, NC) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 23 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar- JuniPer Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 5, RDPGOV RDPGOV GREATER OHIO VALLEY (IN, OH, TN, WV, KY) Synonyms Respiratory Disease Profile Region 5, Greater Ohio Valley (IN, OH, TN, WV, KY) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 26 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 6, RDPSC RDPSC SOUTH CENTRAL STATES (AL, AR, LA, MS) Synonyms Respiratory Disease Profile Region 6, South Central States (AL, AR, LA, MS) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Pigweed, IgE, kU/L; Rough Marsh Elder, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 7, RDPNMW RDPNMW NORTHERN, MIDWEST STATES (MI, WI, MN) Synonyms Respiratory Disease Profile Region 7, Northern Midwest States (MI, WI, MN) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 23 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder Tree, IgE, kU/L; Common Silver Birch, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Nettle, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 8, RDPCMW RDPCMW CENTRAL MIDWEST STATES (IL, MO, IA) Synonyms Respiratory Disease Profile Region 8, Midwest States (IL, MO, IA) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 25 Test Schedule Tue-Sat Turnaround Time 1-3 days Method Immunocap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Pigweed,IgE, kU/L; Rough Marsh Elder, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 9, RDPGP RDPGP GREAT PLAINS STATES (KS, NE, ND, SD) Synonyms Respiratory Disease Profile Region 9, Great Plains States (KS, NE, ND, SD) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 22 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D.pteronyasinus (mite), IgE, kU/L; D. farinae (mite) IgE, kU/L; Cat dander, IgE, kU/L; Dog dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Cockroach, IgE, kU/L; Penicillium chrysogenum/notatum, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar-Juniper Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; White Ash Tree, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Nettle, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, ROCKY MOUNTAIN 15 RMS15 RMS15 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 15 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Redtop Bentgrass, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Box Elder, IgE, kU/L; Cottonwood, IgE, kU/L; Elm Tree, IgE, kU/L; Mountain Cedar (Juniper), IgE, kU/L; Oak Tree, IgE, kU/L; Kochia (Firebush), IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, RODENT PROFILE IGE IROD IROD Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 4 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Guinea Pig Epithelium, IgE, kU/L; Hamster Epithelium, IgE, kU/L; Mouse Epithelium, Serum & Urine Proteins, IgE, kU/L; Rat Epithelium Serum & Urine Proteins, IgE, kU/L

Billing Code Test Code [sunquest] ALLERGENS, SCREEN 31 ISCN31 ISCN31 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 31 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; D. pteronyssinus (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Acremonium kiliense, IgE, kU/L; Setomelanomma rostrata, IgE, kU/L; Pencillium chrysogenum, IgE, kU/L; Acacia Tree, IgE, kU/L; Elm Tree, IgE, kU/L; Eucalyptus (Gum) Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Sheep Sorrel (Yellow Dock), IgE, kU/L; Western Ragweed, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, SCREEN 36 ISCN36 ISCN36 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 5 mL Minimum Volume 4 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 36 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE, kU/L; Goose Feathers, IgE, kU/L; Horse Dander, IgE, kU/L; Yeast (Bakers/Brewer), IgE, kU/L; Cows Milk, IgE, kU/L; Corn (Maize), IgE, kU/L; Egg White, IgE, kU/L; Egg Yolk, IgE, kU/L; Malt, IgE, kU/L; Peanut, IgE, kU/L; Soybean, IgE, kU/L; Tomato, IgE, kU/L; Wheat, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Perennial Rye Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Acremonium kiliense, IgE, kU/L; Setomelanonna rostrata, IgE, kU/L; Elm Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Mugwort, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Western Ragweed, IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, SEAFOOD PROFILE 7 SEAFD7 SEAFD7 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x7 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Codfish (whitefish), IgE, kU/L; Clam, IgE, kU/L; Crab, IgE, kU/L; Lobster, IgE, kU/L; Salmon, IgE, kU/L; Shrimp, IgE, kU/L; Tuna, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, SHELLFISH PROFILE, IGE SHELL9 SHELL9 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 9 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Blue Mussel, IgE, kU/L; Clam, IgE, kU/L; Crab, IgE, kU/L; Lobster, IgE, kU/L; Octopus, IgE, kU/L; Oyster, IgE, kU/L; Scallop, IgE, kU/L; Shrimp, IgE, kU/L; Squid (Pacific), IgE, kU/L

Billing Code Test Code [sunquest] ALLERGENS, SOUTH CENTRAL STATES 18 SOCN18 SOCN18 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 18 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Bermuda Grass, IgE, kU/L; Cat dander, IgE, kU/L; Cockroach, IgE, kU/L; Short (common) Ragweed, IgE, kU/L; D. farinae (mite), IgE, kU/l; D. pteronyssinus (mite), IgE, kU/L; Dog dander, IgE, kU/L; Elm Tree, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Johnson grass, IgE, kU/L; Meadow (Kentucky Blue) grass, IgE, kU/L; Oak Tree, IgE, kU/L; Pecan (white hickory) Tree, IgE, kU/L; Penicillium chrysogenum notatum, IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Walnut Tree, IgE, kU/L Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, SOUTHERN CALIFORNIA 21 SCAL21 SCAL21 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 21 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes D. pteronyssinus (Mite), IgE, kU/L; D. farinae (Mite), IgE, kU/L; Cat Dander, IgE, kU/L; Dog Dander, IgE kU/L; Bermuda Grass, IgE, kU/L; Brome Grass, IgE, kU/L; Cultivated Oat, IgE, kU/L; Cockroach, IgE, kU/L; Alternaria tenuis, IgE, kU/L; Aspergillus fumigatus, IgE, kU/L; Cladosporium herbarum, IgE, kU/L; Box Elder, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, IgE, kU/L; Maple Leaf Sycamore Tree, IgE, kU/L; Japanese Cedar, IgE, kU/L; False Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Pigweed, IgE, kU/L; Scale (Lenscale), IgE, kU/L Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, SOUTHWEST INHALENTS COMPREHENSIVE 2 ICSWAR ICSWAR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.6 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Hemolyzed, icteric, or lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 55367 CPT Codes 86003 x 24 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Immunocap Test Includes Cat Epithelium/Dander, IgE, kU/L; Dog Dander, IgE, kU/L; A. alternata, IgE, kU/L; A. fumigatus, IgE, kU/L; Helminthsporium, IgE, kU/L; Hormodendrum, IgE, kU/L; Bahia, IgE, kU/L; Bermuda Grass, IgE, kU/L; Johnson Grass, IgE, kU/L; Timothy Grass, IgE, kU/L; D. farinae, IgE, kU/L; D.pteronyssinus, IgE, kU/L; Elm Tree, Ige, kU/L; Mountain Cedar Tree, IgE, kU/L; Pecan Tree, IgE, kU/L; Privet Tree, IgE, kU/L; Sycamore Tree, IgE, kU/L; Virginia Live Oak, IgE, kU/L; White Ash Tree, IgE, kU/L; Common/Short Ragweed,IgE, kU/L; English Plantain, IgE, kU/L; Marsh Elder, IgE, kU/L; Pigweed, IgE, kU/L; Russian Thistle, IgE, kU/L; Interp, Immunocap Score Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALLERGENS, STACHYBOTRYS PANEL II STP2I STP2I Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 year Alternate Specimens Red top tube Reference Laboratory IBT Reference Lab Test Code 401712 CPT Codes 86003, 86671 x 2 Test Schedule Varies Turnaround Time 5-7 days Method FEIA Test Includes Allergens, Stachybotrys chartarum/atra,IgE, kU/L; Stachybotrys chartarum/atra IgG, mcg/mL; Stachybotrys chartarum/atra, IgA, mg/L Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, TREE PROFILE 11 TREE11 TREE11 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 11 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Box Elder Tree, IgE, kU/L; Grey Alder Tree, IgE, kU/L; Common Silver Birch Tree, IgE, kU/L; Cottonwood Tree IgE, kU/L; Elm Tree, IgE, kU/L; Hazelnut Tree, IgE, kU/L; Mountain Cedar (Juniper) Tree, IgE, kU/L; Mulberry Tree, IgE, kU/L; Oak Tree, IgE, kU/L; Olive Tree, IgE, kU/L; Walnut Tree, kU/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ALLERGENS, WEED PROFILE 12 WEED12 WEED12 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 1 year Unacceptable Condition Oxalate or citrate plasma Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86003 x 12 Test Schedule Tue-Sat Turnaround Time 1-3 days Method ImmunoCap FEIA Test Includes Cocklebur, IgE, kU/L; English Plantain (Ribwort), IgE, kU/L; Kochia (Firebush), IgE, kU/L; Lamb's Quarters (Goosefoot), IgE, kU/L; Rough Marsh Elder, IgE, kU/L; Mugwort, IgE, kU/L; Nettle, IgE, kU/L; Short (Common) Ragweed, IgE, kU/L; Russian Thistle (Saltwort), IgE, kU/L; Scale (Lenscale), IgE, kU/L; Sheep Sorrel (Yellow Dock), kU/L; Pigweed, IgE, kU/L Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 151 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS (ABPA) ICABAP ICABAP PANEL BY ID & EIA Synonyms Aspergillus Fumigatus Antibody, IgE; Allergen, Mold; Aspergillus Fumigatus, IgE Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.3 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection. Transfer to standard PAML aliquot tube. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, hemolyzed, icteric, or lipemic specimens Alternate Specimens SST tube Reference Laboratory ARUP Reference Lab Test Code 2004243 CPT Codes 82785, 86003, 86606 x 2 Test Schedule Sun-Sat Turnaround Time 4-8 days Method Quantitative ImmunoCAP/Qualitative Immunodiffusion Test Includes Aspergillus fumigatus #1 Antibody; Aspergillus fumigatus #6 Antibody; Allergen, Fungi/Mold, A. fumigatus IgE; Allergen, Interp, Immunocap Score IgE; Immunoglobulin E

Billing Code Test Code [sunquest] ALPHA ANTIPLASMIN ACTIVITY ALP2A ALP2A Container Type Sodium citrate (light blue top tube) Store and Transport Frozen Specimen Type Frozen platelet-poor plasma Preferred Volume 1 mL Minimum Volume 1 mL Collection Procedure Fill tube to capacity

Specimen Processing Centrifuge specimen, separate plasma, recentrifuge, separate into clean plastic tube and freeze. Room Temp 8 hours Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Serum, nonfrozen, or hemolyzed samples Reference Laboratory ARUP Reference Lab Test Code 0098727 CPT Codes 85410 Test Schedule Tue Turnaround Time 2-9 days Method Chromogenic Assay Test Includes Alpha 2 Antiplasmin Activity, % Supply Item Number 1050

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Billing Code Test Code [sunquest] ALPHA FETOPROTEIN (MATERNAL) AFP AFPMS Synonyms AFP, Maternal Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Required Patient Info Race, Gestational Age (wks), Maternal Weight (lbs), Diabetic (y/n), Other Gestational Information. Refrigerated 4 days Frozen (-20°C) 30 days Unacceptable Condition Grossly hemolyzed specimens. Alternate Specimens Heparinized or EDTA plasma (green or lavender top tube). Limitations Must be drawn at 14-22 weeks gestation. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82105 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA Test Includes Alpha fetoprotein, ng/mL; Gestational Age, wk; Maternal Weight, lbs; MOM; Weight Corrected MOM; Diabetic Corrected MOM; Comment. Notes Assay is reliable from 14-22 weeks gestation. Supply Item Number 1467

Billing Code Test Code [sunquest] ALPHA FETOPROTEIN (NON-MATERNAL) AFP-NM AFPTM Synonyms AFP, Tumor Marker; AFP, Non-Maternal Container Type SST tube Store and Transport Store and transport frozen or refrigerated Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Refrigerated 4 days Frozen (-20°C) 30 days Unacceptable Condition Grossly hemolyzed specimens Alternate Specimens Heparinized or EDTA plasma (green or lavender top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82105 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Alpha Fetoprotein, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALPHA FETOPROTEIN, AMNIOTIC FLUID (REFLEXIVE) AFAFP AFAFP Complete a Cytogenetics Congential Disorders Request form available from PAML. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms AFP; Amniotic Fluid Store and Transport Ambient (room temperature) Specimen Type Amniotic fluid Preferred Volume 2-3 mL Minimum Volume 2 mL Collection Procedure Collect amniotic fluid and place in sterile screw capped tubes (centrifuge tube Falcon 2037 or equivalent). If cytogenetics is also ordered, do not split or pour off specimen; send all specimen to cytogenetics. A Cytogenetics paper requisition must be completed including the following: clinical indication, maternal birthdate, gestation age (weeks and days) as determined by LMP or Ultrasound (identify method), maternal diabetic status, also note on form if twins or multiple pregnancy. Acceptable gestational age weeks 14 through 22. Specimen Processing Handle specimen using sterile technique. Do not centrifuge the specimen. Required Patient Info See collection procedure Room Temp 2 days Refrigerated 3 days AFP, 5 days Fetal Hgb, 7 days AChE Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82106 Test Schedule Mon-Fri Turnaround Time 1-10 days Method Immunometric Test Includes Blood Present; Alpha Fetoprotein, ug/mL; MoM, MoM; Interpretation; Fetal Hemoglobin F Notes Fetal Hemoglobin F will be done on samples blood tinged and AFP MoM GT 1.9. AChE will be done on positive samples (GT 1.9 MoM). Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Sample is blood tinged and AFP MoM > 1.9 Fetal Hemoglobin F 88184 AFP is positive > 1.9 MoM Acetylcholin-esterase, Amniotic Fluid 82013

Billing Code Test Code [sunquest] ALPHA FETOPROTEIN, TOTAL AND L3 PERCENT AFPL3 AFPL3 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 3 months Unacceptable Condition Plasma Alternate Specimens Serum (plain red top tube) Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0081208 CPT Codes 82107 Test Schedule Thu Turnaround Time 2-8 days Method Liquid-phase Binding Immunoassay Test Includes Alpha Feto Protein, Total, ng/mL; Alpha Feto Protein, L3%, % Supply Item Number 1467

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Billing Code Test Code [sunquest] ALPHA SUBUNIT ALPSUB ALPSUB Container Type Serum separator tube (Gold, Brick, SST or Corvac) Store and Transport Store and transport room temperature Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 28 days Unacceptable Condition Gross hemolysis, gross lipemia, plasma Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 8658X CPT Codes 83519 Test Schedule Mon, Wed Turnaround Time 4-9 days Method Radioimmunoassay Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] ALPHA-1-ANTITRYPSIN AAT AAT Synonyms Alpha-1-Trypsin Inhibitor; Alpha-1-AT; Alpha-1-Proteinase Inhibitor; Alpha-1-PI; AAT; A1-Antitrypsin Container Type Red top tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Prefer a fasting specimen Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Refrigerated 7 days Frozen (-20°C) 2 months Frozen (-70°C) 2 months Unacceptable Condition PST, avoid marked lipemia Alternate Specimens None - serum only Limitations Rheumatoid factor may cause interference. It is less than 10% up to 800 IU/mL. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82103 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Immunoturbidimetric Test Includes Alpha-1-Antitrypsin, mg/dL Supply Item Number 1372

Billing Code Test Code [sunquest] ALPHA-1-ANTITRYPSIN PHENOTYPE AAT-PHENO AATPH Synonyms AAT, Phenotype Container Type SST tube Specimen Type serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube.. Store and transport refrigerated. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 2 weeks Limitations Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 80500 CPT Codes 82103, 82104 Test Schedule Mon, Wed, Fri Turnaround Time 3-8 days Method Isoelectric Focusing/ Immunoturbidimetric Test Includes AAT-Phenotype; Alpha-1-Antitrypsin, mg/dL. Supply Item Number 1467

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Billing Code Test Code [sunquest] ALPHA-1-ANTITRYPSIN, FECES A1AF A1AF Separate samples must be submitted when multiple tests are ordered Synonyms Fecal Alpha-1 Antitrypsin; Alpha-1 Antitrypsin, Stool Container Type Leakproof plastic container Store and Transport Frozen Specimen Type Feces (stool) Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect stool in clean, unpreserved leakproof plastic container and freeze Specimen Processing CRITICAL FROZEN Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 1 week Unacceptable Condition Diapers; Specimens in media or preservatives Reference Laboratory ARUP Reference Lab Test Code 99991 CPT Codes 82103 Test Schedule Daily Turnaround Time 3-6 days Method Quantitative Radial Immunodiffusion Test Includes Alpha-1 Antitrypsin, Feces, mg/g. Supply Item Number 1387

Billing Code Test Code [sunquest] ALPHA-GLOBIN GENE ANALYSIS ALGGA ALGGA Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Synonyms Alpha Thalassemia (DNA probe); Hemoglobin-H Disease; Thalassemia, Alpha Container Type Lavender top tube (EDTA) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3 mL Specimen Processing Specimens must arrive at Mayo within 96 hours of draw. Required Patient Info Source Unacceptable Condition Specimens not received in the original collection tubes Alternate Specimens ACD whole blood (yellow top tube) Reference Laboratory Mayo Reference Lab Test Code 9499 CPT Codes 81257 Test Schedule Varies depending upon when received Turnaround Time Up to 21 days Method PCR. MLPA and Luminex Test Includes Specimen; Specimen ID; Source; Order date; Method; Result; Interpretation; Amendment; Reviewed by; Release date Notes Do not use this workpar for prenatal specimens, amniotic fluid or chorionic villus. Those specimens must be sent as reference specimens and have different specimen requirements. Supply Item Number 1222

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Billing Code Test Code [sunquest] ALPRAZOLAM XANAX ALPRAZ Synonyms Xanax Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90010 CPT Codes 80154 Test Schedule Sun, Tue, Thu Turnaround Time 3-5 days Method Liquid Chromatography/Tandem Mass Spectrometry Test Includes Alprazolam, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ALTERNATE AMPHETAMINE CONFIRMATION TESTING BY PALTAP PALTAP GC/MS If ordering for pain management, add the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for PMM1. Container Type Urine, leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82145 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes MDMA; MDA; MDEA

Billing Code Test Code [sunquest] ALTERNATE AMPHETAMINES (SCREEN) ALTAMP ALTAMP Synonyms Methylenedioxyamphetamine; MDA; Love Pill; Love Drug; Mellow Drug of America; Methylenedioxymethamphetamine; MDMA; Ecstasy; XTC; Adam; Clarity; Eve; Lover's Speed; Peace; STP; X Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 500 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Methylenedioxyamphetamine (MDA), Methylenedioxymethamphetamine (MDMA), Methylenedioxyethylamphetamine (MDEA) Supply Item Number 1388

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Billing Code Test Code [sunquest] ALTERNATE AMPHETAMINES CONFIRMATION BY GC/MS MSALAP MSALAP Synonyms Methylenedioxyamphetamine; MDA; Love Pill; Love Drug; Mellow Drug of America; Methylenedioxymethamphetamine; MDMA; Ecstasy; XTC; Adam; Clarity; Eve; Lovers Speed; Peace; STP; X Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82145 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Gas Chromatography Mass Spectrometry Test Includes Methylenedioxyamphetamine (MDA), Methylenedioxymethamphetamine (MDMA), and Methylenedioxyethylamphetamine (MDEA) Supply Item Number 1388 or Tox Kit

Billing Code Test Code [sunquest] ALTERNATE OPIATE CONFIRMATION BY GC/MS MSALOP MSALOP Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 300 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Gas Chromatography Mass Spectrometry Test Includes Hydrocodone, Hydromorphone, Oxycodone Supply Item Number 1388

Billing Code Test Code [sunquest] ALUMINUM, SERUM/PLASMA ALUMINUM AL Synonyms Al; Serum Container Type Royal blue (K2 EDTA) or Royal blue top tube (metal free plain) Store and Transport Refrigerated. Sample cannot be transported on gel tube, must be in Trace Element Free transport tube. Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 0.6 mL Patient Prep Patients should refrain from drinking fruit juices and tea 24 hours before testing. Contrast media, gadolinium or iodine, should not be used within 96 hours of sample collection. Specimen Processing Separate serum or plasma from cells within 6 hours of collection and put in Trace Element Free transport tube. Respin and transfer if RBCs are present. Room Temp 1 day Refrigerated 10 days Frozen (-20°C) 6 months Unacceptable Condition Serum or plasma not separated from cells within 6 hours. Samples collected in SST/PST tubes. Samples not transported in a Trace Element Free tube. Alternate Specimens Serum (plain red top tube) or plasma (mint green Lithium Heparin tube) Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82108 Test Schedule Mon-Sat Turnaround Time 1-3 days/Kidney Center Screening 5 days Method Electrothermal (Flameless) AAS Test Includes Aluminum, ug/L Supply Item Number 1052 or 9734

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Billing Code Test Code [sunquest] ALUMINUM, URINE 24HR ALU-U ALUUQ Synonyms Al; Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection or random urine collection Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medications and supplements may interfere. Patients should be encouraged to discontinue nonessential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection. Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or a random urine collection. Refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. Store and transport refrigerated. ARUP studies indicate that refrigeration of urine alone, during & after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element- Free Transport Tubes (43116). Required Patient Info Collection period, volume Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 0099408 CPT Codes 82108 Test Schedule Mon-Fri Turnaround Time 2-5 days Method ICP/MS Test Includes Time, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Aluminum, Urine, ug/L; Aluminum, Urine, ug/d; Aluminum, Urine ug/gCreat Supply Item Number 1108

Billing Code Test Code [sunquest] AMENORRHEA PROFILE AMEN AMEN Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed, or grossly lipemic serum Department PAML Immunochemistry CPT Codes 83002, 83001, 84146 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes LH, mIU/mL; FSH, mIU/mL; Prolactin, ng/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] AMIKACIN (SINGLE) AMIK AMIKR Synonyms Amikin Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.6 mL Minimum Volume 0.4 mL Collection Procedure Draw trough specimen 15 minutes prior to next dose(no more than 1 hour prior to next dose). Draw peak specimen 1 hour after 1M dose or 1/2 hour after IV infusion completed. Clearly label specimen. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Clearly label specimen. Required Patient Info Trough or peak specimens, times of dose and drawing Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Not to be used in patients on both amikacin & kanamycin. Alternate Specimens None - serum only Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80150 Test Schedule Daily days and STAT available evening shift Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Amikacin, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] AMIKACIN, PEAK AMIK.PK AMIKPK Synonyms Amikin, Peak Level Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.6 mL Minimum Volume 0.4 mL Collection Procedure Draw peak specimen 1 hour after 1M dose or 1/2 hour after IV infusion completed. Note time of dose and drawing. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Clearly label specimen. Required Patient Info Time of dose and drawing Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Not to be used in patients on both amikacin and kanamycin. Alternate Specimens None - serum only Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80150 Test Schedule Daily days, STAT available evening shift Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Amikacin, Peak, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] AMIKACIN, TROUGH AMIK.TR AMIKTR Synonyms Amikin, Trough Level Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.6 mL Minimum Volume 0.4 mL Collection Procedure Draw trough specimen 15 minutes prior to next dose (no more than 1 hour prior to next dose). Note time of dose and drawing. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Clearly label specimen. Required Patient Info Time of dose and drawing Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Not be be used in patients on both amikacin & kanamycin Alternate Specimens None - serum only Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80150 Test Schedule Daily days, STAT available evening shift Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Amikacin, Trough, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] AMINO ACIDS QUANTITATIVE, CSF AAQTCA AAQTCA Container Type Leakproof plastic tube Store and Transport Store and transport frozen Specimen Type Frozen CSF Preferred Volume 0.5 mL Minimum Volume 0.3 mL Collection Procedure Collect CSF and put in a leakproof plastic tube. Specimen Processing Centrifuge CSF to separate and remove cellular material. Put CSF in a separate leakproof plastic tube and freeze immediately. Required Patient Info Complete a patient history for biochemical genetic testing form available at www.aruplab.com for test code 0080137 and include with specimen. Room Temp Unacceptable Refrigerated 24 hours Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 0080137 CPT Codes 82139 Test Schedule Mon-Fri Turnaround Time 4-7 days Method Ion Exchange Chromatography Test Includes Amino Acids, CSF, umol/L and Interpretation.

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Billing Code Test Code [sunquest] AMINO ACIDS QUANTITATIVE, URINE AAQTUA AAQTUA Synonyms Quantitative Plasma & Urinary Amino Acids Container Type Leakproof plastic urine container. Specimen Type Frozen random urine specimen. Preferred Volume 10 mL Minimum Volume 2 mL Patient Prep First morning urine preferred. Collection Procedure Collect a random urine (first morning urine preferred) specimen. Collect in a leakproof plastic urine container. Specimen Processing ASAP after urine collection, mix the collection, aliquot 10 mL urine and freeze. Store and transport frozen.

Required Patient Info Complete the patient history for biochemical genetic testing form available at www.aruplab.com for test code 0080044 and submit with specimen. Room Temp Unacceptable Refrigerated 24 hours Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 0080044 CPT Codes 82139 Test Schedule Mon-Fri Turnaround Time 5-9 days Method Ion Exchange Chromatography Test Includes Creatinine, Ur, mg/dL; Amino Acids, umol/g; and Interpretation.

Billing Code Test Code [sunquest] AMINO ACIDS QUANTITATIVE,PLASMA AAQTPA AAQTPA Biochemical Genetics Patient History Form available at www.aruplab.com is needed for appropriate interpretation. Separate samples must be submitted when multiple tests are ordered. Critical frozen Synonyms Allo-Isoleucine; Argininosuccinic Acid (ASA); Branched Chain Amino Acids; Cystine; Free Homoxystine; Glycine; Quantitative Plasma & Urinary Amion Acids Container Type Lithium or sodium heparin tube (green top tube) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 0.5 mL Minimum Volume 0.25 mL Patient Prep Adults: Fasting specimen preferred. Infants and children: Draw specimen prior to feeding or 2-3 hours after a meal. Specimen Processing Separate plasma from cells ASAP or within 2 hours of collection. Avoid transferring buffy coat material. Transfer to a standard PAML aliquot tube and freeze. Required Patient Info Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN therapy), drug therapy, and family history. Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 0080710 CPT Codes 82139 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Ion Exchange Chromatography Test Includes Amino Acids, Plasma, umol/L and Interpretation

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Billing Code Test Code [sunquest] AMINO ACIDS, PLASMA (QUANTITATIVE) AA.QUANT AAQ Container Type Green top tube (sodium heparin) Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.5 mL plasma.. Specimen Processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Alternate Specimens Frozen CSF or body fluid. Reference Laboratory CHMC CPT Codes 82139 Test Schedule Mon-Fri Turnaround Time 3-6 days Method HPLC Test Includes Taurine, umol/L; Aspartic Acid, umol/L; OH-Proline, umol/L; Theonine, umol/L; Serine, umol/L; Asparagine, umol/L; Glutamic Acid, umol/L; Glutamine, umol/L; Proline, umol/L; Glycine, umol/L; Alanine, umol/L; Citrulline, umol/L; Valine, umol/L; Cystine, umol/L; Methionine, umol/L; Isoleucine, umol/L; Leucine, umol/L; Tyrosine, umol/L; Phenylalanine, umol/L; Ornithine, umol/L; Lysine, umol/L; Histidine, umol/L; Arginine, umol/L; Amino Acids Interpretation. Supply Item Number 1398

Billing Code Test Code [sunquest] AMINO ACIDS, URINE (QUANTITATIVE) AAU.QUANT AAURQ State a specific reason for ordering this test. Container Type 24-hr dark plastic urine container. Specimen Type Frozen 24-hour or random urine collection Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Store and transport frozen. Required Patient Info Collection period, volume. Reference Laboratory Child Ortho Hosp CPT Codes 82139 Test Schedule Mon-Fri Turnaround Time 3-6 days Method Anion Exchange Chromatography Test Includes Time, h; Volume, mL; Amino Acids, Urine (Quant). Supply Item Number 1108

Billing Code Test Code [sunquest] AMINOLEVULINIC ACID, URINE 24HR ALA-U ALAUQ Synonyms ALA, Urine; 5-Aminolevulinic Acid (ALA): D-ALA, Urine; Delta-Aminolevulinic Acid, Urine; Tyrosinemia (Hereditary) Metabolite, Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour or random urine collection Preferred Volume 4 mL Minimum Volume 1.2 mL Patient Prep Refrain from alcohol consumption 24 hours prior to collection. Collection Procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Protect from light during collection, storage and transport. Required Patient Info Record total volume and collection time interval on transport tube and test request form. Room Temp Unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Body fluids other than urine Reference Laboratory ARUP Reference Lab Test Code 0080103 CPT Codes 82135 Test Schedule Mon, Wed, Thu, Sat Turnaround Time 2-6 days Method Chromatography/Spectrophotometry Test Includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Aminolevulinic Acid, Urine, umol/L; Aminolevulinic Acid, Urine, umol/d Notes Specimen preservation with acid or base is discouraged and may cause assay interference. Supply Item Number 1108

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Billing Code Test Code [sunquest] AMIODARONE & METABOLITE AMIO AMIO Synonyms Cordarone; Nexterone; Pacerone Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to an amber transport tube. Room Temp 1 month Refrigerated 6 weeks Frozen (-20°C) 6 weeks Unacceptable Condition Whole blood, gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0090161 CPT Codes 80299 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Amiodarone, ug/mL; Desethylamiodarone, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] AMITRIPTYLINE & METABOLITE AMI AMITR Synonyms Elavil; Endep; Etrafon; Triavil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3.5 mL Minimum Volume 2.5 mL Collection Procedure Draw 10-14 hours post-dose. If a divided dose is given, draw before morning dose. Specimen Processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated. Required Patient Info Date and time of dose and draw. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with nortriptyline. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80152, 80182 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method HPLC Test Includes Amitriptyline, ng/mL; Nortriptyline, ng/mL; Total Drug, ng/mL. Notes Nortriptyline is an active metabolite. Supply Item Number 1372

Billing Code Test Code [sunquest] AMITRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN TLCAMI TLCAMI DRUG-SUR Synonyms Elavil; Endep; Etrafon; Amitid; Limbitrol; Triavil Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Amitriptyline, Nortriptyline Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] AMMONIA AMM AMM Synonyms NH3; Ammonia Level Container Type Green top tube (sodium or lithium heparin) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Collect venous or arterial sample. If specimen is to be delivered directly to hospital laboratory, it must be put on wet ice immediately after collection and delivered within 20 minutes. Do not send through the pneumatic tube system. Specimen Processing Separate plasma from the cells within 20 minutes of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp Unacceptable Refrigerated 3 hours Frozen (-20°C) 1 week Frozen (-70°C) 1 week Unacceptable Condition EDTA samples Alternate Specimens Lithium heparin frozen plasma handles the same as in specimen processing directions. Limitations Levels increase rapidly as specimen sits at room temperature or refrigerated. A decrease of 8 to 40 umol/L in ammonia results has been observed in specimens containing glucose levels over 600 mg/dL. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82140 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes Ammonia, umol/L Notes Hepatic coma and the terminal stages of cirrhosis are often marked by elevated blood ammonia. It is also used in the diagnosis of Reye Syndrome. Supply Item Number 1398

Billing Code Test Code [sunquest] AMNIOTIC FLUID SCAN DOD AMNFS Gestational age is required for report. Synonyms Amniotic Scan, OD 450 Container Type Leakproof brown container. Specimen Type Amniotic fluid Preferred Volume 10 mL Minimum Volume 5 mL after centrifugation Collection Procedure Call laboratory before collection to arrange for transportation. Collect 10 mL amniotic fluid in brown container. Immediately refrigerate or place on ice. Must be transported within 30 minutes of collection. Protect from light. Specimen Processing Separate cells from fluid by centrifugation at 2500 rpm for 10 minutes. Freeze fluid. Protect from light. Note if any rbc's were in the cell button after centrifugation. Store and transport frozen. Required Patient Info Gestational age. Unacceptable Condition Grossly bloody specimens or specimens containing meconium. Limitations Protect from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82143 Test Schedule Mon-Fri, days, evenings Turnaround Time 1-3 days Method Spectrophotometry Test Includes Appearance; Color; RBC'S; Gestational Age, wk; Abs 450 Corr, Abs; Amniotic Fluid Scan Interpretation. Supply Item Number 1502

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Billing Code Test Code [sunquest] AMOXAPINE AMOX AMOX Synonyms Asendin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 4 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 10 months Unacceptable Condition SST or PST tubes. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 0325SP CPT Codes 82492 Test Schedule Mon, Wed, Fri Method HPLC Test Includes Amoxapine, ng/mL; 8-Hydroxy Amoxapine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] AMPHETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCAMP TLCAMP SUR. Synonyms Adderall; Bennies; Black Beauties; Crosses; Hearts; LA Turnaround; Speed; Truck Drivers; Uppers Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Amphetamine and Methamphetamine Notes Test is also included in Comprehensive Drug Survey.

Billing Code Test Code [sunquest] AMPHETAMINE PAIN MANAGEMENT CONFIRMATION TESTING PAMP PAMP BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for the PMM1 test. Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Required Patient Info Last five days of prescription medicine taken. Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82145 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Amphetamine Methamphetamine

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Billing Code Test Code [sunquest] AMPHETAMINES BY GC/MS MSAMP MSAMP Synonyms Amphetamine; Biphetamine; Dexedrine; Methamphetamine; Desoxyn; Adderall; Speed; Uppers; Meth; Bennies; Black Beauties; Crosses; Hearts; LA Turnaround; Truck Drivers; Chalk; Crank; Crystal; Fire; Glass; Go; Fast; Ice Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82145 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Confirmation for both Amphetamine and Methamphetamine Supply Item Number 1388

Billing Code Test Code [sunquest] AMPHETAMINES BY TLC TLCAMP TLCAMP Confirmation test Synonyms Speed; Uppers; Meth; Methamphetamine; Biphetamine; Dexedrine; Desoxyn; Adderall; Bennies; Black Beauties; Crosses; Hearts; LA Turnaround; Truckdrivers; Chalk; Crank; Crystal; Fire; Glass; Go; Fast; Ice Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Modified Thin Layer Chromatography Test Includes Confirmation for both Amphetamine and Methamphetamine

Billing Code Test Code [sunquest] AMPHETAMINES SCREEN (REFLEXIVE) AMP AMPH This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Methamphetamine; Biphetamine; Dexedrine; Desoxyn; Adderall; Speed; Uppers; Meth; Bennies; Black Beauties; Crosses; Hearts; LA Turnaround; Truck Drivers; Chalk; Crank; Crystal; Fire; Glass; Go; Fast; Ice Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamine and Methamphetamine Notes Positive results will automatically be confirmed. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCAMP 82489 automatically be run

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Billing Code Test Code [sunquest] AMYLASE AMY AMY Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition EDTA or sodium fluoride-potassium oxalate plasma (grey top tube). Alternate Specimens Lithium heparin plasma (green top tube). Department PAML Chemistry CPT Codes 82150 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Amylase, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] AMYLASE ISOENZYMES AMY.ISO AMYISO Synonyms Amylase Fractionation; Isoenzymes, Amylase; Pancreatic Isoamylase Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow serum to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed specimens Alternate Specimens Lavender (EDTA), green (sodium or lithium heparin) or plasma separator tube (PST) Reference Laboratory ARUP Reference Lab Test Code 20804 CPT Codes 82150 x 2 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Enzymatic Test Includes Amylase, Pancreatic, U/L; Amylase, Salivary, U/L; Amylase, Total, U/L Notes Salivary amylase is calculated as the difference between the total and pancreatic amylase. Supply Item Number 1467

Billing Code Test Code [sunquest] AMYLASE, FLUID AMY.FLD AMYFL Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Fluid Preferred Volume 2 mL Minimum Volume 0.1 mL Required Patient Info Indicate source Unacceptable Condition Specimens in EDTA Alternate Specimens Heparinized fluid (green top tube) Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82150 Test Schedule Sun-Fri Turnaround Time 1-2 days Method Enzymatic Test Includes Amylase, Fluid, U/L Supply Item Number 1372

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Billing Code Test Code [sunquest] AMYLASE, URINE (2HR) AMYLASE- AMYU2H URINE Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 2-hour urine collection Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Collect a 2-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 3 mL of a well-mixed 2-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 weeks Unacceptable Condition Urines that have been acidified Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82150 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Time, h; Volume, mL; Amylase, Urine (2 Hr), U/2h Supply Item Number 1108

Billing Code Test Code [sunquest] AMYLASE, URINE (PANCREATIC TRANSPLANT) AMY.PANCR AMYU12 This order code is used to monitor pancreatic transplant patients. Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 12-hour urine collection Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Collect a 12-hour urine in a 24-hour dark plastic urine container with no preservative. Refrigerate during collection. Specimen Processing Aliquot 3 mL of a well-mixed 12-hour urine collection into a leakproof plastic container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 weeks Unacceptable Condition Urines that have been acidified Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82150 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Time, h; Volume, mL; Amylase, Urine, U/L; Amylase, Urine, U/h Supply Item Number 1108

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Billing Code Test Code [sunquest] AMYLASE, URINE (QUANTITATIVE) AMYUQ AMYUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection and total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 10 mL Minimum Volume 3 mL Collection Procedure Collect a 24-hour in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour collection into a leakproof plastic urine container. Record total volume and collection period. Required Patient Info Total volume and collection period Unacceptable Condition Urines that have been acidifed Alternate Specimens Specimens that have been frozen Department PAML Chemistry CPT Codes 82150 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Time, h; Volume, mL; Amylase, Urine, U/h Supply Item Number 1108

Billing Code Test Code [sunquest] AMYLASE, URINE (RANDOM) AMY.R AMYUR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Collect random urine in leakproof plastic urine container. Refrigerated 2 weeks Unacceptable Condition Urines that have been acidified Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82150 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Amylase, Urine (Random), U/L Supply Item Number 1388

Billing Code Test Code [sunquest] AMYLASE/CREATININE CLEARANCE AMY-CL AMYCL Container Type Serum separator tube (gold, brick, SST, or corvac) and leakproof plastic urine container Store and Transport Refrigerated Specimen Type Serum and urine, random Preferred Volume 2 mL serum and 10 mL urine Minimum Volume 0.5 mL serum and 3 mL urine Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 25 mL of a random urine specimen. Separate serum from cells, Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks, serum; 4 days, urine Alternate Specimens Lithium heparin plasma (green top tube) and urine Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82565, 82150 x 2, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic, Enzymatic (IDMS Traceable), Calculation Test Includes Creatinine, mg/dL; Creatinine, Urine, mg/dL; Amylase, U/L; Amylase, Urine, U/L; Amylase/Creatinine; Amylase/Creatinine Clearance Ratio, Ratio Supply Item Number 1467 1388

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Billing Code Test Code [sunquest] AMYLASE/CREATININE, URINE (RANDOM) AMY-U AMYCUR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 3 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 4 days Alternate Specimens Frozen specimens Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82150, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic, Enzymatic (IDMS Traceable), Calculation Test Includes Amylase, Urine, U/L; Creatinine, Urine, mg/dL; Amylase/Creatinine, Ratio Supply Item Number 1388

Billing Code Test Code [sunquest] ANA SPECIFIC ANTIBODY PANEL ANASAB ANASAB Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Plasma and heat-inactivated specimens; interfering substances include turbidity, hemolysis, visible bacteria growth, lipemia, and fluorescing drugs; avoid repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86225, 86235 x 9, 83516 Test Schedule Sun-Fri Turnaround Time 1-2 days Method Multiplex Luminex Test Includes DSDNA autoantibody, IU/mL; Smith autoantibody, AI; Ribosomal P autoantibody, AI; Chromatin autoantibody, AI; RNP autoantibody, AI; SMRNP autoantibody, AI; SCL-70 autoantibody, AI; Centromere B autoantibody, AI; SSA (RO) autoantibody, AI; SSB (LA) autoantibody, AI; JO-1 autoantibody, AI Notes This panel is intended to be used as a follow up to ANA by IFA testing.

Billing Code Test Code [sunquest] ANALYZER ANALZ4 ANALZ4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Lipemic, and moderately or grossly icteric, and hemolyzed samples Reference Laboratory Specialty Reference Lab Test Code 1000 CPT Codes 83520, 86038, 86160 x 2, 86235 x 5, 86376, 86431, 86225 Test Schedule Tue-Sat Turnaround Time 2-5 days Method EIA/LIA Test Includes ANA, IU/mL; ANA Pattern; dsDNA AutoAbs, IU/mL; RNP/Sm; Sm(Smith) IgG AutoAbs; SS-A IgG AutoAbs; SS-B IgG AutoAbs; Scl-70 IgG AutoAbs; Thyroid Peroxidase, AutoAbs U/mL; C3 Complement, mg/dL; C4 Complement, mg/dL; Rheumatoid Factor, IU/mL; Ribosomal P Protein AutoAbs, Units Supply Item Number 1467

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Billing Code Test Code [sunquest] ANCA PANEL ANCAPR ANCAPR Synonyms Anti-Neutrophil Cytoplasmic Antibody Panel-no ANA; ANCA Panel no ANA; MPO AB; PR3 AB; ANCA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma, hemolyzed, lipemic, contaminated samples, samples containing fluorescencing drugs, other body fluids, repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86256, 83516 x 2 Test Schedule Mon-Sat Turnaround Time 2-4 days Method IFA, EIA Test Includes ANCA Titer, IFA; ANCA Pattern; Myeloperoxidase Antibody, Units; Proteinase 3 Antibody, Units Notes For ANCA IFA portion, samples that have a titer of 1:20 or greater will distinguish between P-ANCA or C-ANCA pattern. P-ANCA pattern is most closely associated with MPO and C-ANCA pattern is most closely associated with PR3. This test will not identify atypical ANCA pattern (use order code ANCAA). Supply Item Number 1467

Billing Code Test Code [sunquest] ANCA PANEL WITH ANA (REFLEXIVE) ANCAME ANCAME This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Neutrophil Cytoplasmic Antibody; MPO AB; PR3 AB; ANCASR; PR3; MPO Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and transfer to 2 standard PAML aliquot tubes. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma, hemolyzed, lipemic, contaminated samples; samples containing fluorescing drugs and ther body fluids and repeat freeze/thaw cycles Department PAML Special Immunology; PAML Chemistry CPT Codes 86038, 86256, 83516 x 2 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Multiplex luminex, IFA, ELISA Test Includes ANCA Titer, IFA; ANCA Pattern; Proteinase 3 Antibody, Units; Myeloperoxidase Antibody, Units. If ANA positive, the following tests will be done and reported: DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI Notes For ANCA IFA portion, samples that have a titer of 1:20 or greater will distinguish between either P- ANCA or C-ANCA pattern. P-ANCA pattern is most closely associated with MPO and C-ANCA pattern is most closely associated with PR3. This test will not identify atypical ANCA pattern (use order code ANCAA). If ANA screen is positive, reflex testing will be done to identify specific antibodies. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive ANA Screen DSDNA, Smith, Ribosomal P, Chromatin, RNP, 86225, 86235 x 9, 83516 SMRNP, SCL-70, Centromere B, SSA (RO), SSB(LA), JO-1 Autoantibodies C vs. P ANCA 86256

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Billing Code Test Code [sunquest] ANCA TITER BY IFA ANCASR ANCASR Synonyms ANCA Screen; ANCA Antibody Screen; MPO AB; PR3 AB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma, hemolyzed, lipemic, contaminated samples, samples containing fluorescing drugs; other body fluids; repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86256 Test Schedule Mon-Sat Turnaround Time 2-4 days Method IFA Test Includes ANCA Titer; ANCA Pattern Notes Samples that have a titer of 1:20 or greater will distinguish between either P-ANCA or C-ANCA pattern. P-ANCA pattern is most closely associated with MPO and C-ANCA pattern is most closely associated with PR3. This test will not identify atypical ANCA pattern (use order code ANCAA). Supply Item Number 1467

Billing Code Test Code [sunquest] ANDROSTENEDIONE ANDSDE ANDSDE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Collect between 6-10 AM Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Alternate Specimens Sodium or lithium plasma (green top tube) or EDTA plasma (lavender top tube) Reference Laboratory ARUP Reference Lab Test Code 2001638 CPT Codes 82157 Test Schedule Sun-Sat Turnaround Time 2-4 days Method HPLC/TMS Test Includes Androstenedione, ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] ANDROSTERONE, URINE 24HR ANDR-U ANDRUQ Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 50 mL Minimum Volume 11 mL Collection Procedure Add 25 mL of 50% acetic acid to a 24-hour dark plastic urine container. Use 15 mL 50% acetic acid for children less than 5 years old. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2-4. Record total volume. Required Patient Info Total volume and collection period Reference Laboratory Mayo Reference Lab Test Code 8567 CPT Codes 83593 Test Schedule Mon, Thu Turnaround Time 5-10 days Method GC/MS Test Includes Collection Period, hrs; Volume, mLs; Androsterone, Urine, ug/24hr Supply Item Number 1108

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Billing Code Test Code [sunquest] ANEMIA PROFILE ANEMPR ANEMPR Container Type SST tube and Lavender top tube (EDTA) and slides Store and Transport Prefer all specimens except blood smears be stored and transported refrigerated Specimen Type Serum, EDTA whole blood and smears Preferred Volume 2 mL serum, 2 EDTA whole blood tubes and 2 smears Minimum Volume 0.5 mL serum, 2 EDTA tubes Limitations EDTA tube must be at least 1/2 full. Appropriate comments are generated with report if sample integrity is compromised. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85025, 86880, 83550, 85045, 83540 Test Schedule Sun-Thu nights (Aut & Retic Daily) Turnaround Time 48 hours Method Automated/Hemagglutination/Colorimetric Test Includes Autoheme; Reticulocyte Count, %; Reticulocytes, Abs, K/uL; Immature Reticulocyte Fraction; Total Iron, ug/dL; Iron Binding Capicity, ug/dL; % Saturation, %; Direct Coombs Supply Item Number 1467 1222

Billing Code Test Code [sunquest] ANGIOTENSIN CONVERTING ENZYME ANGIO ACE Synonyms ACE Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 6 months Alternate Specimens Lithium or sodium heparin plasma (green top tube) or PST. Limitations ACE activity may be inhibited by EDTA, heavy metals, oxalate, hemolysis, lipemia. ACE activity may be falsely increased by acetate, bromide, chloride, fluoride or nitrate. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82164 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Enzymatic Test Includes Angiotensin-1- Converting Enzyme, U/L. Supply Item Number 1467

Billing Code Test Code [sunquest] ANGIOTENSIN CONVERTING ENZYME POLYMORPHISM ACEP ACEP Synonyms ACE Insertion/Deletion Container Type Lavender top tube Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 3 mL Collection Procedure Collect 5 mL EDTA whole blood. Specimen Processing Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) unacceptable Unacceptable Condition Hemolysis or clotted blood. Alternate Specimens Sodium heparin, EDTA, or ACD B whole blood (green, EDTA royal blue, or yellow top tube). Reference Laboratory NICHOLS Reference Lab Test Code 11210X CPT Codes 83891, 83900, 83909, 83912 Test Schedule 1 day a week Turnaround Time 5-7 days Method FPCR & Capillary Electrophoresis Test Includes Angiotensin Converting Enzyme Polymorphism. Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Jaun Capistrano. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1495

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Billing Code Test Code [sunquest] ANGIOTENSIN CONVERTING ENZYME, CSF ACECF ACECF Synonyms ACE, CSF Container Type CSF sterile plastic tube Store and Transport Frozen Specimen Type Frozen CSF Preferred Volume 1 mL Minimum Volume 0.3 mL Room Temp 4 hours Refrigerated 7 days Frozen (-20°C) 6 months Unacceptable Condition Hemolyzed or xanthochromic samples Reference Laboratory ARUP Reference Lab Test Code 98974 CPT Codes 82164 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Spectrophotometry Test Includes Angiotensin Converting Enzyme, CSF, U/L Supply Item Number 7211

Billing Code Test Code [sunquest] ANTABUSE ANTABUSE ABUSE Synonyms Disulfiram; DEDTC; Diethyldithiocarbamate Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 6 mL Specimen Processing Separate serum or plasma from cells, transfer to a standard PAML aliquot tube, and freeze. Alternate Specimens Frozen EDTA plasma (lavender top tube) Limitations No SST tubes Reference Laboratory NMS Reference Lab Test Code 1790SP CPT Codes 82491 Test Schedule Wed Turnaround Time 10-15 days Method GC Test Includes Antabuse, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] ANTI-CONVULSANT PROFILE CONV-PAN CONV Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 2 weeks Alternate Specimens Plasma specimens, SST and other gel type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Department PAML Chemistry CPT Codes 80185, 80184 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Dilantin, ug/mL; Phenobarbital, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] ANTI-DNA (FARR TECHNIQUE) DNA.FARR DNAFA Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated, ambient or frozen temperature. Room Temp 2 weeks Reference Laboratory RDL Reference Lab Test Code 013 CPT Codes 86225 Test Schedule Mon-Sat Turnaround Time 3-5 days Method RIA Test Includes Anti-DNA (Farr Technique), IU/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ANTI-IGE RECEPTOR ANTIBODY IGERAB IGERAB Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. DO NOT TRANSPORT IN SST TUBES. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Samples transported in SST tubes. Reference Laboratory National Jewish CPT Codes 88184, 88185 x 2 Test Schedule Mon, Thu Turnaround Time 9-14 days Method Flow Cytometry Test Includes IgE Receptor, %; IgE Receptor Antibody Comment. Compliance Remarks This test uses a kit/reagent designated by the manufacturer as 'for research use, not for clinical use.: The performance characteristics of this test have been validated by National Jewish Clinical Reference Laboratories. It has not been cleared or approved fy the FDA. Ther results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This laboratory is certified under CLIA as qualified to perform high-complexity clinical laboratory testing.

Billing Code Test Code [sunquest] ANTI-MULLERIAN HORMONE AMUHM AMUHM Container Type Serum separator tube (Gold, Brick, SST or Corvac) Store and Transport Store and transport frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 30 days Unacceptable Condition Unspun SST tubes are not acceptable. Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 3138 CPT Codes 83520 Test Schedule Tue, Thu, Sat Turnaround Time 3-6 days Method EIA Test Includes Anti-Mullerian Hormone, ng/mL. Compliance Remarks This test(s) was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute, Valencia, CA. This test should not be used for diagnosis without confirmation by other medically established means.

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Billing Code Test Code [sunquest] ANTI-MYOCARDIAL ANTIBODY, IGG WITH REFLEX TO TITER ABMYO ABMYO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Fibrillar (Myocardial Antibody, IgG with Reflex to Titer); Anti-Interfibrillar (Myocardial Antibody, IgG with Reflex to Titer); Anti-Sarcolemma (Myocardial Antibody, IgG with Reflex to Titer) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma and severely lipemic, contaminated, or hemolyzed samples; Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50742 CPT Codes 86255 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Indirect Fluorescent Ab Test Includes Myocardial Antibody IgG, Screen; Myocardial Antibody IgG,Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Myocardial AB is 1:20 Myocardial AB Titer 86256

Billing Code Test Code [sunquest] ANTI-NUCLEAR ANTIBODY (ANA), BY EIA ANAESN ANAESN Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen; ANA Screen Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.4 mL Collection Procedure Separate serum from cells and put in separate plastic tube. Avoid using lipemic or hemolyzed serum. Room Temp 24 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma or heat inactivated samples, grossly lipemic, hemolyzed should be avoided Limitations Interfering substances include turbidity and visible bacterial growth. Avoid repeated freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86038 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Enzyme-Linked Immunosorbent Assay Test Includes ANA by EIA, Serum

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Billing Code Test Code [sunquest] ANTI-NUCLEAR ANTIBODY (ANA), BY EIA (REFLEXIVE) ANAESR ANAESR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen; ANA Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Avoid using lipemic or hemolyzed serum. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, heat inactivated samples, grossly lipemic, hemolyzed serum Limitations Interfering substances include turbidity and visible bacterial growth. Avoid repeated freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86038 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Enzyme-Linked Immunosorbent Assay, Multiplex Luminex Test Includes ANA by EIA, Serum, ANA Confirmatory Antibodies (Reflex) Notes When the index value for ANA by EIA is greater than or equal to 2.6 units, it will reflex to additional testing for confirmation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes GT or equal to 2.6 Units ANAEIA ANA Specific Antibody Panel 86225, 86235 x 9, 83516 BANAMP (ANASAB)

Billing Code Test Code [sunquest] ANTI-NUCLEAR ANTIBODY TITER BY IFA IFANA IFANA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Plasma and heat-inactivated specimens; interfering substances include turbidity, hemolysis, visible bacterial growth, lipemia, and fluorescing drugs; avoid repeat freeze/thaw cycles Department PAML Chemistry CPT Codes 86039 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes ANA by IFA; ANA by IFA Pattern Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTI-NUCLEAR ANTIBODY TITER BY IFA (REFLEXIVE) IFANAR IFANAR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Plasma and heat-inactivated specimens. Interfering substances include turbidity, hemolysis, visible bacteria growth, lipemia, and fluorescing drugs. Avoid repeat freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86039 Test Schedule Sun-Fri Turnaround Time 1-2 days Method IFA Test Includes ANA titer by IFA; [(If 1:40 or greater) ANA by IFA pattern]; [(if 1:160 or greater) ANA by IFA pattern; DSDNA autoantibody, IU/mL; Smith autoantibody, AI; Ribosomal P autoantibody, AI; Chromatin autoantibody, AI; RNP autoantibody, AI; SMRNP autoantibody, AI; SCL-70 autoantibody, AI; Centromere B autoantibody, AI; SSA (RO) autoantibody, AI; SSB (LA) autoantibody, AI; JO-1 autoantibody, AI] Notes If the ANA titer by IFA is 1:160 or greater, it will reflex to the 11 specific autoantibodies identified by the mulitplex method. The 11 specific autoantibodies are DSDNA, Smith, Ribosomal P, Chromatin, RNP, SMRNP, SCL-70, Centromere B, SSA (RO), SSB (LA), and JO-1. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes 1:160 or greater BANAMP 86225, 86235 x 9, 83516

Billing Code Test Code [sunquest] ANTI-PARIETAL CELL ANTIBODY, TOTAL, IGA, IGG & IGM PARIETAL CELL APCA AB Synonyms Parietal Cell Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition All specimens drawn with anticoagulant Department PAML Chemistry CPT Codes 86255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes Parietal Cell Antibody, Total, IgA, IgG & IgM Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTI-SMOOTH MUSCLE ANTIBODY ASM ASM Synonyms Smooth Muscle Antibody; SMA; ANTI-SMA; Anti-SMA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Turbid or lipemic serum specimens Limitations Turbidity, hemolysis, visible bacterial growth, or drugs capable of fluorescing may interfere with accuracy of test. Department PAML Chemistry CPT Codes 86255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes Smooth Muscle Antibodies Supply Item Number 1467

Billing Code Test Code [sunquest] ANTI-THYROID ANTIBODIES TAB TAB Synonyms Anti-Thyroglobulin Antibody; TG and TPO Antibody; Thyroid Ab; Anti-Microsomal Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Other body fluids, grossly hemolyzed, or lipemic specimens Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 86800, 86376 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes Thyroglobulin Autoantibodies, IU/mL; Thyroid Peroxidase Autoantibodies, IU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] ANTI-THYROID PEROXIDASE ANTIBODY (TPOAB) TPOABU TPOABU Container Type Red top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) Stable Unacceptable Condition Whole blood or plasma specimens; grossly lipemic, icteric, or hemolyzed samples. Limitations For Denver clients only Reference Laboratory USC-Endocrine Lab CPT Codes 86376 Test Schedule Tue, Fri Turnaround Time 4-7 days Method RIA Test Includes TPO-AB, IU/mL

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Billing Code Test Code [sunquest] ANTIBODY IDENTIFICATION AB ID MABID This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms AB IB Container Type Red top tube (plain) and lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum and EDTA whole blood Preferred Volume 4 mL serum and 3 mL EDTA whole blood Minimum Volume 1 mL serum and 2 mL whole blood Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 10 days Frozen (-20°C) 6 months (unacceptable for cells) Unacceptable Condition Hemolyzed, grossly icteric, or grossly lipemic specimens; Specimens drawn into tubes containing neutral gel seperators. Department PAML Immunology CPT Codes 86870 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination/Solid Phase Test Includes Antibody Screen; Antibody Identification; Antibody Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Significant Antibody identified Antibody Titer 86886

Billing Code Test Code [sunquest] ANTICARDIOLIPIN ANTIBODY, IGA CARDA CARDA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86147 Test Schedule Tue-Sat Turnaround Time 2-3 days Method EIA Test Includes Cardiolipin Antibody , IgA, APL Supply Item Number 1467

Billing Code Test Code [sunquest] ANTICARDIOLIPIN ANTIBODY, IGG CARDG CARDG Synonyms Cardiolipin Ab, IgG; Anti-Phospholipid Ab, IgG; Phospholipid Ab, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86147 Test Schedule Tue-Sat Turnaround Time 2-3 days Method EIA Test Includes Cardiolipin Antibody , IgG, GPL Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTICARDIOLIPIN ANTIBODY, IGG, IGM & IGA CARDS CARDS Synonyms Cardiolipin Antibodies Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat inactivated samples may give false positive results. Avoid repeated freeze/thaw cyles. Limitations Avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86147 x 3 Test Schedule Tue-Sat Turnaround Time 2-3 days Method EIA Test Includes Cardiolipin Antibody, IgG, GPL; Cardiolipin Antibody, IgM, MPL; Cardiolipin Antibody, IgA, APL Supply Item Number 1467

Billing Code Test Code [sunquest] ANTICARDIOLIPIN ANTIBODY, IGM CARDM CARDM Synonyms Cardiolipin Ab, IgM; Anti-Phospholipid Ab, IgM; Phospholipid Ab, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86147 Test Schedule Tue-Sat Turnaround Time 2-3 days Method ELISA Test Includes Cardiolipin Antibody, IgM, MPL Supply Item Number 1467

Billing Code Test Code [sunquest] ANTIMICROBIAL SERUM LEVEL, ISONIAZID, HPLC AMSLI AMSLI Critical frozen Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze.

Required Patient Info List all other antimicrobials being used to treat the patient. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Red top serum separator tubes not acceptable Reference Laboratory Quest Diagnostics (Focus) Reference Lab Test Code 51963 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 6-7 days Method HPLC (High Performance Liquid Chromatography)

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Billing Code Test Code [sunquest] ANTIMICROBIAL SERUM LEVEL, RIFAMPIN, HPLC AMSLR AMSLR Critical frozen Synonyms Rifampin Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube and freeze. Protect from light. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 weeks Limitations Red top serum separator tubes not acceptable Reference Laboratory Quest Diagnostics (Focus) Reference Lab Test Code 51964 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 6-7 days Method HPLC (High Performance Liquid Chromatography) Notes Specimens collected just before or within 15 minutes of the next dose represent the TROUGH levels. Specimens obtained within 15-30 minutes after the end of I.V. infusion or 45-60 minutes after an IM injection or 90 minutes after oral intake represent the PEAK level.

Drugs which may interfere with this test include: Sulindac

Billing Code Test Code [sunquest] ANTINEURONAL ANTIBODIES IGG BY IMMUNOBLOT (HU, RI, NEUIGG NEUIGG YO, AMPHIPHYSIN) This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Neuronal Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP, transfer to a standard PAML aliquot tube, and freeze. Room Temp 2 days Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, heat-inactivated, lipemic, contaminated, or hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 0051090 CPT Codes 83516 Test Schedule Thu Turnaround Time 2-9 days Method Immunoblot Test Includes Neuronal Ab (Hu); Neuronal Ab (Ri); Neuronal Ab (Yo); Neuronal Ab (Amphiphysin) Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food & Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTINEURONAL CELL ANTIBODY NCABUW NCABUW Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze at -20C. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) Long term Alternate Specimens Serum separator tube (SST) Reference Laboratory University of Washington Reference Lab Test Code ANEUR CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 3-11 days Method Enzyme Linked Immunosorbent Assay Supply Item Number 1372

Billing Code Test Code [sunquest] ANTINUCLEAR ANTIBODIES SCREEN (REFLEXIVE) ANAMP ANAMP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Antinuclear Antibodies; Lupus; Connective Tissue Disorder; Autoimmune Disease; SLE; Anti-Nuclear Antibody, Screen; ANA Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; Avoid repeat freeze/thaw cycles (no more than 3) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86038 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex Luminex Test Includes ANA; (If positive the following tests will be done and reported). DSDNA Autoantibody, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes ANA Screen is positive DSDNA, Smith, Ribosomal P, Chromatin, RNP, 86225, 86235 x 9, 83516 SMRNP, SCL-70, Centromere B, SSA (RO), SSB(LA), JO-1 Autoantibodies

Billing Code Test Code [sunquest] ANTIPHOSPHATIDYLSERINE, IGA APSA APSA Synonyms Anti-Phospholipid Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 1 weel Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86148 Test Schedule Tue-Sat Turnaround Time 2-4 days Method ELISA Test Includes Antiphosphatidylserine, IgA, APS U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTIPHOSPHATIDYLSERINE, IGG APSG APSG Synonyms Anti-Phospholipid Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86148 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Antiphosphatidylserine, IgG, GPS U/mL Supply Item Number 1467

Billing Code Test Code [sunquest] ANTIPHOSPHATIDYLSERINE, IGM APSM APSM Synonyms Anti-Phospholipid Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results, avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86148 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Antiphosphatidylserine, IgM, MPS U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] ANTIPHOSPHOLIPID PANEL 1 (REFLEXIVE) APP1R APP1R This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Phospholipid Panel 1; Lupus Anticoagulant; Lupus Container Type Red top tube (plain) and blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen serum and frozen plasma Preferred Volume 1.5 mL frozen serum and 4 mL frozen buffered plasma Minimum Volume 1 mL serum and 2 mL plasma Specimen Processing 1.5 mL frozen serum (red top tube) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuged with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells and transfer to 2 plastic tubes (2 aliquots) and freeze. Room Temp Serum: 2 days; plasma: 4 hours Refrigerated Serum: 2 days; plasma: 4 hours Frozen (-20°C) 1 month Unacceptable Condition Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants. Department PAML Special Immunology CPT Codes 85670, 85613, 86147 x 2, 86146 x 2, 85610, 85730 Test Schedule Tue-Sat Turnaround Time 2-4 days Method ELISA and Electromechanical Test Includes Cardiolipin Antibody, IgG; GPL; Cardiolipin Antibody, IgM, MPL; Beta-2 Glycoprotein 1 Antibody, IgG, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU; Protime, Patient, sec; Protime, PT/NL Mix, sec; Thrombin Time, Patient, sec; TT, PT/PS Mix, sec; APTT, Patient, sec; APTT, Control; APTT, PT/CT Mix; PNP; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio. Supply Item Number 1372 1050

Billing Code Test Code [sunquest] ANTIPHOSPHOLIPID PANEL 2 (REFLEXIVE) APP2 APP2 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Phospholipid Panel 2 Container Type Red top tube (plain) and blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen serum and frozen plasma Preferred Volume 1.5 mL frozen serum and 4 mL frozen buffered plasma Minimum Volume 1 mL serum and 2 mL plasma Specimen Processing 1.5 mL frozen serum (red top tube) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuges with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp Serum: 2 days; plasma: 4 hours Refrigerated Serum: 2 days; plasma: 4 hours Frozen (-20°C) 1 month Unacceptable Condition Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Alternate Specimens SST tube is also acceptable instead of red top tube Department PAML Special Immunology, PSHMC Coagulation CPT Codes 85613, 86147 x 3, 86148 x 3 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA and Electromechanical Test Includes Antiphosphatidylserine, IgA; APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphophatidylserine, IgM, MPS U/mL; Cardiolipin Antibody,IgA, APL; Cardiolipin Antibody,IgG; GPL; Cardiolipin Antibody,IgM, MPL; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio Supply Item Number 1372 1050

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Billing Code Test Code [sunquest] ANTIPHOSPHOLIPID PANEL 3 (REFLEXIVE) APP3 APP3 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Phospholipid Panel 3 Container Type Red top tube (plain) and blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen serum and frozen plasma Preferred Volume 1.5 mL frozen serum and 4 mL frozen buffered plasma Minimum Volume 1 mL serum and 2 mL plasma Specimen Processing 1.5 mL frozen serum (red top tue) and 4 mL frozen buffered sodium citrate plasma (liquid blue top tubes filled to capacity). Tubes should be transported uncentrifuged or centrifuges with plasma on top to the cells in unopened tubes kept at 2-4 C or 22-24 C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, re-centrifuge, separate into 2 plastic tubes (2 aliquots) and freeze at -20C or less. Separate serum from cells ASAP, transfer to a standard PAML aliquot tube, and freeze. Room Temp Serum: 2 days; plasma: 4 hours Refrigerated Serum: 2 days; plasma: 4 hours Frozen (-20°C) 1 month Unacceptable Condition Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Alternate Specimens SST tube is also acceptable instead of red top tube Department PAML Special Immunology, PSHMC Coagulation CPT Codes 85613, 86147 x 3, 86148 x 3, 86146 x 3 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA and Electromechanical Test Includes Antiphosphatidylserine, IgA; APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphophatidylserine, IgM, MPS U/mL; Cardiolipin Antibody, IgA, APL; Cardiolipin Antibody, IgG; GPL; Cardiolipin Antibody, IgM, MPL; Beta-2 Glycoprotein 1 Antibody, IgA, SAU; Beta-2 Glycoprotein 1 Antibody, IgG, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio Supply Item Number 1372 1050

Billing Code Test Code [sunquest] ANTITHROMBIN III ACTIVITY THROMBIN AT3 III.ACT Separate samples must be submitted when multiple tests are ordered. Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Limitations Specimen should be heparin free. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85300 Test Schedule Mon-Sat Turnaround Time 3-5 days Method Chromogenic Test Includes Antithrombin III Activity, % Supply Item Number 1050

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Billing Code Test Code [sunquest] ANTITHROMBIN III ANTIGEN THROMBIN.III. AT3AG AG Separate samples must be submitted when multiple tests are ordered. Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Patient should be fasting. Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85301 Test Schedule Mon-Sat Turnaround Time 3-5 days Method Immuno-turbidimetric Test Includes Antithrombin III Antigen, mg/dL. Supply Item Number 1050

Billing Code Test Code [sunquest] APOLIPOPROTEIN A-1 APOLA APOLA Synonyms APO-A; APO-A1; High Density Liproprotein; A-1 Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Patient Prep Fasting sample recommended Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 8 days Frozen (-20°C) 90 days Unacceptable Condition Hemolyzed specimen Department PAML Chemistry CPT Codes 82172 Test Schedule Daily Turnaround Time 1-3 days Method Immunotubidometric Test Includes Apolipoprotein A-1, mg/dl

Billing Code Test Code [sunquest] APOLIPOPROTEIN A-1 & B100 WITH RATIO APOAB APOAB Synonyms Apolipoprotein A-1 & B (Apolipoprotein B/A Ratio); Apolipoprotein APO A/B Ratio (Apolipoprotein B/A Ratio) Container Type Serum separator tube (gold, brick, SST or corvac) or red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Patient Prep Fasting sample recommended Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 8 days Frozen (-20°C) 90 days Unacceptable Condition Hemolyzed specimen Department PAML Chemistry CPT Codes 82172 x 2 Test Schedule Daily Turnaround Time 1-3 days Method Immunotubidometric/Calculation Test Includes Apolipoprotein A-1, B100 and B/A Ratio, mg/dl 2.1 www.paml.com 4/16/2013 page 188 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] APOLIPOPROTEIN B APOLB APOLB Synonyms APO-B; APO-B100; Low Density Lipoprotein; B-100; Low Density Lipoprotein, B Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Patient Prep Fasting sample recommended Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 8 days Frozen (-20°C) 90 days Unacceptable Condition Hemolyzed specimens Department PAML Chemistry CPT Codes 82172 Test Schedule Daily Turnaround Time 1-3 days Method Immunoturbidimetric Test Includes Apolipoprotein B-100, mg/dl

Billing Code Test Code [sunquest] APOLIPOPROTEIN E (APOE) 2 MUTATIONS, CARDIOVASCULAR APOEMT APOEMT RISK Synonyms APOE; Dislipidemia; Dysbetalipoproteinemia; Dyslipidemia; Dyslipoproteinemi; Frederickson Type III; Hyperlipidemia Type III; Soft-APOE; Type III Hyperlipoproteinemia Container Type Lavender top tube (EDTA) Store and Transport Ambient (room temperature). If delayed more than 72 hours, store and transport refrigerated. Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Submit in the original and unopened collection tube; Do not transfer from original draw tube Unacceptable Condition Serum, heparinized whole blood, severely hemolyzed samples, specimens in leaky container or over 5 days old. Also specimens not received in the original collection tube. Do not freeze. Alternate Specimens ACD or sodium citrate whole blood (yellow or blue top tube) Limitations This test is not to be used for Alzheimer's disease testing or for any dementia related reasons Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81401 Test Schedule Tue, Thu Turnaround Time 2-7 days Method Real-Time PCR with Melt Curve Analysis Test Includes APO E Compliance Remarks This test was developed and its performance characteristics determined by PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

Billing Code Test Code [sunquest] APT APT APT A screen to differentiate fetal hemoglobin from maternal hemoglobin. Synonyms Downey Test; Fetal Hgb (Qual); APT Test; Fetal Hemoglobin, Qualitative Container Type Leakproof plastic container. Specimen Type Blood-tinged stool, sputum, gastric or vaginal specimens Minimum Volume At least one visibly bloody area Specimen Processing Store and transport at room temperature. Unacceptable Condition Tarry stools because the proteins have been denatured and will not react. Limitations The presence of adult red cells, mixed with fetal may mask the end result. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83033 Test Schedule Sun-Sat days & STAT Turnaround Time 24-48 hours Method Visual Hemolysis Test Includes Source; APT. Supply Item Number 1388

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Billing Code Test Code [sunquest] AQUAPORIN-4 RECEPTOR ANTIBODY AQP4AB AQP4AB Synonyms AQP; Devic's Ab; Neuromyelitis Optica (NMO) Antibody; Optic Neuritix Ab; Optic-Spincal MS Ab; Soft-NMOS; Transverse Myelitis Ab; Vision Loss Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 3 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition CSF, amniotic fluid, ocular fluid peritoneal fluid, synovial fluid, or plasma. Contaminated, hemolyzed, icteric, or lipemic specimens. Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 2003036 CPT Codes 83516 Test Schedule Tue Turnaround Time 2-8 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Aquaporin-Receptor Antibody 4, U/mL Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] ARBOVIRUS ANTIBODY PANEL, IGG & IGM ARBO ARBO Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 2240 CPT Codes 86651 x 2, 86652 x 2, 86653 x 2, 86654 x 2 Turnaround Time 2-6 days Method IFA Test Includes Eastern Equine Encephalitis Ab, IgG; Eastern Equine Encephalitis Ab, IgM; Eastern Equine Encephalitis Ab, Interp; California Encephalitis Ab, IgG; California Encephalitis Ab, IgM; California Encephalitis Ab, Interp; St. Louis Encephalitis Ab, IgG; St. Louis Encephalitis Ab, IgM; St. Louis Encephalitis Ab, Interp; Western Equine Encephalitis Ab, IgG; Western Equine Encephalitis Ab, IgM; Western Equine Encephalitis Ab, Interp. Supply Item Number 1467

Billing Code Test Code [sunquest] ARBOVIRUS ANTIBODY PANEL, IGG & IGM, CSF ARBOSF ARBOSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 6240 CPT Codes 86651 x 2, 86652 x 2, 86653 x 2, 86654 x 2 Test Schedule Mon-Fri Turnaround Time 3-6 days Method IFA Test Includes Eastern Equine Encephalitis Ab, IgG, CSF; Eastern Equine Encephalitis Ab, IgM, CSF; Eastern Equine Encephalitis Ab, CSF, Interp; California Encephalitis Ab, IgG, CSF; California Encephalitis Ab, IgM, CSF; California Encephalitis Ab, Interp, CSF; St. Louis Encephalitis Ab, IgG, CSF; St. Louis Encephalitis Ab, IgM, CSF; St. Louis Encephalitis Ab, Interp, CSF; Western Equine Encephalitis Ab, IgG, CSF; Western Equine Encephalitis Ab, IgM, CSF; Western Equine Encephalitis Ab, CSF, Interp. Supply Item Number 7211 2.1 www.paml.com 4/16/2013 page 190 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ARBOVIRUS ANTIBODY PANEL, IGM ARBVM ARBVM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40145 CPT Codes 86651, 86652, 86653, 86654 Test Schedule Mon-Fri Turnaround Time 2-6 days Method IFA Test Includes California Encephalitis Ab, IgM; Eastern Equine Encephalitis Ab, IgM; St. Louis Encephalitis Ab, IgM; Western Equine Encephalitis Ab, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] ARBOVIRUS IGM ANTIBODY PANEL, CSF ARBMSF ARBMSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60145 CPT Codes 86651, 86652, 86653, 86654 Test Schedule Mon-Fri Turnaround Time 2-6 days Method IFA Test Includes California Ab, IgM, CSF; Eastern Equine Ab, IgM, CSF; St. Louis Ab, IgM, CSF; Western Equine Ab, IgM, CSF. Supply Item Number 7211

Billing Code Test Code [sunquest] ARGININE VASOPRESSIN HORMONE ADH AVH This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms ADH; Anti-Diuretic; Antidiuretic Hormone (ADH/AVH) Vasopressin Container Type Lavender top tube (EDTA) Store and Transport Store and transport frozen Specimen Type Frozen plasma Preferred Volume 6 mL Minimum Volume 2.5 mL Specimen Processing Separate plasma from cells ASAP or within 2 hours of collection and place in separate plastic tube and freeze immediately Room Temp 2 hours Refrigerated Unstable Frozen (-20°C) 1 month Unacceptable Condition Non-frozen specimens Alternate Specimens K2EDTA plasma(pink top tube) Reference Laboratory ARUP Reference Lab Test Code 70027 CPT Codes 84588 Test Schedule Tue, Fri Turnaround Time 5-12 days Method RIA Test Includes Arginine Vasopressin Hormone, pg/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1222

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Billing Code Test Code [sunquest] ARIPIPRAZOLE ARI ARI Synonyms Abilify Container Type Red top tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or PST (gel separator tubes) Alternate Specimens Plasma Reference Laboratory NMS Reference Lab Test Code 0451SP CPT Codes 82542 Test Schedule Mon-Sun Turnaround Time 8-10 days Method HPLC/MS/MS Test Includes Aripirazole, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ARSENIC ARS ARS Synonyms As; ASB Container Type Royal blue top tube (metal free K2EDTA) Store and Transport Ambient (room temperature). Also acceptable: Refrigerated. Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 0.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the- counter medications (upon the advice of their physician) and avoid shellfish and seafood for 48-72 hours prior to collection. Specimen Processing Transport whole blood in the original collection tube. Unacceptable Condition Heparin anticoagulant; frozen specimens Alternate Specimens Royal blue (Na2EDTA) Limitations Stability (collection to initiation of testing): If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Reference Laboratory ARUP Reference Lab Test Code 0099045 CPT Codes 82175 Test Schedule Mon-Sat Turnaround Time 2-3 days Method Quantitative Inductively Coupled Plasma-Mass Spectrometry Test Includes Arsenic Notes Elevated results from noncertified trace element-free collection tubes may be due to contamination. Elevated concentrations of trace elements in blood should be confirmed with a second specimen collected in a tube designed for trace element determinations, such as a royal blue (Na2EDTA) tube. Supply Item Number 9734

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Billing Code Test Code [sunquest] ARSENIC CREATININE RATIO, RANDOM URINE ARCR ARCR Synonyms As/Creatinine Ratio, Random Urine Container Type Trace Element Free Tubes Specimen Type Random Urine Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Aliquot 5 mL of a well-mixed random urine collection, into a leakproof trace element free tube. Refrigerate immediately after collection. Adjust collection to pH 2 with 6N nitric acid within 20 minutes of collection. Store and transport refrigerated. Room Temp 3 days if acidified Refrigerated 2 weeks if acidified Frozen (-20°C) 3 months if acidified Unacceptable Condition Specimens contaminated with blood or fecal material. Alternate Specimens Acidified urine. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82175, 82570 Test Schedule Tue, Thu, Sat Turnaround Time 2-3 days Method Atomic Absorption & Enzymatic (IDMS Traceable) Test Includes Arsenic, Urine Random, ug/L; Creatinine, Urine Random, mg/dL; Arsenic Creatinine Ratio, ug/gCR. Supply Item Number 1796 or 9771

Billing Code Test Code [sunquest] ARSENIC TOTAL INORGANIC, URINE ARTISU ARTISU Synonyms As, Total Inorganic, Urine, Speciated Container Type Trace metal free or acid washed leakproof plastic urine container. Specimen Type Timed urine Preferred Volume 4 mL Minimum Volume 1.9 mL Collection Procedure Collect an end of shift end of work week urine specimen in a trace metal free or acid washed plastic container. Specimen Processing Aliquot 4 mL of end of shift end of work week urine specimen. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 28 days Unacceptable Condition Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection. Alternate Specimens Other acceptable specimens: trace metal free Hydrochloric acid or Nitric acid (0.1 mL of 12M acid/10 mL urine) preserved specimens. Reference Laboratory NMS Reference Lab Test Code 0468U CPT Codes 82175, 82570 Test Schedule Tue, Thu, Sun Turnaround Time 4-8 days Method ICP/MS, Colorimetric Test Includes Creatinine, Urine, mg/L; Arsenic, Total Inorganic, Urine, ug/L; Arsenic, Total Inorganic (Creatinine corrected), Urine, ug/gCr. Notes Unpreserved urine refrigerated should be analyzed within 1 week of collection.

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Billing Code Test Code [sunquest] ARSENIC, URINE (RANDOM) ARS-RU ARSUR Synonyms As, Urine (Random) Container Type Trace Element Free Tubes Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Collect a random urine collection. Specimen Processing Aliquot 5 mL of a random urine specimen into a leakproof Trace element free tube. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Required Patient Info pH Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal materials. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82175 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Electrothermal (Flameless) AAS Test Includes Arsenic, Urine, ug/L. Supply Item Number 1796 or 9771

Billing Code Test Code [sunquest] ARSENIC, URINE 24HR ARS-U ARSUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms As, Urine, Quantitative Container Type Trace Element Free Tubes. Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Add 20mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen Processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof Trace element tube and pH to 2 using 6N nitric acid. Record collection time and total volume. Required Patient Info pH, collection period and total volume. Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal material. Alternate Specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82175 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Electrothermal (Flameless) AAS Test Includes Time, h; Volume, mL; Arsenic, Urine, ug/L; Arsenic, Urine, ug/24h. Supply Item Number 1796 or 9771

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Billing Code Test Code [sunquest] ARSENIC, URINE 24HR REFLEX TO FRACTIONATED ARSURF ARSURF This test may reflex to additional tests depending on the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Arsenic/Creatinine Ratio; Random; Urine (Arsenic, Urine with Reflex to Fractionated); AS (Arsenic, Urine with Reflex to Fractionated); ASU (Arsenic, Urine with Reflex to Fractionated) Container Type 24-hour trace-metal free plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 8 mL Minimum Volume 1mL Patient Prep Encourage patient to avoid shellfish & seafood for 48-72 hours and also non-essential drugs, vitamins, minerals, & nutritional supplements. Collection Procedure Collect a 24 hour urine in a trace-metal free urine container and refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour urine collection into a leakproof trace-metal free urine container. Record total volume and collection time. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of a gadolinium (Gd) containing constrast media (may occur with MRI studies), acid preserved urine. Alternate Specimens Random urine Reference Laboratory ARUP Reference Lab Test Code 25000 CPT Codes 82175 Test Schedule Mon-Fri Turnaround Time 2-6 days Method ICP/MS/HPLC Test Includes Collection Period,h; Volume, mL; Creatinine, Urine mg/dL; Creatinine, Urine mg/d; Arsenic, Urine mg/d; Arsenic,Urine ug/L; Arsenic, Urine ug/gCr; Arsenic, Organic ug/L; Arsenic, Inorganic ug/L; Arsenic, Methylated ug/L Notes ARUP studies indicate refrigeration, during and after collection, preserves specimens as well as preservatives, if tested within 8 days of collection. If reflexed, additional charges apply. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If total arsenic concentration is between 35- Arsenic, Fractionated 82175 2000 ug/L

Billing Code Test Code [sunquest] ARTERIAL BLOOD GASES BATTERY ABG ABG Synonyms ABG Container Type Capped syringe designed for blood gases Specimen Type Arterial whole blood Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Contact nearest hospital Specimen Processing 1 mL arterial whole blood with 120 IU lyophilized heparin added to syringe designed for blood gases. Cap with stopper. Test must be performed immediately upon obtaining specimen. Maximum stability is 1 hour on ice. Required Patient Info Patient's temperature Alternate Specimens Heparin tube Limitations Some plastic syringes may allow loss of oxygen Department PSHMC Respiratory Therapy Reference Laboratory PSHMC CPT Codes 82803 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Ion Transfer Electrode/Potentiometry/Co-oximeter Test Includes pH; PCO2, mm Hg; PO2, mm Hg; O2 Content, vol%; O2 SAT, %; HCO3, mmol/L; BE, mmol/L; Base Excess, mmol/L; Base Deficit, mmol/L; Hgb, g/dL; CO Hgb, %; Met Hgb, %; O2, %; Additional Data Supply Item Number Client supplied

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Billing Code Test Code [sunquest] ARTHRITIS PROFILE AR ARPF Container Type Serum separator tube (gold, brick, SST, or corvac) and lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum and whole blood Preferred Volume 2 mL serum and 5 mL whole blood Specimen Processing Separate serum from cells within 2 hours of collection. Alternate Specimens 1 mL lithium heparin plasma (green top tube) and 1.5 mL EDTA whole blood. Department PAML Chemistry, PAML Immunology, PSHMC Hematology CPT Codes 86431, 85651, 84550 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic/Nephelometry Test Includes Uric Acid, mg/dL; Sed Rate, mm/h; RA, IU/mL Supply Item Number 1467 1222

Billing Code Test Code [sunquest] ARYLSULFATASE A, URINE 24HR ARYSUQ ARYSUQ Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour or random urine collection Preferred Volume 10 mL Minimum Volume 5 mL Collection Procedure Collect a 24 hour or random urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24 hour or random urine collection into a leakproof plastic urine container. Record total volume and time of collection. Required Patient Info Total volume and collection period Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) Unacceptable Unacceptable Condition Ambient and frozen samples Limitations Random samples are acceptable but normal values have not been established. Reference Laboratory ARUP Reference Lab Test Code 95227 CPT Codes 84311 Test Schedule Varies Turnaround Time 11-16 days Method Colorimetric/Kinetic Test Includes Time, h; Volume, mL; Arylsulfatase A, Urine, U/L Supply Item Number 1108

Billing Code Test Code [sunquest] ASHKENAZI JEWISH DISEASE PANEL AKJD AKJD (BLM,ASPA,IKBKAP,FANCC,GBA,MCOLN1,SMPD1,HEXA) Synonyms Bloom Syndrome; Canavan; Familial Disautonomia; Gaucher; Mucolipidosis; Neiman Pick; Tay-Sachs Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Required Patient Info Counseling and informed consent forms are receommended for genetic testing and are available online at www.arup.com Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Frozen specimens Alternate Specimens K2EDTA or ACD A or B Solution (pink or yellow top tube) Reference Laboratory ARUP Reference Lab Test Code 51415 CPT Codes 81209, 81200, 81260, 81242, 81251, 81290, 81330, 81255 Test Schedule Tue, Thu Turnaround Time 9-12 days Method PCR/ASPE Bead Array Test Includes AJD Specimen; AJP Gene 1; AJP Gene 2; Ashkenazi Jewish Panel Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 1222 2.1 www.paml.com 4/16/2013 page 196 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ASPARTATE AMINOTRANSFERASE GOT AST Synonyms SGOT; Aspartate Aminotransferase; AST Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84450 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes AST, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] ASPERGILLUS ANTIBODIES PANEL ASPABP ASPABP Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic or contaminated samples. Reference Laboratory ARUP Reference Lab Test Code 50101 CPT Codes 86606 x 2 Test Schedule Sun-Fri Turnaround Time 3-5 days Method CF/ID Test Includes Aspergillus Ab, CF; Aspergillus Ab, ID. Supply Item Number 1467

Billing Code Test Code [sunquest] ASPERGILLUS ANTIBODY ASPER ASPAB Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Body fluid samples. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50171 CPT Codes 86606 Test Schedule Sun-Fri Turnaround Time 3-6 days Method ID Test Includes Aspergillus Antibody. Notes This test uses culture filtrates of Aspergillus fumigatus, Aspergillus flavus, Aspergillus niger, and Aspergillus terreus. Supply Item Number 1467

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Billing Code Test Code [sunquest] ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCHIAL ASAGBA ASAGBA

Synonyms Platelia Aspergillus Container Type Sterile plastic tube Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen bronchoscopy specimen Preferred Volume 2 mL Minimum Volume 0.6 mL Collection Procedure Collect lower respiratory material by bronchoscopy (brushing, BAL secretions and washings) Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 week Unacceptable Condition Grossly bloody samples. Any preservative or transport media. Reference Laboratory ARUP Reference Lab Test Code 2003150 CPT Codes 87305 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Semi-quant EIA Test Includes Aspergillus Galactomannan Antigen, BAL; Aspergillus Galactomannan Index, Index Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on BAL specimens. The performance characteristics of this test were determined by ARUP Laboratories. Notes For serum specimens, refer to Aspergillus Galactomannan Antigen by EIA, Serum

Billing Code Test Code [sunquest] ASPERGILLUS GALACTOMANNAN ANTIGEN BY EIA, SERUM ASGAG ASGAG

Synonyms Platelia Aspergillus Container Type Red top tube (plain) Store and Transport Frozen. Ship Category B Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a sterile PAML aliquot tube. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 week Unacceptable Condition Plasma, serum separator tube Reference Laboratory ARUP Reference Lab Test Code 60068 CPT Codes 87305 Test Schedule Sun-Sat Turnaround Time 2-3 days Method EIA Test Includes Aspergillus Galactomannan Antigen; Index Supply Item Number 1372

Billing Code Test Code [sunquest] ASPIRIN WORKS ASAWK ASAWK Container Type BD urine C and S preservative vacutainer tube Store and Transport Frozen Specimen Type Frozen random urine Preferred Volume 4 mL Minimum Volume 3 mL Collection Procedure Collect a random urine specimen. Transfer collection to BD Urine C and S preservative vacutainer tube within 4 hours of collection. Shake tube vigorously to ensure complete dissolution of the preservative. Room Temp Unpreserved 4 hours Refrigerated Preserved 1 day Frozen (-20°C) Preserved 3 months Unacceptable Condition Unpreserved urines greater than 4 hours at room temperature or refrigerated; preserved urines greater than 24 hours refrigerated Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 84431, 82570 Test Schedule Mon-Fri Turnaround Time 3-5 days Method ELISA Test Includes 11-Dehydro Thromboxane B2, pg/mg Supply Item Number 7647 2.1 www.paml.com 4/16/2013 page 198 A 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory A

Billing Code Test Code [sunquest] ATYPICAL ANCA TITER BY IFA ANCAA ANCAA Synonyms Irritable Bowel Disease; Saccharomyces cerevisiae; ANCA; Crohn Disease; Ulcerative Colitis; ASCA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens; Avoid repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86256 Test Schedule Mon-Sat Turnaround Time 2-4 days Method IFA Test Includes ANCA, Atypical Notes This will identify atypical ANCA pattern only. For other ANCA testing, please use order code ANCASR.

Billing Code Test Code [sunquest] AUTOIMMUNE PROFILE (REFLEXIVE) AIP AIP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Chemistry, PAML Immunology CPT Codes 86038, 86160, 86140, 86431 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex, Nephelometry Test Includes ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI; Complement, C3, mg/dL; CRP, mg/dL; RA, IU/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes ANA Screen is positive DSDNA, Smith, Ribosomal P, Chromatin, RNP, 86225, 86235 x 9, 83516 SMRNP, SCL-70, Centromere B, SSA (RO), SSB(LA), JO-1 Autoantibodies

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Billing Code Test Code [sunquest] B-CELL CLONALITY (IGH AND IGK) AND T-CELL CLONALITY TBCELL TBCELL (GAMMA) SCREENING ASSAY BY PCR Synonyms T Cell Gamma; TCRG; IGH Clonality; IGK Clonality Container Type Lavender top (EDTA); paraffin embedded tissue and/or slides Store and Transport Whole blood, bone marrow: Store and transport at room temperature or refrigerated if delay of more than 72 hours. Indicate source. FFPE: Transport paraffin embedded, formalin fixed tissue block, or slides at 20-25C. Protect paraffin block from excessive heat. Ship in cooled container during summer months. Include surgical pathology report. Specimen Type Whole blood, bone marrow; formalin fixed paraffin embedded tissue Preferred Volume 5 mL whole blood, 1 mL bone marrow; 1 paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells Minimum Volume 3 mL whole blood, 0.5 mL bone marrow; 1 paraffin embedded tissue block or 4 unstained 7-micron slides with an additional H&E stained slide containing at least 20% tumor cells Collection Procedure Collect tumor tissue Specimen Processing Whole blood bone marrow: Submit original unopened tube only. FFPE: Prepare H&E slide if submitting unstained 7-micron slides. Required Patient Info Surgical pathology report Room Temp 3 days - whole blood, bone marrow; Indefinitely - FFPE Refrigerated 5 days - whole blood, bone marrow; Indefinitely - FFPE Unacceptable Condition Whole blood in sodium heparin, serum/plasma, grossly hemolyzed, frozen whole blood or bone marrow, specimens in leaky containers or over 5 days old and samples not received in the original unopened collection tubes. No tumor in tissue. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) Alternate Specimens ACD or sodium citrate whole blood (lavender, yellow, or blue top tube) Limitations The detection of clonality does not always imply the presence of a malignancy. Some clinically benign proliferations could have a clonal origin (e.g. benign monoclonal gammopathies, T- lymphocytosis, benign cutaneous T-Cell proliferations, etc.). False-negative results might be possible due to improper primer annealing. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81261, 81264, 81342 Test Schedule Tue, Wed Turnaround Time 7-10 days Method Polymerase Chain Reaction Clinical Significance During normal B-cell and T-cell development and maturation, the immunoglobulin (Ig) heavy-and light-chain (Kappa and Lambda) genes or the T-cell receptor (TCR), alpha and beta genes or gamma and delta genes, respectively, undergo a series of rearrangements to produce a unique antigen receptor with specificity to a discrete antigen. In a healthy person, B- and T-cell development results in a spectrum of mature B- and T-cells that can respond to essentially any antigen encountered by the individual.

In B- or T-cell lymphoproliferative disorders, the neoplastic B- or T-cell population shares the same Ig or TCR rearrangement pattern and serves as a marker for monoclonality that can be detected by PCR and capillary electrophoresis. In typical reactive populations, no single rearrangement predominates, yielding a detectable polyclonal pattern. Therefore, a prominent Ig or TCR gene rearrangement profile (IGH, IGK, or TCRG in this assay) is suggestive for lymphoid malignancy in the appropriate clinical and pathologic setting. Detection of the same profile could be used for monitoring a patient with persistent neoplasm. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.

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Billing Code Test Code [sunquest] B-CELL CLONALITY (IGH, IGK) SCREENING ASSAY BY PCR BCELL BCELL Synonyms IGH Clonality; IGK Clonality Container Type Lavender top (EDTA); paraffin embedded tissue and/or slides Store and Transport Whole blood, bone marrow: Store and transport at room temperature or refrigerated if delay of more than 72 hours. Indicate source. FFPE: Transport paraffin embedded, formalin fixed tissue block, or slides at 20-25C. Protect paraffin block from excessive heat. Ship in cooled container during summer months. Include surgical pathology report. Specimen Type Whole blood, bone marrow; formalin fixed paraffin embedded tissue Preferred Volume 5 mL whole blood, 1 mL bone marrow; 1 paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells Minimum Volume 3 mL whole blood, 0.5 mL bone marrow; 1 paraffin embedded tissue block or 4 unstained 7-micron slides with an additional H&E stained slide containing at least 20% tumor cells Collection Procedure Collect tumor tissue Specimen Processing Whole blood bone marrow: Submit original unopened tube only. FFPE: Prepare H&E slide if submitting unstained 7-micron slides Required Patient Info Surgical pathology report Room Temp 3 days - whole blood, bone marrow; Indefinitely - FFPE Refrigerated 5 days - whole blood, bone marrow; Indefinitely - FFPE Unacceptable Condition Whole blood in sodium heparin, serum/plasma, grossly hemolyzed, frozen whole blood or bone marrow, specimens in leaky containers or over 5 days old and samples not received in the original unopened collection tubes. No tumor in tissue. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) Alternate Specimens ACD or sodium citrate whole blood (lavender, yellow, or blue top tube) Limitations The detection of clonality does not always imply the presence of a malignancy. Some clinically benign proliferations could have a clonal origin (e.g. benign monoclonal gammopathies). False- negative results might be possible due to improper primer annealing. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81261, 81264 Test Schedule Tue, Wed Turnaround Time 7-10 days Method Polymerase Chain Reaction Clinical Significance During normal B-cell development and maturation, the immunoglobulin (Ig) heavy-and light-chain (Kappa and Lambda) genes undergo a series of rearrangements to produce a unique antigen receptor with specificity to a discrete antigen. In a healthy person, B-cell development results in a spectrum of mature B-cells that can respond to essentially any antigen encountered by the individual.

In B-cell lymphoproliferative disorders, the neoplastic B-cell population shares the same Ig rearrangement pattern and serves as a marker for monoclonality that can be detected by PCR and capillary electrophoresis. In typical reactive populations, no single rearrangement predominates, yielding a detectable polyclonal pattern. Therefore, a prominent Ig gene rearrangement profile (IGH and/or IGK in this assay) is suggestive for lymphoid malignancy in the appropriate clinical and pathologic setting. Detection of the same profile could be used for monitoring a patient with persistent neoplasm. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.

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Billing Code Test Code [sunquest] B-TYPE NATRIURETIC PEPTIDE BTNP BNPEPR Synonyms BNP; BTNP; Brain Type Natriuretic Peptide Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells as soon as possible. Place cell-free plasma in separate plastic tube and freeze. Store and transport frozen. (Whole blood is stable before separating 7 hours room temperature or refrigerated.) Room Temp Separated-8 hours, unspun-7 hours Refrigerated Separated-1 day, unspun-7 hours Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed samples, specimens collected in non-EDTA tubes, EDTA tubes with a plasma separator gel, suresup, or glass tubes; do not freeze whole blood. Limitations Thaw only once Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83880 Test Schedule Sun-Sat & Stat Turnaround Time 1-2 days Method ICMA Test Includes B-Type Natriuretic Peptide, pg/mL Supply Item Number 1222

Billing Code Test Code [sunquest] BABESIA MICROTI ANTIBODY, IGG & IGM BABMIC BABMIC Acute and convalescent samples advised. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred, and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as 'acute' or 'convalescent.' Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Bacterially contaminated, hemolyzed or lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 93048 CPT Codes 86753 x 2 Test Schedule Wed Turnaround Time 2-9 days Method Semi-Quantitative Indirect Fluorescent Antibody Test Includes Babesia microti Antibody, IgG; Babesia microti Antibody, IgM; Babesia Interpretation. Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] BACLOFEN, SERUM BACLQT BACLQT Synonyms Lioresal Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 14 days Refrigerated 14 days Frozen (-20°C) 14 days Unacceptable Condition SST or PST type tubes. Reference Laboratory NMS Reference Lab Test Code 2111SP CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 4-6 days Method LC/MS/MS Test Includes Baclofen, Serum, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] BACTERIAL ANTIGEN DETECTION PANEL BAGPF BAGPF Container Type Red top tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from the cells and put in sterile plastic tube and freeze. Store and transport frozen. Required Patient Info Source Room Temp unacceptable Refrigerated 2 days Frozen (-20°C) 1 week Unacceptable Condition Urine or other body fluids and room temperature samples. Alternate Specimens CSF in sterile plastic tube frozen. Reference Laboratory Focus Reference Lab Test Code 2245 CPT Codes 86403 x 6 Test Schedule Mon-Sun Turnaround Time 3-5 days Method Latex Agglutination Test Includes Source; Streptococcus Group B, Ag Detection; H. influenzae, Type B, Ag Detection; S. pneumoniae Ag Detection; N. meningitidis Group C/W135 Ag Detection; N. meningitidis Group A/Y Ag Detection; Group B/E. coli K1 Ag Detection. Notes This test should not be used as a subsitiute for gram stain and bacteriologic cultures in the diagnosis of septicemia and meningitis. Positive or negative test results should be considered presumptive and confirmed by culture. Supply Item Number 1372

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Billing Code Test Code [sunquest] BAL PROFILE (REFLEXIVE) BALPR BALPR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Bronchoalveolar Lavage Profile Store and Transport Store and transport immediately at room temperature. Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Limitations Grossly bloody specimens or those more than 3/4 mucous may be uninterpretable. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 88108, 89125, 88313, 80500 Test Schedule Sun-Sat days Turnaround Time 72 hours Method Microscopic Test Includes BAL,Volume, mL; BAL, Color; BAL, Clarity; BAL, Neutrophils, %; BAL, Lymphocytes, %; BAL, Atypical Lymphs; BAL, Macro/Mono; BAL, Phag/Mono; BAL, Eosinophils, %; BAL, Basophils, %; Squamous Epithelial Cells, %; BAL, Columnar Epithelial Cells, %; BAL, Others; BAL, Fungus; BAL, Bacteria; BAL, Note; BAL, Oil Red O; BAL, Iron; BAL, Interpretation; BAL, Reviewed by. Notes A BAL routing slip must accompany the specimen. If there are GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD4/CD8 ratio is calculated. Cytochemical stains will be performed as necessary. A fee will be added for this work. Supply Item Number 1388

Billing Code Test Code [sunquest] BAL, BODY FLUID CONSULT REVIEW BAL.REV BALVWI Container Type Leakproof plastic container. Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Specimen Processing Store and transport at room temperature. Department PSHMC Cellular Hematology Reference Laboratory PSHMC CPT Codes 80500 Test Schedule Mon-Fri Turnaround Time 72 hours Test Includes Interpretation, BAL; Reviewed by. Notes Interpretive report is provided on all BAL cell counts. Supply Item Number 1388

Billing Code Test Code [sunquest] BAL, DIFFERENTIAL (REFLEXIVE) BALDIF BALDIF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Bronchoalveolar Cell Count and Differential Container Type Leakproof plastic container Store and Transport Ambient (room temperature) immediately Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Unacceptable Condition Grossly bloody specimens or those more than mucous Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 88108 Test Schedule Daily Turnaround Time 3 days Method Microscopic Test Includes Neutrophils; Lymphocytes: Variant Lymphocytes; Macrophages/Monocytes; Phagocytic Monocytes; Eosinophils; Basophils; Squamous Epithelial Cells; Columnar Epithelial Cells; Others; Fungus; Bacteria; BAL Note Notes If there are GT 10% lymphocytes present, immunophenotyping studies are performed to determine the percent of CD4 and CD8 cells present and a CD/CD8 ratio is calculated. Cytochemical stains will be performed as necessary. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If there are GT 10% lymphocytes BAL, Lymph Subsets 86360, 86355, 86359 BALSUB present All orders Interpretation, BAL 80500 BALVWI All orders Descritpion BAL no charge BALDES

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Billing Code Test Code [sunquest] BAL, IRON STAIN BAL.IRN BALFE Synonyms Bronchoalveolar Lavage Iron Stain Container Type Leakproof plastic container. Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Specimen Processing Store and transport at room temperature. Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88313 Test Schedule Sun-Sat days Turnaround Time 72 hours Method Cytochemical Stain Test Includes BAL, Iron. Notes Automatically done on all BAL specimens. Supply Item Number 1388

Billing Code Test Code [sunquest] BAL, LYMPH SUBSETS (REFLEXIVE) BAL.LYMPH BALSUB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Bronchoalveolar Lavage Lymph Subsets Container Type Leakproof plastic container Store and Transport Ambient (room temperature) Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 86360, 86355, 86359 Test Schedule Mon-Fri days Turnaround Time 3 days Method Immunocytochemical Test Includes BAL, CD3, %; BAL, CD4, %; BAL, CD8, %; BAL, CD19, %; BAL, CD4/CD8, Ratio. Notes Used for pulmonary, immunosuppressed patients. If there are GT 10% lymphocytes present in the BAL, immunophenotyping studies are automatically performed. Supply Item Number 1388

Billing Code Test Code [sunquest] BAL, OIL RED O STAIN BAL.ORO BALORO Synonyms Bronchoalveolar Lavage Oil Red O Stain Container Type Leakproof plastic container. Specimen Type Bronchoalveolar lavage, no anticoagulant Preferred Volume 25 mL Specimen Processing Store and transport at room temperature. Department PSHMC Cellular Hematology Reference Laboratory PSHMC CPT Codes 89125 Test Schedule Sun-Sat Turnaround Time 72 hours Method Cytochemical Stain Test Includes BAL, Oil Red O. Notes Automatically done on all BAL specimens. Supply Item Number 1388

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Billing Code Test Code [sunquest] BARBITURATE PAIN MANAGEMENT CONFIRMATION TESTING PBAR PBAR BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for the PMM1 test. Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82205 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Amobarbital Butalbital Pentobarbital Secobarbital

Billing Code Test Code [sunquest] BARBITURATE SCREEN (REFLEXIVE) BARB BARBS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Barbiturates; Downers; Sleepers; Butalbital; Amobarbital; Pentobarbital; Phenobarbital; Secobarbital; Buff-A-Comp; Esgic; Fiorinal; Fioricet; Fiorpap; Medigesic; Amytal; Tuinal; Nembutal; Carbrital; WANS; Luminol; Antrocol; Arcolase Plus; Bronkotabs; Cardo Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 200 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Screens for Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital Notes Positive results will automatically be confirmed Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCAMP 82489 automatically be run

Billing Code Test Code [sunquest] BARBITURATES BY GC/MS MSBAR MSBAR Synonyms Butalbital; Candy; Goofballs; Peanuts; Sleepers; Amobarbital; Blue Angels; Blue Birds; Downers; Blues; Pentobarbital; Nembies; Nemmies; Secobarbital; Bullets; Candies; Barbs; Reds; Red birds; Phennies; Tooies; Phenobarbital Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 200 ng/mL Department PAML Toxicology CPT Codes 82205 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Amobarbital, Butalbital, Pentobarbital, Phenobarbital, Secobarbital Supply Item Number 1388

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Billing Code Test Code [sunquest] BARBITURATES BY TLC TLCBAR TLCBAR Synonyms Phenobarbital; Luminol; Antrocol; Arcolase Plus; Bronkotabs; Chardonna-2; Isordil; Levsinex; Mudrane; Probanthine; Quadrinal; Downers; Sleepers Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 100-500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Modified Thin Layer Chromatography Test Includes Phenobarbital, Barbiturates other than Phenobarbital Supply Item Number 1388

Billing Code Test Code [sunquest] BARTONELLA DNA BY PCR BARPCR BARPCR Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 10 mL Specimen Processing Store and transport at room temperature. Room Temp 72 hours Alternate Specimens ACD whole blood (yellow top tube) at room temperature or GT 3mm frozen tissue sent frozen. Reference Laboratory Focus Reference Lab Test Code 47000 CPT Codes 87801 Test Schedule Daily Turnaround Time 3-6 days Method PCR Test Includes Bartonella henselae DNA by PCR; Bartonella quintana DNA by PCR. Compliance Remarks This test or one or more of its components was developed and its performance characteristics determined by Focus Technologies. It has not been cleared or approved by the FDA. The FDA has determined that such clearance or approval is not necessary. Supply Item Number 1657

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Billing Code Test Code [sunquest] BARTONELLA HENSELAE (CAT SCRATCH) ANTIBODIES, IGG & ROCHAL ROCHAL IGM Acute and convalescent samples advised Synonyms Cat Scratch Fever; Rochalimaea henselae Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, hemolyzed, or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50108 CPT Codes 86611x 2 Test Schedule Mon, Thu Turnaround Time 2-8 days Method Semi-Quantitative Indirect Fluorescent Antibody Test Includes Bartonella henselae, IgG Antibody; Bartonella henselae, IgM Antibody. Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] BARTONELLA SPECIES ANTIBODIES (IGG/IGM) WITH REFLEX BARGM BARGM TO TITER This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Reference Laboratory Focus Reference Lab Test Code 40881 CPT Codes 86611x 4 Test Schedule Mon-Sat Turnaround Time 3-5 days Method IFA Test Includes Bartonella henselae, IgG Screen; Bartonella henselae, IgG Titer; Bartonella quintana, IgG Screen; Bartonella quintana, IgG Titer; Bartonella henselae, IgM Screen; Bartonella henselae, IgM Titer; Bartonella quintana, IgM Screen; Bartonella quintana, IgM Titer. Compliance Remarks This test was developed and its performance characteristics determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of this test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Bartonella henselae or quintana antibody IgG and IgM Titer 86611 screen is positive

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Billing Code Test Code [sunquest] BASIC METABOLIC PANEL BMPA BMPA Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and place in separate plastic tube and cap immediately. Refrigerated 1 day; add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated Unacceptable Condition EDTA plasma Alternate Specimens If plasma must be used, use lithium heparin (green top tube). Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80048 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio, Ratio; Calcium, mg/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L Notes Hemolysis will cause elevated potassium and minimal volumes will concentrate. Supply Item Number 1467 1372

Billing Code Test Code [sunquest] BASIC METABOLIC PANEL WITH GFR BMPD BMPD Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and place in separate plastic tube and cap immediately. Refrigerated 1 day; Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated. Unacceptable Condition EDTA, sodium citrate, or sodium fluoride-potassium oxalate plasma specimens Alternate Specimens If plasma must be used, use lithium heparin (green top tube). Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80048 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio, Ratio; Calcium, mg/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L; Estimated Glomerular Filtration Rate, mL/min/1.73m2 Notes Hemolysis will cause elevated potassium and minimal volumes will concentrate. Supply Item Number 1467 1372

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Billing Code Test Code [sunquest] BCR-ABL GENE REARRANGEMENT BCRAB BCRAB Synonyms BCR/ABL1 Fusion gene, t(9;22) translocation; Molecular test; leukemia Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood or bone marrow Preferred Volume 5 mL whole blood or 1 mL bone marrow Minimum Volume 3 mL whole blood or 0.5 mL bone marrow Required Patient Info Indicate source Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) Unacceptable Unacceptable Condition Whole blood in sodium heparin, serum/plasma, grossly hemolyzed sample, frozen whole blood or bone marrow, shared sample (other than bone marrow) Alternate Specimens Sodium citrate whole blood or bone marrow (blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81206, 81207 Test Schedule Tue, Fri Turnaround Time 2-9 days Method Real-time qRT-PCR Test Includes Source; BCR/ABL translocation by RT-PCR Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Direct comparison of results generated in different laboratories is not recommended due to variation between assay configurations. Direct comparison of sequential results generated from the same sample type will provide the most meaningful information. Test results should always be considered complimentary to morphologic and other relevant data; therefore, should not be independently used to make a diagnosis of malignancy. Supply Item Number 1495

Billing Code Test Code [sunquest] BENCE JONES PROTEIN, QUALITATIVE FREE KAPPA & LAMBDA BJPQLA BJPQLA LIGHT CHAINS, URINE Synonyms Free Kappa & Lambda Light Chains, IFE (Bence Jones Protein, Qualitative Free Kappa & Lambda Light Chains, Urine) Container Type 24-hour leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, 24 hour Preferred Volume 8 mL Minimum Volume 4 mL Collection Procedure Collect a 24-hour urine specimen in a leakproof plastic urine container. Refrigerate during collection. Specimen Processing Transfer two 4 mL aliquots from a well-mixed 24-hour collection to individual leakproof plastic urine containers. Record total volume and collection time interval on urine containers and test request form. Required Patient Info Total volume and collection time Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Non-refrigerated specimens Alternate Specimens Random urine specimens and urine supernate Reference Laboratory ARUP Reference Lab Test Code 50161 CPT Codes 84156, 86335 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry Notes Ordering Recommendation: Aids in the diagnosis of plasma cell dyscrasia. Preferred test is the quantitative test (Bence Jones Protein, Quantitative Free Kappa & Lambda Light Chains, Urine Supply Item Number 1108

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Billing Code Test Code [sunquest] BENCE JONES PROTEIN, QUANTITATIVE FREE KAPPA & BJKLQ BJKLQ LAMBDA LIGHT CHAINS, URINE Synonyms Electrophoresis, Protein, Urine; Free Kappa & Lambda Light Chains (Bence Jones Protein); Urine by Immunofixation Electophoresis, Quantitative Urine; Protein Electorphoresis, Urine Container Type 24-hour leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, 24-hour Preferred Volume 8 mL Minimum Volume 4 mL Collection Procedure Collect a 24-hour urine specimen in a leakproof plastic urine container. Refrigerate during collection. Specimen Processing Transfer two 4 mL aliquots from a well-mixed 24-hour collection to individual leakproof plastic urine containers. Record total volume and collection time interval on urine containers and test request form.

Required Patient Info Total volume and collection time Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Non-refrigerated specimens Alternate Specimens Random urine specimens and urine supernate Reference Laboratory ARUP Reference Lab Test Code 0050618 CPT Codes 84156, 86335, 83883 x 2 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry Test Includes Collection Time, hours; Total Volume, mL; Total Protein, mg/d; Albumin, Urine; Alpha-1, Urine; Alpha-2, Urine; Urine Beta Globulin; Gamma, Urine; Free Urinary Kappa Light Chains, mg/dL; Free Urinary Kappa Excretion/day, mg/d; Free Urinary Lambda Light Chains, mg/dL; Free Urinary Lambda Excretion/day, mg/d; Free Urinary Kappa/Lambda Ratio, Ratio; IFE Interpretation Notes Ordering Recommendation: Aids in the diagnosis and management of plasma cell dyscrasia. Preferred test to detect and quantify urinary free light chains (Bence Jones protein).

Keep specimen refrigerated at all times. Record total volume and collection time interval on transport tube and test request form. Supply Item Number 1108

Billing Code Test Code [sunquest] BENZENE, WHOLE BLOOD BENZENE BENZWB Synonyms Benzol, Whole Blood Container Type Grey top tube (fluoride/oxalate) Specimen Type Refrigerated whole blood Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated. Room Temp unacceptable Refrigerated 2 weeks Frozen (-20°C) 3 weeks Unacceptable Condition Samples received at room temperature. Alternate Specimens EDTA whole blood (lavendar top tube) Reference Laboratory NMS Reference Lab Test Code 0541B CPT Codes 84600 Test Schedule Mon, Tue, Wed, Thu, Fri Turnaround Time 3-6 days Method Headspace GC Test Includes Benzene, mcg/mL. Supply Item Number 7357

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Billing Code Test Code [sunquest] BENZODIAZEPINE PAIN MANAGEMENT CONFIRMATION PBEN PBEN TESTING BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for PMM1 test. Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80154 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Oxazepam Tempazepam Lorazepam Alpha-Hydroxy (Alprazolam)

Billing Code Test Code [sunquest] BENZODIAZEPINES BY GC/MS MSBENA MSBENA Synonyms Alpha-Hydroxy-Alprazolam; Temazepam; Lorazepam; Oxazepam; Xanax; Niravam; Restoril; Normison; Ativan; Serax; Candy; Downs; Nerve Pills; Tranks; Depressant Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 200 ng/mL Department PAML Toxicology CPT Codes 80154 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Oxazepam; Alpha-OH-Alprazolam; Temazepam; Lorazepam Supply Item Number 1388

Billing Code Test Code [sunquest] BENZODIAZEPINES BY TLC TLCBEN TLCBEN Synonyms Chlordiazepoxide; Clorazepate; Diazepam; Halazepam; Oxazepam; Prazepam; Temazepam; Valium; Diastat; Dizac; Librium; Libritabs; Normison; Restoril; Serax; Paxipam; Centrax; Tranxene; Depressant; Minor tranquilizer; Tranks; Candy; Downs; Nerve Pills; T Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Limit of detection 100 - 300 ng/mL for benzophenones Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Modified Thin Layer Chromatography Test Includes Chlordiazepoxide, Chlorazepate, Oxazepam, Nordiazepam, Diazepam, Temazepam, and Prazepam as benzophenones. Supply Item Number 1388

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Billing Code Test Code [sunquest] BENZODIAZEPINES SCREEN (REFLEXIVE) BENZ BENZ This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Tranquilizers; Alpha-Hydroxy-Alprazolam; Temazepam; Lorazepam; Oxazepam Chlordiazepoxide; Clorazepate; Diazepam; Halazepam; Prazepam; Xanax; Restoril; Normison; Ativan; Serax; Valium; Librium; Centrax; Tranxene Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 200 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Chlordiazepoxide; Clorazepate; Diazepam; Oxazepam; Prazepam; Temazepam; Alprazolam; Lorazepam; Nordiazepam Notes Positive results will automatically be confirmed Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCBEN 82489 automatically be run

Billing Code Test Code [sunquest] BENZODIAZEPINES, (QUANTITATIVE) BENUQ BENUQ Synonyms Flurazepam, Serax, Ativan, Restoril, Librium, Versed, Dalmane, Alprazolam, Xanax, Triazolam, Halcion, Prosom Container Type Leakproof, amber plastic urine container. Specimen Type Urine, random Preferred Volume 3 mL Minimum Volume 1.2 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container. Specimen Processing Store and transport refrigerated. Room Temp Unacceptable Refrigerated 7 days Frozen (-20°C) 2 months Reference Laboratory NMS Reference Lab Test Code 9329U CPT Codes 80154 Test Schedule Mon-Sat Turnaround Time 4-6 days Method LC-MS/MS Test Includes Diazepam, ng/mL; Nordiazepam, ng/mL; Oxazepam, ng/mL; Temazepam, ng/mL; Clobazam, ng/mL; Chlordiazepoxide, ng/mL; Lorazepam, ng/mL; 7-Amino Clonazepam, ng/mL; Alprazolam, ng/mL; Alpha-Hydroxyalprazolam, ng/mL; 1-Hydroxymidazolam, ng/mL; Hydroxytriazolam, ng/mL; Hydroxyethylflurazepam, ng/mL; Desalkylflurazepam, ng/mL; Estazolam, ng/mL Supply Item Number 1502

Billing Code Test Code [sunquest] BENZOYLECGONINE (COCAINE) PAIN MANAGEMENT PCOC PCOC CONFIRMATION TESTING BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for PMM1 test. Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82520 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Benzoylecogonine 2.1 www.paml.com 4/16/2013 page 213 B 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory B

Billing Code Test Code [sunquest] BENZYL ALCOHOL (URINE ONLY) TEST ALSO INCLUDED IN TLCBZA TLCBZA DRUG-SUR. Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Benzyl Alcohol Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] BERYLLIUM BERY BERY Synonyms Be Container Type Royal blue top tube (metal free EDTA) Specimen Type Whole blood Preferred Volume 4 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated or at room temperature. Reference Laboratory NMS Reference Lab Test Code 0638B CPT Codes 83018 Test Schedule Mon, Thu Turnaround Time 2-5 days Method ICP/MS Test Includes Beryllium, Blood, mcg/L. Supply Item Number 9734

Billing Code Test Code [sunquest] BETA 2 TRANSFERRIN B2TRAN B2TRAN Container Type Serum separator tube (gold, brick, SST, or corvac) AND sterile plastic leakproof container (fluid) Store and Transport Refrigerated Specimen Type Serum and aural or nasal fluid Preferred Volume 2 mL serum and 2 mL aural or nasal fluid Minimum Volume 0.5 mL serum and 1 mL aural or nasal fluid Specimen Processing Collect aural or nasal fluid in a sterile leakproof container without preservative. Separate serum from cells and transfer to a standard PAML aliquot tube. DO NOT FREEZE. Room Temp 4 hours Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma and frozen specimens Reference Laboratory ARUP Reference Lab Test Code 0050047 CPT Codes 86334, 86335 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Immunofixation Electrophoresis Test Includes Beta 2 Transferrin Compliance Remarks The performance characteristics of this test were determined by ARUP Laboratories, Inc. The transferrin protein assay by IFE methodology is not a reliable method for detecting human peri- lymph due to low sensitivity of the assay. Supply Item Number 7211 and 1375

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Billing Code Test Code [sunquest] BETA HCG, SERUM, QUALITATIVE, BETA HCG PRG Synonyms HCG Beta, Qual; Pregnancy Test; Beta HCG Container Type Red top tube (plain) Store and Transport Refrigerate. If transport will exceed 2 days, refrigerate or freeze. Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Limitations Avoid freeze-thaw cycles. Department PAML Immunochemistry CPT Codes 84703 Test Schedule Sun-Fri and STAT Turnaround Time 1-2 days Method ICMA Test Includes Pregnancy test (Beta HCG), Serum Notes 1) This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). 2) For diagnostic purposes, HCG results should be interpreted in conjunction with clinical findings. 3) Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. Beta-hCG levels between 5 mIU/mL and 25 mIU/mL may be indicative of early pregnancy; however low levels of hCG can occur in apparently healthy nonpregnant subjects. Because hCG values double approximately every 48 hours in a normal pregnancy, patients with very low levels should be redrawn after 48 hours. 4) Sensitivity of the ICMA method is 2.0 mIU/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] BETA STREP GROUP B PCR BSBPCR BSBPCR Synonyms Streptococcus, Beta Group B by PCR Container Type See below Store and Transport Refrigerated Specimen Type Vaginal/rectal swab in BD culturette plus Collection Procedure See below Specimen Processing Vaginal/rectal swab in BD culturette plus. Minimize contact with surrounding mucosa. Required Patient Info Source Room Temp 1 day Refrigerated 6 days Unacceptable Condition Samples that have been frozen or exposed to excessive heat Limitations Protect from freezing or exposure to excessive heat Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87653 Test Schedule Sun-Sat Turnaround Time 1-2 days Method PCR Test Includes Source; Beta Strep Group B PCR Result; Beta Strep Group B PCR Status Supply Item Number 6271

Billing Code Test Code [sunquest] BETA-2 GLYCOPROTEIN 1, IGA B2GP1A B2GP1A Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86146 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Beta-2 Glycoprotein 1 Antibody, IgA, SAU Supply Item Number 1467

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Billing Code Test Code [sunquest] BETA-2 GLYCOPROTEIN 1, IGG B2GP1G B2GP1G Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86146 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Beta-2 Glycoprotein 1 Antibody, IgG, SGU Supply Item Number 1467

Billing Code Test Code [sunquest] BETA-2 GLYCOPROTEIN 1, IGG & IGM B2GPGM B2GPGM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86146 x 2 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Beta-2 Glycoprotein 1 Antibody, IgG, SGU; Beta-2 Glycoprotein 1 Antibody, IgM, SMU Supply Item Number 1467

Billing Code Test Code [sunquest] BETA-2 GLYCOPROTEIN 1, IGM B2GP1M B2GP1M Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positive results; avoid repeated freeze/thaw cyles. Department PAML Special Immunology CPT Codes 86146 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Beta-2 Glycoprotein 1 Antibody, IgM, SMU Supply Item Number 1467

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Billing Code Test Code [sunquest] BETA-2-MICROGLOBULIN, CSF B2M.CSF B2MSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Minimum Volume 0.4 mL Specimen Processing Centrifuge to remove cellular material and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 weeks Alternate Specimens CSF specimens collected in plain red tubes, or sodium/lithium heparin (green top tubes) Reference Laboratory ARUP Reference Lab Test Code 80054 CPT Codes 82232 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Immunoturbidimetric Test Includes Beta-2-Microglobulin, CSF, mg/L Supply Item Number 7211

Billing Code Test Code [sunquest] BETA-2-MICROGLOBULIN, SERUM BETA.2.MIC B2MIC Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Refrigerated 1 week Frozen (-20°C) 2 weeks Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82232 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method CLIA Test Includes Beta-2-Microglobulin, ug/L Supply Item Number 1467

Billing Code Test Code [sunquest] BETA-2-MICROGLOBULIN, URINE B2M-U B2MU Container Type Leakproof plastic urine container. Specimen Type Urine, timed Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Void, drink large glass of water, collect urine specimen within 1 hour. Collection Procedure Collect urine within 1 hour of drinking a large glass of water after voiding. Specimen Processing Within 2 hours of collection, aliquot 2 mL of a well-mixed timed urine specimen. Check pH and if necessary, adjust pH to 6-8 with 1M HCL or 5% NaOH and freeze. Store and transport frozen. Room Temp 2 hours Refrigerated 2 days (with pH 6-8) Frozen (-20°C) 2 months (with pH 6-8) Unacceptable Condition Unfrozen or pH not adjusted on samples. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82232 Test Schedule Mon-Sat days Turnaround Time 1-4 days Method CLIA Test Includes Beta-2-Microglobulin, Urine, ug/L. Supply Item Number 1388

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Billing Code Test Code [sunquest] BETA-HYDROXYBUTYRIC ACID BHOB BHOB Synonyms Beta-hydroxybutyrate Container Type Green top tube Store and Transport Refrigerated Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition EDTA, sodium fluoride/potassium oxalate (lavender or gray top tube). Grossly hemolyzed, lipemic, or icteric samples. Sodium Heparin is not an acceptable sample type. Alternate Specimens Serum (SST or red top tube) Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82010 Test Schedule Mon-Sun Turnaround Time 1-3 days Method Enzymatic Test Includes Beta-hydroxybutyric acid

Billing Code Test Code [sunquest] BICARBONATE, URINE BICARU BICARU Synonyms HCO3, Urine Container Type Leakproof plastic container Store and Transport Store and transport frozen. Do not expose to air. Specimen Type Frozen urine Preferred Volume 4. mL Minimum Volume 0.3mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 4.5 mL of a random urine collection into a sealed leakproof urine container and freeze. Do not expose to air. Unacceptable Condition Room temperature, refrigerated or specimens that have been frozen thawed, and refrozen. Reference Laboratory ARUP Reference Lab Test Code 0020245 CPT Codes 82374 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Enzymatic Test Includes Bicarbonate, Urine, mmol/L. Supply Item Number 1388

Billing Code Test Code [sunquest] BILE ACIDS, FRACTIONATED BILEAF BILEAF Synonyms Chenodeoxycholic Acid; Cholic Acid; Deoxycholic Acid Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Patient Prep Overnight fasting is preferred. Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated or frozen.. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Quest Reference Lab Test Code 8482N CPT Codes 83789 Test Schedule Mon-Thu Turnaround Time 4-6 days Method LCTMS Test Includes Cholic Acid, umol/L; Deoxycholic Acid, umol/L; Chenodeoxycholic Acid, umol/L; Total Bile Acids, umol/L. Supply Item Number 1372

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Billing Code Test Code [sunquest] BILE ACIDS, TOTAL BILE ACIDS BILEA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Patient must be fasting a minimum of 8 hours prior to collection. Specimen Processing Allow sample to clot completely at room temperature before centrifugation. Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Body fluids. Heparinized specimens. Hemolyzed specimens. Reference Laboratory ARUP Reference Lab Test Code 70189 CPT Codes 82239 Test Schedule Sun-Sat Turnaround Time 2 days Method Enzymatic Test Includes Bile Acids, umol/L Notes Use to detect hepatobiliary dysfunction. Do not order to detect inborn errors of bile acid metabolism. Supply Item Number 1467

Billing Code Test Code [sunquest] BILIRUBIN, DIRECT DBIL DBIL Synonyms Bilirubin, Conjugated Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Protect from light. Refrigerated 2 weeks when protected from light Frozen (-20°C) 1 month Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube), hemolyzed, or lipemic samples. Alternate Specimens Lithium heparin plasma (green top tube) Limitations Protect from light Department PAML Chemistry CPT Codes 82248 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Bilirubin, Direct, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] BILIRUBIN, FLUID BILFL BILFL Container Type Sodium heparin (green top tube) Store and Transport Refrigerated; protected from light Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and transfer to a standard PAML aliquot tube. Required Patient Info Type of fluid Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Any more than slight hemolysis and clotted samples. Alternate Specimens Specimens collected in plain red top tubes. Limitations Lipemia may interfere with testing. Protect specimens from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82247 Test Schedule Daily Turnaround Time 24-48 hours Method Colorimetric Test Includes Bilirubin, Fld, mg/dL Supply Item Number 1398 or 1397 2.1 www.paml.com 4/16/2013 page 219 B 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory B

Billing Code Test Code [sunquest] BILIRUBIN, FRACTIONATED FRBIL BILFR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks when protected from the light Alternate Specimens Lithium heparin plasma (green top tube) Limitations Protect from light Department PAML Chemistry CPT Codes 82247, 82248 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Calculation Test Includes Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Bilirubin, Indirect (CALC), mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] BILIRUBIN, NEONATAL NBIL NBIL This test should be used when ordering a TBIL on neonates less than 30 days old. Synonyms NBIL; Total Bilirubin Container Type 1 full microtainer, plain or heparin Store and Transport Refrigerated Specimen Type Serum or plasma Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate promptly and protect from light. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Marked hemolysis; marked lipemia; cord blood Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82247 Test Schedule Daily Turnaround Time 1 day Method Spectrophotometric (diazonium salt) Test Includes Bilirubin, Neonatal Total, mg/dL

Billing Code Test Code [sunquest] BILIRUBIN, TOTAL BIL TBIL This test should be ordered on neonates over 30 days. If neonate is under 30 days, order an NBIL. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Protect from light. Refrigerated 2 weeks when protected from light Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed samples Alternate Specimens Lithium heparin plasma (green top tube) Limitations Protect from light Department PAML Chemistry CPT Codes 82247 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Bilirubin, Total, mg/dL Notes Direct exposure from sunlight can decrease bilirubin by 50% within 1 hour. Supply Item Number 1467

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Billing Code Test Code [sunquest] BILIRUBIN, URINE BILE BILUD Synonyms Bilirubin, Urine Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen. Protect from light. Alternate Specimens Frozen specimens Limitations Protect from light Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 81005 Test Schedule Mon-Sat days; Mon-Fri nights Turnaround Time 1-2 days Method Colorimetric Test Includes Bile, Urine Supply Item Number 1388

Billing Code Test Code [sunquest] BIOTINIDASE, WITH PARIED NORMAL CONTROL BIOTAS BIOTAS Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Collection Procedure Draw specimen from patient and one from an healthy unrelated individual within 30 minutes of each other. Specimen Processing Separate serum from cells and transfer each to a separate standard PAML aliquot tube and freeze. Label accordingly. Room Temp 1 hour Refrigerated 1 hour Frozen (-20°C) 1 month Unacceptable Condition Ambient or refrigerated specimens or more than one freeze/thaw cycle. Reference Laboratory ARUP Reference Lab Test Code 93362 CPT Codes 82261 Test Schedule Tue, Fri Turnaround Time 2-7 days Method Spectrophotometry Test Includes Biotinidase, Patient, U/L; Biotinidase, Normal Control, U/L Supply Item Number 1467

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Billing Code Test Code [sunquest] BK VIRUS BY RT-PCR, QUANTITATIVE BKQPCR BKQPCR This test cannot be ordered as an add-on test on non-molecular samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing.

Synonyms BK; BKV; BK Virus; Molecular; Quantitative PCR; Real-Time PCR; Polyomavirus Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells and transfer to a polypropylene tube and freeze. Indicate source. Required Patient Info Source Refrigerated 3 days Frozen (-20°C) 2 months Frozen (-70°C) 1 year Alternate Specimens 0.5 mL frozen urine or serum Limitations Avoid repeated freeze/thaw cycles Department PAML Virology CPT Codes 87799 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real -Time PCR Test Includes Source; BK DNA Quantitiative RT-PCR, copies/mL; BK DNA Quantitative RT-PCR, Log 10 Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Notes This test performed pursuant to an agreement with Roche Molecular Diagnostics. Supply Item Number 1222 1388

Billing Code Test Code [sunquest] BK VIRUS QUANTITATIVE BY PCR, PLASMA BKVQS BKVQS Separate samples must be submitted when multiple tests are ordered. Container Type Lavender top tube (EDTA) or ACD tube Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Reference Laboratory Viracor-IBT Reference Lab Test Code 2501 CPT Codes 87799 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Quantitative Real-time PCR Test Includes BK Source; BK Virus, Quant by PCR Compliance Remarks This test has not been cleared or approved for diagnostic use by the U.S. Food and Drug Administration. Supply Item Number 1222

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Billing Code Test Code [sunquest] BK VIRUS QUANTITATIVE BY PCR, SERUM BKVCOR BKVCOR Separate samples must be submitted when multiple tests are ordered. Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Reference Laboratory Viracor-IBT Reference Lab Test Code 2510 CPT Codes 87799 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Quantitative Real-time PCR Test Includes BK Source;BK Virus, Quant by PCR Compliance Remarks This test has not been cleared or approved for diagnostic use by the U.S. Food and Drug Administration. Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] BK VIRUS QUANTITATIVE BY PCR, URINE BKPCRU BKPCRU Separate samples must be submitted when multiple tests are ordered. Container Type Sterile leakproof plastic urine container Store and Transport Frozen Specimen Type Random urine Preferred Volume 2 mL Minimum Volume 2 mL Collection Procedure Collect a random urine sample in a sterile leakproof plastic urine container. Specimen Processing Transfer specimen to a sterile screw-cap tube. Room Temp 4 days Reference Laboratory Viracor-IBT Reference Lab Test Code 2502 CPT Codes 87799 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Quantitative Real-time PCR Test Includes BK Virus, Urine Compliance Remarks This test has not been cleared or approved for diagnostic use by the U.S. Food and Drug Administration. Supply Item Number 1387

Billing Code Test Code [sunquest] BLADDER TUMOR ASSOCIATED ANTIGEN BLTA BLTA Container Type Leakproof plastic urine container Specimen Type Urine, random Preferred Volume 2 mL Minimum Volume 2 mL Collection Procedure Collect a voided or catheterized urine only. Use a clean urine cup without preservatives or fixatives. Specimen Processing Aliquot 2 mL of urine into a leakproof, plastic urine container. The specimen should be labeled with the patient's first and last name, date of birth, specimen source, medical record number (or other unique identifier), and collection date. Submit the specimen along with the completed ARUP Cytology request form to the Cytopathology Laboratory. The request form must have the requested test marked and pertinent clinical history recorded. Store and transport refrigerated. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Bladder washing (barotage) specimens, serum, plasma, or whole blood. Reference Laboratory ARUP Reference Lab Test Code 8100500 CPT Codes 86294 Test Schedule Mon-Fri Turnaround Time 2-6 days Method Qualitative Immunoassay Test Includes Bladder Tumor Associated Antigen. Supply Item Number 1388

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Billing Code Test Code [sunquest] BLASTOMYCES ANTIBODIES BY CF & ID BLABP BLABP Acute and convalescent samples advised. Mark specimens plainly as acute or convalescent. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.25 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated or severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 50626 CPT Codes 86612 x 2 Test Schedule Sun-Fri Turnaround Time 3-4 days Method Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion Test Includes Blastomyces Ab, CF; Blastomyces Ab, ID. Supply Item Number 1467

Billing Code Test Code [sunquest] BLASTOMYCES ANTIBODY BY CF BLASTO.CF BLASCF Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic or contaminated specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50130 CPT Codes 86612 Test Schedule Sun-Fri Turnaround Time 3-6 days Method CF Test Includes Blastomyces Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] BLASTOMYCES ANTIBODY BY ID BLASTO BLASTO Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma specimens or other body fluids. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50172 CPT Codes 86612 Test Schedule Sun-Fri Turnaround Time 3-6 days Method ID Test Includes Blastomyces Precipitin Antibody. Supply Item Number 1467

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Billing Code Test Code [sunquest] BLASTOMYCES DERMATITIDIS QUANTITATIVE ANTIGEN EIA BLAGD BLAGD Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Indicate source Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) Indefinitely Unacceptable Condition The following specimens will be rejected: tissue, sputum, bronchial brushing specimens, stool or bone marrow aspirate, samples in transport media or cyto thin prep or isolator tubes. Alternate Specimens Urine, plasma (K2 EDTA, heparin and Na Citrate), CSF, BALF or other normally sterile body fluids. Minimum Sample: 0.5mL for urine and BALF and 1.0 mL for all other body fluids. Limitations Cannot be tested if the specimen is too viscous to pipet. Reference Laboratory MiraVista Diagnostics Reference Lab Test Code 316 CPT Codes 87449 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Enzyme Immunoassay Test Includes Source; Blastomyces dermatitidis Antigen Notes Intended Use: Aid in the diagnosis of blastomycosis. Monitoring to determine when treatment can be stopped and to diagnose relapse.

Limitations of the Method: Cross-reactions occur in histoplasmosis, paracoccidioidomycosis, penicilliosis, less frequently in coccidioidomycosis, rarely in aspergillosis and possibly in sporotrichosis. Sputolysin and NaOH treatment degrade the analyte detected in the assay. Negative results do not exclude the diagnosis: testing both urine and serum offers the highest sensitivity. Negative results or failure of concentration to rise during treatment do not exclude relapse. Supply Item Number 1372

Billing Code Test Code [sunquest] BLEEDING DIATHESIS PANEL (REFLEXIVE) BLDPNL BLDPNL This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Specimen Type Plasma Preferred Volume 18 mL (6-3 mL aliquots) Minimum Volume 12 mL (4-3 mL aliquots) Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85670, 85384, 85291, 85240, 85245, 85246, 85379 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Electromechanical Clot Detection, Urea Solubility, Latex Immunoassay, Ristocetin Induced Platelet Aggregation Test Includes Protime, Patient, sec; Protime, Patient/Control Mix, sec; Protime, Control Plasma, sec; APTT, Patient, sec; APTT, Patient/Control Mix, sec; APTT, Control, sec; APTT, Patient Post Incubation, sec; Heparinase APTT, sec; TT, Patient, sec; TT, Control, sec; TT, Patient/Control Mix, sec; TT, Patient/PSO4 Mix, sec; Fibrinogen, mg/dL; Reptilase, Patient, sec; Reptilase, Control, sec; Reptilase, Patient/Control Mix, sec; Factor XIII; D-Dimer, Quant, ug/mL FEU; Factor VIII, %; von Willebrand Factor Acitivity, %; von Willebrand Factor Antigen, %; Factor II, %; Factor V, %; Factor X, %; Factor VII, %; Factor IX, %; Factor XI, %; HPNT, sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; Factor VIII Inhibitor, Quant, Bethesda Units; Factor II Inhibitor, Inhibitor Units; Factor V Inhibitor, Inhibitor Units; Factor X Inhibitor, Inhibitor Units; Factor VII Inhibitor, Inhibitor Units; Factor IX Inhibitor, Inhibitor Units; Factor XI Inhibitor, Inhibitor Units; Interpretation; Reviewed By Supply Item Number 1090

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Billing Code Test Code [sunquest] BLEEDING TIME BLEED BTIVY Synonyms Ivy Bleeding Time Specimen Type Filter paper wheel Specimen Processing Timed blotted filter paper wheel. Performed at any Patient Service Center. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85002 Test Schedule Mon-Sat & STAT Turnaround Time 24-48 hours Method Template Test Includes Bleeding Time, min.

Billing Code Test Code [sunquest] BONE MARROW EVALUATION BOMAR BOMAR Container Type Formalin clot, formalin biopsy, EDTA peripheral blood, peripheral blood smears, bone marrow aspirate smears, bone marrow biopsy touch preps Store and Transport Ambient (room temperature) Specimen Type Bone marrow Specimen Processing Formalin containers should be sealed in a plastic ziplock bag to avoid spills and accidental fixation of accompanied slides. Required Patient Info Clinical indication Room Temp If sending with samples for Flow Cytometry, Cytogenetics, Molecular, etc., please see specific stability requirements for accompanied tests. Department PSHMC Flow Cytometry, PSHMC Histology Reference Laboratory PSHMC CPT Codes Dependent on sample types received Test Schedule Daily Turnaround Time 1-3 days Test Includes Bone marrow evaluation will be performed on all materials submitted.

Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS ANTIBODIES, IGA, IGG, & IGM BY BPABSI BPABSI IMMUNOBLOT Synonyms Pertussis Antibody; Whooping Cough Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated specimens Reference Laboratory ARUP Reference Lab Test Code 2004328 CPT Codes 86615 x 3 Test Schedule Tue Turnaround Time 2-8 days Method Qualitative Immunblot Test Includes B. pertussis AB, IgG by IB; B. pertussis, IgG IB PT 100; B. pertussis IgG IB PT; B. pertussis IgG IB FHA; B. pertussis AB, IgA by IB; B. pertussis IgA IB PT; B. pertussis IgA IB FHA; B. pertussis AB, IgM by IB; B. pertussis IgM IB PT; B. pertussis IgM IB FHA Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes This assay tests for the presence of pertussis toxin (PT), pertussis toxin PT 100 (PT-100), and filamentous hemagglutinin antibody (FHA). Supply Item Number 1467

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Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS ANTIBODY, IGA, BY IMMUNOBLOT BPABAI BPABAI Synonyms Pertussis Antibody; Whooping Cough Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated specimens Reference Laboratory ARUP Reference Lab Test Code 2004316 CPT Codes 86615 Test Schedule Tue Turnaround Time 2-8 days Method Qualitative Immunblot Test Includes B. pertussis Ab, IgA Immunoblot Interp, B. pertussis, IgA Immunoblot FHA, B. pertussis, IgA Immunoblot PT Supply Item Number 1467

Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS ANTIBODY, IGG BY ELISA BPAIGG BPAIGG Paired sera preferred This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Pertussis Antibody; Pertussis Antibody, IgG; Whooping Cough Container Type SST tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours and transfer to a standard PAML aliquot tube. Acute and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 2005268 CPT Codes 86615 Test Schedule Tue, Fri Turnaround Time 2-5 days Method Semi-Quantitative ELISA Test Includes Bordetella pertussis Antibody IgG, U/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management. ARUP is authorized under CLIA and by all states to perform high-complexity testing.

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Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS ANTIBODY, IGG, BY IMMUNOBLOT BPABGI BPABGI Synonyms Pertussis Antibody; Whooping Cough Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated specimens Reference Laboratory ARUP Reference Lab Test Code 2004327 CPT Codes 86615 Test Schedule Tue Turnaround Time 2-8 days Method Qualitative Immunblot Test Includes B. pertussis Ab, IgG Immunoblot Interp, B. pertussis, IgG Immunoblot FHA, B. pertussis, IgG Immunoblot PT, B. pertussis, IgG Immunoblot PT100 Supply Item Number 1467

Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS ANTIBODY, IGM, BY IMMUNOBLOT BPABMI BPABMI Synonyms Pertussis Antibody; Whooping Cough Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated specimens Reference Laboratory ARUP Reference Lab Test Code 2004326 CPT Codes 86615 Test Schedule Tue Turnaround Time 2-8 days Method Qualitative Immunblot Test Includes B. pertussis Ab, IgM Immunoblot Interp, B. pertussis, IgM Immunoblot FHA, B. pertussis, IgM Immunoblot PT Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

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Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS SCREEN PERT PERTSM Synonyms Pertussis Smear; Bordetella Pertussis DFA; Whooping Cough Container Type Slides in transport pack or washings in sterile container Store and Transport Use slide transport pack to prevent breakage. Specimen Type Nasopharyngeal swabs that are immediately used to prepare 2 smears or nasopharynx washings submitted in a sterile container Preferred Volume 2 nasopharyngeal smears or 1 mL nasopharynx washings Collection Procedure Swabs: Collect 2 nasopharynx swabs, one from each nostril. Collect material by inserting a swab with a flexible aluminum wire shaft through the nose into the posterior nasopharynx. Rotate the swabs in place for a few seconds to absorb secretions. After collection, immediately press and roll each swab on a separate glass slide, in a 1 cm round circular area. Label each slide with patient information.

Wash: Collect 1 mL nasopharynx wash, and place in a sterile capped container. Required Patient Info Specimen source Room Temp Slides: 1 week; wash: 2 days Refrigerated Slides: 1 week; wash: 2 days Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Swabs for the external nares or sputum samples. Dry nasopharynx swabs. Limitations DFA testing should be performed only as an adjunct to culture or PCR, and the results should be considered presumptive. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87206 Test Schedule Daily Turnaround Time 1-3 days Method Direct Fluorescent Antibody Test Includes Source; Bordetella pertussis Screen; Bordetella pertussis Screen Status Clinical Significance The CDC recognizes only PCR and culture as case-defining lab tests for Pertussis, not the DFA test. The DFA is only useful to presumptively identify cases and has a limited sensitivity ranging from 30- 70%, with a highly variable specificity. For diagnosing Pertussis infections, refer to Bordetella pertussis culture (test code CBPERT), or Bordetella pertussis/parapertussis by PCR (test code BORPCR).

Billing Code Test Code [sunquest] BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR BORPCR BORPCR

Synonyms Molecular Test Store and Transport Refrigerated or ambient (room temperature). Ship Category B Specimen Type Nasopharynx swab OR Nasopharynx wash Preferred Volume Nasopharynx swab: 1 swab, OR Nasopharynx wash: 1 mL Minimum Volume Nasopharynx swab: 1 swab, OR Nasopharynx wash: 0.5 mL Collection Procedure Collect one Nasopharynx swabs (dacron or rayon tip with plastic or wire shaft) by inserting the swab through the nose into the posterior nasopharynx and rotate at least 5 seconds, OR collect 1 mL nasopharyngeal wash. Place swab or wash in M6 viral transport media. Specimen Processing Store at 4C upon receipt Required Patient Info Specimen type Room Temp VTM: 2 days, Dry: 1 day Refrigerated VTM: 5 days, Dry: 5 days Frozen (-20°C) VTM: 1 week, Dry: 1 day Unacceptable Condition Swabs with calcium alginate or heparin, swabs older than 7 days Alternate Specimens Samples in M4, M4RT, M5, Regan-Lowe or universal viral transport medium, or sterile container Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87801 Test Schedule Mon-Sat Turnaround Time 1-3 days Method RT-PCR Test Includes Bordetella pertussis/parapertussis by PCR Result; Comment; Method; Comment Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1623 and 1785K

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Billing Code Test Code [sunquest] BORON, SERUM/PLASMA BORONS BORONS Container Type Royal blue top tube plastic, Trace metal free, no additive Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0,7 mL Specimen Processing Separate serum or plasma from cells promptly and put in a separate acid-washed plastic screw capped vial. Store and transport refrigerated. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Glass container, polymer gel separation tube (SST or PST). Alternate Specimens EDTA plasma (Royal blue top tube, plastic, Trace metal free). Reference Laboratory NMS Reference Lab Test Code 0711SP CPT Codes 83018 Test Schedule Fri Turnaround Time 2-3 days Method ICP/MS Test Includes Boron, mcg/L. Supply Item Number 1052

Billing Code Test Code [sunquest] BORRELIA BURGDORFERI ANTIBODY, IGG/IGM CSF BY LYWBCF LYWBCF WESTERN BLOT Synonyms Lyme Ab IgG/IgM, WB Container Type Clean leakproof plastic container. Specimen Type CSF Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Store and transport refrigerated. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated or heat-inactivated samples. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0055260 CPT Codes 86617 x 2 Test Schedule Sun, Tue, Thu, Fri Turnaround Time 2-4 days Method Western Blot Test Includes Borrelia burgdorferi Ab, IgG, CSF; Borrelia burgdorferi Ab, IgM, CSF. Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories, Inc. Supply Item Number 1388

Billing Code Test Code [sunquest] BORRELIA BURGDORFERI ANTIBODY, IGM LYME.IGM LYMEM Synonyms B. burgdorferi, IgM; Lyme, IgM Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 2 months Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 8961 CPT Codes 86618 Test Schedule Sun, Tue-Sat Turnaround Time 2-3 days Method Enzyme Immunoassay Test Includes Borrelia burgdorferi, IgM Supply Item Number 1467

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Billing Code Test Code [sunquest] BORRELIA HERMSII ANTIBODY PANEL BHERAB BHERAB Acute and convalescent samples advised. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition CSF samples Reference Laboratory Focus Reference Lab Test Code 40810 CPT Codes 86619 x 2 Test Schedule Fri Turnaround Time 2-9 days Method IFA Test Includes Borrelia hermsii, IgG; Borrelia hermsii, IgM; Interpretation Supply Item Number 1467

Billing Code Test Code [sunquest] BORRELIA HERMSII, SMEAR (BLOOD PARASITES) BLD-PARA BOR BORR Container Type Lavender top tube (EDTA) Specimen Type Whole blood and 4 unstained peripheral blood smears Preferred Volume 5 mL Minimum Volume 0.5 mL and 4 blood smears Specimen Processing Store and transport at room temperature. Limitations Does not detect Borrellia burgdorferi. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 87207 Test Schedule Sun-Sat & STAT Turnaround Time 24-48 hours Method Microscopic Test Includes Borrelia, number of parasites/KRBC Notes All positives are reported to SHMC Epidemiology Department. Procedure includes the examination of buffy coat preparations. Supply Item Number 1222

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Billing Code Test Code [sunquest] BORRELIA SPECIES DNA DETECTION BY PCR LYMPCR LYMPCR

Synonyms Lyme by PCR Container Type Red top tube (plain) Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Sterile technique is required for handling all samples. Separate serum from cells and place in separate sterile plastic tube and freeze. Required Patient Info Source Room Temp 8 hours (except tissue) Refrigerated 2 weeks (except tissue) Frozen (-20°C) 1 year Unacceptable Condition Heparinized samples, non-sterile or leaking containers, frozen or clotted whole blood, and severely hemolyzed samples. Alternate Specimens Skin punch biopsy snap-frozen and sent on dry ice; 2 mL frozen CSF, synovial fluid or lavender (EDTA), pink (K2EDTA), or SST tube Reference Laboratory ARUP Reference Lab Test Code 55570 CPT Codes 87476 Test Schedule Assay-Tue, Thu, Sat; DNA-Sun, Wed, Fri Turnaround Time 2-5 days Method PCR Test Includes Source; Borrelia Species by PCR Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1372

Billing Code Test Code [sunquest] BRAF V600E MUTATION BY SEQUENCE ANALYSIS BRAFSQ BRAFSQ Synonyms BRAF; BRAF1; RAFB1; V600E; Colorectal cancer; Malignant Melanoma; Thyroid cancer; Ovarian cancer; Mutation Container Type Paraffin embedded tissue and/or slides Store and Transport Transport paraffin-embedded, formalin-fixed tissue block, or slides at room temperature. Protect paraffin block from excessive heat. Ship in cooled container during summer months. Include surgical pathology report. Specimen Type Formalin Fixed Paraffin Embedded Tissue Preferred Volume Paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells. Minimum Volume 1 Paraffin embedded tissue block or 4 unstained 7-micron slides with 1 H&E stained slide containing at least 20% tumor cells. Collection Procedure Collect tumor tissue Required Patient Info Surgical pathology report Room Temp Indefinitely Refrigerated Indefinitely Unacceptable Condition Specimens that contain less than 20% tumor will be tested and reported with a disclaimer. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81210 Test Schedule Tue, Wed Turnaround Time 6-11 days Method PCR and sequence analysis Test Includes BRAF result, Interpretation, Comments Clinical Significance BRAF oncogene presents somatic mutations in different sort of tumors, predominantly in malignant melanoma, sporadic colorectal tumors with mismatch repair defects showing Microsatellites Instability (MSI), low-grade ovarian serous carcinoma and thyroid papillary cancer. Even though its association with sporadic MSI suggests BRAF as a good prognosis factor, it has been also associated to metastatic colorectal MSS cancers. In this cases, BRAF associates with poor prognosis. BRAF V600E mutation is also clinical important for Hereditary Nonpolyposis Colon Cancer diagnostic as a exclusion criteria for germline mutation in mismatch repair genes. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

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Billing Code Test Code [sunquest] BRETYLIUM TOSYLATE BRET BRET Synonyms Bretylol Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure Draw approximately 30 minutes following a 300 MG IM dose of Bretylium Tosylate. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 0715SP CPT Codes 82491 Test Schedule Varies Turnaround Time 5-10 days Method HPLC Test Includes Bretylium Tosylate, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] BRILLIANT CRESYL BLUE BCB BCB Container Type Lavender top tube (EDTA) and slides. Specimen Type Whole blood and peripheral blood slides. Preferred Volume 5 mL Minimum Volume 1 mL or 2 EDTA microtainers and peripheral slides. Specimen Processing Store and transport refrigerated. Refrigerated 10 days Unacceptable Condition Specimens more than 10 days old or frozen specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 87207 Test Schedule Sun-Fri, as needed Turnaround Time 1 week Method Visual Microscopic Test Includes Brilliant Cresyl Blue. Supply Item Number 1495

Billing Code Test Code [sunquest] BROMIDES BROMIDE BROMID Synonyms Triple Bromide Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and put in separate plastic tube. Store & transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) Indefinitely Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 90035 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 3-6 days Method Spectrophotometric Test Includes Bromide, mg/dL. Supply Item Number 1372

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Billing Code Test Code [sunquest] BRUCELLA ANTIBODIES, IGG, IGM, EIA W/REFLEX TO BRUGM BRUGM AGGLUTINATION This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Room temperature Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 91068 CPT Codes 86622 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Immunoassay Test Includes Brucella IgG; Brucella IgM; Brucella Antibody Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If IgM is > = 1.10 Brucella Antibody Titer 86622

Billing Code Test Code [sunquest] BUPRENORPHINE COMPLIANCE SCREEN (REFLEXIVE) CBUPS CBUPS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Urine, leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Patient Prep Last five days of prescription medicine taken Collection Procedure Collect a random urine in a leakproof plastic urine container Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Enzyme Immunoassay/Confirmation by GC/MS Test Includes Buprenorphine Norbuprenorphine Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If CBUPS is positive Buprenorphine by GC/MS and 83925 Norbuprenorphine by GC/MS

Billing Code Test Code [sunquest] BUPRENORPHINE CONFIRMATION BY GC/MS CPBUP CPBUP Container Type Random urine leakproof plastic container Store and Transport Ambient (room temperature) Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 2 days Refrigerated 10 days Limitations Refrigerate after 48 hours Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method GC/MS Test Includes Compliance Buprenorphine Confirmation Testing to LOD/LOQ Supply Item Number 1388

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Billing Code Test Code [sunquest] BUPRENORPHINE PAIN MANAGEMENT CONFIRMATION PBUP PBUP TESTING BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for PMM1 test. Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Buprenorphine Nor-Buprenorphine

Billing Code Test Code [sunquest] BUPROPION BUPROPION BUPRO Separate samples must be submitted when multiple tests are ordered. Critical Frozen Synonyms Amfebutamone; Aplenzin; Budeprion; Wellbutrin®; Zyban® Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube and freeze. CRITICAL FROZEN. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0099184 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 3-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Bupropion, ng/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] BUTALBITAL BUT BUTALB Synonyms Fiorinal Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and put in a separate plastic tube. Store and transport refrigerated. Room Temp 3 months Refrigerated 3 months Frozen (-20°C) 1 year Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens EDTA, K2EDTA, K3EDTA (lavender or pink top tube). Limitations Avoid the use of serum separator tubes & gels. Reference Laboratory ARUP Reference Lab Test Code 0090045 CPT Codes 82205 Test Schedule Sun, Tue, Thu Turnaround Time 3-5 days Method Quantitative GC-MS Test Includes Butalbital, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] C REACTIVE PROTEIN CRP CRP Synonyms CRP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 86140 Test Schedule Mon-Sat and STAT (see note) Turnaround Time 1-2 days Method Immunoturbidimetric Test Includes CRP, mg/dL Notes If ordered as STAT between 12:00 pm Saturday and 9:00 pm Sunday, it will be done at PSHMC Immunology Department. Supply Item Number 1467

Billing Code Test Code [sunquest] C-PEPTIDE CPEPS CPEPS Synonyms C PEPTIDE; C-PEPTIDE; PEPTIDE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Collection Procedure Fasting sample is preferred Specimen Processing Separate serum from cells within 2 hours of collection. Transfer to a standard PAML aliquot tube, and freeze. Refrigerated 14 days Frozen (-20°C) 1 month Department PAML Immunochemistry CPT Codes 84681 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes C-Peptide, ng/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] C-TELOPEPTIDE, BETA-CROSS LINKED CTXAR CTXAR Synonyms Beta-Cross Laps; Collagen C Telopeptide; Collagen Type I-C Telopeptide; CTx Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen - Separate samples must be submitted when multiple tests are ordered. Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep For patients receiving therapy with high biotin doses (e.g. greater than 5 mg/day), specimen should not be drawn until at least 8 hours after the last biotin administration. Collection Procedure In patients receiving therapy with high biotin doses (i.e. greater than 5 mg/day), no specimen should be taken until at least 8 hours after the last biotin administration. Specimen Processing Allow serum separator tube to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge and separate from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 8 hours Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens Alternate Specimens Pink (K2EDTA), or green (sodium heparin) Reference Laboratory ARUP Reference Lab Test Code 0070416 CPT Codes 82523 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Electrochemiluminescent Immunoassay Test Includes C-Telopeptide, Beta-Cross Linked, pg/mL Supply Item Number 1467

Billing Code Test Code [sunquest] C1 ESTERASE INHIBITOR (FUNCTIONAL) C-1 FUNC C1FUNC Must have a dedicated sample. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 2 hours Refrigerated unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Non-frozen specimens Alternate Specimens Frozen EDTA plasma (lavender top tube) Reference Laboratory ARUP Reference Lab Test Code 50141 CPT Codes 86161 Test Schedule Sun, Wed, Fri Turnaround Time 4-7 days Method ELISA Test Includes C1 Esterase Inhibitor (Functional), % Supply Item Number 1467

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Billing Code Test Code [sunquest] C1 ESTERASE INHIBITOR (TOTAL) C-1 EST C1EST Synonyms C1 Inhibitor; C1INH Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Must have a dedicated sample. Store and transport frozen. Room Temp 2 hours Frozen (-20°C) 2 weeks Unacceptable Condition Non-frozen specimens. Reference Laboratory ARUP Reference Lab Test Code 50140 CPT Codes 86160 Test Schedule Sun, Wed , Fri Turnaround Time 4-7 days Method Nephelometric Test Includes C1 Esterase Inhibitor (Total), mg/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] C1Q BINDING ASSAY C1Q C1Q Separate specimens must be submitted when multiple tests are ordered. Critical frozen Synonyms Circulating Immune Complex Detection; Immune Complex Assay Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Let sample stand on clot for 2 hours. Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. CRITICAL FROZEN. Room Temp 2 hours Refrigerated Unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Non-frozen specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50301 CPT Codes 86332 Test Schedule Mon, Thu Turnaround Time 2-8 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes C1Q Binding, ugE/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] C2 COMPLEMENT COMPONENT C2 C2 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms C2 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow to clot for 30 minutes to 1 hour at room temperature. Separate serum from the cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 2 hours Refrigerated Unstable Frozen (-20°C) 2 weeks Unacceptable Condition Specimens allowed to clot at 2-8C; Specimens subjected to repeated freeze/thaw cycles; non-frozen specimens Limitations Plasma samples are not recommended Reference Laboratory ARUP Reference Lab Test Code 50148 CPT Codes 86160 Test Schedule Mon, Thu Turnaround Time 7-12 days Method RID Test Includes C2, mg/dL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] C3 & C4 COMPLEMENT COMPONENTS C3/C4 C3C4 Synonyms Complement C3 and C4; C3C4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Immunology CPT Codes 86160 x 2 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes C3, mg/dL; C4, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] C3 COMPLEMENT COMPONENT C3 C3 Synonyms C3c; Complement C3 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 6 hours Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Immunology CPT Codes 86160 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes C3, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] C4 COMPLEMENT COMPONENT C4 C4 Synonyms Complement C4; C4 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 6 hours Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Immunology CPT Codes 86160 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes C4, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CA 125 CA125 CA125 Synonyms Cancer Antigen 125 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, hemolysis, or lipemia Alternate Specimens SST (brick top tube) Department PAML Immunochemistry CPT Codes 86304 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes CA 125, U/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] CA 15-3 CA15-3 CA153 Synonyms Cancer Antigen 15-3; Breast Cancer Antigen 15-3; Carbohydrate Antigen 15-3 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed specimens Alternate Specimens SST (brick top tube) Department PAML Immunochemistry CPT Codes 86300 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Ca 15-3, U/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CA 27.29 CA27.29 C2729 Synonyms Cancer Antigen 27.29 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition EDTA or heparin plasma Alternate Specimens SST (brick top tube) Department PAML Immunochemistry CPT Codes 86300 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes CA27.29, U/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CA19-9 CA19-9 CA199 Synonyms Cancer Antigen 19-9; Carbohydrate Antigen 19-9; CA-GI Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed, or grossly turbid specimens Alternate Specimens SST (brick top tube) Department PAML Immunochemistry CPT Codes 86301 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes CA 19-9, U/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] CADMIUM EXPOSURE PANEL (OSHA) CADOSH CADOSH Synonyms Cd, Exposure Panel Container Type Royal blue top tube (metal free K2EDTA) and leakproof plastic urine container Specimen Type Whole blood and urine Preferred Volume 7 mL K2EDTA whole blood and 25 mL urine Minimum Volume 1 mL whole blood and 10 mL urine Specimen Processing Split urine into 3 aliquots. Immediately pH one aliquot, use 1M HCL or 5% NaOH to adjust pH between 6 and 8, label for beta-2-microglobulin, store and transport frozen. For second aliquot, add 0.1 mL of 12M HNO3, label for cadmium, store and transport refrigerated. The third aliquot is labeled creatinine and shipped refrigerated. Store and transport the blood refrigerated. Room Temp 10 days Refrigerated 15 days Frozen (-20°C) 1 month Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or heparin anticoagulant. Department PSHMC Trace Metals, PSHMC Immunology, PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82300 x 2, 82232, 82570 Test Schedule Wed, Fri Turnaround Time 3-6 days Method Flameless AAS, ICMA, Colorimetric Test Includes Cadmium, Urine, ug/L; Cadmium, Urine, ug/g Creatinine; Cadmium, Whole Blood, ug/L; Creatinine, Urine, mg/dL; Beta-2-Microglobulin, Urine, ug/L; Beta-2-Microglobulin, Urine, ug/g Creat Supply Item Number 9734

Billing Code Test Code [sunquest] CADMIUM, URINE (RANDOM) CADUUR CADUUR Synonyms Cd; Urine; Random Container Type Leakproof plastic urine container Store and Transport Store and transport acidified urine refrigerated or at room temperature Specimen Type Urine, random Preferred Volume 25 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Aliquot 25 mL of a random urine specimen. Adjust to pH 2 with 6N nitric acid within 20 hours of collection. Room Temp 10 days Refrigerated 15 days Frozen (-20°C) 1 month Unacceptable Condition Specimens collected with a rubber catheter or specimens contaminated with blood or fecal material. Alternate Specimens Urine that is not acidified, but frozen immediately and transported frozen. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82300, 82570 Test Schedule Wed, Fri Turnaround Time 2-4 days Method Flameless AAS Test Includes Cadmium, Urine, ug/L; Cadmium, Urine, ug/gCr. Supply Item Number 1388

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Billing Code Test Code [sunquest] CADMIUM, URINE 24HR CAD CADUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms Cd, Urine (Quant) Container Type 24-hour dark plastic urine container Store and Transport Store and transport refrigerated. Specimen Type Urine Preferred Volume 50 mL Minimum Volume 5 mL Collection Procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Use only SAGE, HEDWIN, P-Splitter or GUARD jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen Processing Aliquot of a well-mixed 24-hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Required Patient Info pH, collection period and volume. Room Temp 3 days Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal material, or if specimen is collected by rubber catheterization. Alternate Specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours. Limitations Urine cadmium cannot be run if specimen is collected by rubber catheterization. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82300 Test Schedule Wed, Fri Turnaround Time 2-4 days Method Electrothermal (Flameless) AAS Test Includes Cadmium, Urine, ug/L; Cadmium, Urine, ug/24h; Cadmium, Urine ug/gCr. Supply Item Number 1108

Billing Code Test Code [sunquest] CADMIUM, WHOLE BLOOD CADWB CADWB Synonyms Cd, Whole Blood; Cd, Blood Container Type Royal blue top tube (metal free K2EDTA) Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 1 mL Specimen Processing Store and transport refrigerated. Room Temp 10 days Refrigerated 15 days Frozen (-20°C) 1 month Unacceptable Condition Heparin anticoagulant. Department PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82300 Test Schedule Wed, Fri Turnaround Time 3-6 days Method Flameless AAS Test Includes Cadmium, ug/L. Supply Item Number 9734

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Billing Code Test Code [sunquest] CAFFEINE CAFN CAFN Synonyms Vivarin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL; 1 microtainer Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 60 days Unacceptable Condition Plasma or whole blood specimens. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80299 Test Schedule Daily Turnaround Time 1-3 days Method EIA Test Includes Caffeine, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] CAFFEINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. TLCCAF TLCCAF Synonyms Vivarin; No-Doz Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Caffeine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] CALCITONIN CALCTN CALCTN Synonyms Thyrocalcitonin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Overnight fasting is preferred Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 28 days Unacceptable Condition Received room temperature Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 30742X CPT Codes 82308 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method Immunoassay

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Billing Code Test Code [sunquest] CALCIUM CAL CA Synonyms Ca Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks Unacceptable Condition EDTA, sodium citrated, or sodium fluoride-potassium oxalate plasma Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82310 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Calcium, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CALCIUM, IONIZED CAL-ION ICAL Separate samples must be submitted when multiple tests are ordered. Synonyms Ionized Calcium; Ca Ionized Container Type SST tube, completely filled Specimen Type Centrifuged Serum SST ONLY Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Prefer patient be fasting with minimal exercise of patient's arm. Collection Procedure Collect and handle anaerobically. The tube should be filled completely to limit the loss of CO2. Specimen Processing Allow the SST container to clot 0.5-1 hour. Recommend centrifuging unopened SST container at 1000 RCF for 10-15 minutes. Refrigerate and transport. Transport in original capped (unopened) primary collection container with no further manipulation. Centrifuged capped (unopened) samples are stable at RT-2 hours and refrigerated-1 week. Transport refrigerated sample in original centrifuged capped (unopened) container. Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) See notes below Unacceptable Condition Specimens that have been poured off (aliquot) from original sample container. Specimens shipped on dry ice, hemolyzed or setting in ice cubes only without water. Samples frozen on separator gel. Add ons to a sample that has been uncapped (opened). Cord blood is not acceptable. Limitations Bedrest for 3 days or more may elevate ionized calcium into the abnormal range. Within the pH range of 7.2-7.6 the normalized calcium value included in the report represents what the ionized calcium concentration would be if the pH of the sample was 7.4 For specimens with pH values outside the 7.2-7.6 range, only the ionized calcium value will be reported since the pH is out of range to calculate the normalized value. This ionized calcium result alone may not reflect the physiologic calcium status due to the pH of the specimen. In rare instances where either the ionized calcium or the pH is beyond the range of the instrument (i.e., ionized calcium < 0.8 or >20 mg/dL, and pH < 6.0 or > 8.8), no results will be reported. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82330 Test Schedule Daily & STAT Turnaround Time 1-2 days Method ISE Test Includes Calcium, Ionized, mg/dL; Calcium, Normalized, mg/dL. Notes The pH range is critical. For specimens with pH values outside the 7.2-7.6 range only the ionized calcium will be reported. Do not ship on dry ice, ship on cold packs, dry ice can cause supersaturation of CO2 and lower pH. In rare instances where the ionized calcium is beyond the range of the instrument (LT 0.8 or GT 8.8 mg/dL) results will be reported as less than or greater than these limits. The least preferred specimen is a full Sursep microtainer ensuring minimum air exposure when drawing. Handle as above. Supply Item Number 1467

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Billing Code Test Code [sunquest] CALCIUM, URINE (RANDOM) CAL-R CAUR Synonyms Ca, Urine, Random Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine collection into a leakproof plastic urine container. Adjust pH to between 1.0-2.0 with 6N HCl. Record collection time and total volume. Store and transport at refrigerated. Room Temp Acidified: 2 days Refrigerated Acidified: 4 days Frozen (-20°C) Acidified: 3 weeks Unacceptable Condition Specimens with fecal material. Limitations A pH less than 1 can cause assay interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82310 Test Schedule Daily Turnaround Time 1-2 days Method Spectrophotometry Test Includes Calcium, Urine, mg/dL. Supply Item Number 1388

Billing Code Test Code [sunquest] CALCIUM, URINE 24HR CAL-U CAUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mL. It will report the collection time & total volume. There is no charge for this test. Synonyms Ca, Urine, Quantitation Container Type 24-hour dark plastic urine container. Store and Transport Store and transport at refrigerated. Specimen Type 24-hour urine collection Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Add 30 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to between 1.0-2.0 with 6N HCl. Record collection time and total volume. Required Patient Info Collection period and total volume. Room Temp Acidified: 2 days Refrigerated Acidified: 4 days Frozen (-20°C) Acidified: 3 weeks Unacceptable Condition Specimens contaminated with fecal material. Alternate Specimens For timed urine samples, add 1 mL 6N HCL/100 mL urine at end of collection as soon as possible. Adjust pH 1.0-2.0 using HCL and let stand one hour before analysis. Limitations A pH less than 1 can cause assay interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82340 Test Schedule Daily Turnaround Time 1-2 days Method Spectrophotometry Test Includes Time, h; Volume, mL; Calcium, Urine, mg/dL; Calcium, Urine, mg/24h. Supply Item Number 1108

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Billing Code Test Code [sunquest] CALCIUM/CREATININE RATIO CAL/CRE CACRER Synonyms Ca/Creatinine Ratio Container Type Leakproof plastic urine container Specimen Type Random urine Preferred Volume 20 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen in a leakproof plastic container. Specimen Processing Aliquot 10 mL of the specimen into a leakpoof plastic urine container and adjust pH to 1.0-2.0 with 6N HCL and store and transport refrigerated. Aliquot the remaining 10 mL for the creatinine into a leakproof plastic urine container and store and transport refrigerated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82310, 82570 Test Schedule Sun-Fri Turnaround Time 1-2 days Method ISE/Modified Jaffe Reaction Test Includes Calcium, Urine,Random, mg/dL; Creatinine Urine, Random, mg/dL. Calcium/Creatinine Ratio.

Billing Code Test Code [sunquest] CALCULI (STONE) ANALYSIS STONEC STONEC Synonyms Stone Analysis; Kidney Stone; Calculi Container Type Dry container (urine cup with lid) Store and Transport Ambient (room temperature) Specimen Type Calculi for analysis, renal, bladder or bile Collection Procedure Submit air dried calculi (renal, bladder or bile) in DRY container (urine cup with lid). Required Patient Info Indicate source Room Temp Indefinitely Refrigerated Indefinitely Frozen (-20°C) Indefinitely Unacceptable Condition Any collection or shipping container with a needle attached is unacceptable. Limitations Calculi transported in liquid or contaminated with blood will require special handling to be processed which will delay analysis. Blood and moisture interfere with this methodology. Samples wrapped in tape (adhesive tape), or embedded in wax, will delay or prevent analysis and should not be submitted. Reference Laboratory ARUP Reference Lab Test Code 0099460 CPT Codes 82365 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Reflectance Fourier Transform Infrared Spectroscopy/Quantitative Polarizing Microscopy Test Includes Stone Mass, mg; Calculi Number; Calculi Size, mm; Calculi Description; Stone Composition Notes Calculi samples that are transported in liquid and received wet or bloody will be dried for 48-72 hours prior to analysis.

Billing Code Test Code [sunquest] CALPROTECTIN, FECAL CALPFC CALPFC Synonyms Calprotectin, Feces; Calprotectin, Stool Container Type Leakproof plastic container Store and Transport Refrigerated Specimen Type Stool Preferred Volume 5 grams Minimum Volume 1 gram Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Stool in media or preservatives Reference Laboratory ARUP Reference Lab Test Code 92303 CPT Codes 83993 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method ELISA Test Includes Calprotectin, Fecal; ug/g Notes Do not use to diagnose inflammatory bowel disease (IBD) or irritable bowel syndrome (IBS); may be used for monitoring IBD activity. Supply Item Number 1388

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Billing Code Test Code [sunquest] CAMPYLOBACTER JEJUNI ANTIBODY IGG CAMPAB CAMPAB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate the serum from the cells ASAP and put in separate plastic tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Avoid repeated freeze/thaw cycles Alternate Specimens EDTA, heparin and citrated plasma are acceptable. Test will be run with a disclaimer. Reference Laboratory ARUP Reference Lab Test Code 0098841 CPT Codes 86625 Test Schedule Thu Turnaround Time 2-9 days Method Indirect Fluorescent Antibody Test Includes Campylobacter jejuni Ab, IgG. Compliance Remarks This test uses a kit designated by the manufacturer as 'for reserach use, not for clinical use'. The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U. S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] CANDIDA ANTIBODY & ANTIGEN PANEL CAAGAB CAAGAB Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 4125 CPT Codes 86628 x 3, 87899 Turnaround Time 2-5 days Method ELISA & LA Test Includes Candida albicans Antigen Detection; Candida albicans IgG Antibody; Candida albicans IgA Antibody; Candida albicans IgM Antibody. Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food & Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1467

Billing Code Test Code [sunquest] CANDIDA IGG, IGA & IGM ANTIBODY PANEL CANAGM CANAGM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) indefinitely Reference Laboratory Focus Reference Lab Test Code 20125 CPT Codes 86628 x 3 Test Schedule Mon, Thu Turnaround Time 3-6 days Method ELISA Test Includes Candida IgG Antibody; Candida IgA Antibody; Candida IgM Antibody. Supply Item Number 1467

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Billing Code Test Code [sunquest] CANDIDA PRECIPITINS CAN AB CANDID Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma and other body fluids. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 55565 CPT Codes 86628 Test Schedule Mon-Fri Turnaround Time 3-6 days Method Immunodiffusion Test Includes Candida Precipitins. Supply Item Number 1467

Billing Code Test Code [sunquest] CANNABINOID CONFIRMATION BY GC/MS MSTHC MSTHC Synonyms Cannabinoids; Carboxy THC; Marijuana; Weed; THC; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Mary Jane; Pot; Reefer; Sinsemilla; Skunk Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 15 ng/mL Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Supply Item Number 1388

Billing Code Test Code [sunquest] CANNABINOID CONFIRMATION BY TLC. TEST IS ALSO TLCTHC TLCTHC INCLUDED IN DRUG-SUR. Synonyms Cannabinoids; Carboxy THC; Marijuana; Weed; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Mary Jane; Pot; Reefer; Sinsemilla; Skunk Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 20 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Modified Thin Layer Chromatography Notes Test is also included in Comprehensive Drug Screen. Supply Item Number 1388

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Billing Code Test Code [sunquest] CANNABINOID QUANTITATION THC-Q THCQ Synonyms Cannabinoids; THC; Marijuana; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Joint; Mary Jane; Pot; Reefer; Sinsemilla; Skunk; Weed Container Type Urine random Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Limit of detection 15 ng/mL Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA; GC/MS Notes Positive results will automatically be confirmed Supply Item Number 1388

Billing Code Test Code [sunquest] CANNABINOID SCREEN AT 20 NG/ML (REFLEXIVE) CANN20 CAN20 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Cannabinoids; Marijuana; Weed; THC; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Mary Jane; Pot; Reefer; Sinsemilla; Skunk Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 20 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA Notes Positive results will automatically be confirmed Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCTHC 82489 automatically be run

Billing Code Test Code [sunquest] CANNABINOIDS (QUANTITATIVE) CANNQS CANNQS Synonyms Marijuana; THC; Sativex Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 1 month Alternate Specimens EDTA or K2EDTA plasma(lavender or pink top tube). Reference Laboratory NMS Reference Lab Test Code 0960SP CPT Codes 82542 Test Schedule Mon-Fri Turnaround Time 5-8 days Method GC-GC-GC/MS Test Includes Delta-9 THC, ng/mL; Delta-9 Carboxy THC, ng/mL; 11-Hydroxy THC, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] CANNABINOIDS (THC) CONFIRMATION TESTING BY GC/MS PTHCC PTHCC If ordering for pain management, order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for PMM1. Container Type Urine, leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Cannabinoids

Billing Code Test Code [sunquest] CANNABINOIDS SCREEN AT 50 NG/ML (REFLEXIVE) CANN50 CAN50 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Marijuana; Weed; THC; Woopie Weed; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Mary Jane; Pot; Reefer; Sinsemilla; Skunk Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff at 50 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Notes Positive results will automatically be confirmed. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCTHC 82489 automatically be run

Billing Code Test Code [sunquest] CARBAMAZEPINE CARB CARB Synonyms Tegretol; Carbatol Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw sample just prior to next dose. Note times of dose and drawing. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 4 days Unacceptable Condition Serum collected and stored in SST for more than 24 hours Alternate Specimens Heparin or EDTA plasma (green or lavender top tube) Department PAML Immunochemistry CPT Codes 80156 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Carbamazepine, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] CARBAMAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN TLCCAR TLCCAR DRUG-SUR. Synonyms Tegretol Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Carbamazepine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] CARBAMAZEPINE EPOXIDE & TOTAL CAREPO CAREPO Synonyms 11 Epoxide; Atretol; Biston; Calepsin; Carbamazepine - 10,11 Epoxide, Serum or Plasma; Carbamazepine and Epoxide Metabolite; Carbamazepine-10; Epimaz; Epitol; Epitrol; Equetro; Finlepsin; Sirtal; Tegretol, Metabolite; Telesmin Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Obtain trough specimen after steady-state is achieved (3-5 days). Draw within one hour prior to next dose. The epoxide half-life is 6-10 hours. Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 6 days Frozen (-20°C) 1 month Unacceptable Condition Whole blood, Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0092211 CPT Codes 80156, 80299 Test Schedule Mon, Thu Turnaround Time 2-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry/Quantitative Enzyme Multiplied Immunoassay Technique Test Includes Carbamazepine 10-11 epoxide, ug/mL; Carbamazepine, Total,ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] CARBAMAZEPINE, FREE & TOTAL CARB.FREE CARBFR Synonyms Free Carbamazepine; Tegretol, Free; Free Tegretol Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 4 months Unacceptable Condition Citrated plasma. Tubes that contain liquid anticoagulant. Alternate Specimens SST: Serum in a gel separator tube stored at room temperature is acceptable if separated from the gel within 2 hours. Serum in a gel separator tube stored refrigerated is acceptable if separated from the gel within 1 hour. Reference Laboratory ARUP Reference Lab Test Code 0090615 CPT Codes 80156, 80157 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Immunoassay Test Includes Carbamazepine, Free, ug/mL; Carbamazepine, Total, ug/mL; % Carbamazepine, Free, %. Supply Item Number 1372

Billing Code Test Code [sunquest] CARBON DIOXIDE CO2 CO2 Synonyms Bicarbonate; CO2 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Centrifuge ASAP, keep upright, do not remove stopper Refrigerated 1 day Alternate Specimens Serum (red top tube) or lithium heparin plasma (green top tube). Separate serum or plasma from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer, and storage. Transfer to a standard PAML aliquot tube and cap immediately. Department PAML Chemistry CPT Codes 82374 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes C02, mmol/L Supply Item Number 1467

Billing Code Test Code [sunquest] CARBOXYHEMOGLOBIN CO HGB CXHGB Synonyms Carboxyhemoglobin; COHB; CO HGB; Carbon Monoxide Container Type Lavender top tube (EDTA) Specimen Type EDTA whole blood Preferred Volume 5 mL Collection Procedure Fill EDTA lavender top tube completely. Put on wet ice immediately. Specimen Processing Do not remove stopper. Do not centrifuge. Put tube on wet ice immediately and transport without delay. Room Temp 30 minutes; Stable 4 hours on wet ice Refrigerated 7 days Unacceptable Condition Specimen that has been at room temperature longer than 30 minutes, been opened, recapped, or spun. Alternate Specimens Sodium or lithium heparinized whole blood (green top tube) Limitations Stable 4 hours on wet ice Department PSHMC Respiratory Therapy Reference Laboratory PSHMC CPT Codes 82375 Test Schedule Sun-Sat Turnaround Time 1-2 days Method Colorimetric/Co-oximeter Test Includes Hemoglobin, g/dL; Carboxyhemoglobin, % Supply Item Number 1495

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Billing Code Test Code [sunquest] CARCINOEMBRYONIC ANTIGEN CEA CEA Synonyms CEA Container Type Red top tube (plain) Store and Transport Refrigerated or frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube within 6 hours. Ensure that complete clot formation has taken place prior to centrifugation. Refrigerated 2 weeks Frozen (-20°C) 12 months Unacceptable Condition Grossly hemolyzed specimens Alternate Specimens SST (brick top tube) Department PAML Immunochemistry CPT Codes 82378 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes CEA, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CARCINOEMBRYONIC ANTIGEN (CEA), FLUID CEAFL CEAFL Synonyms CEA, Fluid Container Type Leakproof plastic container Store and Transport Refrigerated Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Send sample in a leakproof plastic container. Indicate a source on the test form. Required Patient Info Source Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 6 months Reference Laboratory ARUP Reference Lab Test Code 0020742 CPT Codes 82378 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Electrochemiluminescent Immunoassay Test Includes Source, Fluid; CEA, Fluid, ng/mL Compliance Remarks This test is FDA cleared but is not labelled for use with body fluids. Supply Item Number 1388

Billing Code Test Code [sunquest] CARCINOEMBRYONIC ANTIGEN, CSF CEA.CSF CEASF Synonyms CEA, CSF; CSF CEA Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Room Temp 1 week Refrigerated 1 week Frozen (-20°C) Unacceptable Reference Laboratory Mayo Reference Lab Test Code 8918 CPT Codes 82378 Test Schedule Mon-Sun Turnaround Time 2-4 days Method Chemiluminometric immunoassay Test Includes CEA, CSF, ng/mL Supply Item Number 7211

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Billing Code Test Code [sunquest] CARDIAC RISK ASSESSMENT BATTERY CRABAT CRABAT Container Type Serum separator tube (gold, brick, SST, or corvac) and green top tube (lithium heparin) Store and Transport Refrigerated Specimen Type Serum and lithium heparin plasma Preferred Volume 5 mL serum and 1 mL lithium heparin plasma Minimum Volume 2.5 mL serum and 0.5 mL lithium heparin plasma Patient Prep Patient should be fasting 12-14 hours prior to collection. Collection Procedure Put lithium heparin tube on ice immediately after drawing and separate from plasma within 1 hour. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Separate plasma from cells within 1 hour of collection and transfer to a standard PAML aliquot tube. Refrigerated 1 week Unacceptable Condition Frozen specimens; EDTA plasma is not an acceptable sample type for Homocysteine. Alternate Specimens Serum specimens that have been placed on ice immediately after drawing can be used for the homocysteine in place of lithium heparin. Department PAML Chemistry, PAML Immunology, PSHMC Chemistry CPT Codes 80061, 83090, 86141, 82947 Test Schedule Homocysteine: Mon-Fri; All others: Sun-Fri Turnaround Time 1-3 days Method Enzymatic, Hexokinase, FPIA, Neph Test Includes Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL; LDL/HDL Ratio; CHO/HDL Ratio; High Sensitivity CRP, mg/L; Homocysteine, Cardiac Risk, umol/L; Glucose, mg/dL Notes The comments are only for the test directory. An abbreviated comment will be appended to all results. Supply Item Number 1467 1594

Billing Code Test Code [sunquest] CARDIOLIPIN ANTIBODY, IGG & IGM CARD.AB CARD Synonyms Anti-Phospholipid Antibody; Cardiolipin Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 3 days Frozen (-20°C) 1 month Unacceptable Condition Heat inactivated samples may give a false positive results. Avoid repeated freeze/thaw cyles. Limitations Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86147 x 2 Test Schedule Tue-Sat Turnaround Time 2-3 days Method ELISA Test Includes Cardiolipin Antibody, IgG, GPL; Cardiolipin Antibody, IgM, MPL Supply Item Number 1467

Billing Code Test Code [sunquest] CARISOPRODOL & MEPROBAMATE MEPROBAMATE CARMEP Synonyms Equanil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 3 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD. Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0090600 CPT Codes 83805, 80299 Test Schedule Mon, Fri Turnaround Time 3-5 days Method GC/MS Test Includes Meprobamate, ug/mL; Carisoprodol, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] CARNITINE PANEL CARNPA CARNPA Container Type Green top tube (sodium or lithium heparin) Store and Transport Frozen Specimen Type Plasma Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and put in separate plastic tube and freeze immediately. CRITICAL FROZEN Required Patient Info Patient History For Biochemical Genetics. Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at http://www.aruplab.com/patienthistory. Room Temp Unacceptable Refrigerated 12 hours Frozen (-20°C) 1 month Unacceptable Condition Room temperature specimens. Specimens that have been refrigerated for greater than 12 hours. Alternate Specimens Red top tube (plain) Reference Laboratory ARUP Reference Lab Test Code 81110 CPT Codes 82017, 82379 Test Schedule Tue, Thu, Sat Turnaround Time 3-8 days Method Tandem Mass Spectrometry Test Includes Carnitine, Total; Carnitine, Free; Carnitine, Esterified; Carnitine, Esterified/Free Ratio; Acylcarnitine Notes The concentration of esterified carnitine is derived from a mathematical calculation using free and total carnitine.

Billing Code Test Code [sunquest] CARNITINE, FREE & TOTAL (INCLUDES CARNITINE, CARFTR CARFTR ESTERIFIED) Container Type Green top tube (sodium or lithium heparin) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate plasma from cells within 2 hours and transfer to a standard PAML aliquot tube and freeze. Room Temp Unacceptable Refrigerated 12 hours Frozen (-20°C) 1 month (avoid repeat freeze/thaw cycles) Unacceptable Condition Ambient samples and refrigerated samples greater than 12 hours Alternate Specimens Frozen serum (plain red top tube) Limitations Avoid hemolysis Reference Laboratory ARUP Reference Lab Test Code 0080068 CPT Codes 82379 Test Schedule Tue-Sat Turnaround Time 2-4 days Method Tandem Mass Spectrophotometry Test Includes Carnitine, Free, umol/L; Carnitine, Total, umol/L; Carnitine, Esterified (Acyl), umol/L; Carnitine Esterified/Free Ratio Notes The concentration of esterified carnitine is derived from a mathematical calculation using free and total carnitine. Supply Item Number 1398

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Billing Code Test Code [sunquest] CAROTENE CAROT CAR Synonyms Beta-carotene Container Type SST tube Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 2.1 mL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Refrigerated 24 hours from time of collection Frozen (-20°C) 1 week from time of collection Unacceptable Condition Hemolyzed specimen. Limitations Protect from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82380 Test Schedule Mon & Thu Turnaround Time 1-5 days Method Extraction/Spectrophotometric Test Includes Carotene, ug/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] CATECHOLAMINES FRACTIONATED, URINE 24HR CAT.UF CATUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mL. It will report the collection time & total volume. There is no charge for this test. Synonyms Free Catecholamine Fractionation; Noradrenalin, Urine; Norepinephrine, Urine; Epinephrine, Urine; Urinary Free Catecholamines; Dopamine, Urine Container Type 24-hour dark plastic urine container Store and Transport Store and transport frozen Specimen Type 24-hour urine collection Preferred Volume 30 mL Minimum Volume 7 mL Collection Procedure Add 25 mL 6N HCL to a 24-hour dark plastic urine container at the start of the collection. Collect a 24-hour urine specimen. Refrigerate during collection. At the end of the collection adjust the pH to 1-3 with 6N HCL. Specimen Processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic container. Adjust pH to 1-3 with 6N HCL. Record collection time and total volume. Freeze within 8 hours of collection. Required Patient Info Collection time and total volume Frozen (-20°C) Acidified: 1 month Unacceptable Condition Specimens collected with boric acid Alternate Specimens 24-hour urine collected with 25 mL of 50% acetic acid or collected with no preservative, refrigerated during collection and pH adjusted to 1-3 upon receipt and frozen. Limitations A pH less than 1 can cause assay interference. Aldomet can interfere with quantitation. Isoproteranol and isoetharine can interfere when found in high concentration. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 82384 Test Schedule Mon, Wed, Fri Turnaround Time 3-7 days Method HPLC/Electrochemical Detection Test Includes Time, h; Volume, mL; Epinephrine, ug/24h; Norepinephrine, ug/24h; Dopamine, ug/24h; Catecholamines, Total, ug/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] CATECHOLAMINES, PLASMA FRACTIONATED PCAT PCAT Container Type Green top tube (sodium or lithium heparin) Store and Transport Store and transport frozen. Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL Patient Prep Patient should be calm and in a supine position. For optimum results, patient should be supine with a venous catheter in place for 30 minutes prior to collection. Collection Procedure Collect on ice. Specimen Processing Separate plasma from cells within 1 hour and place in separate plastic tube and freeze. Separate samples must be submitted when multiple tests are ordered. Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) 1 month Frozen (-70°C) 1 year Unacceptable Condition EDTA plasma, serum or urine samples. SST tube collection. Limitations Medications which may interfere with catecholamines and metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, carbidopa- levodopa (Sinemet), clonidine, dexamethasone, diuretics (in doses sufficient to deplete sodium), ethanol, isoproterenol, labetalol, methyldopa (Aldomet), MAO inhibitors, nicotine, nose drops, propafenone (Rythmol), reserpine, theophylline, tricyclic antidepressants, and vasodilators. The effect of drugs on catecholamine results may not be predictable. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 82384 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method HPLC Test Includes Dopamine, pg/mL; Epinephrine, pg/mL; Norepinephrine, pg/mL. Notes 'Standing' ranges typically show norepinephrine up to 700 pg/mL, epinephrine up to 900 pg/mL and dopamine essentially unchanged. Supply Item Number 1398

Billing Code Test Code [sunquest] CATECHOLAMINES, URINE (RANDOM) CATEUR CATEUR Container Type Leakproof plastic urine container. Specimen Type Urine, random frozen Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 30 mL of a random urine specimen. Adjust pH to 1-3 with 6N HCl and freeze. Store and transport frozen. Frozen (-20°C) 1 month Limitations A pH less than 1 can cause assay interferance. Aldomet can interfere with quantitation. Isoproternol and isoetharine can interfere when found in high concentrations. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 82384, 82570 Test Schedule Mon, Wed, Fri Turnaround Time 3-7 days Method HPLC/Enzymatic (IDMS Traceable) Test Includes Creatinine, Urine Random , mg/dL; Epinephrine,Urine Random, ug/L; Epinephrine (Calculation), ug/gCr; Norepinephrine, Urine Random, ug/L; Norepinephrine (Calculation), ug/gCr; Dopamine,Urine Random, ug/L; Dopamine, (Calculation), ug/gCr. Supply Item Number 1388

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Billing Code Test Code [sunquest] CATHARTIC LAXATIVES PROFILE, STOOL CLAXSN CLAXSN Synonyms Clysodrast®; Dulcolax®; Phenolax® Container Type Plastic container (acid washed or trace metal-free) Store and Transport Store and transport frozen. Specimen Type Feces Preferred Volume 10 g Room Temp Undetermined Refrigerated Undetermined Frozen (-20°C) Undetermined Reference Laboratory NMS Reference Lab Test Code 1033ST CPT Codes 80103 x 2, 83735, 84100 Test Schedule Varies Turnaround Time Varies. Max lab time: 10-12 days Method Flame Atomic Absorption Spectroscopy (FAAS) Inductively Coupled Plasma Atomic Emission Spectroscopy (ICP/AES) Test Includes Magnesium, Phosphorus Notes Purpose: Compliance or Abuse Monitoring (Laxative); Not for clinical diagnostic purposes.

Billing Code Test Code [sunquest] CBC WITH MANUAL DIFFERENTIAL CBCMDI CBCPM2 This workpar will automatically order a manual differential to be done Container Type Lavender top tube (EDTA) and Blood smears Store and Transport Prefer specimen be stored and transported refrigerated Specimen Type Whole blood and smears Minimum Volume 1 mL in a vacutainer or 0.5 mL in a microtainer plus slides Specimen Processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85027, 85007 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated/Microscopic Test Includes WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/uL; Segs, %; Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphs, %; Lymphs, K/uL; Variant Lymphs, %; Variant Lymphs, Abs, K/uL; Monos, %; Monos, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to second mark. Supply Item Number 1222

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Billing Code Test Code [sunquest] CBC WITH AUTO DIFFERENTIAL CBC CBCP2 Synonyms Complete Blood Count Container Type Lavender top tube (EDTA) and blood smears Store and Transport Prefer specimen be stored and transported refrigerated Specimen Type Whole blood and smears Minimum Volume 1 mL in a vacutainer or 0.5 mL in a microtainer plus slides Specimen Processing EDTA whole blood (lavender top tube) and 2 peripheral blood smears. Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85025 Test Schedule Daily-24 hours & STAT Turnaround Time 24-48 hours Method Automated Test Includes WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW, %; Platelet Count, K/uL; Neut, % (if Automated Diff); Neut, Abs, K/uL (if Automated Diff); Segs, %; Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphs, %; Lymphs, Abs, K/uL; Variant Lymphs, %; Variant Lymphs, Abs, K/uL; Monocytes, %; Monocytes, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast Cells, %; Other, %; NRBC, /100 WBC; Meg Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Microtainers must be filled to SECOND mark. Automated differential fields are not reported if manual differential is done. Manual differential is not reported if automated differential is reported. Supply Item Number 1222

Billing Code Test Code [sunquest] CD19 CD19S CD19S

Synonyms CD19, Flow Cytometry Container Type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA) Store and Transport Store and transport at room temperature. Ship Category B Specimen Type Whole blood Preferred Volume 7 mL ACD and 5 mL EDTA Minimum Volume 5 mL ACD and 2.5 mL EDTA whole blood Required Patient Info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours. Unacceptable Condition EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing. Limitations Samples must arrive and be processed within 72 hours of collection Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 86355 Test Schedule Mon-Sat by 11 am Turnaround Time 48 hours Method Flow Cytometry Test Includes Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD19, %; CD19 Abs, /uL; Note; Note Supply Item Number 1055 1495

Billing Code Test Code [sunquest] CD25 BY IMMUNOHISTOCHEMISTRY CD25IH CD25IH Store and Transport Ambient (room temperature) or refrigerated. Ship in cooled container during summer months. Specimen Type Tissue or cells Specimen Processing Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock). Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport kit. (Min: 2 slides). If sending precut slides, do not oven bake. Room Temp Indefinite Refrigerated Indefinite Frozen (-20°C) Unacceptable Unacceptable Condition Depleted specimens; specimens submitted with non-representative tissue type. Reference Laboratory ARUP Reference Lab Test Code 2003544 CPT Codes 88342 Test Schedule Mon-Fri Turnaround Time 2-3 days Method Immunohistochemistry Notes Immunohistochemistry Stain Form Recommended. All stains will be handled as 'Stain and Return' unless a consultation is requested. To request a consultation, submit the pathology report, all associated case materials (clinical history, blocks, slides, etc.), and the Anatomic Pathology requisition form in place of the Immunohistochemistry Stain Form. 2.1 www.paml.com 4/16/2013 page 260 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CD3 CD3 CD3 Synonyms CD3, Flow Cytometry Container Type Yellow top tube (ACD Type A or B) and Lavender top tube (EDTA) Store and Transport Store and transport at room temperature Specimen Type Whole blood Preferred Volume 7 mL ACD and 5 mL EDTA Minimum Volume 5 mL ACD whole blood and 2.5 mL EDTA whole blood Required Patient Info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours. Unacceptable Condition EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing. Limitations Specimens must arrive within 72 hours of collection Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 86359 Test Schedule Mon-Sat by 11 am Turnaround Time 48 hours Method Flow Cytometry Test Includes Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD3, %; CD3 Abs, /uL, Note; Note Supply Item Number 1055 1495

Billing Code Test Code [sunquest] CD4 CD4 CD4

Synonyms Helper Cells; CD4, Flow Cytometry Container Type Yellow top tube (ACD Type A or B) and lavender top tube (EDTA) Store and Transport Store and transport at room temperature. Ship Category B Specimen Type Whole blood Preferred Volume 7 mL ACD and 5 mL EDTA Minimum Volume 5 mL ACD and 2.5 mL EDTA whole blood Required Patient Info In accordance with CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if the specimen will arrive after 24 hours. Unacceptable Condition EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing. Limitations Samples must arrive and be processed within 72 hours of collection Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 86361 Test Schedule Mon-Sat by 11 am Turnaround Time 48 hours Method Flow Cytometry Test Includes Source; WBC, K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD4, %; CD4 Abs, /uL; Note; Note Supply Item Number 1055 1495

Billing Code Test Code [sunquest] CD57 Antibody CD57AB CD57AB Container Type Yellow top tube (ACD Type A) Specimen Type ACD whole blood Preferred Volume 7 mL Minimum Volume 2 mL Specimen Processing Samples must be processed within 48 hours of collection. Store and transport at room temperature. Required Patient Info Source Alternate Specimens Sodium heparin whole blood (green top tube). Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 88184 Test Schedule Mon-Sat by 11 am Turnaround Time 1-3 days Method Flow Cytometry Test Includes Source; Result; Note. Supply Item Number 6039

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Billing Code Test Code [sunquest] CELIAC DISEASE (HLA-DQA1*05, HLA-DQB1*02, AND HLA- HLACEL HLACEL DQB1*03:02) GENOTYPING Synonyms DQ2, DQ8, Gluten-Sensitive Enteropathy, HLA-DQA1*05, HLA-DQB1*02, & *03, Nontropical Sprue Container Type Lavender top tube (EDTA) Store and Transport Ambient (room temperature) or refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Patient Prep HLA Test Request Form Recommended. Counseling & informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com Required Patient Info HLA TEST REQUEST FORM RECOMMENDED. Counseling & informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com Room Temp 1 week Refrigerated 1 week Frozen (-20°C) Unacceptable Alternate Specimens Pink (K2EDTA), or yellow (ACD Solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2005018 CPT Codes 81377 x 2, 81383 Test Schedule Varies Turnaround Time 11 days Method Polymerase Chain Reaction/Fluorescence Monitoring Test Includes Celiac (HLA-DQA1*05); Celiac (HLA-DQB1*02); Celiac (HLA-DQB1*03:02); Celiac HLA Interpretation. Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Notes Ordering Recommendation: Do not use to screen for celiac disease. Do not use in the initial evaluation for celiac disease Supply Item Number 1222

Billing Code Test Code [sunquest] CELIAC PANEL, BASIC CELPAN CELPAN Synonyms Tissue Transglutaminase Ab, IgA and Tissue Transglutaminase Ab, IgG; Gluten Sensitivities; Sprue Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples. Avoid repeated freeze/thaw cycles. Department PAML Special Immunology CPT Codes 83516 x 2 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Tissue Transglutaminase Antibody, IgA, U/mL; Tissue Transglutaminase Antibody, IgG, U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] CELIAC PANEL, EXTENDED CELPEX CELPEX Synonyms Gluten Sensitivities; Sprue Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport One tube frozen and one tube refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1.0 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples. Avoid repeated freeze/thaw cycles. Department PAML Special Immunology, PAML Immunology CPT Codes 83516 x 4, 82784 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA/Nephelometry Test Includes Tissue Transglutaminase Antibody, IgA, U/mL; Tissue Transglutaminase Antibody, IgG, U/mL; Gliadin Antibody, IgA, Units; Gliadin Antibody, IgG, Units; IgA, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CELIAC PROFILE, PEDIATRIC BASIC CELPED CELPED Synonyms Gluten Sensitivities; Sprue Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen: one tube; Refrigerated: one tube; Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples; Avoid repeated freeze/thaw cycles. Department PAML Special Immunology, PAML Immunology CPT Codes 83516, 82784 Test Schedule Tue -Sat Turnaround Time 1-3 days Method EIA/Nephelometry Test Includes IgA, mg/dL; Tissue Transglutaminase Antibody, IgA, U/mL Supply Item Number 1467

Billing Code Test Code [sunquest] CELIAC PROFILE, PEDIATRIC EXTENDED CELPRO CELPRO Synonyms Gluten Sensitivities; Sprue Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen: one tube; Refrigerated: one tube Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples; Avoid repeated freeze/thaw cycles. Department PAML Special Immunology, PAML Immunology CPT Codes 83516 x 3, 82784 Test Schedule Tue -Sat Turnaround Time 1-3 days Method EIA/Nephelometry Test Includes IgA, mg/dL; Tissue Transglutaminase Antibody, IgA, U/mL; Gliadin Antibody, IgA, Units; Gliadin Antibody, IgG, Units Supply Item Number 1467

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Billing Code Test Code [sunquest] CELL COUNT, DIFFERENTIAL, BODY FLUID CBC.FLD CTDFFL Container Type Lavender top tube (EDTA) Store and Transport Refrigerated. Transport ASAP. Specimen Type Body fluid Preferred Volume 5 mL Minimum Volume 0.25 mL Required Patient Info Source Unacceptable Condition Samples received without anticoagulant, clotted specimens, or specimens that have been at room temperature for 24 hours or more will be analyzed only with physician authorization. Alternate Specimens Heparinized fluid (green top tube) Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89051 Test Schedule Sun-Sat and STAT Turnaround Time 1-2 days Method Manual Microscopy Test Includes Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells, %; Nucleated RBC, /100 WBCs; Mesothelial Cells, /100 WBCs; Note; Reviewed By. Supply Item Number 1222

Billing Code Test Code [sunquest] CELL COUNT, DIFFERENTIAL, CSF CBCCSF CTDFSF Container Type CSF sterile plastic tube Store and Transport Transport ASAP. Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours. Specimen Type CSF Preferred Volume 1 mL Collection Procedure If three sterile tubes are collected, tube #3 should be sent for total cell count and differential. Unacceptable Condition Clotted specimens or specimens that have been at room temperature for 24 hours of more will be analyzed only with physician authorization. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89051 Test Schedule Sun-Sat Turnaround Time 1-2 days Method Manual Microscopy Test Includes Tube Number; Xanthochromia; Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBC; Note Supply Item Number 7211

Billing Code Test Code [sunquest] CENTROMERE B AUTOANTIBODY, IGG CENTMP CENTMP Synonyms Anti-Centromere B Autoantibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 83516 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes Centromere B Autoantibody, IgG, AI Supply Item Number 1467

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Billing Code Test Code [sunquest] CEPHALEXIN LEVEL, BA CEPBA CEPBA Synonyms Keflex Container Type Red top tube Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Specimens collected just before or within 15 minutes of the next dose represent the TROUGH levels. Specimens obtained within 15-30 minutes after the end of IV infusion or 45-60 minutes after an IM injection or 90 minutes after oral intake represent the PEAK level. Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze.

Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 30 days Unacceptable Condition Room temperature, refrigerated samples, SST tubes, and all other fluids Reference Laboratory Focus Reference Lab Test Code 51840 CPT Codes 80299 Test Schedule Mon-Fri Turnaround Time 5-6 days Method Bioassay Test Includes Cephalexin Level, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CERULOPLASMIN CER CER Synonyms Copper oxidase Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Plasma and lipemic samples Department PAML Immunology CPT Codes 82390 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes Ceruloplasmin, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CH50 COMPLEMENT, TOTAL CH50 CH50 Synonyms Complement, Total; Complement CH50 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Allow blood to clot at room temperature for 30 minutes to 1 hour. Separate serum from cells ASAP, transfer to a standard PAML aliquot tube, and freeze. Frozen (-20°C) 30 days Unacceptable Condition Serum from SST tubes, plasma, samples left to clot at 2-8C, repeated freeze/thaw cycles, and nonfrozen samples Limitations Avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 86162 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method EIA Test Includes CH50 Complement, Total, CAE Units Supply Item Number 1372

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Billing Code Test Code [sunquest] CHEMISTRY REFLEX PANEL CHEMRA CHEMRA This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Centrifuge ASAP, keep upright and keep the tube capped. If red top tube is used, separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer, and store. Place the serum in separate plastic tube and cap immediately. Refrigerated 1 day (add-ons without a C02 are acceptable within 5 days of collection if refrigerated and protected from light) Unacceptable Condition Plasma specimens Department PAML Chemistry; PAML Immunochemistry CPT Codes 80053, 80061, 84443 Test Schedule Mon-Sat Turnaround Time 1-2 days Test Includes Comprehensive Metabolic Panel; Lipid Profile; TSH (Reflex) Notes Hemolysis will cause elevated potasssium values, minimal volumes will concentrate, previously frozen samples may show a marked decrease in ALP values immediately upon thawing, but returns to initial values, frozen samples will show decreased total LDH values and prolonged contact with cell clot will elevate phosphorus values. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes TSH is abnormal Free T4 84439

Billing Code Test Code [sunquest] CHLAMYDIA ANTIBODY PANEL. IGG/IGM CHLGM CHLGM Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Hyperlipemic, hemolyzed or contaminated specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 65100 CPT Codes 86631 x 3, 86632 x 3 Test Schedule Sun-Fri Turnaround Time 2-5 days Method IFA Test Includes C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; C. pneumoniae, IgG; C. trachomatis, IgG,; C. psittaci, IgG. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests neccessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] CHLAMYDIA & CHLAMYDOPHILIC ANTIBODY PANEL 3 CHLGAM CHLGAM Container Type SST Tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 23000 CPT Codes 86631 x 6, 86632 x 3 Test Schedule Mon-Sat Turnaround Time 3-5 days Method IFA Test Includes C. trachomatis, IgG; C. trachomatis, IgA; C. trachomatis, IgM; Interpretation; C. pneumoniae, IgG; C. pneumoniae, IgA; C.pneumoniae, IgM; Interpretation; C. psittaci, IgG; C. psittaci, IgA; C. psittace, IgM; Interpretation. Compliance Remarks This assay was develped and its performance characteristics determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1467

Billing Code Test Code [sunquest] CHLAMYDIA ANTIBODY PANEL, IGM CHLABM CHLABM Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells as soon as possible and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Hyperlipemic, hemolyzed or contaminated samples. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 65105 CPT Codes 86632 x 3 Test Schedule Mon-Sat Turnaround Time 2-5 days Method IFA Test Includes C. pneumoniae, IgM; C. trachomatis, IgM; C. psittaci, IgM; Chlamydia IgM Panel Interpretation. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests neccessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] CHLAMYDIA SPP. IGA, IGG, IGM ANTIBODIES CHSAGM CHSAGM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 48 hours Refrigerated 7 days Frozen (-20°C) 2 months Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 8006 CPT Codes 86631 x 6, 86632 x 3 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Micro-Immunofluorescent 2.1 www.paml.com 4/16/2013 page 267 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS DFA CHDFA CHDFA

Container Type SYVA Microtrak Direct Specimen Test collection kit (slides) Store and Transport Refrigerated or ambient (room temperature). Ship Category B Specimen Type Genital, eye, nasopharyngeal, or rectal swab Specimen Processing Prepare and fix slide as directed by the kit. Indicate source. Required Patient Info Specimen source Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 1 week Unacceptable Condition Dry swabs or swabs in gel or in transport systems designed for use with other methodologies (Aptima, Digene, EIA, etc.). If there are fewer than 20 columnar epithelial cells, the result will be reported as 'sample inadequate.' Reference Laboratory ARUP Reference Lab Test Code 60287 CPT Codes 87270 Test Schedule Sun-Sat Turnaround Time 2-3 days Method DFA Test Includes C. trachomatis By DFA, Preliminary; C. trachomatis By DFA, Final Notes Collection kits available from PAML Suppy Department.

Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS BY AMPLIFIED DETECTION (TMA) APTCT APTCT This code may be used for conjunctival specimens. Aptima collection kits required. This test is not recommended for use with genital or urine specimens in prepubescent children or medicolegal cases. Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (TMA)Trichomonas vaginalis by Amplified Detection (TMA); CT; GC; TV; Trich; APTIMA Container Type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit Specimen Type See below Preferred Volume See below Minimum Volume 2 mL for urine, not to exceed 30 mL Collection Procedure Female endocervical or male urethral swab, oral or rectal swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube. Specimen Processing Transport all samples collected in the kits at room temperature, refrigerated or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Required Patient Info Source Room Temp Swabs-2 months, urine in media-1 month, urine not in media-not stable Refrigerated Swabs-2 months, urine in media-1 month, urine not in media-24 hours Frozen (-20°C) Swabs-3 months, urine in media-3 months. Unacceptable Condition Respiratory swabs; endocervical, urethral, oral and rectal swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable. Alternate Specimens Conjunctival swabs submitted in Aptima specimen transport tubes. ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit. Department PAML Virology CPT Codes 87491 Test Schedule Daily Turnaround Time 1-3 days; Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing. Method TMA by Gen-Probe APTIMA Test Includes Source; Chlamydia trachomatis by Amplified RNA Supply Item Number 1295 or 1296

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Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS CULTURE CHLAM CHLAM This is the only recommended method in all medicolegal cases and for samples from prepubescent children. Not recommended for routine detection of C.Trachomatis from urogenital sites, see APTCG. Synonyms Culture, Chlamydia; Trachomatis Container Type Dacron swab in M6 or other chlamydia culture transport media Store and Transport Refrigerated Specimen Type Conjunctival, endocervical, urethral, rectal, throat or nasopharyngeal (neonates only) swabs in M6 or other chlamydia culture (M4, M4RT, M5, M6, or Copan Universal Transport Media) transport media Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Urine, sputum, stool, calcium alginate swab, dry swab, wooden swab, swabs in gel media, nasopharynx swabs on non-neonates Alternate Specimens Cotton swabs are acceptable Limitations Specific for C. trachomatis. Will not detect C. pneumoniae or C. psittaci (atypical pneumonia) Department PAML Virology CPT Codes 87110, 87140 x 2 Test Schedule Daily Turnaround Time Preliminary: 1 day; Final: 2 days Method Isolation in Tissue Culture Test Includes Source; C. trachomatis Culture; C. trachomatis Culture, Status Supply Item Number 1785K

Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS IGG & IGM ANTIBODIES CHLAB CHLAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Reference Laboratory Specialty Reference Lab Test Code 8044 CPT Codes 86631, 86632 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Micro-IF Test Includes Chlamydia trachomatis, IgG Abs, titer; Chlamydia trachomatic, IgM, Abs, titer Notes Evaluate possible chlamydial infection. This test is useful for patients suspected of having trachoma, pelvic inflammatory disease, infantile pneumonia, and lymphogranuloma venereum.

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Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY APTCG APTCG AMPLIFIED DETECTION (TMA) This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required. For conjunctival specimens, order APTCT only (not approved for gonorrhea testing). Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (TMA); CT; GC; Aptima Container Type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit Store and Transport Transport all samples collected in the kits at room temperature, refrigerated, or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Specimen Type See below Preferred Volume See below Minimum Volume 2 mL for urine, not to exceed 30 mL Collection Procedure Female endocervical or male urethral swab, pharyngeal or rectal swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch, collected in the APTIMA Urine Specimen Transport Tube. Required Patient Info Source Room Temp Swabs: 2 months; urine in media: 1 month; urine not in media: not stable Refrigerated Swabs: 2 months; urine in media: 1 month; urine not in media: 1 day Frozen (-20°C) Swabs: 3 months; urine in media: 3 months Unacceptable Condition Eye or respiratory swabs; endocervical, urethral, oral and rectal swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable. Alternate Specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot is made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit. Department PAML Virology CPT Codes 87491, 87591 Test Schedule Daily Turnaround Time 1-2 days; Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing. Method TMA by Gen-Probe APTIMA Test Includes Source; Chlamydia trachomatis by Amplified RNA; Neisseria gonorrhoeae by Amplified by RNA Supply Item Number 1295 or 1296

Billing Code Test Code [sunquest] CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY VIPCG VIPCG SDA, PAP VIAL GC/Chlamydia testing is performed using an aliquot removed from PAP specimen prior to PAP testing. No add-on requests will be accepted on specimens already processed for PAP testing. Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection; PCR; Chlamydia; Gonorrhoeae; Neisseria Container Type BD SurePath vial Store and Transport Ambient (room temperature) Specimen Type Endocervical specimen Collection Procedure BD SurePath or ThinPrep (PreservCyt) specimens must be collected using either an endocervical broom or a brush/spatula combination. Aliquot for this test must be removed prior to PAP testing processing. Specimens collected in BD SurePath Preservative Fluid or ThinPrep (PreservCyt) solution are tested using an aliquot that is removed prior to processing for either the BD SurePath or ThinPrep PAP test. No add-on requests to specimens already processed for PAP will be accepted. Room Temp 1 month Refrigerated 1 month Unacceptable Condition Requests for add-on testing after PAP processing Alternate Specimens Endocervical specimen in ThinPrep (PreservCyt) vial Department PAML Virology CPT Codes 87491, 87591 Test Schedule Tue, Fri Turnaround Time 2-4 days Method SDA Test Includes C. trachomatis DNA, SDA; N. gonorrhoeae DNA, SDA Notes Additional testing is recommended in any circumstance when false positive or false negative results could lead to adverse medical, social, or psychological consequences.

The BD ProbeTec CT Qx Amplified DNA Assay cannot be used to assess therapeutic success or failure since nucleic acids from C. trachomatis may persist following antimicrobial therapy. Supply Item Number 9660K

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Billing Code Test Code [sunquest] CHLAMYDOPHILA PNEUMONIAE CULTURE CHLPC CHLPC Synonyms Culture, Chlamydia Pneumoniae; Container Type Chlamydia or viral chlamydial transport media (preferred); Sterile leak-proof container Store and Transport Frozen -70C; Whole blood: ambient (room temperature) Specimen Type Bronchial lavage/wash or throat swab or nasopharyngeal aspirate or nasopharyngeal lavage/wash or tracheal aspirate or lung tissue Minimum Volume 2 mL Collection Procedure Dilute 1 part specimen and 1 part transport media Room Temp Whole blood: 2 days; all other samples: unacceptable Refrigerated Whole blood: 2 days; all other samples: 2 days Frozen (-20°C) Whole blood: unacceptable; all other samples: unacceptable Frozen (-70°C) Whole blood: unacceptable; all other samples: 2 weeks Unacceptable Condition Specimen received in non-chlamydia approved viral transport media (VTM), or Gen-Probe tubes. Alternate Specimens Tissue or pericardial fluid: Chlamydia or viral chlamydial transport media. Sterile leak-proof container. Whole blood: chlamydia or viral chlamydial transport media. Whole blood: sodium heparin (green-top). Minimum volume: 4 mL. Acceptable tissue types: arterial or cardiac tissue. Limitations Avoid wooden shaft swabs Reference Laboratory Focus Reference Lab Test Code 81030 CPT Codes 87110, 87140 Test Schedule Mon-Sun Turnaround Time 4-6 days Method Culture/Immunofluorescence Test Includes Chlamydia pneumoniae Culture

Billing Code Test Code [sunquest] CHLAMYDOPHILA PNEUMONIAE DNA QUAL RT-PCR CPDNAF CPDNAF Synonyms chlamydia Container Type Leakproof plastic container Specimen Type Bronchial wash/lavage or sputum. Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Store and transport refrigerated. Required Patient Info Source Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 30 days Alternate Specimens Throat swab, nasopharyngeal swab in 3 mL M4 media or V-C-M medium (green cap) tube or equivalent. Minimum volume 0.35 mL. Reference Laboratory Focus Reference Lab Test Code 43500 CPT Codes 87486 Turnaround Time 3-4 days Method Real-Time PCR Test Includes Source; Chlamydophila pneumoniae PCR Compliance Remarks This test was developed and its performance characteristics determined by Focus Diagnostics. Performance characteristics refer to the analytical perfomance of the test. This test is performed pursuant to a license agreement with Roche Molecular Systems, Inc.

Billing Code Test Code [sunquest] CHLORALHYDRATE CHLORAL CHLORS Synonyms Chloral Hydrate; Trichloraethanol; Chloral Hydrate Metabolite Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 1044SP CPT Codes 82491 Test Schedule Tue & Thu Turnaround Time 4-6 days Method GC Test Includes Chloralhydrate, mcg/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] CHLORALHYDRATE, URINE CHLORAL-U CHLUR Synonyms Chloral Hydrate, Urine Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 2 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated. Reference Laboratory NMS Reference Lab Test Code 1044U CPT Codes 82491 Turnaround Time 10-15 days Method GC Test Includes Chloralhydrate, Urine, ug/mL. Supply Item Number 1388

Billing Code Test Code [sunquest] CHLORAMPHENICOL CHLOR CHLOR Synonyms Chloromycetin; Chlorcal Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw peak level 1.5-3 hours after oral dose or 0.5-1.5 hours after infusion is complete. Draw trough level 0.5 hours before dose. Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 3 weeks Frozen (-20°C) 3 weeks Unacceptable Condition Whole blood, gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Limitations Avoid use of serum separator tubes and gels Reference Laboratory ARUP Reference Lab Test Code 90346 CPT Codes 82415 Test Schedule Mon-Sat Turnaround Time 3-5 days Method HPLC Test Includes Chloramphenicol, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CHLORIDE CL CL Synonyms Cl Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82435 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ISE Test Includes Chloride, mmol/L Supply Item Number 1467

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Billing Code Test Code [sunquest] CHLORIDE, CSF CL-CSF CLSF Synonyms Chloride, CSF; CL, CSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Minimum Volume 0.2 mL Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Clotted specimens Limitations Hemolysis may falsely elevate value Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82438 Test Schedule Sun-Sat Turnaround Time 1-2 days Method Ion Selective Electrode Test Includes Chloride, CSF, mmol/L Supply Item Number 7211

Billing Code Test Code [sunquest] CHLORIDE, FLUID CHFLD CLFL Synonyms Cl, Fluid Container Type Red top tube (plain) or leakproof plastic container Store and Transport Refrigerated Specimen Type Body fluid Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and transfer to a standard PAML aliquot tube or leakproof plastic container. Note type of fluid. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Clotted samples Alternate Specimens Heparin (green top tube) Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82438 Test Schedule Daily Turnaround Time 1-2 days Method ISE Test Includes Chloride, Fluid, mmol/L Supply Item Number 1372 1387

Billing Code Test Code [sunquest] CHLORIDE, URINE (RANDOM) CL-R CLUR Synonyms Cl, Urine Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82436 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ISE Test Includes Chloride, Urine, mmol/L Supply Item Number 1388

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Billing Code Test Code [sunquest] CHLORIDE, URINE 24HR CL-U CLUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms Cl, Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 50 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82436 Test Schedule Mon-sat Turnaround Time 1-2 days Method ISE Test Includes Time, h; Volume, mL; Chloride, Urine, mmol/24h Supply Item Number 1108

Billing Code Test Code [sunquest] CHLORPROMAZINE THOR CHLORP Synonyms Largactil; Ormazine; Thorazine; Thorazine Spansule Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Draw 8-12 hours post dose Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Transfer to a standard PAML aliquot tube. Room Temp 12 hours Refrigerated 3 days Frozen (-20°C) 5 days Unacceptable Condition Whole blood. Light blue (citrate) or yellow (SPS or ACD solution). Alternate Specimens SST or PST: Separate serum or plasma from gel within 6 hours and hold at room temperature or separate within 2 hours and store refrigerated; Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 90870 CPT Codes 84022 Test Schedule Mon, Thu Turnaround Time 2-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Chlorpromazine, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] CHOLESTEROL CHO CHOL Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition Oxalate, citrate, or fluoride plasma Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82465 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Cholesterol, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] CHROMATIN AUTOANTIBODY, IGG CHROMP CHROMP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex Luminex Test Includes Chromatin Autoantibody,IgG, AI Supply Item Number 1467

Billing Code Test Code [sunquest] CHROMIUM, SERUM CHROM.S CHRM This workpar is for serum specimens only Synonyms Cr, Serum Container Type Royal blue top tube (metal free plain) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over- the-counter medications (upon the advice of their physician). Specimen Processing Separate serum from cells within 6 hours and transfer to a separate trace element-free transport tube. Room Temp Acceptable Refrigerated Acceptable Frozen (-20°C) Acceptable Unacceptable Condition Separator tubes. Specimens that have not been separated from the red cells or clot within 6 hours. Limitations Do not allow serum to remain on the cells Reference Laboratory ARUP Reference Lab Test Code 98830 CPT Codes 82495 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method ICP/MS Test Includes Chromium, ug/L Notes Stability (collection to initiation of testing): If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Supply Item Number 1052

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Billing Code Test Code [sunquest] CHROMIUM, URINE 24HR CHROM-U CHRMUQ Synonyms Cr, Urine, Quantitative Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection or random urine collection Preferred Volume 10 mL Minimum Volume 5 mL Collection Procedure Collect a 24-hour urine specimen or random urine collection. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116). Required Patient Info Record total volume and collection time interval on transport tube and request form. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 25068 CPT Codes 82495 Test Schedule Tue, Fri Turnaround Time 3-7 days Method ICP/MS(DRC) Test Includes Time, h; Volume, mL; Chromium, Urine, ug/L; Chromium, Urine, ug/d; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Chromium, Urine, ug/gCr Supply Item Number 1108

Billing Code Test Code [sunquest] CHROMIUM, WHOLE BLOOD CHROM CHROM Do not use the order code for sending serum or plasma specimens. Synonyms Cr, whole blood Container Type Royal blue top tube (metal free EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Do not centrifuge tube. Send whole blood. Room Temp 30 days Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition Sodium or lithium heparin (tan, green, heparin royal blue, or light green tubes) or any tubes containing heparin based anticoagulants. Reference Laboratory NMS Reference Lab Test Code 1261B CPT Codes 82495 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ICP/MS Test Includes Chromium, Blood, mcg/L Supply Item Number 9734

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Billing Code Test Code [sunquest] CHROMOGRANIN A CHROMA CHROMA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Red top tube (plain) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 6 weeks Unacceptable Condition Plasma, icteric or lipemic samples Alternate Specimens SST tube Reference Laboratory ARUP Reference Lab Test Code 0080469 CPT Codes 86316 Test Schedule Mon, Wed, Fri Turnaround Time 2-7 days Method Cisbio Chromoa EIA Test Includes Chromogranin A, ng/mL. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S.Food & Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 1372

Billing Code Test Code [sunquest] CHROMOSOME MICROARRAY TESTING PERIPHERAL BLOOD SNPMA SNPMA

A paper requisition with clinical information and a completed pre-authorization form are required with specimen submission. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. This test is a lab developed test. For further information, see the Compliance Remarks section below. Synonyms aCGH; CGH; SNP; Array; Affymetrix; LOH; CNV; Copy Number; Deletion; Duplication; Micro Array; Cytoscan HD Container Type Lavender top tube (EDTA) and green top tube (Sodium Heparin) Store and Transport Lavendar top tube: refrigerated; green top tube: ambient (room temperature). Ship Category B Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure A paper requisition with clinical information and completed pre-authorization form are required with specimen submission. Required Patient Info A requisition with clinical information and a completed pre-authorization form are required with specimen submission. Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unstable Frozen (-70°C) Unstable Unacceptable Condition Serum, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tube and frozen specimens. Alternate Specimens Yellow top tube (ACD) or blue top tube (Sodium Citrate) Limitations This assay does not detect balanced rearrangements or low-level mosaicism. Department PAML Cytogenetics CPT Codes 81229 Test Schedule Weekly Turnaround Time 2-4 weeks Method Whole Genomic Microarray (CNV and SNP oligo array) Test Includes Cytogenomic SNP Microarray Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. There results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222, 1397, 1398

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Billing Code Test Code [sunquest] CHRONIC URTICARIA INDEX CUIIBT CUIIBT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1.0 mL Patient Prep Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Specimen Processing Blood should be collected and allowed to clot prior to centrifugation. Separate into a clean plastic tube and store at room temperature. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 1 year Reference Laboratory IBT Reference Lab Test Code 2103 CPT Codes 86352 Test Schedule Mon-Fri Turnaround Time 4-7 days Method Ex Vivo Challenge, Cell Culture and Histamine Analysis Test Includes CU Index Compliance Remarks This test was developed and its performance characteristics determined by IBT Reference Lab. It has not been cleared or approved by the FDA. Notes The CU Index test is the second generation Functional Anti-FcER test. Patients with a CU Index GT or equal to 10 have basophil reactive factors in their serum which supports an autoimmune basis for disease. Supply Item Number 1467

Billing Code Test Code [sunquest] CHRONIC URTICARIA PANEL CURTP CURTP Container Type Red top tube (plain) Store and Transport Transport refrigerated Specimen Type Serum Preferred Volume 4.4 mL Minimum Volume 2.2 mL Patient Prep Patients taking calcineurin inhibitors should stop their medication for 72 hours prior to draw. Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 4 days Refrigerated 7 days Frozen (-20°C) 28 days Unacceptable Condition Gross hemolysis, Lipemia, Icteric specimen, sample other than serum, serum separator tube (SST) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 16440 CPT Codes 84443, 86343, 86376, 86800 Test Schedule Histamine Release: Tue, Thurs - 3-8 days, Thyrpoid Peroxidase Ab: Mon-Fri - 4-7 days, Thyroglobulin Ab: Tue-Sat - 3-6 days, TSH, 3rd Generation: Mon-Fri - 4-7 days Method Immunochemiluminometric Assay by ADVIA Centaur, Cell Culture, Immunoassay Test Includes Histamine Release (Chronic Urticaria); Thyroid Peroxidase Antibody (Anti-TPO); Thyroglobulin Antibody; TSH, 3rd Generation Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.

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Billing Code Test Code [sunquest] CHYLOMICRON SCREEN, BODY FLUID CHYSBF CHYSBF Container Type Leakproof plastic tube. Specimen Type Body fluid. Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Store and transport refrigerated. Required Patient Info Type of body fluid. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, or whole blood. Frozen specimens. Reference Laboratory ARUP Reference Lab Test Code 0098457 CPT Codes 82664 Test Schedule Thu Turnaround Time 2-9 days Method Electrophoresis Test Includes Source; Chylomicron Screen. Supply Item Number 1766

Billing Code Test Code [sunquest] CIMETIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCCIM TLCCIM SUR. Synonyms Tagamet Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Cimetidine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] CIMETIDINE, SERUM/PLASMA TAG TAG Synonyms Tagamet Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.2 mL Specimen Processing Promptly centrifuge and separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Plasma: lavender top tube (EDTA) or pink top tube Limitations No SST tubes Reference Laboratory NMS Reference Lab Test Code 1262SP CPT Codes 82491 Test Schedule Wed Turnaround Time 4-9 days Method HPLC Test Includes Cimetidine, mcg/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] CITALOPRAM CELEX CELEX Synonyms Celexa; Celexa/Lexapro Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport at refrigerated. Room Temp 30 days Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition Do not use SST or PST gel type tubes. Alternate Specimens EDTA OR K2 EDTA plasma (lavender or pink top tube). Reference Laboratory NMS Reference Lab Test Code 1272SP CPT Codes 83789 Test Schedule varies Turnaround Time varies Method LC-MS/MS Test Includes Citalopram, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] CITALOPRAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCCIT TLCCIT SUR. Synonyms Celexa; Cipramil Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 2000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Citalopram Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] CITRIC ACID, URINE 24HR CITQU CITQU Synonyms Citric Acid; Citrate, Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 4 mL Minimum Volume 0.5 mL Collection Procedure Add 10 mL 6N HCl to a 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 2 or less with 6N HCl. Record total volume. Required Patient Info Record total volume and collection time interval on the transport tube and request form. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) Indefinitely Alternate Specimens Random urine specimen Reference Laboratory ARUP Reference Lab Test Code 20852 CPT Codes 82507 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Enzymatic Test Includes Time, hr; Volume, mL; Citric Acid, Urine, mg/L; Citric Acid, Urine, mg/d; Creatinine, Urine, mg/L; Creatinine, Urine, mg/d; Citric Acid/CRT Ratio, Urine, mg/g Supply Item Number 1108

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Billing Code Test Code [sunquest] CLINICAL HEMATOLOGY INTERPRETATION, COMPREHENSIVE CHICOM CHICOM This workpar is to be used to request an interpretation by a pathologist or hematologist on comprehensive submitted specimens and/or test results. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 80502 Test Includes Reviewed material; Interpretation; Reviewed by; Comment.

Billing Code Test Code [sunquest] CLINICAL HEMATOLOGY INTERPRETATION, LIMITED CHILIM CHILIM This workpar is to be used to request an interpretation by a pathologist or hematologist on limited submitted specimens and/or test results. Department PSHMC Hematology Reference Laboratory PSHMC Reference Lab Test Code Hematology CPT Codes 80500 Test Includes Reviewed material; Interpretation; Reviewed by; Comment.

Billing Code Test Code [sunquest] CLOMIPRAMINE AND METABOLITE, SERUM OR PLASMA CLOMIP CLOMIP Synonyms Anafranil; Desmethylclomipramine; Norclomipramine Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 99336 CPT Codes 80299 Test Schedule Daily Turnaround Time 2-3 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Clomipramine, ng/mL; Desmethylclomipramine, ng/mL; Total, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] CLONAZEPAM CLON CLON Synonyms Klonopin; Rivotril Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 6 weeks Refrigerated 6 weeks Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 90055 CPT Codes 80154 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Clonazepam, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] CLONIDINE CLONIDINE CLONID Synonyms Catapres Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Room Temp 30 days Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition SST or PST tubes. Alternate Specimens EDTA or K2EDTA plasma (lavender or pink top tubes). Reference Laboratory NMS Reference Lab Test Code 1275SP CPT Codes 83789 Test Schedule Mon, Thu Turnaround Time 5-7 days Method LC-MS/MS Test Includes Clonidine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] CLORAZEPATE TRAN CLORAZ Synonyms Tranxene Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90196 CPT Codes 80154 Test Schedule Sun-Sat Turnaround Time 3-5 days Method GC Test Includes Clorazepate, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] CLOSTRIDIUM DIFFICILE BY PCR CDTPCR CDTPCR Synonyms Clostridium Difficile; Clostridium Difficile Toxin; C. Diff Toxin; C. Diff; C. Difficile Toxin B Container Type Sterile leakproof container Store and Transport Refrigerated Specimen Type Soft or liquid stool Preferred Volume 1 gram Minimum Volume 0.5 mL Collection Procedure Collect 1 gram of soft or liquid feces in a dry, sterile, leakproof container Required Patient Info Source Room Temp 2 days Refrigerated 5 days Frozen (-20°C) Specimens can still be tested after one freeze and thaw cycle Frozen (-70°C) Specimens can still be tested after one freeze and thaw cycle Unacceptable Condition Formed or hard stool, urine, toilet paper, water or soap contamination of specimen, specimens in transport media or preservatives Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87493 Test Schedule Daily Turnaround Time 1-3 days Method Polymerase Chain Reaction Test Includes Source; Clostridium difficile Toxin B gene Result; Clostridium difficile Toxin B gene Status Supply Item Number 1387 2.1 www.paml.com 4/16/2013 page 282 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CLOSTRIDIUM DIFFICILE CYTOTOXIN ANTIBODY CDIFAB CDIFAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 30 days Unacceptable Condition Stool, other sterile body fluids, specimens received at room temperature Reference Laboratory Focus Reference Lab Test Code 81055 CPT Codes 87230 Test Schedule Tue Turnaround Time 3-9 days Method Neutralization Test Includes Clostridium difficile Cytotoxin Antibody Supply Item Number 1467

Billing Code Test Code [sunquest] CLOSTRIDIUM DIFFICILE CYTOTOXIN ASSAY CL-TOX CLTOX Synonyms C. difficile Toxin; C-Diff; Clostridium Difficile Toxin; CDIFF; CLTOX; CL-TOX; C. difficile; Toxin B Container Type Clean, leakproof, wax-free container Store and Transport Refrigerated Specimen Type Fresh stool Preferred Volume Walnut-sized portion Required Patient Info Specimen source Room Temp 2 hours Refrigerated 3 days Frozen (-20°C) GT 3 days; avoid freeze/thaw cycles Unacceptable Condition Stool stored at room temperature GT 2 hrs, or stool received in transport media Department PAML Virology CPT Codes 87230 Test Schedule Daily Turnaround Time 1-3 days Method Tissue Culture Cytotoxin Assay Test Includes Source; C. difficile Toxin; C. difficile Toxin, Status Notes This test detects presence of C. difficle cytotoxin Toxin B, but does not differentiate between toxins A and B. Suggest alternate C. difficile by PCR (CDTPCR) as a rapid screen for presence of C. difficile toxin in unformed stools. Supply Item Number 1388

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Billing Code Test Code [sunquest] CLOZAPINE CLOZ CLOZ Synonyms Clozaril; Fazacoi; Froidir; Leponex Container Type Lavendar top tube (EDTA) Store and Transport Ship and store frozen. Refrigeration is acceptable for shipping. Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.6 mL Patient Prep Optimal time to collect sample: 0.5-1 hour before next oral dose at steady state. (Time to steady state: 3-5 days) Collection Procedure For plasma, collect blood into lavender-top tube. Centrifuge at 2000-2200 rpm (1000 g) at 15-25 C for 8-10 min to separate the plasma. Pipet or pour the plasma into polypropylene or polyethylene tubes. Ship and store frozen. Refrigeration is acceptable for shipping. For serum, collect blood into plain red-top tube. Allow tube to stand at 15-28 C for 20-30 min for clotting. Centrifuge at 2000-2200 rpm (1000 g) at 15-25 C for 8-10 min to separate the serum. Pipet serum into polypropylene or polyethylene tubes. Ship and store frozen. Refrigeration is acceptable for shipping. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube.

Room Temp 7 days Refrigerated 1 month Frozen (-20°C) 2 months Alternate Specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube); serum, red top tube (plain) only Limitations Avoid the use of serum separator tubes and gels Department PAML Bioanalytics CPT Codes 80299 Test Schedule Tue, Thu, Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry Test Includes Clozapine, ng/mL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Diazepam may interfere with this assay and produce unreliable results.

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Billing Code Test Code [sunquest] CLOZAPINE/NORCLOZAPINE CLONOR CLONOR Synonyms Clozaril; Fazacoi; Froidir; Leponex Container Type Lavendar top tube (EDTA) Store and Transport Ship and store frozen. Refrigeration is acceptable for shipping. Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.6 mL Patient Prep Optimal time to collect sample: 0.5-1 hour before next oral dose at steady state. (Time to steady state: 3-5 days) Collection Procedure For plasma, collect blood into lavender-top tube. Centrifuge at 2000-2200 rpm (1000 g) at 15-25 C for 8-10 min to separate the plasma. Pipet or pour the plasma into polypropylene or polyethylene tubes. Ship and store frozen. Refrigeration is acceptable for shipping. For serum, collect blood into plain red-top tube. Allow tube to stand at 15-28 C for 20-30 min for clotting. Centrifuge at 2000-2200 rpm (1000 g) at 15-25 C for 8-10 min to separate the serum. Pipet serum into polypropylene or polyethylene tubes. Ship and store frozen. Refrigeration is acceptable for shipping. Specimen Processing Separate serum or plasma from cells and place in separate plastic tube Room Temp 7 days Refrigerated 1 month Frozen (-20°C) 2 months Alternate Specimens EDTA, sodium heparinized or sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube); serum, red top tube (plain) only Limitations Avoid the use of serum separator tubes and gels Department PAML Bioanalytics CPT Codes 80299 x 2 Test Schedule Tue, Thu, Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry Test Includes Clozapine, ng/mL; Norclozapine, ng/mL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

Billing Code Test Code [sunquest] COAGULATION PROFILE COAG-BAT COAGB Container Type Lavender top tube (EDTA), Blue top tube (buffered sodium citrate) and Smears. Specimen Type EDTA whole blood and buffered sodium citrate whole blood and smears. Preferred Volume Whole blood samples filled to capacity Minimum Volume 3 mL blue top, 0.5 EDTA microtainer plus slides. Collection Procedure Bleeding Time procedure performed at any Patient Service Center. Specimen Processing Sodium citrated whole blood and EDTA whole blood. Two peripheral blood smears. EDTA whole blood should be transported at refrigerated temperature. Assays on nonheparinized patients must be performed within 24 hours of collection. Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at RT (22-24C). Assays on specimens suspected to contain unfractionated heparin therapy kept at RT (22-24C) should be centrifuged and the plasma removed from the cells within 1 hour of collection and performed within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Unacceptable Condition Severely hemolyzed, clotted, improperly filled tubes or specimens more than 4 hours old that have not been handled as described. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85002, 85025, 85610, 85730 Test Schedule Daily-all shifts Turnaround Time 1-2 days Test Includes Bleeding Time, min; PT, sec; PTT, sec; PLT, K/uL; Interpretation; Reviewed By. Supply Item Number 1222

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Billing Code Test Code [sunquest] COBALT, BLOOD COBABA COBABA Synonyms Co, Blood; COB Container Type K2EDTA or Na2EDTA (royal blue top tube) Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 0.5 mL Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician). Specimen Processing Store and transport in original collection tube at room temperature.

Room Temp If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Unacceptable Condition Heparin anticoagulants. Reference Laboratory ARUP Reference Lab Test Code 0099231 CPT Codes 83018 Test Schedule Tue & Fri Turnaround Time 2-6 days Method ICP/MS Test Includes Cobalt, Blood ug/L. Notes Elevated results from noncertified trace element-free tubes may be due to contamination. Elevated concentrations of trace elements in blood should be confirmed with a second sample collected in a tube designed for trace element determinations, such as a royal blue (Na2EDTA) tube.

Billing Code Test Code [sunquest] COBALT, SERUM OR PLASMA COBASA COBASA Synonyms COS Container Type Plain royal blue top tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician). Specimen Processing Separate serum from the cells ASAP and put into a ARUP Trace Element-Free Transport Tube. Store and transport at room temperature.

Room Temp If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Unacceptable Condition SST & specimens not separated form the red cells or clot within 6 hours. Alternate Specimens EDTA plasma (royal blue top tube EDTA). Reference Laboratory ARUP Reference Lab Test Code 0025037 CPT Codes 83018 Test Schedule Tue & Fri Turnaround Time 2-6 days Method ICP/MS Test Includes Cobalt, ug/L. Supply Item Number 9734

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Billing Code Test Code [sunquest] COBALT, URINE 24HR COBAUA COBAUA Synonyms Co, Urine; COU Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Random or 24-hour urine collection Preferred Volume 10 mL Minimum Volume 5 mL Patient Prep Patients should be encouraged not to take nutritional supplements, vitamins, minerals, & nonessential over-the-counter medications (upon advice of their physician). Collection Procedure Collect a random or 24-hour urine collection in a leakproof plastic urine container. Refrigerate during collection. Specimen Processing Submit 10 mL aliquot from a well-mixed urine collection into two trace element-free transport tubes.

Required Patient Info Record total volume and collection time on tube & request form. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine. Reference Laboratory ARUP Reference Lab Test Code 0025032 CPT Codes 83018 Test Schedule Wed, Sat Turnaround Time 2-6 days Method ICP/MS Test Includes Hrs Collected, hrs; Total Volume, mL; Creatinine, Ur, mg/dL; Creatinine, Ur, mg/d; Cobalt, Urine,ug/L; Cobalt, Urine, ug/d; Cobalt, Urine, ug/gCRT Notes Diet, medication, and nutritional supplements may introduce interfering substances.

Billing Code Test Code [sunquest] COCAINE & METABOLITES COCQTS COCQTS Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum or Plasma Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Promptly separate serum or plasma from cells and place in separate plastic tube. Room Temp 1 day Refrigerated 10 days Frozen (-20°C) 2 weeks Unacceptable Condition Specimens received at room temperature. Polymer gel separation tube (SST or PST). Alternate Specimens Gray top tube (sodium flouride/potassium oxalate) Reference Laboratory NMS Reference Lab Test Code 1300SP CPT Codes 82520 Test Schedule Mon, Tue, Wed, Thu, Fri Turnaround Time 3-5 days Method GC/MS Test Includes Cocaine, ng/mL; Cocaethylene, ng/mL; Benzoylecgonine, ng/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] COCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. TLCCOC TLCCOC Synonyms Benzoylecgonine; Cocaine metabolite; Cocaine HCL Injectable; Blow; Bump; C; Candy; Charlie; Coke; Crack; Flake; Rock; Snow; Toot Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes The Cocaine metabolite(Benzylecgonine) Notes Test is also included in Comprehensive Drug Survey

Billing Code Test Code [sunquest] COCAINE CONFIRMATION BY GC/MS MSCOC MSCOC Synonyms Benzoylecgonine; Cocaine HCL Injectable; Blow; Bump; C; Candy; Charlie; Coke; Crack; Flake; Snow; Rock; Toot Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 150 ng/mL Department PAML Toxicology CPT Codes 82520 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Gas Chromatography Mass Spectrometry Notes Identifies Cocaine's major metabolite benzoylecgonine Supply Item Number 1388

Billing Code Test Code [sunquest] COCAINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN TLCCOC TLCCOC DRUG-SUR. Synonyms Benzoylecgonine; Cocaine HCL Injectable; Blow; Bump; C; Candy; Charlie; Rock; Toot; Coke; Crack; Flake; Snow Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 700 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Modified Thin Layer Chromatography Test Includes Benzoylecgonine, Cocaine Notes Identifies Cocaine's major metabolite benzoylecgonine Test is also included in Comprehensive Drug Survey Supply Item Number 1388

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Billing Code Test Code [sunquest] COCAINE SCREEN (REFLEXIVE) COC+ COC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Cocaine HCL Injectable; Benzoylecgonine; Coke; Crack; Flake; Snow; Blow; Bump; C; Candy; Charlie; Rock; Toot Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 150 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA Notes Positive results will automatically be confirmed Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCCOC 82489 automatically be run

Billing Code Test Code [sunquest] COCCIDIOIDES ANTIBODIES, IGG & IGM BY ELISA COCAB COCAB Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure Parallel testing is preferred and convalescent specimens must be received within 30 days from the receipt of acute specimens, Store and transport refrigerated. Specimen Processing Separate the serum from the cells ASAP and put in a separate plastic tube. Mark the specimens as acute or convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Severely lipemic, contaminated, or hemolyzed specimens. Avoid repeated freeze/thaw cycles. Alternate Specimens CSF. Reference Laboratory ARUP Reference Lab Test Code 0050137 CPT Codes 86635 x 2 Test Schedule Mon-Fri Turnaround Time 2-6 days Method ELISA Test Includes Coccidioides Ab, IgG, IV; Coccidioides Ab, IgM, IV. Notes Parallel testing is preferred. Supply Item Number 1467

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Billing Code Test Code [sunquest] COCCIDIOIDES ANTIBODY BY CF COCC.CF COCCAB Acute and convalescent samples advised. Synonyms San Joaquin Fever AB By CF; Valley Fever By CF Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place is separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic or contaminated specimens. Alternate Specimens 2 mL CSF. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50170 CPT Codes 86635 Test Schedule Sun-Fri Turnaround Time 3-5 days Method CF Test Includes Coccidioides Antibody. Supply Item Number 1467

Billing Code Test Code [sunquest] COCCIDIOIDES ANTIBODY BY ID COCID COCID Synonyms Coccidioidomycosis IgG/IgM (Coccidioides Antibody by ID); San Joaquin Fever Antibody (Coccidioides Antibody by ID); Valley Fever (Coccidioides Antibody by ID) Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.15 mL. Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Bloody or grossly hemolyzed specimens. Avoid repeated freeze/ thaw cycles. Alternate Specimens CSF. Reference Laboratory ARUP Reference Lab Test Code 0050183 CPT Codes 86635 Test Schedule Sun-Fri Turnaround Time 4-6 days Method Qualitative Immunodiffusion Test Includes Coccidioides Antibody by ID. Notes This test uses culture filtrates of Coccidioides immitis and includes IDCF and IDTP antigens.

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Billing Code Test Code [sunquest] COCCIDIOIDES ANTIBODY PANEL, CSF COC.AB-CSF COCPSF Synonyms San Joaquin Fever Antibodies, CSF; Valley Fever, CSF Container Type CSF sterile plastic tube Store and Transport Store and transport refrigerated Specimen Type CSF Preferred Volume 2 mL Minimum Volume 2- 0.5 mL aliquots Specimen Processing 2-1 mL aliquots of spinal fluid in two sterile plastic tubes. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles) Unacceptable Condition Grossly bloody or hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 50710 CPT Codes 86635 x 4 Test Schedule Varies Turnaround Time 3-6 days Method CF, ELISA, ID Test Includes Coccidioides Antibody, CSF by CF, Titer; Coccidioides Antibody, IgG, IV; Coccidioides Antibody, IgM, IV; Coccidioides Antibody, by ID Supply Item Number 7211

Billing Code Test Code [sunquest] COCCIDIOIDES ANTIBODY, CF AND ID, SERUM COCDAB COCDAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tubes. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (FOCUS) Reference Lab Test Code 2365 CPT Codes 86635 x 2 Test Schedule Mon-Fri Turnaround Time 3-6 days Method CF (Complement Fixation) and ID (Immunodiffusion) Test Includes Coccidioides Antibody, Complement Fixation, Serum Coccidioides Antibody, Immunodiffusion, Serum

Billing Code Test Code [sunquest] COCCIDIOIDES IMMITIS ID BY DNA COCIPR COCIPR

Container Type See below Store and Transport Ship Category A Specimen Type See below Preferred Volume See below Collection Procedure See below Specimen Processing Viable fungal isolate in pure culture on nonblood-containing fungal medium. Required Patient Info Source and suspected pathogen Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) Unacceptable Unacceptable Condition Nonviable cultures, frozen cultures, mixed cultures, leaking containers, and organisms submitted on agar plates. Reference Laboratory ARUP Reference Lab Test Code 62225 CPT Codes 87149 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Nucleic Acid Probe Test Includes Source; Coccidioides Immitis ID by DNA Probe. Supply Item Number Client supplied

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Billing Code Test Code [sunquest] CODEINE CONFIRMATION BY LC-MS/MS LCOP6 LCOP6 Synonyms Codeine; Tylenol 3; Robitussin A-C Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tandem Mass Spectrometry Test Includes Codeine Notes Test is also included in Comprehensive Drug Survey, replaces TLCOPA

Billing Code Test Code [sunquest] COENZYME Q10A, TOTAL CQ10A CQ10A Separate samples must be submitted when multiple tests are ordered Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Patient Prep Patient should fast overnight prior to specimen collection. Patient may have water. It is not necessary to discontinue nutritional supplements prior to this test. Specimen Processing Separate serum or plasma from cells and transfer to an amber plastic tube and freeze. Protect from light within one hour of collection and during storage and shipment. Room Temp Unacceptable Refrigerated 3 weeks Frozen (-20°C) 1 month Unacceptable Condition Specimens other than heparinized plasma or serum. Hemolyzed specimens. Specimens exposed to repeated freeze/thaw cycles. Alternate Specimens Plasma separator tube, green (sodium or lithium heparin), serum separator tube. Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 81119 CPT Codes 82491 Test Schedule Sun, Thu Turnaround Time 2-6 days Method Quantitative High Performance Liquid Chromatography Test Includes Coenzyme Q10A, Serum Supply Item Number 1372

Billing Code Test Code [sunquest] COLD AGGLUTININS COLD COLD Submit both serum and cells Container Type Red top tube (plain) Store and Transport Serum: refrigerated; Cells: ambient (room temperature) Specimen Type Serum and cells Minimum Volume 0.5 mL serum Collection Procedure Draw one 10 mL red top tube. Allow blood to clot in 37C incubator. Specimen Processing After tube has clotted in the 37C incubator, separate the serum from the cells. If patient cells are not submitted, Group O cells will be used in testing. Unacceptable Condition Separator tubes (SST/Corvac) Department PAML Immunology CPT Codes 86157 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Agglutination Test Includes Cold Agglutinins, Titer Notes Any Group O cells may be used in lieu of patient's cells. Supply Item Number 1372

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Billing Code Test Code [sunquest] COLLAGEN TYPE II ANTIBODY CT2ABI CT2ABI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Grossly hemolyzed, lipemic, or icteric samples; avoid repeated freeze/thaw cycles Reference Laboratory IMMCO Reference Lab Test Code 15 CPT Codes 83520 Test Schedule Varies Turnaround Time 8-10 days Method ELISA Test Includes Collagen Type II Antibodies, EU/mL Compliance Remarks This test was developed and its performance characteristics determined by IMMCO. It has not been cleared or approved by the U.S. Food and Drug Administration.

Billing Code Test Code [sunquest] COLONY COUNT DIALYSATE CCDI CCDI Container Type Sterile leakproof container Store and Transport Refrigerated Specimen Type Dialysate fluid Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Dialysate samples should be collected from a dialysate port of the dialyzer, if possible. Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) Unacceptable Unacceptable Condition Refrigerated samples GT 24 hours old, room temperature, or frozen samples Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070 Test Schedule Daily Turnaround Time 2 days Method Culture Test Includes Source; Culture, Fluid; Report Status Supply Item Number 1326

Billing Code Test Code [sunquest] COLONY COUNT DIALYSIS WATER CCDW CCDW Container Type Sterile leakproof container Store and Transport Refrigerated Specimen Type Dialysis water Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Water samples should be collected after allowing the water to run for at least 60 seconds before a sample is collected in a sterile, endotoxin-free container. Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Refrigerated samples GT 24 hours old, room temperature, or frozen samples Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070 Test Schedule Daily Turnaround Time 2 days Method Culture Test Includes Source; Culture, Fluid; Report Status Supply Item Number 1326

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Billing Code Test Code [sunquest] COLORADO TICK FEVER IGG ANTIBODY COL.TICK COTICK Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40305 CPT Codes 86790 Test Schedule Tue, Thu Turnaround Time 3-5 days Method IFA Test Includes Colorado Tick Fever IgG Antibody, Titer. Compliance Remarks This test was developed and its performance characteristics determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Supply Item Number 1467

Billing Code Test Code [sunquest] COMPLEMENT C1Q COMC1Q COMC1Q Container Type Red top tube (plain) Store and Transport Store and transport room temperature Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 2 months Unacceptable Condition Reject criteria: Gel barrier tubes are not acceptable as they interfere with assay methodology. Alternate Specimens Plasma EDTA Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 1615 CPT Codes 86160 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Nephelometry Test Includes C1q Complement, mg/dL

Billing Code Test Code [sunquest] COMPLEMENT COMPONENT 1, FUNCTIONAL COM1 COM1 Synonyms C1 Container Type Plain red top tube Specimen Type Frozen serum Preferred Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze within 2 hours of collection. Store and transport frozen. This is a critical frozen specimen. Unacceptable Condition Plasma samples. Reference Laboratory National Jewish CPT Codes 86161 Test Schedule Varies Turnaround Time 4 weeks Method Hemolytic Assay Test Includes Complement Component 1, Functional, C1H50 Units/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] COMPLEMENT COMPONENT C5 C5SP C5SP Synonyms C5 Complement; C5 Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and place in plastic tubes. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Quest Reference Lab Test Code 45054P CPT Codes 86160 Test Schedule 3 days a week Turnaround Time 2-5 days Method RID Test Includes C5, mg/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] COMPLEMENT COMPONENT C7 C7SP C7SP This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms C7 Complement; C7 Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate plasma from the cells and place in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Alternate Specimens EDTA plasma (lavender top tube) Reference Laboratory Quest Reference Lab Test Code 45088P CPT Codes 86160 Test Schedule 2 days per week Turnaround Time 2-5 days Method RID Test Includes C7, mg/dL Compliance Remarks This test was performed using a kit that has not been approved or cleared by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1467

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Billing Code Test Code [sunquest] COMPLEMENT COMPONENT C8 C8SP C8SP Synonyms C8 Complement; C8 Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate plasma from cells and place in plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 3 weeks Reference Laboratory Quest Reference Lab Test Code 45096P CPT Codes 86160 Test Schedule 1 day a week Turnaround Time 4-6 days Method RID Test Includes C8, mg/dL. Compliance Remarks This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1467

Billing Code Test Code [sunquest] COMPLEMENT COMPONENT C9 C9CSP C9CSP This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms C9 Complement; C9 Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Ambient sample, gross hemolysis, and lipemia Alternate Specimens EDTA or potassium EDTA PPT plasma (lavender or white top tube) Reference Laboratory Quest Nichols Reference Lab Test Code 34896 CPT Codes 86160 Test Schedule 2 days per week Turnaround Time 5-10 days Method RID Test Includes C9, mg/dL. Compliance Remarks This test was performed using a kit that has not been approved or cleared by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1467

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Billing Code Test Code [sunquest] COMPLEMENT SPLIT PRODUCT C3AL C3AL C3AL Critical Frozen at -70 degrees C Synonyms C3AL Complement Split Product Container Type Lavender top tube (EDTA) Store and Transport Frozen on dry ice Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 500 uL Specimen Processing Centrifuge at room temp within one half hour of collection; preferably immediately after venipuncture. Transfer the cell-free plasma to a clean tube and immediately freeze the cell-free plasma on dry ice or at -70 C. Room Temp Not acceptable Refrigerated Not acceptable Frozen (-20°C) Not acceptable Frozen (-70°C) 1 year Unacceptable Condition Thawed specimen Reference Laboratory Advanced Diagnostic Laboratories, National Jewish Health Reference Lab Test Code C3AL CPT Codes 86160 Test Schedule 1st & 3rd Thursday of each month Turnaround Time 25 days Method RIA Test Includes Complement Split Product C3AL, ng/mL. Supply Item Number 1222

Billing Code Test Code [sunquest] COMPLEX DRUG ANALYSIS CDA CDA Department PAML Toxicology CPT Codes 80299 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Will vary with specimen Notes The Complex Drug analysis provides testing on miscellaneous specimens including pills, syringe concentration comparison, and other non biological specimens not listed in the PAML directory. The methods of analysis will vary with the specimen. You must contact the Toxicology Department prior to sending specimens for acceptability.

Billing Code Test Code [sunquest] COMPLIANCE METHADONE TESTING CPMETD CPMETD Synonyms Dolophine; Dollies; Meth; Fizzies; Amidone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 83840 Test Schedule Mon-Sat Turnaround Time 1-2 days Method GCMS Test Includes Methadone Metabolite (EDDP) Notes This work par will have the sample tested for Methadone Metabolite by GC/MS to the limit of detection. Supply Item Number 1388

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Billing Code Test Code [sunquest] COMPLIANCE MORPHINE TESTING CPMORP CPMORP Synonyms Roxanol; Duramorph; MS Contin; Oramorph; MSIR; Kadian; Astramorph; Avinza; M; Miss Emma; Monkey; White Stuff Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method LC-MS/MS Test Includes Morphine Notes This work par will have Morphine tested to the Limit of Detection by LC-MS/MS Supply Item Number 1388

Billing Code Test Code [sunquest] COMPLIANCE OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. CPALOP CPALOP INCLUDES OXYCODONE, HYDROCODONE, HYDROMORPHONE. Synonyms (Oxycodone) Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Hydrocodone; Anexsia; Lorcet; Lortab; Norco; Panacet; Zydone; Hydromorphone; Dilaudid; Palladone Container Type Leakproof plastic urine container Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method LC-MS/MS Test Includes Oxycodone, Hydrocodone, Hydromorphone Notes This work par will test Oxycodone, Hydrocodone, and Hydromorphone down to the limit of detection by LC-MS/MS. Supply Item Number 1388

Billing Code Test Code [sunquest] COMPLIANCE OXYCODONE TESTING CPOXY CPOXY Synonyms Oxycodone; Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Perkies; 40; 40-bar; 80; Kicker; OCs; Os; Ox; Oxy; Oxycotton; Pills Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method LC-MS/MS Test Includes Oxycodone Notes This work par will test for Oxycodone down to the limit of detection by LC-MS/MS Supply Item Number 1388

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Billing Code Test Code [sunquest] COMPREHENSIVE DRUG SURVEY DRUG-SUR CDRS

Container Type Random urine Specimen Type Urine Preferred Volume 50 mL Minimum Volume 10 mL Limitations Most drugs with 0.5 to 2 ug/mL cutoffs Department PAML Toxicology CPT Codes 82489, 80101 x 11 (HCPCS G0431) Test Schedule Mon-Fri Turnaround Time 1-2 days Method Emit/TLC/LC-MS/MS Test Includes Acetminophen, Amitriptlyine, Amphetamine, Benzl Alcohol, Caffeine, Carboxy Thc, Carbamazepine, Cimetidine, Citalopram, Cocaine and or metabolite (BEG), Codeine, Cyclobenzaprine, Desipramine, Dextromethorphan, Diphenhydramine, Doxepin, Doxylamine, Ephedrine/Pseudoephedrine, Erythromycin, Fluoxetine, Flurazepam, Hydrocodone, Hydrocortisone, Hydromorphone, Imipramine, Ketamine, Lidocaine, Methylenedioxyamphetamine(MDA), Methylenedioxymethamphetamine(MDMA), Meperidine, Meprobamate, Methadone, Methamphetamine, Methocarbamol, Metoprolol, Mirtazepine, Morphine, Nicotine, Nortriptyline, Olanzaprine, Oxycodone, Paroxetine, Pentazocine, Phencyclidine, Phenobarbital, Phenolphthalein, Phenothiazines, Phentermine, Phenylpropanolamine, Phenytoin, Proxpoxyphene, Norpropoxyphene, Propranolol, Psilocin(OD only), Quetiapine, Quinine/Quinidine, Ranitidine, Sertraline, Spironolactone, Strychnine, Theophylline, Temazepam, Tramadol, Trazodone/Nefazodone, Triamterine, Trihexyphenidyl, Trimethoprim, Trimipramine, Tripelenamine, Venlafaxine, Verapamil, Ethanol, Methaqualone, Benzodiazepine group Notes The Comprehensive Drug Survey offers qualitative identification of a broad spectrum of licit and illicit drugs. The sample is tested by Emit and TLC. Supply Item Number 1388

Billing Code Test Code [sunquest] COMPREHENSIVE DRUG SURVEY/GASTRIC DRUG-SUR.G CDRSG Container Type Random urine Specimen Type Gastric Preferred Volume 15 mL Minimum Volume 5 mL Department PAML Toxicology CPT Codes G0431 x 11, 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Emit/TLC/LC-MS/MS Notes The Comprehensive Drug Survey (Gastric) offers qualitative identification of a broad spectrum of licit and illicit drugs. The sample is tested by Emit and TLC.

Billing Code Test Code [sunquest] COMPREHENSIVE METABOLIC PANEL CMPA CMPA Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP. If red top tube is collected, separate serum from cells ASAP and transfer to a standard PAML aliquot tube and cap immediately. Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated and protected from light. Unacceptable Condition EDTA, sodium citrate or sodium fluoride-potassium oxalate plasma specimens Alternate Specimens If plasma must be used, use lithium heparin Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80053 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio; Calcium, mg/dL; Total Protein, g/dL; Albumin, g/dL; Bilirubin, Total, mg/dL; Alkaline Phosphatase, U/L; ALT (SGPT), U/L; AST(SGOT), U/L; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap Notes Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Plasma is not recommended since fibrinogen will add to the protein being measured. Supply Item Number 1467 or 1372

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Billing Code Test Code [sunquest] COMPREHENSIVE METABOLIC PANEL WITH GFR CMPD CMPD Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely. Separate serum or plasma from cells ASAP. If red top tube is collected, separate serum from cells ASAP and transfer to standard PAML aliquot tube and cap immediately. Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated and protected from light.. Unacceptable Condition EDTA, sodium citrate or sodium fluoride-potassium oxalate plasma specimens. Alternate Specimens If plasma must be used, use lithium heparin (green top tube) Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80053 Test Schedule Mon-Fri and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Hexokinase, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; BUN/Creatinine Ratio; Calcium, mg/dL; Total Protein, g/dL; Albumin, g/dL; Bilirubin, Total, mg/dL; Alkaline Phosphatase, U/L; ALT (SGPT), U/L; AST(SGOT), U/L; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap; Estimated Glomerular Filtration Rate, mL/min/1.73m2 Notes Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Plasma is not recommended since fibrinogen will add to the protein being measured. Supply Item Number 1467 or 1372

Billing Code Test Code [sunquest] CONNECTIVE TISSUE DISEASE (REFLEXIVE) CTD CTD This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Lupus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated: 2 tubes AND Frozen: 1 tube Specimen Type Serum, frozen serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and transfer to 3 separate standard PAML aliquot tubes. Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed, lipemic, contaminated, or heat-treated samples Department PAML Chemistry, PAML Immunology CPT Codes 86038, 86160 x 2, 86200, 86431 Test Schedule Tue, Thu, Sat Turnaround Time 2-5 days Method Multiplex Luminex, Nephelometry, ELISA Test Includes Complement, C3, mg/dL; Complement, C4, mg/dL; Cyclic Citrullinated Peptide Antibody, IgG, EU; RA, IU/mL; ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes ANA Screen is positive DSDNA, Smith, Ribosomal P, Chromatin, RNP, 86225, 86235 x 9, 83516 SMRNP, SCL-70, Centromere B, SSA (RO), SSB(LA), JO-1 Autoantibodies

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Billing Code Test Code [sunquest] CONNEXIN 26 TESTING (GJB2) SEQUENCE ANALYSIS CON26 CON26 (REFLEXIVE)

This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced. This test may reflex to additional tests depending on the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Deaf; Molecular Testing Container Type EDTA (lavender top tube) Store and Transport Ambient (room temperature) or refrigerated. Ship Category B Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 3 mL Specimen Processing Submit original, unopened tube only. Do not transfer from original draw tube. Required Patient Info Patient family history and clinical indication Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers, specimens over 5 days old, specimens not received in the original collection tubes and aliquoted specimens. Alternate Specimens Sodium citrate or ACD whole blood (blue or yellow top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81403 Test Schedule Wed, Thu Turnaround Time 1-2 weeks Method DNA Sequencing Test Includes Connexin 26 Sequence Analysis Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes This test triggers follow-up reflex testing to CONNUR (GJB2) sequence analysis and CONN30 deletion testing when only a single mutation has been identified in the coding region of the GJB2 gene. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Heterozygous for a mutation in Connexin 26 Unpstream Region 81403 B26UP GJB2 and negative for deletions in Sequence Analysis (GJB2US) Connexin 30 gene Test for presence of 2 deletions in Connexin 30 Deletion Analysis 81403 B30DEL Heterozygous GJB2 (CONN30)

Billing Code Test Code [sunquest] CONSULT/REVIEW, FLUID REVFL REVFL Container Type Sterile plastic tube. Specimen Type CSF Preferred Volume 3 mL Minimum Volume 0.5 mL CSF or body fluid, or 2 cytospin slides. Specimen Processing Store and transport refrigerated. Alternate Specimens Body fluid in EDTA (lavender top tube) or cytospin slides. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 80500 Test Schedule Mon-Fri days Turnaround Time 2-4 days Method Visual Microscopic Test Includes Fluid, Interpretation; Fluid, Reviewed By. Supply Item Number 7211

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Billing Code Test Code [sunquest] CONVENTIONAL SLIDE, PAP ONLY PAPSMR PAPSMR This test must be ordered on a paper requisition that accompanies the specimen. Room temperature Synonyms Pap Smear; Pap Test Container Type Slides Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on the frosted end of the slide using a #2 pencil. Obtain cervical/vaginal material by rotating the spatula 360 degrees while scraping vigorously. Place material on slide near the labeled end. Smear the sample with one lengthwise stroke of the spatula. Immediately spray slide with fixative. Required Patient Info Patients first and last name, DOB, specimen source, date of collection, ordering physician, ABN (if Medicare) Room Temp Indefinitely Unacceptable Condition Air-dried, broken, unlabeled slide Department PSHMC Cytology Reference Laboratory PSHMC CPT Codes Dependent on diagnosis Test Schedule Mon-Sat Turnaround Time 2-3 days Method Slide

Billing Code Test Code [sunquest] COOMBS, DIRECT DCM MDC Synonyms DCM; Direct Coombs; Anti-Human Globulin; DAT; Direct Antiglobulin; Direct Antihuman Globulin Test Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Refrigerated 10 days Unacceptable Condition Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples. Alternate Specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted. Department PAML Immunology CPT Codes 86880 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination Test Includes Direct Coombs Supply Item Number 1222

Billing Code Test Code [sunquest] COOMBS, DIRECT & INDIRECT DICM MDCIC Synonyms Direct and Indirect Coombs Container Type Red top tube (plain) and Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum and EDTA whole blood Preferred Volume 4 mL serum and 3 mL whole blood Minimum Volume 1 mL serum and 2 mL whole blood Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 10 days Unacceptable Condition Hemolyzed, grossly icteric, or grossly lipemic specimens; Specimens drawn into tubes containing neutral gel separators. Alternate Specimens Serum for the indirect coombs, none for the direct coombs, cord blood samples collected in plain red top tubes and cleaerly labeled as cord blood. Department PAML Immunology CPT Codes 86850, 86880 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination/Solid Phase Test Includes Direct Coombs; Indirect Coombs Supply Item Number 1372 and 1222

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Billing Code Test Code [sunquest] COOMBS, INDIRECT (ANTIBODY SCREEN) (REFLEXIVE) ABS MABS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Indirect Coombs (ICM); Antibody Screen; Indirect Antiglobulin, Screen Container Type Red top tube (plain) will only be needed if the antibody screen is positive and lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum and EDTA whole blood Preferred Volume 4 mL serum and 3 mL whole blood Minimum Volume 1 mL serum and 2 mL EDTA whole blood Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 10 days Frozen (-20°C) 6 months, unacceptable for cells Unacceptable Condition Hemolyzed, grossly icteric, or grossly lipemic specimens; Specimens drawn into tubes containing neutral gel separators. Alternate Specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood Department PAML Immunology CPT Codes 86850 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination Test Includes Indirect Coombs Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Antibody screen Antibody Identification 86870 Significant Antibody identified Antibody Titer 86886

Billing Code Test Code [sunquest] COOMBS, INDIRECT (NON-CROSSMATCH) ICM MIC Synonyms Antibody Screen (ABS); Indirect Antigolobulin, Screen Container Type Red top tube (plain) and lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum and EDTA whole blood Preferred Volume 4 mL serum and 3 mL whole blood Minimum Volume 1 mL serum and 2 mL whole blood Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 10 days Frozen (-20°C) 6 months, unacceptable for cells Unacceptable Condition Hemolyzed, grossly icteric, or grossly lipemic specimens; Specimens drawn into tubes containing neutral gel separators Alternate Specimens Serum for the indirect coombs, none for the direct coombs, cord blood samples collected in plain red top tubes and clearly labeled as cord blood. Department PAML Immunology CPT Codes 86850 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination Test Includes Indirect Coombs Supply Item Number 1372 and 1222

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Billing Code Test Code [sunquest] COPPER COPPER COP Synonyms Cu, Serum Container Type Royal blue top tube (metal free plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Age Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Samples from separator gel tubes Alternate Specimens Serum or sodium heparinized plasma (plain red top or green top tube) Limitations There is diurnal variation, with highest levels of copper appearing in the morning. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 82525 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method AAS Test Includes Copper, ug/dL Supply Item Number 1052

Billing Code Test Code [sunquest] COPPER, LIVER CULIA CULIA Synonyms Cu, Liver; Hepatic Copper Concentration; Quantitative Copper; Tissue, Wilson's Disease Container Type Metal-free container (Royal blue top tube) Store and Transport Frozen. Samples (except paraffin blocks) should be stored and transported in a metal-free container such as a royal blue top tube. Specimen Type Frozen liver tissue. Tissue can be fresh, paraffin-embedded, formalin-fixed, or dried Preferred Volume 1 cm tissue Minimum Volume Must be at least 1 cm long Collection Procedure Obtain with an 18 gauge needle Room Temp Fresh tissue-unacceptable; paraffin block, preserved (formalin or dried)-indefinitely Refrigerated Fresh tissue-1 week; paraffin block, preserved (formalin or dried)-indefinetly Frozen (-20°C) Fresh tissue-indefinetly Unacceptable Condition Samples less than 0.25 mg (dry weight) and paraffin blocks that have been processed with Hollande's or other copper-containing stain Alternate Specimens Formalin is acceptable but not preferred Reference Laboratory ARUP Reference Lab Test Code 0020694 CPT Codes 82525 Test Schedule Mon, Wed, Fri Turnaround Time 4-8 days Method ICP/MS Test Includes Cu Weight, mg; Hepatic Copper Concentration, ug/g Supply Item Number 1052

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Billing Code Test Code [sunquest] COPPER, URINE 24HR COPPER.UR COPPUQ Synonyms CU, Urine Container Type 24 hour dark plastic urine container or random urine Store and Transport Refrigerated Specimen Type 24 hour urine collection or random urine Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medications and supplements may interfere. Patients should be encouraged to discontinue nonessential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection. Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or a random urine. Refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116). Required Patient Info Record total volume and collection time interval on transport tube and request form. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 0020461 CPT Codes 82525 Test Schedule Mon-Sat Turnaround Time 3-5 days Method ICP/MS Test Includes Time, h; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Copper, Urine, ug/dL; Copper, Urine, ug/d; Copper, Urine, ug/gCr Supply Item Number 1108

Billing Code Test Code [sunquest] COPROPORPHYRIN ISOMERS I AND III, URINE 24HR COPI13 COPI13 Synonyms Inherited Conjugated Hyperbilirubenemias, Urine Container Type 24-hour plastic urine container Store and Transport Frozen Specimen Type Frozen urine Preferred Volume 50 mL Minimum Volume 20 mL Patient Prep The patient should be off medication for at least 1 week and abstain from alcohol and caffeine containing beverages for at least 24 hours before and during the collection period. Collection Procedure Collect a 24-hour urine collection in a leakproof plastic urine container. Add 5 grams NA2CO3 at the start of the collection to achieve a pH of GT 7.0. The preservative must be added before the start of the collection. Protect from light. Specimen Processing Aliquot 50 mLs of the 24-hour urine collection which has been preserved with 5 g NA2CO3 at the start of the collection into a plastic urine container and freeze. Protect from light. Required Patient Info Total volume and collection period Limitations If the patient is unable to be off of medications, forward a list of medication with the specimen. Reference Laboratory Mayo Reference Lab Test Code 8652 CPT Codes 84120 Test Schedule Varies Turnaround Time 5-10 days Method HPLC Test Includes Collection Period, hr; Volume, mLs; Coproporphyrin Isomers I & III, ug/24 hr; % Coproporhyrin, %; Coproporphyrin Interpretation Supply Item Number 1108

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Billing Code Test Code [sunquest] CORDSTAT 12 DRUG SCREEN UMB12 UMB12 Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Specimen Type Umbilical cord Collection Procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Reference Laboratory USDTL CPT Codes 80101 x 12 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS, GC/MS Test Includes CordStat 12 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g; MDEA, LC/MS/MS, ng/g; Barbituates, ng/g; Butalbital, LC/MS/MS, ng/g; Amobarbital, LC/MS/MS, ng/g; Pentobarbital, LC/MS/MS, ng/g; Secobarbital, LC/MS/MS, ng/g; Phenobarbital, LC/MC/MC, ng/g; Benzodiazepine, ng/g; Midazolam, LC/MS/MS, ng/g; Oxazepam, LC/MS/MS, ng/g; Alprazolam, LC/MS/MS, ng/g; Temezepam, LC/MS/MS, ng/g; Nordiazepam, LC/MS/MS, ng/g; Diazepam, LC/MS/MS, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Methadones, ng/g; Methadone, LC/MS/MS, ng/g; EDDP, LC/MS/MS, ng/g; Meperidine, ng/g; Meperidine, LC/MS/MS, ng/g; Normeperidine, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; 6-MAM, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Oxycodone, ng/g; Oxycodone, LC/MS/MS, ng/g; Oxymorphone, LC/MS/MS, ng/g ; Propoxyphene, ng/g; Propoxyphene, LC/MS/MS, ng/g; Norpropoxphene, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Tramadol, ng/g; Tramadol, LC/MS/MS, ng/g; Certification Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1388

Billing Code Test Code [sunquest] CORDSTAT 12 SM DRUG SCREEN + PETH UMB12P UMB12P Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Preferred Volume 6-8 inches Collection Procedure Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container and sign the completed requisition form. Important: Avoid any contact of ethanol liquid or vapor with the umbilical cord. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Limitations Avoid any contact of ethanol liquid or vapor with the umbilical cord. Reference Laboratory USDTL Reference Lab Test Code Cordstat 12+Peth CPT Codes 80101 x 13 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS/, GC/MS Test Includes CordStat 12 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g; MDEA, LC/MS/MS, ng/g; Barbituates, ng/g; Butalbital, LC/MS/MS, ng/g; Amobarbital, LC/MS/MS, ng/g; Pentobarbital, LC/MS/MS, ng/g; Secobarbital, LC/MS/MS, ng/g; Phenobarbital, LC/MC/MC, ng/g; Benzodiazepine, ng/g; Midazolam, LC/MS/MS, ng/g; Oxazepam, LC/MS/MS, ng/g; Alprazolam, LC/MS/MS, ng/g; Temezepam, LC/MS/MS, ng/g; Nordiazepam, LC/MS/MS, ng/g; Diazepam, LC/MS/MS, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Methadones, ng/g; Methadone, LC/MS/MS, ng/g; EDDP, LC/MS/MS, ng/g; Meperidine, ng/g; Meperidine, LC/MS/MS, ng/g; Normeperidine, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; 6-MAM, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Oxycodone, ng/g; Oxycodone, LC/MS/MS, ng/g; Oxymorphone, LC/MS/MS, ng/g; Propoxyphene, ng/g; Propoxyphene, LC/MS/MS, ng/g; Norpropoxphene, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Tramadol, ng/g; Tramadol, LC/MS/MS, ng/g; Phosphatidyl Ethanol, LC/MS/MS, ng/g; Phosphatidyl Ethanol LC/MS/MS, ng/g; Certification Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

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Billing Code Test Code [sunquest] CORDSTAT 13 DRUG SCREEN UMB13 UMB13 Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Specimen Type Umbilical cord Collection Procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior surface with normal saline and place in the umbilical cord container and sign the completed requisition form. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Reference Laboratory USDTL Reference Lab Test Code CORDSTAT 13 CPT Codes 80101 x 13 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS/, GC/MS Test Includes CordStat 13 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g; MDEA, LC/MS/MS, ng/g; Barbituates, ng/g; Butalbital, LC/MS/MS, ng/g; Amobarbital, LC/MS/MS, ng/g; Pentobarbital, LC/MS/MS, ng/g; Secobarbital, LC/MS/MS, ng/g; Phenobarbital, LC/MC/MC, ng/g; Buprenorphine ng/g; Buprenorphine, LC/MS/MS, ng/g; Norbuprenorphine, LC/MS/MS, ng/g; Benzodiazepine, ng/g; Midazolam, LC/MS/MS, ng/g; Oxazepam, LC/MS/MS, ng/g; Alprazolam, LC/MS/MS, ng/g; Temezepam, LC/MS/MS, ng/g; Nordiazepam, LC/MS/MS, ng/g; Diazepam, LC/MS/MS, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Methadones, ng/g; Methadone, LC/MS/MS, ng/g; EDDP, LC/MS/MS, ng/g; Meperidine, ng/g; Meperidine, LC/MS/MS, ng/g; Normeperidine, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; 6-MAM, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Oxycodone, ng/g; Oxycodone, LC/MS/MS, ng/g; Oxymorphone, LC/MS/MS, ng/g; Propoxyphene, ng/g; Propoxyphene, LC/MS/MS, ng/g; Norpropoxphene, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Tramadol, ng/g; Tramadol, LC/MS/MS, ng/g; Certification Notes Supplies are available from the PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

Billing Code Test Code [sunquest] CORDSTAT 5 DRUG SCREEN UMB5 UMB5 Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Specimen Type Umbilical cord Collection Procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Reference Laboratory USDTL CPT Codes 80101 x 5 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS/, GC/MS Test Includes CordStat 5 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g ; MDEA, LC/MS/MS, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Certification Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1388

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Billing Code Test Code [sunquest] CORDSTAT 7 DRUG SCREEN UMB7 UMB7 Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Specimen Type Umbilical cord Collection Procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container & sign the completed requisition form. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Reference Laboratory USDTL CPT Codes 80101 x 7 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS/, GC/MS Test Includes CordStat 7 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g; MDEA, LC/MS/MS, ng/g; Barbituates, ng/g; Butalbital, LC/MS/MS, ng/g; Amobarbital, LC/MS/MS, ng/g; Pentobarbital, LC/MS/MS, ng/g; Secobarbital, LC/MS/MS, ng/g; Phenobarbital, LC/MC/MC, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Methadones, ng/g; Methadone, LC/MS/MS, ng/g; EDDP, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; 6-MAM, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Certification Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1388

Billing Code Test Code [sunquest] CORDSTAT 9 DRUG SCREEN UMB9 UMB9 Synonyms Umbilical Container Type Umbilical cord container Store and Transport Store and transport refrigerated Specimen Type Umbilical cord Collection Procedure 6-8 inches of umbilical cord. Drain cord and discard any cord blood. Rinse exterior with normal saline and place in the umbilical cord container and sign the completed requisition form. Room Temp 7 days Refrigerated 3 weeks Frozen (-20°C) 1 year Reference Laboratory USDTL CPT Codes 80101 x 9 Test Schedule Mon-Fri Turnaround Time 3-6 days Method ELISA, LC/MS/MS/, GC/MS Test Includes CordStat 9 Result; Amphetamines, ng/g; Amphetamines, LC/MS/MS, ng/g; Methamphetamine, LC/MS/MS, ng/g; MDA, LC/MS/MS, ng/g; MDMA, LC/MS/MS, ng/g; MDEA, LC/MS/MS, ng/g; Barbituates, ng/g; Butalbital, LC/MS/MS, ng/g; Amobarbital, LC/MS/MS, ng/g; Pentobarbital, LC/MS/MS, ng/g; Secobarbital, LC/MS/MS, ng/g; Phenobarbital, LC/MC/MC, ng/g; Benzodiazepine, ng/g; Midazolam, LC/MS/MS, ng/g; Oxazepam, LC/MS/MS, ng/g; Alprazolam, LC/MS/MS, ng/g; Temezepam, LC/MS/MS, ng/g; Nordiazepam, LC/MS/MS, ng/g; Diazepam, LC/MS/MS, ng/g; Cocaine, ng/g; Benzoylecgonine, LC/MS/MS, ng/g; Methadones, ng/g; Methadone, LC/MS/MS, ng/g; EDDP, LC/MS/MS, ng/g; Opiates ng/g; Codeine, LC/MS/MS, ng/g; Morphine, LC/MS/MS, ng/g; Hydrocodone, LC/MS/MS, ng/g; Hydromorphone, LC/MS/MS, ng/g; 6-MAM, LC/MS/MS, ng/g; PCP, ng/g; Phencyclidine, LC/MS/MS, ng/g; Propoxyphene, ng/g; Propoxyphene, LC/MS/MS, ng/g; Norpropoxphene, LC/MS/MS, ng/g; Cannabinoids, pg/g; Carboxy-THC, GC/MS, pg/g; Certification Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1388

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Billing Code Test Code [sunquest] CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE) COR-STIM2 CST3 Synonyms ACTH Stimulation II; Adrenocorticotropic Hormone Stimulation Container Type See component tests Specimen Type See component tests Minimum Volume 0.2 mL Specimen Processing Refer to COR-STIM for protocol Refrigerated 10 days Department PAML Immunochemistry CPT Codes 80400, 82533 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol Baseline, ug/dL; Time Drawn; Cortisol, Post #1, ug/dL; Time Drawn; Cortisol, Post #2, ug/dL; Time Drawn Supply Item Number 1467

Billing Code Test Code [sunquest] CORTISOL (ACTH STIMULATION) COR-STIM CST Synonyms ACTH Stimulation; Adrenocorticotropic Hormone Stimlutation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL for each timed sample Minimum Volume 0.2 mL for each timed sample Collection Procedure Hypoadrenalism Screen: Draw cortisol immediately before and 1 hour after IV injection of 0.25 mg cosyntropin (synthetic ACTH). Procedure should be performed under physician or nurse supervision. Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Clearly label specimens. Refrigerated 10 days Department PAML Immunochemistry CPT Codes 80400 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol Baseline, ug/dL; Time Drawn; Cortisol Post-Stim, ug/dL; Time Drawn Supply Item Number 1467

Billing Code Test Code [sunquest] CORTISOL (PAIRED SPECIMENS) COR-2 CORP Synonyms Cortisol Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw in morning (7:00 AM) and afternoon (4:00 PM). Note times of drawing. Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Clearly label specimens. Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 x 2 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol AM, ug/dL; Cortisol PM, ug/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] CORTISOL CALCULATED FREE, URINE 24HR COR-U UFCUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms Urinary free cortisol Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated or frozen. Specimen Type 24-hour urine collection Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated 13 days Frozen (-20°C) 1 month Unacceptable Condition Grey top urine preservative tubes. Any preservative other than boric acid. Alternate Specimens Specimen collected with 1 gm boric acid. Limitations Cross reactivity with prednisolone. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82530 Test Schedule Mon, Wed, Fri evenings Turnaround Time 1-3 days Method ICMA Test Includes Time, h; Volume, mL; Cortisol, Urine, ug/24h. Supply Item Number 1108

Billing Code Test Code [sunquest] CORTISOL FREE, URINE 24HR LC-MS/MS CORFUA CORFUA Container Type 24-hour leak-proof plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24-hour leak-proof plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume on transport tube and request form. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Samples with preservatives or acidified and RT samples. Alternate Specimens Random urine specimens Reference Laboratory ARUP Reference Lab Test Code 0097222 CPT Codes 82530 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Tandem MS (LC-MS/MS) Test Includes Time, h; Volume, mL; Creatinine Urine, mg/dL; Creatinine, Urine; mg/d; Cortisol Urine Free, ug/gCr; Cortisol, Urine Free, ug/L; Cortisol, Urine, ug/d; Interpretation Supply Item Number 1108

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Billing Code Test Code [sunquest] CORTISOL, AM CORAM CORAM Synonyms Cortisol Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Ideally specimen be drawn at or before 7:00 am. Must draw between 4:00 am and 8:59 am. If sample is drawn after 8:59 am, please order a Random Cortisol test code (CORRAN). Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 10 days Unacceptable Condition Do not freeze in glass tubes Department PAML Immunochemistry CPT Codes 82533 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol, AM, ug/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CORTISOL, FREE SERUM FCORTS FCORTS Separate samples must be submitted when multiple tests are ordered This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube and freeze Required Patient Info Label plainly as a.m. or p.m. collection Room Temp After separation from cells: Ambient: 4 hours Refrigerated 5 days Frozen (-20°C) 3 months Unacceptable Condition Specimens collected in plasma separator tubes containing heparin, grossly hemolyzed or heparinized specimens Alternate Specimens Lavender(EDTA) or pink(K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0098391 CPT Codes 82530 Test Schedule Tue, Sat Turnaround Time 2-5 days Method Equilibrium Dialysis/Quantitative Electrochemiluminescent Immunoassay Test Includes Cortisol, Serum Free, ug/dL. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes To convert to nmol/L, multiply Ã‚Âµg/dL by 27.6. Supply Item Number 1372, 1467

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Billing Code Test Code [sunquest] CORTISOL, FREE URINE (RANDOM) COR-R UFCUR Synonyms Urinary Free Cortisol Container Type Leakproof plastic urine container Store and Transport Refrigerated or ambient (room temperature) Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen Refrigerated 13 days Frozen (-20°C) 1 month Unacceptable Condition Grey top urine preservative tubes; Any preservative other than boric acid Alternate Specimens Specimen collected with 1 gm boric acid Limitations Cross reactivity with prednisolone Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82530 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method ICMA Test Includes Cortisol, Urine Free, ug/dL Supply Item Number 1388

Billing Code Test Code [sunquest] CORTISOL, LC/MS/MS, SALIVA CORTSL CORTSL Container Type Salivette collection tube Store and Transport Refrigerated Specimen Type Saliva Preferred Volume 0.5 mL Minimum Volume 0.2 mL Patient Prep Precautions: 1. Saliva should be collected at the time(s) prescribed by your doctor. 2. No food or fluids for 30 minutes prior to collection. 3. Do not use any creams, lotions, or steroid inhalers immediately prior to collection. 4. Avoid any activity that can cause your gums to bleed, including brushing and flossing your teeth. Consult with your doctor if this is a chronic problem. 5. Do not use this kit on children under 3 years of age or any patient with increased risk of swallowing or choking. Collection Procedure 1. Rinse mouth thoroughly with water and discard. Do not swallow. 2. Hold the Salivette at the rim of the suspended insert and remove the stopper. 3. Remove the swab. 4. Place the swab under the tongue until well saturated, approximately 1 minute. 5. Return the saturated swab to the suspended insert and close the Salivette(R) firmly with the stopper. 6. Do not remove the tube holding the insert. The Salivette should be sent to the lab with the swab inside. 7. Label the Salivette with the patient name, date and time of collection, and any other identifying information. The Salivette may be refrigerated if they cannot be sent to the laboratory within 24 hours of collection. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 years Unacceptable Condition Any tubes other than Salivette will be rejected Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 19897X CPT Codes 82530 Test Schedule Sun-Thu Turnaround Time 6-7 days Method Liquid Chromatography/Tandem Mass Spectrometry

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Billing Code Test Code [sunquest] CORTISOL, RANDOM CORRAN CORRAN Synonyms Cortisol, Random Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw specimen after 8:59 am and before 4:00 am. Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol, Random, ug/dL Supply Item Number 1467

Billing Code Test Code [sunquest] CORTISOL/CORTISONE FREE, URINE 24HR COCOUA COCOUA Container Type 24 hour plastic urine container Store and Transport Refrigerated Specimen Type Urine, 24 hour Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container and refrigerate. Record total volume and collection period. Required Patient Info Record total volume and collection period Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Ambient (room temperature) specimens; acidified specimens or specimens with preservatives Alternate Specimens Random urine specimen Reference Laboratory ARUP Reference Lab Test Code 0092100 CPT Codes 82530, 83789 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry Test Includes Hours Collected, hr; Total Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Cortisol, Urine, Free, ug/gCR; Cortisol Urine, Free, ug/L; Cortisol Urine, Free, ug/d; Cortisone, Urine Free, ug/gCR; Cortisone, Urine, Free, ug/L; Cortisone, Urine, Free ug/d; Cortisol/Cortisone Ratio, Ratio; Interpretation Supply Item Number 1108

Billing Code Test Code [sunquest] COTININE NIC NIC Synonyms Nicotine Container Type Random urine Specimen Type Urine, random Preferred Volume 30 mL Collection Procedure Collect a random urine in leakproof plastic container Specimen Processing Aliquot 30 mL of a random urine specimen; Store and transport refrigerated Department PAML Toxicology CPT Codes 83887 Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA Test Includes Cotinine (Nicotine's Metabolite) Supply Item Number 1388

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Billing Code Test Code [sunquest] COXIELLA BURNETII (Q-FEVER) ANTIBODY IGG, PHASE I & II QFEVRG QFEVRG Acute and convalescent samples advised. Synonyms Q-Fever Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute and convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, hemolyzed, or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50462 CPT Codes 86638 x 2 Test Schedule Tue, Fri Turnaround Time 3-5 days Method Semi-Quantitative Indirect Fluorescent Antibody Test Includes Coxiella burnetti Antibody, Phase 1, IgG; Coxiella burnetti Antibody, Phase 2, IgG Supply Item Number 1467

Billing Code Test Code [sunquest] COXSACKIE A ANTIBODY PANEL COXAB6 COXAB6 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40330 CPT Codes 86658 x 6 Test Schedule Mon-Fri Turnaround Time 3-5 days Method CF Test Includes Coxsackie A Types 2, 4, 7, 9, 10, 16 Supply Item Number 1467

Billing Code Test Code [sunquest] COXSACKIE A9 VIRUS ANTIBODIES COXAAB COXAAB Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, urine, severely lipemic, contaminated or hemolyzed specimens. Limitations Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50503 CPT Codes 86658 Test Schedule Mon-Fri Turnaround Time 3-5 days Method CF Test Includes Coxsackie A9 Antibodies. Supply Item Number 1467

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Billing Code Test Code [sunquest] COXSACKIE B(1-6) ANTIBODIES COXBAB COXBAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Hemolysis Reference Laboratory Focus Reference Lab Test Code 40335 CPT Codes 86658 x 6 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Complement Fixation Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical perfomance of the test. Supply Item Number 1467

Billing Code Test Code [sunquest] CREATINE KINASE CPK CK Synonyms CPK; CK Total; Creatine Phosphokinase; CK Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 14 days Frozen (-20°C) 1 month Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82550 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes CK, U/L Supply Item Number 1467

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Billing Code Test Code [sunquest] CREATINE KINASE ISOENZYMES ISOCKA ISOCKA Synonyms CK Isoenzymes (Creatine Kinase Isoenzymes); CKBB (Creatine Kinase Isoenzymes); CKMB (Creatine Kinase Isoenzymes); CPK Isoenzymes (Creatine Phosphokinase Isoenzymes); Isoenzymes; CK (Creatine Kinase Isoenzymes); Creatine Kinase (Macroenzymes) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 2 weeks Unacceptable Condition Ambient samples, samples preserved in heparin, EDTA, citrate, fluoride or iodoacetate Limitations Repeated freeze/thaw cycles destroy CK activity. This test will detect CK macroenzymes. Specimens should be frozen if the assay cannot be performed within 24 hours. Reference Laboratory ARUP Reference Lab Test Code 0020414 CPT Codes 82552, 82550 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Enzymatic/Electrophoresis Test Includes CK-MM, %; CK-MB, %; CK-BB, %; CK Total, U/L; CK Macro Type 1, %; CK Macro Type 2, % Notes Aids in determining the etiology of elevated total creatine kinase. Cardiac troponins (troponin I or troponin T) are the recommended tests for diagnosis and management of acute coronary syndrome. May aid in identifying the presence of macro creatine kinase. Supply Item Number 1467

Billing Code Test Code [sunquest] CREATINE KINASE-MB CKMB CKMB Synonyms Creatine Phosphokinase-MB Isoenzyme; Creatine Phosphokinase-MB Isoenzyme; CK.MB; CKMB Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 4 hours of collection and place in separate plastic tube. Refrigerated 24 hours Frozen (-20°C) 12 months Alternate Specimens Heparinized plasma (green top tube). If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82550, 82553 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzymatic, Chemiluminescence Assays Test Includes CK, Total, U/L; CK-MB, ng/mL; Relative Index (if appropriate) Supply Item Number 1467

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Billing Code Test Code [sunquest] CREATINE, SERUM OR PLASMA KREATS KREATS Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Specimens exposed to more than one freeze/thaw cycle. Alternate Specimens Serum (plain red top tube), sodium or lithium heparin plasma (green top tube) or EDTA plasma (lavender top tube). Reference Laboratory ARUP Reference Lab Test Code 2002340 CPT Codes 82540 Test Schedule Mon Turnaround Time 3-10 days Method Liquid Chromatography/Tandem Mass Spectrophotometry Test Includes Creatine, umol/L; Creatine, mg/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] CREATINE, URINE 24HR CREATINE-U CRTUQ Critical frozen Container Type 24 hour dark plastic urine container Store and Transport Frozen Specimen Type Urine, 24 hour Preferred Volume 3 mL Minimum Volume 2 mL Collection Procedure Collect without preservative. Refrigerate during collection. Specimen Processing Aliquot 3 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container and freeze immediately. CRITICAL FROZEN. Record total volume and collection period. Required Patient Info Collection period and total volume Room Temp 4 hours Refrigerated 1 day Frozen (-20°C) 3 months Unacceptable Condition Received thawed, refrigerated, or at room temperature; acidified specimen; preserved specimen Limitations Requires accurate 24 hour urine collection. Reference Laboratory Quest (Chantilly) Reference Lab Test Code 592 CPT Codes 82540 Test Schedule Mon-Fri Turnaround Time 3-4 days Method Enzymatic, Colorimetric Test Includes Collection Period, hrs; Volume, mL; Creatine, Urine, mg/24h; Creatinine, Urine, g/24h Clinical Significance Creatine, produced by the liver, is essential for metabolism of the brain and muscles. Creatine is converted to creatinine and excreted. Supply Item Number 1108

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Billing Code Test Code [sunquest] CREATININE CRE CRE Synonyms EGFR; GFR; Estimated Glomular Filtration Rate; Glomular Filtration Rate, Estimated Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Required Patient Info Age and gender in order to provide the EGFR calculation Refrigerated 2 weeks Unacceptable Condition Icteric samples Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82565 Test Schedule Sun-Fri nights & STAT Turnaround Time 24-48 hours Method Enzymatic (IDMS Traceable) Test Includes Creatinine, mg/dL; Estimated Glomerular Filtration Rate, mL/min/1.73m2 Notes The EGFR will be automatically provided on all orders and panels which include a serum creatinine result. Age and gender must be included in the test request for the calculation to be performed. There is no charge for the calculation. The calculation is valid only for individuals age 20 yrs or older. Supply Item Number 1467

Billing Code Test Code [sunquest] CREATININE CLEARANCE CRE CL CRCL Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 24 hour urine collection Preferred Volume 2 mL serum and 40 mL urine Minimum Volume 0.2 mL serum and 1 mL urine Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period, and total volume Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C and S tubes) Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum specimen will be accepted if collected within 7 days of urine collection. Department PAML Chemistry CPT Codes 82575 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Height, in; Weight, lbs, Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24hr; Creatinine Clearance, mL/min. Notes Must have patient's height, weight, collection time, and total volume to calculate results. Supply Item Number 1467 1108

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Billing Code Test Code [sunquest] CREATININE CLEARANCE, 12HR CRE CL.12 CRCL12 Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 12 hour urine collection Preferred Volume 2 mL serum and 40 mL urine Minimum Volume 0.2 mL serum and 1 mL urine Collection Procedure Collect a 12 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Aliquot 40 mL of a well-mixed 12 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period, and total volume Alternate Specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C and S tubes) Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum specimen will be accepted if collected within 7 days of urine collection. Department PAML Chemistry CPT Codes 82575 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Time, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12hr; Creatinine Clearance, mL/min Notes Must have patient's height, weight, collection time, and total volume to calculate the results. Supply Item Number 1467 1108

Billing Code Test Code [sunquest] CREATININE CLEARANCE, 48HR CRCL48 CRCL48 Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 48 hour urine collection Preferred Volume 40 mL urine and 2 mL serum Minimum Volume 0.2 mL serum and 1 mL urine Collection Procedure Collect a 48 hour urine collection in a 24 hour dark plastic urine container. Refrigerate during collection. Serum should be collected within 24 hours of urine collection start or finish. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Aliquot 40 mL of a well-mixed 48 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period, and total volume Alternate Specimens Lithium heparin plasma (green top tube) and urines preserved in the boric acid tubes (BD C and S tubes) Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination, serum will be accepted if collected within 7 days of urine collection. Department PAML Chemistry CPT Codes 82575 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Time, h; Volume, mL; Creatinine, Serum, mg/dL; Creatinine, Urine, g/48h; Creatinine Clearance, mL/min Notes Must have patient's height, weight, collection time, and total volume to calculate the results. Supply Item Number 1467 1108

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Billing Code Test Code [sunquest] CREATININE WITH GFR CREGFR CREGFR Synonyms EGFR; GFR; Estimated Glomerular Filtration Rate; Glomerular Filtration Rate, Estimated Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Allow specimen to clot completely. Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Age and gender in order to provide the EGFR calculation Refrigerated 2 weeks Unacceptable Condition Icteric specimens Alternate Specimens If plasma must be used, use lithium heparin (green top tube) Department PAML Chemistry CPT Codes 82565 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Creatinine, mg/dL; Estimated Glomerular Filtration Rate, mL/min/1.73m2 Notes There is no charge for the EGFR calculation. The EGFR calculation is valid only for individuals age 20 years or older. Supply Item Number 1467 or 1372

Billing Code Test Code [sunquest] CREATININE, AMNIOTIC FLUID CRE.A CREAF Container Type Sterile leakproof container Store and Transport Frozen Specimen Type Frozen amniotic fluid Minimum Volume 0.2 mL Collection Procedure Amniotic fluid collected by amniocentesis Specimen Processing Do not centrifuge. Protect from light. Required Patient Info Gestational age Refrigerated 1 week if refrigerated immediately after collection Frozen (-20°C) 2 months Limitations Protect from light Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82570 Test Schedule Mon-Fri days and STAT Turnaround Time 1-3 days Method Enzymatic (IDMS Traceable) Test Includes Creatinine, Amniotic Fluid, mg/dL Supply Item Number 1326

Billing Code Test Code [sunquest] CREATININE, FLUID CRE.FLD CREFL Container Type Green top tube (sodium heparin) Store and Transport Refrigerated Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Note type of fluid. Required Patient Info Type of fluid Room Temp 5 days Refrigerated 1 month Frozen (-20°C) 6 months Unacceptable Condition Clotted or viscous fluids Alternate Specimens Specimens collected in plain red top tube Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82570 Test Schedule Daily Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Creatinine, Fluid, mg/dL Supply Item Number 1398

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Billing Code Test Code [sunquest] CREATININE, URINE (RANDOM) CRE-R CREUR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen Refrigerated 2 weeks Alternate Specimens Frozen specimens and urines preserved in the boric acid tubes (BD C&S tubes) Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Creatinine, Urine, mg/dL Supply Item Number 1388

Billing Code Test Code [sunquest] CREATININE, URINE 24HR CRE-U CREUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time, and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and volume Refrigerated 2 weeks Alternate Specimens Frozen specimens and urines preserved in the boric acid tubes (BD C&S tubes) Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable) Test Includes Time, h; Volume, mL; Creatinine, Urine, g/24h Supply Item Number 1108

Billing Code Test Code [sunquest] CRYOFIBRINOGEN CRFB CRFB Container Type Blue top tube (buffered sodium citrate) Store and Transport Ambient (room temperature) Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Immediately centrifuge at room temperature for 5 minutes. Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated Unacceptable Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Heparinized specimens, serum Alternate Specimens EDTA plasma Department PAML Immunology CPT Codes 82585 Test Schedule Mon-Sat Turnaround Time 9 days Method Precipitation Test Includes Cryofibrinogen, 24 hours; Cryofibrinogen, 48 hours; Cryofibrinogen, 72 hours, Cryofibrinogen, 7 days Supply Item Number 1050

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Billing Code Test Code [sunquest] CRYOGLOBULIN CRYO CRYO Container Type Red top tube (plain) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Draw one red top tube. Immediately place tube in 37C incubator, water bath or heat block and allow to clot for 60 minutes. Specimen Processing Centrifuge for 5 minutes and immediately transfer serum to a standard PAML aliquot tube. Room Temp 1 week Refrigerated Unacceptable Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Refrigerated specimens, frozen specimens, separator tubes, lipemic, grossly hemolyzed specimens, plasma Department PAML Immunology CPT Codes 82595 Test Schedule Mon-Sat Turnaround Time 9 days Method Precipitation Test Includes Cryoglobulin, 24 hours; Cryoglobulin, 48 hours, Cryoglobulin 72 hours, Cryoglobulin, 7 days Supply Item Number 1372

Billing Code Test Code [sunquest] CRYOGLOBULIN & CRYOFIBRINOGEN CRGCRF CRGCRF Container Type See component tests Specimen Type See component tests Preferred Volume See component tests Specimen Processing See component tests Unacceptable Condition See component tests Alternate Specimens See component tests Department PAML Immunology CPT Codes 82585, 82595 Test Schedule Mon-Sat Turnaround Time 9 days Method Precipitation Test Includes Cryoglobulin, 24 hours; Cryoglobulin, 48 hours, Cryoglobulin 72 hours, Cryoglobulin, 7 days; Cryofibrinogen, 24 hours; Cryofibrinogen, 48 hours; Cryofibrinogen, 72 hours, Cryofibrinogen, 7 days Supply Item Number 1373 and 1222

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Billing Code Test Code [sunquest] CRYOGLOBULIN SCREEN WITH REFLEX TO CRYOGLOBULIN CRYORP CRYORP PROFILE This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Red top tube (plain) Store and Transport Transport at room temperature Specimen Type Serum Preferred Volume 10 mL Minimum Volume 3.5 mL Patient Prep Overnight fasting is required Collection Procedure Collect 20 mL of fasting whole blood specimen in a red-top tube (no gel) Specimen Processing Clot for one hour in 37 degree C water bath. Separate serum in 37 degrees C. (Room temperature centrifuge and carriers acceptable if 37 degrees centigrade centrifuge is not available). Avoid hemolysis. Room Temp 72 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Hemolysis, Lipemia, Received refrigerated, Received frozen, Icteric samples, Serum separator tube Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 37358 CPT Codes 82595 Test Schedule Sun-Fri Turnaround Time 6-7 days Method Cryocrit, Immunodiffusion, Electrophoresis, Immunofixation (if needed), Rate Nephelometry Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Notes Fasting sample is preferred, but a random specimen may be used if serum is CLEAR. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Cryoglobulin Screen is positive Cryocrit Immunofixation 86334 If Cryoglobulin Screen is positive Cryocrit Immunodiffusion 86329 If Cryoglobulin Screen is positive Rheumatoid Factor 86431

Billing Code Test Code [sunquest] CRYPTOCOCCUS ANTIBODY CRYPTO.AB CRYPAB Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40340 CPT Codes 86641 Test Schedule Mon-Fri Turnaround Time 3-5 days Method IFA Test Includes Cryptococcus Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] CRYPTOCOCCUS ANTIBODY, CSF CRYPTO.AB.CSF CRYPSF Container Type CSF sterile plastic tube. Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60340 CPT Codes 86641 Test Schedule Mon-Fri Turnaround Time 3-5 days Method IFA Test Includes Cryptococcus Antibody, Titer. Supply Item Number 7211

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Billing Code Test Code [sunquest] CRYPTOCOCCUS ANTIGEN CRPAG CRPAG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or frozen Specimen Type Serum or CSF Preferred Volume 1 mL Minimum Volume 0.25 mL Collection Procedure Collect CSF in sterile plastic tube. Collect blood in serum separator tube. Specimen Processing Allow blood time to clot, centrifuge and separate serum from cells. Required Patient Info Specimen source Room Temp 1 hour Refrigerated 3 days Frozen (-20°C) Stable Frozen (-70°C) Stable Unacceptable Condition Specimens submitted in anticoagulant Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 86403 Test Schedule Daily Turnaround Time 1-2 days Method Latex Agglutination Test Includes Cryptococcus Antigen, Result; Cryptococcus Antigen, Status Notes All positive specimens will be titered.

Billing Code Test Code [sunquest] CRYPTOSPORIDIUM ANTIGEN CRYPAG CRYPAG

Container Type Leakproof plastic container Store and Transport Ambient (room temperature). Ship Category B Specimen Type Stool Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Stool, random Specimen Processing Preserve 5 grams of stool in 10 percent formalin within 1 hour of collection in a clean, leakproof plastic container. Room Temp 9 months preserved Refrigerated 9 months preserved Frozen (-20°C) Unacceptable Unacceptable Condition Specimens in any other preservative than indicated above. Reference Laboratory ARUP Reference Lab Test Code 60045 CPT Codes 87328 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Qualitative Enzyme Immunoassay Test Includes Cryptosporidium Antigen Supply Item Number 1388

Billing Code Test Code [sunquest] CRYSTALS, FLUID CRYST CRYFL Container Type Green top tube (sodium heparin) Store and Transport Store and transport refrigerated Specimen Type Synovial fluid Preferred Volume 3 mL Minimum Volume 1 mL Unacceptable Condition Oxalated, powdered EDTA or lithium heparinized specimens because they can cause artifacts Alternate Specimens 1 red top tube (plain) Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89060 Test Schedule Sun-Sat Turnaround Time 24-48 hours Method Microscopic/Polarization Test Includes Crystals; Crystals ID Supply Item Number 1398

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Billing Code Test Code [sunquest] CRYSTALS, SYNOVIAL FLUID BATTERY CRSSYN CRSSYN Container Type 1 or 2 green top tubes (sodium heparin) Store and Transport Store and transport refrigerated Specimen Type Synovial fluid Preferred Volume 6 mL Minimum Volume 1 mL in each tube Specimen Processing Place 6 mL synovial fluid in one or two sodium heparin tubes (green top tubes). Transport ASAP. Unacceptable Condition Samples collected in any SST type tubes Alternate Specimens 1 red top tube (plain) Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89060, 84315 Test Schedule Sun-Sat Turnaround Time 24-48 hours Test Includes Crystals, Synovial Fluid; Crystal Identification; Specific Gravity Supply Item Number 1518

Billing Code Test Code [sunquest] CSF PROFILE (REFLEXIVE) CSF SFEXM This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Spinal Fluid Profile; CSF; Ceberal Spinal Fluid Profile Container Type CSF sterile plastic tube Store and Transport Transport specimen immediately. Prefer specimen be transported refrigerated. Specimen Type CSF Preferred Volume 3 mL Minimum Volume 1.5 mL Limitations Fluids delayed more than 2 hours should be refrigerated to a maximum of 72 hours Department PSHMC Hematology, PSHMC Chemistry, PSHMC Immunology Reference Laboratory PSHMC CPT Codes 89051, 82945, 84157, 86592 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Test Includes Tube Number; Xanthochromia: Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Monocytes, %; Histiocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100 WBCs; Note; Glucose, CSF, mg/dL; Protein, CSF, mg/dL; VDRL, CSF. Notes Additional turn around time for VDRL and culture. If three sterile tubes are collected, tube #1 should be sent for chemical & immunologic studies, tube #2 for microbiologic examination and tube #3 for total cell count and differential. Supply Item Number 7211

Billing Code Test Code [sunquest] CSF/SERUM IGG INDEX IGG INDEX IGGI Container Type Red top tube (plain) and CSF sterile plastic tube Store and Transport Refrigerated Specimen Type Serum and CSF Preferred Volume 1.0 mL serum and 1.0 mL CSF Minimum Volume 0.5 mL serum and 0.3 mL CSF Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Aseptically separate CSF from cells ASAP and transfer to a sterile PAML aliquot tube. Room Temp Serum 8 hours, CSF unstable Refrigerated 3 days Frozen (-20°C) 6 months Unacceptable Condition RBC contamination of CSF Alternate Specimens Serum separator tube (gold, brick, SST, or corvac) Department PAML Immunology CPT Codes 82784 x 2, 82040, 82042 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgG, CSF, mg/dL; Albumin, CSF, mg/dL; IgG, Serum, mg/dL; Albumin, Serum, mg/dL; CSF/Serum Index Supply Item Number 1372 7211

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Billing Code Test Code [sunquest] CT, GC AND TRICHOMONAS BY AMPLIFIED DETECTION (TMA) APTCGT APTCGT This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required. This test is not approved for male patients. Synonyms Molecular; Chlamydia Trachomatis/GC by Amplified Detection (TMA); CT; GC; TV; Trich; APTIMA; Trichomonas Vvaginalis by Amplified Detection (TMA); Gonorrhea Container Type APTIMA unisex swab specimen collection kit or APTIMA urine specimen collection kit Store and Transport Transport all samples collected in the kits at room temperature, refrigerated, or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Specimen Type See below Preferred Volume See below Minimum Volume 2 mL for urine, not to exceed 30 mL Collection Procedure Female endocervical or vaginal swab collected with the APTIMA swab specimen transport tube or urine, first void, not clean catch collected in the APTIMA urine specimen transport tube. Required Patient Info Source Room Temp Swabs - 2 months, urine in media - 1 month, urine not in media - not stable Refrigerated Swabs - 2 months, urine in media - 1 month, urine not in media - 1 day Frozen (-20°C) Swabs - 3 months, urine in media - 3 months Unacceptable Condition Specimens from male patients. Eye, respiratory, or rectal swabs; endocervical and urethral swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable. Alternate Specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot is made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit. Limitations Testing is approved on female patients only Department PAML Virology CPT Codes 87798, 87491, 87591 Test Schedule CT/GC daily; TV Mon, Wed, Fri Turnaround Time 1-3 days Method TMA by Gen-Probe APTIMA Test Includes Source; Chlamydia trachomatis by Amplified RNA; Neisseria gonorrhoeae by Amplified by RNA;Trichomonas vaginalis by Amplified RNA Supply Item Number 1295 or 1296

Billing Code Test Code [sunquest] CULTURE IF INDICATED CULIF CULIF This workpar is to allow clients to order the 'Culture If Indicated' Urinalysis. Container Type Boric acid tube (grey top) Store and Transport Ambient (room temperature) Preferred Volume 5 mL Minimum Volume 3 mL Specimen Processing Deliver to Hematology ASAP Room Temp 2 days Department PSHMC Hematology Reference Laboratory PSHMC Test Schedule Daily Turnaround Time 3 days Method Automated dipstick and microbiology culture Notes This workpar is to be used only urinalysis to be done at PSHMC. It allows for tracking of these specimens. When the client wants 'Urinalysis, Culture if indicated,' use order code CULIF with UAXM. Please order during the same order entry session. Do NOT order CULIF with UADIP or UAMCR. Supply Item Number 7647

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Billing Code Test Code [sunquest] CULTURE, AFB (NO SMEAR) (REFLEXIVE) CAFBNS CAFBNS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Acid Fast Culture, Blood/Bone Marrow; AFB, Blood/Bone Marrow, Culture; Mycobacterium Culture Container Type Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically Store and Transport Ambient (room temperature) Specimen Type Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically Preferred Volume Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically Collection Procedure Blood/Bone Marrow: 10 mL SPS (yellow top tube) drawn aseptically Required Patient Info Specimen source Unacceptable Condition Clotted blood specimens Alternate Specimens Heparinized whole blood (green top tubes); SPS tubes are preferred Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87116, 87015 Test Schedule Sun-Sat Turnaround Time Positive culture as soon as detected. Negative culture preliminary at 2 weeks. Final negative at 6 weeks. Method Organism Isolation Test Includes Source; Culture, AFB; Culture Status Notes For other specimen types please contact the microbiology department for instructions. SPS tubes are available from the PAML Supply Department. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively ID by DNA Probe, ID by Conventional 87149, 87118, 87143 identified Methods, GLC, HPLC If antimicrobial susceptibility testing is Acid Fast Bacteria Susceptibility 87188 appropriate

Billing Code Test Code [sunquest] CULTURE, AFB (REFLEXIVE) AFB CAFB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Acid Fast Culture; TB Culture; Mycobacteria Culture Container Type See below Store and Transport Store and transport sputum, urine, body fluids, aspirates and tissues refrigerated. Specimen Type See below Preferred Volume See below Collection Procedure Sputum: 6-10 mL early morning collection. Urine: Entire first morning void. Place sample in tightly sealed sterile container without fixative. Required Patient Info Specimen source Unacceptable Condition 24-hour urine or 24-hour sputum specimens. Alternate Specimens Blood/Bone Marrow see CAFBNS. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87116, 87206, 87015 Test Schedule Sun-Sat Turnaround Time Smear within 24 hours of receipt in the lab. Positive culture as soon as detected. Negative culture preliminary at 2 weeks. Final negative at 6 weeks. Method Organism Isolation Test Includes Source; Culture, AFB; Culture Status. Notes For other specimen types please contact the microbiology department for instructions. For maximum diagnostic value submit early AM specimens on three consecutive days. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively ID by DNA Probe, ID by Conventional 87149, 87118, 87143 identified Methods, GLC, HPLC If antimicrobial susceptibility testing is Acid Fast Bacteria Susceptibility 87188 appropriate

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Billing Code Test Code [sunquest] CULTURE, BETA STREP A SCREEN (REFLEXIVE) CBSAS CBSAS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Beta Strep A Screen Culture; Throat Culture Container Type Culturette Store and Transport Store and transport at room temperature. Specimen Type Throat swab Collection Procedure Throat (Group A only): Swab posterior of pharynx, tonsils or other areas of inflammation with a sterile culturette. Avoid oral mucosa. Unacceptable Condition Dry swab Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Sun-Sat Turnaround Time 1-2 days Method Organism Isolation Test Includes Culture, Beta Strep A Screen; Beta Strep Screen, Status. Notes Specimens are screened for the presence of Beta Strep Group A only. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077

Billing Code Test Code [sunquest] CULTURE, BETA STREP B SCREEN (REFLEXIVE) CBSBS CBSBS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Beta Strep B Screen Culture Container Type Culturette Store and Transport Store and transport at room temperature. Specimen Type Vaginal/rectal swab Collection Procedure Vaginal/Rectal (Group B only): Obtain specimen with sterile swab. Minimize contact with surrounding mucosa. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Sun-Sat Turnaround Time 1-2 days Method Organism Isolation Test Includes Culture, Beta Strep BScreen; Beta Strep B Screen, Status. Notes Specimens are screened for the presence of Beta Strep Group B only. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077 If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 requested

Billing Code Test Code [sunquest] CULTURE, BLOOD (2ND SPECIMEN/SAME DAY) BLOOD2 CBLD2 Synonyms Blood Culture (2nd specimen/same day) Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87040 Notes This workpar is to be used to order the second set of blood cultures that are drawn on the same date. The specimen requirements are the same as those for the workpar BLOOD. The timing is not critical. They can be drawn back to back if that is what is convenient. The key is that each set be from a DIFFERENT venipuncture site. If ordered in GA, they should be ordered as BLOOD and BLOOD2 and in Flexi the first set should be ordered as CBLD and the second as CBLD2.

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Billing Code Test Code [sunquest] CULTURE, BLOOD (REFLEXIVE) BLOOD CBLD This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Blood Culture; 2nd Spec/same day Container Type BacT/ALERT - SA aerobic bottle & SN anaerobic bottle Store and Transport Ship ASAP at room temperature Specimen Type Whole blood Minimum Volume See notes Collection Procedure A set of blood culture bottles consists of 1 BacT/ALERT SA aerobic (blue) bottle & 1 BacT/ALERT SN anaerobic (purple) bottle. Remove plastic flip-top from each bottle & disinfect the rubber septum with an alcohol pad. Disinfect venipuncture site on patient. Aseptically draw 20 mL of blood into a syringe. Inoculate each bottle with 10 mL using the same needle. A 2nd set of blood cultures SHOULD be drawn in a 24 hour period to provide the optimal volume of blood to recover pathogens & aid in the interpretation of positive culture significance. In addition to patient information, bottles must be labeled with date, time and site of collection. Ship ASAP at room temperature. Required Patient Info Specimen source Room Temp 24 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Specimens submitted in bottles other than BacT/ALERT Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87040 Test Schedule Sun-Sat Turnaround Time Positive phoned as soon as detected. Negative preliminary at 48 hours & final at 5 days. Positive culture ID & susc 2-3 days. Method BacT/ALERT 3D Test Includes Source; Culture, Blood; Culture, Blood, Status Notes If LT 20 mL of blood is obtained, 10 mL should be used to inoculate the aerobic (blue) bottle and the remainder into the anaerobic (purple) bottle. If 10 mL or less is obtained, place the full volume into the aerobic (blue) bottle.

This test will detect yeast, as well as bacteria. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast 87076, 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, BLOOD DIPHASIC FUNGUS (REFLEXIVE) CBF CBF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Fungus Blood Culture; Blood Culture, Fungus Container Type SPS or isolator tube Specimen Type Whole blood Preferred Volume 10 mL Collection Procedure Clean site with 70% alcohol followed by 2% iodine. Label an Isolator tube or SPS tube with patient's name, date and time. Aseptically draw 10 mL blood into syringe and transfer to the Isolator or SPS tube. Maintain at room temperature until shipment. Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87103 Test Schedule Daily Turnaround Time Positive phoned as soon as detected. Negative preliminary at 1 week. Final up to 4 weeks. Method Organism Isolation Test Includes Culture, Blood Fungus; Culture, Blood Fungus, Status. Notes A routine blood culture should be ordered if yeast are suspected. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Yeast, Mold 87106, 87107 identified If antimicrobial susceptibility testing is Yeast Isolate 87184 appropriate

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Billing Code Test Code [sunquest] CULTURE, BODY FLUID (REFLEXIVE) CULT.FLD CFL This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Amniotic; ascites; ascitic; abdominal; aspirate; bile; CSF; cerebral spinal; culdocentesis; elbow; knee; joint; peritoneal; paracentesis; pelvic; pericardial; pleural; prostate; subdural; synovial; thoracentesis; ventricular; vitreus. Container Type Sterile-capped syringe (needle removed), sterile tube or container Store and Transport CSF should be transported immediately at room temperature. Store and transport at room temperature. Specimen Type Fluid Preferred Volume GT 10 mL Minimum Volume 1 mL Collection Procedure Aspirate fluid with a sterile syringe. If submitting fluid, needle must be removed and replaced with a sterile cap. Otherwise, fluid may be transferred to a sterile tube or container. Submit as much fluid as possible. If anticoagulant is necessary, use SPS. Specimen Processing CSF should be transported immediately at room temperature. Required Patient Info Specimen source Room Temp 24 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Nonsterile or leaking containers. Specimens submitted in anticoagulant other than SPS. Syringes with needle attached. Alternate Specimens Peritoneal fluid, synovial fluid, etc. If an anticoagulant is necessary, SPS is the optimal choice. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070, 87205, 87075 Test Schedule Sun-Sat Turnaround Time 2-10 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Fluid; Culture Fluid, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast 87076, 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, BORDETELLA PERTUSSIS (REFLEXIVE) CBPERT CBPERT This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Nasopharyngeal; NP Culture; Nasopharynx Culture Container Type Nasopharynx swab (BD BBL Culture Swab Plus, Amies gel with charcoal) or nasopharynx wash Store and Transport Ambient (room temperature) or refrigerated for swab or washings Preferred Volume Swab: 2 nasopharynx swabs; Wash: 1 mL Minimum Volume Wash: 0.5 mL Collection Procedure Wash: Collect 1 mL nasopharynx wash/aspirate and place in a sterile capped container. Swab: Collect 2 nasopharynx swabs, one from each nostril. Collect each swab by inserting a swab with a flexible aluminum wire shaft through the nose into the posterior nasopharynx. Rotate the swabs in place for a few seconds to absorb secretions. Place swabs in BD BBL Culture swab plus, Amies gel with charcoal for transport. Room Temp 2 days Refrigerated 2 days Frozen (-20°C) Unacceptable Unacceptable Condition Swabs for the external nares or sputum samples. Nasopharynx swabs submitted in transport media other than those indicated. Alternate Specimens Regan-Lowe transport medium Limitations A negative culture does not exclude the possibility of B. pertussis infection. B. pertussis/parapertussis by PCR also available. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Daily Turnaround Time Preliminary: 3 days; Final: 7 days Method Culture Test Includes B pertussis result, B. pertussis status Notes For fluorescent antibody stain, refer to Bordetella pertussis Screen (PERT/PERTSM) Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077

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Billing Code Test Code [sunquest] CULTURE, CAMPYLOBACTER SCREEN CCAMS CCAMS Supplies are available from the PAML Supply Department. Synonyms Campylobacter Culture Screen Container Type Leakproof plastic container or vial containing enteric transport media (Cary Blair) Store and Transport Refrigerated Specimen Type Stool Preferred Volume GT 1 mL Minimum Volume 1 mL Collection Procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair) Required Patient Info Specimen source Room Temp Fresh: 2 hours; Cary Blair: 1 day Refrigerated Fresh: 1 day; Cary Blair: 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Cultures are not recommended for inpatients that have been hospitalized for 3 or more days. Alternate Specimens Stool is always superior to a rectal swab for bacterial testing, but if a swab is the only sample available, the swab should be inserted deep enough into the rectum to encounter some stool (appear brown). Swabs should always be submitted in bacterial transport media to preserve viability of pathogens. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Daily Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Campylobacter Screen; Campylobacter Screen, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077

Billing Code Test Code [sunquest] CULTURE, EAR (REFLEXIVE) CULT.EAR CEAR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Ear Culture Container Type Sterile transport swab Store and Transport Store and transport at room temperature. Specimen Type Sterile transport swab Collection Procedure Submit suppurative material from ear collected on sterile transport swab. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205, 87070, 87075 Test Schedule Daily Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Ear; Culture, Ear, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast, Mold 87076, 87077, 87106, 87107 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

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Billing Code Test Code [sunquest] CULTURE, EQUIPMENT (REFLEXIVE) CEQ CEQ This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Hardware Container Type Sterile container Store and Transport Ambient (room temperature) Collection Procedure Varies Specimen Processing Possible samples include spore test ampules, blood catheter devices, implanted hardware, or other equipment. Room Temp 1 day Refrigerated 1 day Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070 Test Schedule Daily Turnaround Time 2 days Method Culture Test Includes Source; Culture, Equipment; Culture Equipment, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Organism identification Aerobe identification - definitive 87077 (for each organism, up to ORGB1, ORGB2, ORGB3 3) Organism identification Anaerobe identification - 87075 (for each organism, up to ANPB1, ANPB2, ANPB3 presumptive 3) Organism identification Anaerobe identification - 87076 (for each organism, up to ANB1, ANB2, ANB3 definitive 3) Organism identification Yeast identification - definitive 87106 (for each organism, up to YB1, YB2, YB3 3) Antimicrobial susceptibility testing Disk Diffusion 87184 (for each organism, up to KBB1, KBB2, KBB3 by disk diffusion 3) Antimicrobial susceptibility testing MIC - automated panel 87186 (for each organism, up to ASB1, ASB2, ASB3 by MIC 3) Antimicrobial susceptibility testing MIC - antibiotic gradient 87181 (for each antimicrobial MICB1, MICB2, MICB3 by MIC agent)

Billing Code Test Code [sunquest] CULTURE, EXTENDED BETA LACTAMASE (ESBL) CESBLS CESBLS CONFIRMATION Synonyms ESBL Confirmation Container Type Agar slant Store and Transport Ambient (room temperature) Specimen Type Pure culture of E. coli, Klebsiella, or Proteus species Specimen Processing Pure culture of E. coli or Klebsiella species in a sterile container. Required Patient Info Specimen source Room Temp 1 week Refrigerated 1 week Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Mixed cultures Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87184 Test Schedule Daily Turnaround Time 2-3 days Method Disk diffusion Test Includes Culture, ESBL Confirmation; Culture, ESBL Report Status

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Billing Code Test Code [sunquest] CULTURE, EYE (REFLEXIVE) CULT.EYE CEYE This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Eye Culture; Corneal Culture; Optic Culture; Vitreous Fluid Culture Container Type Sterile transport swab Store and Transport Store and transport at room temperature. Specimen Type Sterile transport swab Collection Procedure Submit suppurative material from lower cul-de-sac or inner canthus, collected on sterile transport swab Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205, 87070 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Eye; Culture, Eye, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Aerobe, Yeast 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, FUNGUS (REFLEXIVE) FUNG CFC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Fungus Culture Container Type See below Store and Transport Store and transport refrigerated Specimen Type See below Collection Procedure Body fluids, aspirates, respiratory secretions and tissues. Submit in sterile screw-cap container. Required Patient Info Specimen source and include pertinent clinical information. Limitations Certain sources such as genital and oral specimens should be ordered as a yeast screen (YST.SCR). Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87102, 87206 Test Schedule Sun-Sat Turnaround Time Positive culture reported as soon as detected. Negative culture preliminary at 1 week. Final negative at 4 weeks. Method Organism Isolation Test Includes Source; Fungus Stain; Culture, Fungus; Culture, Fungus, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Yeast, Mold 87106, 87107 identified If antimicrobial susceptibility testing is Yeast Isolate 87184 appropriate

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Billing Code Test Code [sunquest] CULTURE, FUNGUS, SKIN, HAIR, NAILS (REFLEXIVE) CFS CFS Please comment if a fungus stain is not needed. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Fungus Culture, Skin, Hair Nails Container Type Sterile leakproof plastic container Store and Transport Store and transport at room temperature Preferred Volume 2 x 2 mm if skin Minimum Volume 1 x 1 mm Collection Procedure Nail scrapings should be from subsurface portion of infected nail. Skin, 2 x 2 mm piece, should be taken from active border of lesion. Hair should include the base of the shaft. Submit in sterile leakproof container. Required Patient Info Specimen source and pertinent clinical information. Please comment if a fungus stain is not needed. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87101, 87220 Test Schedule Daily Turnaround Time Positive culture reported as soon as detected. Negative culture preliminary at 1 week. Final negative at 4 weeks. Method Culture Test Includes Source; Fungus Skin, Hair, Nails Stain; Culture, Fungus, Skin, Hair, Nails; Culture Fungus, Skin, Hair, Nails, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Yeast, Mold 87106, 87107 identified If antimicrobial susceptibility testing is Yeast Isolate 87184 appropriate

Billing Code Test Code [sunquest] CULTURE, GENITAL (REFLEXIVE) GEN CGEN If testing for single pathogen only, such as N. gonorrhoeae, Group B strep or yeast, order as individual test (CGC, CBSBS, or CYEST respectively). This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Genital Culture, Haemophilus, ducreyi, chancroid ulcer Container Type BD culturette plus media Store and Transport Ambient (room temperature); preferably within 8 hours of collection. Specimen Type Sterile swab Collection Procedure Male: Collect urethral discharge or anterior urethral scraping. Female: Cervical swab is preferred to urethral or vaginal swab. Dacron swabs are recommended. Place in BD Culturette Plus media. Required Patient Info Specimen source Limitations If testing for single pathogen only, such as N. gonorrhoeae, Group B strep or yeast, order as individual test (CGC, CBSBS, or YST.SCR respectively). Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205, 87070 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Genital; Culture, Genital, Status. Notes If testing a genital ulcer to rule out Haemophilus ducreyi, collect sample from the base and undermined margins of the chancroid lesion with a saline-moistened swab and submit in BD Culturette Plus. Transport specimen refrigerated. Order test code CWND and indicate 'r/o Haemophilus ducreyi.' Culture requires extended incubation (up to 1 week). Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Aerobe, Yeast 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 requested

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Billing Code Test Code [sunquest] CULTURE, LEGIONELLA (REFLEXIVE) LEGION CLEG This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Legionella Culture Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Pleural fluid, bronchial brushings/washings, transtrachael aspirate, sputum (least desirable specimen) or small piece of lung tissue. Preferred Volume 3-5 mL Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Sun-Sat Turnaround Time Positive reported when detected. Negative preliminary 4 days. Final up to 7 days. Method Organism Isolation Test Includes Source; Culture, Legionella; Culture, Legionella, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077

Billing Code Test Code [sunquest] CULTURE, METHICILLIN RESISTANT STAPH AUREUS SCREEN CMRSA CMRSA (REFLEXIVE) This test screens only for the presence or absence of methicillin resistant Staph aureus; no other isolates are identified or reported. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms MRSA; Nasal; Nares; Nose; Surveillance; Colonization Container Type See below Store and Transport Store and transport at room temperature. Specimen Type See below Collection Procedure Open wounds or Ulcers: Obtain swab or aspirate of deep area, avoiding skin flora. Place the swab in a BD Culturette Plus. To determine colonization, insert swab into the nares as far back as is comfortable. Rotate swab and remove. Place swab into culturette. Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Culture, Methicillin Resistant Staph aureus; Culture, Methicillin Resistant Staph aureus, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077 If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 requested

Billing Code Test Code [sunquest] CULTURE, NEISSERIA GONORRHOEAE (REFLEXIVE) CGC CGC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms GC Culture Container Type Swab in bacterial transport medium Store and Transport Store and transport at room temperature or refrigerated. Specimen Type Urethra, cervix, throat or rectum swab Required Patient Info Specimen source Room Temp 24 hours Refrigerated 24 hours Frozen (-20°C) Unacceptable Unacceptable Condition Dry swabs, frozen specimens, or specimens older than 24 hours from time of collection. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081, 87205 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Neisseria gonorrhoeae; Culture, Neisseria gonorrhoeae, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077 2.1 www.paml.com 4/16/2013 page 335 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CULTURE, RESPIRATORY (REFLEXIVE) CRESP CRESP For upper respiratory cultures see Notes field. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Lower Respiratory Culture; Bronchial Washing Culture; BAL Culture; Sputum Culture Container Type Sterile leakproof container Store and Transport Refrigerated if transport time will exceed 2 hours Specimen Type Sputum Preferred Volume 1-5 mL Collection Procedure Instruct patient to expectorate into sterile container while avoiding introducing saliva or postnasal discharge into the sample. Specimen Processing Ensure that the lid on the container is secured prior to transport. Required Patient Info Specimen source Unacceptable Condition Nonsterile or leaking containers, frozen samples. More than one specimen submitted within a 24 hour period. Alternate Specimens Bronchial wash, tracheal aspirate, or BAL specimens Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070, 87205 Test Schedule Daily Turnaround Time 2-5 days Method Culture Test Includes Source; Culture, Respiratory Report; Culture, Respiratory, Status Notes If pathogenic organisms are definitively identified, an additional bill will be added for up to 3 organisms (87007). If antimicrobial susceptibility testing is appropriate, an additional charge (87184- Disk Diffusion or 87186-MIC) will be added for up to 3 organisms.

For sinus swabs or aspirates, order as a Wound Culture (CWND). For throat swabs, order as Beta Strep A Screen (CBSAS). For Gonococcus cultures on throat, order as a Neisseria gonorrhoeae Screen (CGC). For nasopharynx swabs or wash, order Bordetella pertussis culture (CBPERT). For nasal or nares swabs, order as MRSA Screen (CMRSA). Culturing the upper respiratory tract for other organisms does not produce clinically relevant information. As many as 75% of healthy individuals harbor H. influenzae & S. pneumoniae, 50% harbor M. catarrhalis, and 90% of healthy individuals harbor S. aureus in the upper respiratory tract. Nasopharynx culture should not be used for the microbiological diagnosis of otitis media because of the high prevalence of asymptomatic carriage of potential pathogens. Tympanocentesis is the recommended procedure of collecting specimens that will yield reliable microbiological results to guide organism-specific therapy in otitis media. Supply Item Number 1387

Billing Code Test Code [sunquest] CULTURE, RESPIRATORY CYSTIC FIBROSIS (REFLEXIVE) CRCF CRCF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Respiratory Cystic Fibrosis Culture; CF Culture Container Type Sterile leakproof container for lower respiratory secretions or bacterial transport media for throat swabs Store and Transport Refrigerated Specimen Type Sputum, bronch, BAL or throat swab Preferred Volume 2 mL Collection Procedure Sputum specimen should be collected early in the morning and be a deep, productive sample. Required Patient Info Source Unacceptable Condition Spit or saliva Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070, 87205 Test Schedule Daily Turnaround Time 5-12 days Method Organism Isolation Test Includes Source; Culture, Respiratory Cystic Fibrosis; Culture, Respiratory, Cystic Firbrosis, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Aerobe 87077 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186, 87181 appropriate

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Billing Code Test Code [sunquest] CULTURE, STOOL WITH YERSINIA AND SHIGA TOXIN CSTLYS CSTLYS (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Feces Culture with Yersinia and Shiga Toxin; Yersinia, Feces Culture; Shiga Toxin; Culture, Feces Container Type Leakproof plastic container or vial containing enteric transport media (Cary Blair) Store and Transport Refrigerated Specimen Type Fresh stool Preferred Volume GT 1 mL Minimum Volume 1 mL Collection Procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair). This test may reflex to additional tests depending upon the results of this test. An additional fee may be added. Room Temp Fresh: 2 hours; Cary Blair: 1 day Refrigerated Fresh: 1 day; Cary Blair: 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Cultures are not recommended for inpatients that have been hospitalized for 3 or more days. Alternate Specimens Stool is always superior to a rectal swab for bacterial testing, but if a swab is the only sample available, the swab should be inserted deep enough into the rectum to encounter some stool (appear brown). Swabs should always be submitted in bacterial transport media to preserve viability of pathogens. Limitations If Vibrio, Aeromonas, or Plesiomonas are suspected, please note on request form. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87045, 87046 x 3, 87015, 87899 x 2 Test Schedule Sun-Sat Turnaround Time 2-7 days Method Culture and Immunochromographic Test Includes Culture, Feces with Yersinia and Shiga Toxin, Result; Culture, Feces with Yersinia and Shiga Toxin, Status Notes Culture for Salmonella, Shigella, Campylobacter, Yersinia enterocolitica, E. coli 0157, and Shiga Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Aerobe 87077 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, STOOL E COLI 0157 WITH SHIGA TOXIN TEST CECST CECST (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms E. coli 0157 Shiga Toxin; Stool Culture, E. coli 0157 Shiga Toxin Container Type Leakproof plastic container or vial containing enteric transport media (Cary Blair) Store and Transport Refrigerated Specimen Type Fresh stool Preferred Volume GT 1 mL Minimum Volume 1 mL Collection Procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair). Room Temp Fresh: 2 hours; Cary Blair: 1 day Refrigerated Fresh: 1 day; Cary Blair: 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Cultures are not recommended from inpatients that have been in the hospital for 3 or more days. Alternate Specimens Stool is always superior to a rectal swab for bacterial testing, but if a swab is the only sample available, the swab should be inserted deep enough into the rectum to encounter some stool (appear brown). Swabs should always be submitted in bacterial transport media to preserve viability of pathogens. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081, 87015, 87899 x 2 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Culture and Immunochromographic Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077

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Billing Code Test Code [sunquest] CULTURE, STOOL, WITH SHIGA TOXIN TEST (REFLEXIVE) CSTLST CSTLST This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Culture, Feces Container Type Leakproof plastic container or vial containing enteric transport media (Cary Blair) Store and Transport Refrigerated Specimen Type Fresh stool Preferred Volume GT 1 mL Minimum Volume 1 mL Collection Procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair). Required Patient Info Specimen source Room Temp Fresh: 2 hours; Cary Blair: 1 day Refrigerated Fresh: 1 day; Cary Blair: 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Cultures are not recommended for inpatients that have been hospitalized for 3 or more days. Alternate Specimens Stool is always superior to a rectal swab for bacterial testing, but if a swab is the only sample available, the swab should be inserted deep enough into the rectum to encounter some stool (appear brown). Swabs should always be submitted in bacterial transport media to preserve viability of pathogens. Limitations If Vibrio, Aeromonas, or Plesiomonas are suspected, please note on request form. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87045, 87046 x 2, 87015, 87899 x 2 Test Schedule Sun-Sat Turnaround Time 2-7 days Method Culture & Immunochromatographic Test Includes Culture, Stool Report; Culture, Stool, Status Notes Includes culture for Salmonella, Shigella, Campylobacter and E. coli 0157 and Shiga Toxin Assay. If Yersinia enterocolitica is suspected please order CSTLYS test code. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Aerobe 87077 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, TISSUE (REFLEXIVE) CULT.TISSUE CTIS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Tissue Culture Container Type Sterile leakproof plastic container Store and Transport Ambient (room temperature) Specimen Type Tissue Collection Procedure Submit tissue specimen in sterile leakproof plastic container. Do not allow tissue to dry. Moisten with a small amount of sterile saline. Required Patient Info Indicate source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070, 87205, 87075 Test Schedule Daily Turnaround Time 2-10 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Tissue; Culture, Tissue, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast 87076, 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

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Billing Code Test Code [sunquest] CULTURE, TRICHOMONAS CTRICH CTRICH Synonyms Trichomonas Culture Specimen Type Urogenital discharge on sterile cotton swab collected using the InPouch Collection System Collection Procedure Female: Vaginal swab. Male: Urethral swab. Use swab to inoculate the top chamber of the InPouch system. REMOVE SWAB & DISCARD. Squeeze closure strip with thumb and forefinger. Hold bottom of pouch with other hand and move the medium from top chamber to lower chamber by pulling it upward across the edge of a counter in a 'shoe shine' motion. Roll the EMPTY upper chamber down to the top of the label, fold the tabs over to prevent the InPouch from reopening. Place patient information in the label area not on the bottom viewing chamber. InPouch systems available in PAML Supply Department. Specimen Processing Store and transport InPouch device at room temperature. Room Temp Up to 48 hours Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Samples greater than 48 hours old, and samples held below room temperature. Alternate Specimens Male-15 mL of fresh urine (process within 30 minutes). Centrifuge at 500 rpm for 5 minutes, decant supernatant and use glass pipette to transfer sediment to InPouch. Seminal fluid no more than 60 minutes old. Use a glass pipette to collect a drop of specimen to inoculate InPouch. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070 Test Schedule Sun-Sat Turnaround Time Preliminary-1 day, Final-4 days Method Culture & Microscopy Test Includes Trichomonas Culture Result; Trichomonas Culture Status. Notes Collection devices available from PAML Supply Department. Supply Item Number InPouch Collection Device

Billing Code Test Code [sunquest] CULTURE, UREAPLASMA AND MYCOPLASMA CURMY CURMY Synonyms Ureaplasma; Urealyticum; Mycoplasma; Hominis Culture Container Type See below Store and Transport Refrigerated or frozen Specimen Type Cervical, vaginal, urethral swabs, semen, body fluid, tissue, or urine; For neonates: CSF, tracheal or nasopharyngeal aspirate Preferred Volume See below Collection Procedure For urethral or cervical swabs, semen, biopsy tissue, tracheal aspirate and body fluids other than urine with a volume of LT 2 mL, transfer specimens to M4 or M6 transport media. Body fluid GT 2 mL or any urine sample must be frozen in a leakproof, sterile container and shipped on dry ice OR centrifuged at 600 x g for 15 minutes with the pellet transferred to M4 or M6 transport media. All M4 and M6 samples must be transported refrigerated. Required Patient Info Specimen source Room Temp 8 hours Refrigerated 1 day Frozen (-70°C) 1 month Unacceptable Condition Other transport media (including M4RT), dry swabs, or wooden shaft cotton swabs Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87109 Test Schedule Daily Turnaround Time Preliminary: 3 days; final: 7 days Method Culture Test Includes Source; Culture, Ureaplasma Urealyticum/Mycoplasma Hominis Result; Culture, Ureaplasma/Mycoplasma, Status Supply Item Number 1785K or 1387

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Billing Code Test Code [sunquest] CULTURE, URINE COLONY COUNT (NO SMEAR) (REFLEXIVE) CURNNS CURNNS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Urine Colony Count Culture Container Type Sterile leakproof plastic urine container and then transfer to a urine boric acid tube Store and Transport Store and transport urine boric acid tube at room temperature or refrigerated. Specimen Type Urine, random Minimum Volume 2-3 mL for fungal screen, full first morning void for TB Collection Procedure Aseptically collect urine. Morning first voided urine is preferred. Note time and method of collection (clean catch, straight cath, foley cath). Foley Catheter: Aspirate through disinfected tubing with a needle and syringe. Do not drain from bag. Place urine in a sterile container and then transfer to a urine boric acid tube. Male Clean Catch: Draw foreskin back (hold in this position until specimen is obtained). Begin voiding, obtain midstream urine specimen in container and transfer to a urine boric acid tube. Female Clean Catch: Separate the folds of the vulva (hold in this position until urine is obtained). Wipe the opening from front to back with four wipes. Use wipe for one stroke only. Obtain mid-stream urine specimen in container and transfer to a urine boric acid tube. Required Patient Info Specimen source Room Temp Unpreserved-2 hours, Preserved-48 hours Refrigerated Unpreserved-12 hours Unacceptable Condition Unpreserved urines GT 2 hours at room temperature or GT 12 hours refrigerated or GT 48 hrs preserved at RT. Alternate Specimens Specimens in sterile leakproof container refrigerated Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87086 Test Schedule Sun-Sat Turnaround Time 2-5 days Method Organism Isolation Test Includes Source; Culture, Urine; Culture, Urine, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Yeast, Aerobe 87106, 87077 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate If pathogenic organisms are presumptively Aerobe 87088 identified

Billing Code Test Code [sunquest] CULTURE, VANCOMYCIN RESISTANT ENTEROCOCCUS SCREEN CVRE CVRE (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms VRE Screen; Culture, VRE Screen; Enterococcus, Vancomycin Resistant Screen Container Type See below Store and Transport Refrigerated Specimen Type See below Collection Procedure Rectal swab, culturette or isolated enterococcus organism in a leakproof sterile container. Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Organism Isolation Test Includes Source; Culture, Vancomycin Resistant Enterococcus; Culture, Vancomycin Resistant Enterococcus, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe 87077 If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 requested

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Billing Code Test Code [sunquest] CULTURE, WOUND (REFLEXIVE) WOUND CWND This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Wound Culture; Aerobic; Anaerobic Container Type See below Store and Transport Ambient (room temperature) Specimen Type See below Collection Procedure Open wounds, ulcers or sinus tracts: Obtain swab or aspirate of deep area, avoiding skin flora. Transport in a transport swab. Closed abscesses or fistulas: Using needle and syringe, collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. A transport swab may also be used. Required Patient Info Specimen source; note if wound is superficial or deep Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205, 87070 Test Schedule Sun-Sat Turnaround Time 2-10 days Method Organism Isolation, Aerobic, Anaerobic if appropriate Test Includes Source; Gram Stain; Culture, Wound; Culture, Wound, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast 87076, 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

Billing Code Test Code [sunquest] CULTURE, WOUND, DEEP (REFLEXIVE) CWNDD CWNDD This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Deep Wound Culture; Wound, Culture; Aerobic; Anaerobic Container Type See collection procedure Store and Transport Ambient (room temperature) Collection Procedure OPEN WOUND, ULCERS OR SINUS TRACTS: Obtain swab or aspirate of deep area, avoiding skin flora. Transport in transport swab. CLOSED ABSCESSES, FISTULAS: Using needle and syringe collect specimen by puncturing cleaned skin until needle penetrates abscess. Aspirate material and submit in syringe with needle removed. Place sterile cap on syringe. A transport swab may also be used. Required Patient Info Indicate source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87070, 87075, 87205 Test Schedule Daily Turnaround Time 2-10 days Method Organism Isolation. Aerobic, Anaerobic Test Includes Source; Gram Stain; Culture, Wound, Deep; Culture, Wound, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If pathogenic organisms are definitively Anaerobe, Aerobe, Yeast 87076, 87077, 87106 identified If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186 appropriate

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Billing Code Test Code [sunquest] CULTURE, YEAST SCREEN (REFLEXIVE) YST-SCR CYEST This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Yeast Screen Culture Container Type Cary-Blair transport media or culturette Store and Transport Ambient (room temperature) Specimen Type Sterile transport swab Collection Procedure Submit specimen in a transport swab Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205, 87102 Test Schedule Sun-Sat Turnaround Time 2-7 days Method Organism Isolation Test Includes Source; Gram Stain; Culture, Yeast Screen; Culture, Yeast Screen, Status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If yeast are definitively identified Yeast 87106 If antimicrobial susceptibility testing is Yeast Isolate 87184 appropriate

Billing Code Test Code [sunquest] CULTURE, YERSINIA SCREEN (REFLEXIVE) YERS.SCR CYER Supplies are available from the PAML Supply Department. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Leakproof plastic container or vial containing enteric transport media (Cary Blair) Store and Transport Refrigerated Specimen Type Stool Preferred Volume GT 1 mL Minimum Volume 1 mL Collection Procedure Collect stool sample in a clean, leakproof plastic container. If transportation time will exceed 2 hours from time of collection, specimen should be refrigerated or placed in enteric transport medium (Modified Cary-Blair) Required Patient Info Specimen source Room Temp Fresh: 2 hours; Cary Blair: 1 day Refrigerated Fresh: 1 day; Cary Blair: 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Cultures are not recommended for inpatients that have been hospitalized for 3 or more days. Alternate Specimens Stool is always superior to a rectal swab for bacterial testing, but if a swab is the only sample available, the swab should be inserted deep enough into the rectum to encounter some stool (appear brown). Swabs should always be submitted in bacterial transport media to preserve viability of pathogens. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Daily Turnaround Time 2-3 days Method Organism Isolation Test Includes Souce; Yersinia Screen; Yersinia Screen, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If the pathogen is definitively identified Aerobe, Disk Diffusion, MIC 87077, 87184, 87186

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Billing Code Test Code [sunquest] CUTANEOUS DIRECT IMMUNOFLUORESCENCE, BIOPSY CDIBA CDIBA Synonyms Bullous Disease; Chronic Bullous Disease/ Cutaneous herpetiformis; Dermatitis Herpetiformis; Lichen & Lichenoid; Linear IgA bullous; Tissue, Lupus Erythematous; Tissue, Pemphigoid; Tissue, Pemphigus; Porphyria & Pseudoporphyria; Tissue, Skin Immunofluorescence; Uticaria Container Type Michel's or Zeus Medium Specimen Type Tissue, skin or mucous membrane. Can be either epidermis/epithelium and dermis tissue(optimal 4-5 mm). Preferred Volume 3 mm piece of tissue Specimen Processing 3 mm piece of tissue, skin or mucous membrane in Michel's or Zeus medium at room temperature. Store and transport at room temperature. Can be either epidermis/epithelium and dermis tissue. Room Temp 10 days Refrigerated 10 days Frozen (-20°C) unacceptable Unacceptable Condition Formalin-fixed tissue. Reference Laboratory ARUP Reference Lab Test Code 0092572 CPT Codes 88346 x 5 Test Schedule Varies Turnaround Time Within 9 days Method Direct IFA Test Includes Immunodermatology Report. Supply Item Number 1912 or 1969

Billing Code Test Code [sunquest] CYANIDE CYANIDE CYANID Container Type Green top tube (sodium or lithium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 4 mL Minimum Volume 3 mL Specimen Processing Do not freeze. Transport whole blood in original collection container. Room Temp 3 days if tightly capped Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Serum or plasma. Frozen or refrigerated specimens. Clotted or hemolyzed specimens. Gel separator tubes. Alternate Specimens Lavender (EDTA) or pink (K2EDTA or K3EDTA) Reference Laboratory ARUP Reference Lab Test Code 0090060 CPT Codes 82600 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Colorimetric Test Includes Cyanide, ug/dL Notes No laboratory test is available to assess cyanide toxicity in patients on nitroprusside therapy. However, thiocyanate toxicity may occur with long-term nitroprusside use (longer than 7-14 days with normal renal function and 3-6 days with renal impairment at greater than 2 µg/kg/min infusion rates). Thiocyanate levels may be monitored on an every other day basis to assess potential thiocyanate toxicity and to indicate possible adjustments in dosage using the workpar THIO. Supply Item Number 1398

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Billing Code Test Code [sunquest] CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG CCPABG CCPABG Synonyms Anti-CCP; CCP Ab; CCP, IgG; Citrulline Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles) Unacceptable Condition Grossly hemolyzed or lipemic, contaminated, or heat-treated samples Department PAML Special Immunology CPT Codes 86200 Test Schedule Mon-Fri Turnaround Time 2-4 days Method EIA Test Includes Cyclic Citrullinated Peptide Antibody, IgG, EU Supply Item Number 1467

Billing Code Test Code [sunquest] CYCLOBENZAPRINE (URINE ONLY) TEST ALSO INCLUDED IN TLCCYC TLCCYC DRUG-SUR. Synonyms Flexeril Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Cyclobenzaprine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] CYCLOSPORA DETECTION CYCDET CYCDET Container Type Leakproof plastic container Store and Transport Ambient (room temperature) Specimen Type Stool Preferred Volume 0.5 grams or 1 mL Collection Procedure Collect a stool specimen Specimen Processing Submit a stool specimen in 10% formalin in a leakproof plastic container Room Temp 1 year Refrigerated 1 month Frozen (-20°C) Unacceptable Unacceptable Condition Specimens not received in 10% formalin Reference Laboratory Focus Reference Lab Test Code 82000 CPT Codes 87210, 87015 Turnaround Time 3-4 days Method FM Test Includes Cyclospora Detection Supply Item Number 1388

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Billing Code Test Code [sunquest] CYCLOSPORINE A BY LC-MS/MS CYC CYC Synonyms Sandimmune; Cyclosporine A; CSA Level; Gengraf; Neoral Container Type Lavender top tube Store and Transport Specimens can be sent refrigerated or room temperature if less than or equal to 24 hours transport. Specimen Type EDTA whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Do not centrifuge specimen. Send whole blood refrigerated in original vacutainer. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Specimens other than blood collected in lavender EDTA top tube Department PAML Bioanalytics CPT Codes 80158 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Tandem Mass Spectrometry Test Includes Cyclosporine A by LC-MS/MS, ng/mL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currentlly not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Ammendments (CLIA) to perform high-complexity testing. Notes The recommended therapeutic range applies to trough specimens drawn just before the next dose. Blood drawn at other times will yield higher results. Supply Item Number 7358

Billing Code Test Code [sunquest] CYCLOSPORINE, TDX (HEART TRANSPLANT) CYCLO.WB.TDX CYCTDX Synonyms CSA; Neoral Sandiimmune Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1.5 mL Collection Procedure Draw 3 mL EDTA whole blood for transplant patients Required Patient Info Amount, date and time of dose, and draw Refrigerated 1 week Frozen (-20°C) 1 month Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80158 Test Schedule Daily Turnaround Time 1-2 days Method CMIA Test Includes Cyclosporine TDX, ng/mL Supply Item Number 1222

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Billing Code Test Code [sunquest] CYSTATIN C CYSC CYSC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.4 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Grossly hemolyzed specimen Alternate Specimens Plasma separator tube Reference Laboratory ARUP Reference Lab Test Code 95229 CPT Codes 82610 Test Schedule Daily Turnaround Time 2-3 days Method Quantitative Nephelometry Test Includes Cystatin C mg/L Supply Item Number 1467

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Billing Code Test Code [sunquest] CYSTIC FIBROSIS CARRIER SCREEN & DIAGNOSIS CFSCRA CFSCRA (REFLEXIVE) This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you have an interface. Due to the sensitivity of this test, submit the entire specimen unopened in the original collection tube. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms CFTR; CF; Molecular testing; CF Carrier Screen and Diagnosis Container Type Lavender top tube (EDTA) Store and Transport Store and transport at room temperature. If delayed more than 72 hours, store and transport refrigerated. Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1 mL Specimen Processing Submit original and unopened tube only; Do not freeze specimen Required Patient Info Patient's race, clinical indication and family history Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unstable Unacceptable Condition Heparinized whole blood, serum, grossly hemolyzed specimens, frozen specimens, specimens over 5 days old and specimens in leaky containers. Also specimens not received in the original collection tubes Alternate Specimens Sodium citrate or ACD whole blood (blue or yellow top tube). This test can also be done on buccal cell specimens. Collect buccal cells with a cytology brush or buccal swab by rotating for no less than 20 seconds on each cheek covering entire areas. Place collection device into a clean dry container (preferably sterile) with no additives or transport medium (original packaging affixed with tape is acceptable if properly labeled). Send brush or swab in container at ambient temperature or refrigerated (4 C). Special collection requirements: Avoid eating, drinking, smoking, or chewing gum within 2 hours before collection. Specimen is stable 5 days at room or refrigerated temperature and unstable frozen. Unacceptable specimens include: specimens over 5 days old, improperly labeled specimens, brushes/swabs in containers with transport medium or additives, samples in mouthwash, frozen brushes/swabs, inadequately sealed containers or loose specimens. Limitations Do not freeze specimen Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81220 Test Schedule Tue, Thu, Sat Turnaround Time 3-6 days Method Polymerase Chain Reaction (PCR) and Oligonucleotide Ligation Assay (OLA) Test Includes Cystic Fibrosis Carrier Screen or Diagnosis; Interpretation, Comment Notes Panel of mutations: R553X, G551D, I507del, F508del, 1717-1G>A, G542X, R560T, 3120+1G>A, R347P, 2183AA>G, W1282X, R334W, 1078delT, 3849+10kbC>T, R1162X, N1303K, 3659delC, A455E, R117H, 2184delA, 2789+5G>A, 1898+1G>A, 621+1G>T, 711+1G>T, G85E, S549N, S549R, V520F, 3876delA, R347H, 3905insT, 394delTT. Reflex: I506V, I507V, IVS-8 5T Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Carrier of R117H mutation IVS8poly T 81224 BIVS8T Preliminary result of homozygous 1506V, 1507V, and F508C 81224 B1506V delF508

Billing Code Test Code [sunquest] CYSTIC FIBROSIS EXPAND MUTATION PANEL GENCFP GENCFP Synonyms CF Expand Mutation Panel (Genzyme) Container Type Yellow top tube (ACD type A) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 10 mL Minimum Volume 10 mL Room Temp 1 week Alternate Specimens Lavender (EDTA) Reference Laboratory Genzyme Reference Lab Test Code CFPLUS CPT Codes 81220 Test Schedule Daily Turnaround Time 7-8 days Test Includes Cystic Fibrosis Expanded Mutation Analysis Result Supply Item Number 6039

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Billing Code Test Code [sunquest] CYSTICERCOSIS ANTIBODY, CSF CYSAB CYSAB Synonyms Taenia Solium AB, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.1 mL Collection Procedure Collect CSF in a sterile leakproof plastic tube. Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60350 CPT Codes 86682 Turnaround Time 3-4 days Method ELISA Test Includes Cysticercosis Antibody, CSF. Supply Item Number 7211

Billing Code Test Code [sunquest] CYSTICERCOSIS ANTIBODY, IGG, CSF CYSGCF CYSGCF Acute and convalescent samples advised. Synonyms Taenia Solium AB, IgG, CSF Container Type Leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark samples plainly as acute or convalescent. Specimen Processing Store and transport refrigerated. Room Temp 24 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Serum, lipemic, hemolyzed, icteric, contaminated, or heat-inactivated samples. Reference Laboratory ARUP Reference Lab Test Code 55285 CPT Codes 86682 Test Schedule Tue, Fri Turnaround Time 2-6 days Method ELISA Test Includes Cysticercosis Antibody, IgG, CSF, OD. Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories. Supply Item Number 7211

Billing Code Test Code [sunquest] CYSTICERCUS ANTIBODY CYSTICERCUS. CYSTAB AB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Taenia Solium AB Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 40350 CPT Codes 86682 Test Schedule Tue, Fri Turnaround Time 2-5 days Method ELISA Test Includes Cysticercus Antibody Compliance Remarks The analytical performance characteristics of this test have been determined by Focus Diagnostics. Notes If Cysticercus Antibody ELISA is positive, Cysticercus IgG Western blot is recommended. Additional charges apply. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 348 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CYSTICERCUS IGG ANTIBODY, WESTERN BLOT CYSWB CYSWB Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 40352 CPT Codes 86682 Test Schedule Tue Turnaround Time 2-9 days Method Western Blot Compliance Remarks This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Focus Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Billing Code Test Code [sunquest] CYSTINE, URINE 24HR CYUQ CYUQ Container Type Leakproof plastic urine container Store and Transport Frozen Specimen Type Frozen aliquot of random or 24 hour urine collection Preferred Volume 8 mL Minimum Volume 3 mL Collection Procedure Collect a random urine or 24 hour urine in leakproof plastic urine container. Avoid dilute urine. Specimen Processing Aliquot 8 mL of a random or 24 hour urine collection into a leakproof plastic urine container and freeze immediately. Required Patient Info Patient history form is recommended for interpretation. Biochemical Genetics Patient History form is available at www.aruplab.com. If 24 hour urine collection volume and collection period are required. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Ambient or refrigerated samples Reference Laboratory ARUP Reference Lab Test Code 0081106 CPT Codes 82131 Test Schedule Wed Turnaround Time 4-8 days Method LC-MS/MS Test Includes Voume, mLs; Collection Period, h; Cystine, Urine, umol/gCr; Creatinine, Urine, mg/dL; Cystine, Urine, mg/dL; Cystine, Urine, mg/day Notes This test is indicated only to monitor patients with cystinuria on therapy. Supply Item Number 1388

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Billing Code Test Code [sunquest] CYTOCHROME P450 2C9 2 MUTATIONS CP450A CP450A Container Type Lavender top tube Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Alternate Specimens K2EDTA or ACD Solution A or B whole blood (pink or yellow top tube) Reference Laboratory ARUP Reference Lab Test Code 0051103 CPT Codes 81227 Test Schedule Mon, Thu Turnaround Time 7-9 days Method Polymerase Chain Reaction/DNA Hybridization/Electrochemical Detection Test Includes CYP 2CP Specimen; CYP2C9 Allele 1; CYP2CP Allele 2; CYP2CP Gene Mutation Interpretation Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Counseling and informed consent forms are recommended for genetic testing. Consent forms are available online at www.aruplab.com. Supply Item Number 1222

Billing Code Test Code [sunquest] CYTOCHROME P450 CYP2D6 14 MUTATIONS & GENE CYP2D6 CYP2D6 DUPLICATION Container Type EDTA (lavender top tube) Store and Transport Ambient (room temperature); If delayed more than 72 hours, store and transport refrigerated Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL or a full EDTA microtainer Specimen Processing Submit in the original and unopened collection tube. Do not freeze Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, severely hemolyzed samples, specimens in leaky container or over 5 days old. Also specimens not received in the original collection tube. Do not freeze Alternate Specimens ACD A or B whole blood or sodium citrated whole blood (yellow or blue top tube). Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81226 Test Schedule Tue Turnaround Time 1-2 weeks Method PCR & ASPE Test Includes CYP2D6 Result Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under CLIA to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] CYTOGENETICS FISH CGFISH CGFISH This workpar will be used to track orders and hold results for a Copath test (GF Fish Study). Test code transmitted from Copath will be CYTOG GF. Internal use only.

Billing Code Test Code [sunquest] CYTOGENETICS, AMNIOTIC FLUID CGAF CGAF This order code is to be used by the clients when ordering the order code AFCYTO or AFTC. CPT Codes 88235, 88267, 88280 x 2, 88291

Billing Code Test Code [sunquest] CYTOGENETICS, BONE MARROW CGBM CGBM This order code is to be used when the clients want to order the code BMCYTO. CPT Codes 88237, 88280 x 3, 88264, 88201 2.1 www.paml.com 4/16/2013 page 350 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, AMNIOTIC FLUID AFCYTO This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGAF. Synonyms Cytogenetics, Amniotic Fluid; Karyotype Store and Transport Ambient (room temperature) Specimen Type Amniotic fluid Preferred Volume 15 -20 mL Minimum Volume 5 mL Specimen Processing 15-20 mL amniotic fluid, unspun in sterile 15 mL centrifuge tube (Corning or Falcon or equivalent).Do not split or aliquot specimen if other tests are ordered. If additional studies are required, additional volume of fluid maybe necessary and charges will be added. Label all tubes with patient name and DOB. Required Patient Info Date of birth, clinical information, gestational age by LMP or US Room Temp 2 days Unacceptable Condition Refrigerated, frozen, spun samples, or samples in any kind of fixatives Alternate Specimens Fluid from uterine saline infusion, cystic hygroma, fetal pleural fluid or urine (please specify) Department PAML Cytogenetics CPT Codes 88235, 88267, 88280 x 2, 88291 Test Schedule Daily Turnaround Time 6-8 days Method Cytogenetics Test Includes Chromosome Analysis, Amniotic Fluid Supply Item Number Sterile 15 mL centrifuge tube (Corning or Falcon or equivalent)

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, BONE MARROW, BMCYTO BMCYTO ASPIRATE/BONE CORE This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGBM. Synonyms Cytogenetics; Bone Marrow; Bone Core; Karyotype Container Type Bone marrow transport tube or sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone marrow aspirate or bone core biopsy Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing 2 mL bone marrow aspirate in sterile transport tube containing transport media. If specimen is a core, use sterile technique to transfer it to a transport media tube as soon as possible. Room Temp 3 days Unacceptable Condition Refrigerated or frozen specimens in ACD, EDTA, LiHep tubes, in fixative, spun or clotted Alternate Specimens Bone morrow in RPMI media Department PAML Cytogenetics CPT Codes 88237, 88280 x 3, 88264, 88291 Test Schedule Daily Turnaround Time 3-5 days Method Cytogenetics Test Includes Chromosome Analysis, Bone Marrow Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, HIGH HRPBCY RESOLUTION, PERIPHERAL BLOOD This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms Cytogenetics; Peripheral Blood; High Resolution; Karyotype Container Type Green top tube (sodium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Room Temp 3 days Unacceptable Condition Refrigerated or frozen, spun, clotted, or in additive other than sodium heparin Alternate Specimens Whole blood in tissue culture media containing sodium heparin. Department PAML Cytogenetics CPT Codes 88289, 88262, 88230, 88280, 88291 Test Schedule Daily Turnaround Time 7-10 days Method Cytogenetics Test Includes Chromosome Analysis, Peripheral Blood High Resolution Supply Item Number 1398 or 1397 2.1 www.paml.com 4/16/2013 page 351 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, LEUKEMIC BLOOD LBCYTO This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGLB. Synonyms Cytogenetics, Leukemic Blood/Neoplastic Blood; Karyotype Container Type Green top tube (sodium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Room Temp 2 days Unacceptable Condition Refrigerated or frozen, spun, clotted, or in ACD, EDTA, LiHep Alternate Specimens Whole blood in tissue culture media containing sodium heparin Department PAML Cytogenetics CPT Codes 88237, 88280 x 6, 88264, 88291 Test Schedule Daily Turnaround Time 3-5 days Method Cytogenetics Test Includes Chromosome Analysis, Leukemic Blood Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, MOSAIC, MOPBCY PERIPHERAL BLOOD This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms Cytogenetics, Peripheral Blood, Rule-out Mosaicism; Karyotype Container Type Green top tube (sodium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Room Temp 3 days Unacceptable Condition Refrigerated or frozen, spun, clotted, or in additive other than sodium heparin Alternate Specimens Whole blood in tissue culture media containing sodium heparin. Department PAML Cytogenetics CPT Codes 88230, 88261, 88263, 88291, 88285, 88280 Test Schedule Daily Turnaround Time 7-10 days Method Cytogenetics Test Includes Chromosome Analysis, Peripheral Blood Mosaic Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, MOSIAC, SOLID MOSTI TISSUE This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms Products of Conception R/O Mosaicism; Cytogenetics Solid Tissue R/O Mosaicism; Karyotype Store and Transport Ambient (room temperature) Specimen Type Tissue biospy 5 mm3 in sterile tube with tissue culture media containing antibiotics Preferred Volume 5 mm3 Minimum Volume 5 mm3 Specimen Processing Tissue biopsy 5 mm3 in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Room Temp 2 days Unacceptable Condition Refrigerated or frozen, placed in fixative of any kind or grossly contaminated with bacteria and/or fungus Alternate Specimens Specimens in sterile saline. They are not optimal. Department PAML Cytogenetics CPT Codes 88233, 88263, 88261, 88285 Test Schedule Daily Turnaround Time 7-21 days Method Cytogenetics Test Includes Chromosome Analysis, Solid Tissue Mosiac Supply Item Number 1732

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Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, PLEURAL OR PLCYTO ASCITES FLUID This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Chromosome Analysis; Pleural Fluid; Ascites Fluid; Cyctic Hygroma Fluid; Karyotype Store and Transport Ambient (room temperature) Specimen Type Pleural or ascites fluid Preferred Volume 15 -20 mL Minimum Volume 5 mL Specimen Processing 15-20 mL pleural or ascites fluid, unspun in sterile conical centrifuge tube. Do not split or aliquot specimen if other tests are ordered. If additional studies are required, additional volume of fluid maybe necessary and charges will be added. Required Patient Info Clinical indication (ultrasound findings, if applicable) and gestational age of fetus Room Temp 2 days Unacceptable Condition Refrigerated, frozen or spun samples; samples in any kind of fixative Alternate Specimens Cystic hygroma fluid Department PAML Cytogenetics CPT Codes 88235, 88267, 88280, 88291 Test Schedule Daily Turnaround Time 6-8 days Method Cytogenetics Test Includes Chromosome Analysis, Pleural or Ascites Fluid Supply Item Number Sterile 15 mL centrifuge tube (Corning or Falcon or equivalent)

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, ROUTINE, PBCYTO PERIPHERAL BLOOD This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGPB. Synonyms Cytogenetics, Peripheral Blood; Karyotype Container Type Green top tube (sodium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 0.5-1 mL (newborns only) Room Temp 3 days Unacceptable Condition Frozen, spun, clotted, or in additive other than sodium heparin Alternate Specimens Whole blood in tissue culture media containing sodium heparin Department PAML Cytogenetics CPT Codes 88230, 88262, 88280, 88291 Test Schedule Daily Turnaround Time 7-10 days; 24-48 hours verbal preliminary results available for most newborn studies. Indicate on test requisition form where results should be called. Method Cytogenetics Test Includes Chromosome Analysis, Peripheral Blood Routine Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE STICYT This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGSTI. Synonyms Cytogenetics, Products of Conception; Solid Tissue; Karyotype Store and Transport Ambient (room temperature) Specimen Type Tissue biopsy in sterile tube with tissue culture media containing antibiotics Preferred Volume 5mm3 Minimum Volume 5mm3 Specimen Processing Tissue biopsy 5mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Room Temp 2 days Unacceptable Condition Refrigerated, frozen, placed in fixative of any kind, or grossly contaminated with bacteria and/or fungus Alternate Specimens Specimens in sterile saline. They are not optimal. Department PAML Cytogenetics CPT Codes 88233, 88262, 88280, 88291 Test Schedule Daily Turnaround Time 10-14 days Method Cytogenetics Test Includes Chromosome Analysis, Solid Tissue Supply Item Number 1732

Billing Code Test Code [sunquest] CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TUMOR STUCYT This test must be ordered on a paper requisition that accompanies the specimen. This IS an orderable test in the PAML computer system as CGSTU. Synonyms Cytogenetics, Solid Tumor; Karyotype Store and Transport Ambient (room temperature) Specimen Type Solid tumor tissue 5mm3 in sterile transport tube with tissue transport media Preferred Volume 5mm3 Minimum Volume 5mm3 Specimen Processing Solid tumor tissue 5mm3 in sterile transport tube with tissue transport media. Keep as sterile as possible, place tissue in transport media as soon as possible. Room Temp 2 days Unacceptable Condition Refrigerated, frozen, placed in fixative of any kind or saline Alternate Specimens 5mm3 tumor tissue in RPMI media or sterile saline Department PAML Cytogenetics CPT Codes 88239, 88280 x 6, 88264, 88291 Test Schedule Daily Turnaround Time 5-14 days Method Cytogenetics Test Includes Chromosome Analysis, Solid Tumor Tissue Supply Item Number 1732

Billing Code Test Code [sunquest] CYTOGENETICS, LEUKEMIC BLOOD CGLB CGLB This order code is to be used when the client wants to order code LBCYTO. CPT Codes 88237, 88280 x 6, 88264, 88291

Billing Code Test Code [sunquest] CYTOGENETICS, MISC SPECIMEN CGMS CGMS This code will be used to track orders and hold results for a Copath test (GM Miscelleaneous Specimens). Test code transmitted from Copath will be CYTOG GM.

Billing Code Test Code [sunquest] CYTOGENETICS, PERIPHERAL BLOOD CGPB CGPB This order code is to be used when the client wants to order codes PBCYTO, HRPBCY, MOPBCY. CPT Codes 88230, 88262, 88280, 88291

Billing Code Test Code [sunquest] CYTOGENETICS, SENDOUT TEST CGSO CGSO This order code will be used to track orders and hold results for a Copath test (GO Cytogenetics Sendouts). Test code transmitted from Copath wiill be CYTOG GO

Billing Code Test Code [sunquest] CYTOGENETICS, SOLID TISSUE CGSTI CGSTI This order code is to be used to order when the client wants to order code STITC, MOSTI, or STICYT. CPT Codes 88233, 88262, 88280, 88291 2.1 www.paml.com 4/16/2013 page 354 C 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory C

Billing Code Test Code [sunquest] CYTOGENETICS, SOLID TUMOR CGSTU CGSTU This order code is to be used when the client wants to order the code STUCYT. CPT Codes 88239, 88264, 88280 x 6, 88291

Billing Code Test Code [sunquest] CYTOGENETICS, TISSUE CULTURE, AMNIOTIC FLUID AFTC This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms Amniotic Fluid Tissue Culture Only; Tissue Culture Send Out Testing Store and Transport Ambient (room temperature) Specimen Type Amniotic fluid Preferred Volume 15-20 mL Minimum Volume 5 mL Specimen Processing 15 mL amniotic fluid, unspun in a 15 mL centrifuge tube (Corning or Falcon or equivalent). Discard first 3 mL drawn, do not centrifuge. Label all tubes with patient name and DOB. Required Patient Info Date of birth, clinical indication, gestational age by LMP or US Room Temp 2 days Unacceptable Condition Frozen or spun samples Alternate Specimens Fluid from uterine saline infusion, cystic hygroma, or fetal pleural fluid Department PAML Cytogenetics CPT Codes 88235 Test Schedule Daily Method Cytogenetics Test Includes Tissue Culture, Amniotic Fluid Supply Item Number Sterile 15 mL centrifuge tube (Corning or Falcon or equivalent)

Billing Code Test Code [sunquest] CYTOGENETICS, TISSUE CULTURE, SOLID TISSUE STITC This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms Products of Conception Tissue Culture; Solid Tissue Culture for send out testing Store and Transport Ambient (room temperature) Specimen Type Tissue biopsy in sterile tube with tissue culture media containing antibiotics Preferred Volume 5 mm3 Minimum Volume 5 mm3 Specimen Processing Tissue biopsy 5 mm3 minimum in sterile tube with tissue culture media containing antibiotics. Keep as sterile as possible, place tissue in cell culture media as soon as possible. Room Temp 2 days Unacceptable Condition Refrigerated, frozen, placed in fixative of any kind or grossly contaminated with bacteria and/or fungus Alternate Specimens Specimens shipped in sterile saline. They are not optimal. Department PAML Cytogenetics CPT Codes 88233 Test Schedule Daily Method Cytogenetics Test Includes Tissue Culture, Solid Tissue Supply Item Number 1732

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Billing Code Test Code [sunquest] CYTOKINE PANEL 12 BY MAFD CYTPAN CYTPAN Container Type Red top tube Store and Transport Frozen Specimen Type Serum or plasma Preferred Volume 3 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube and freeze. This is a critical frozen. Additional specimens must be submitted when multiple tests are ordered. Room Temp 30 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Unacceptable Condition Heat inactivated, refrigerated or contaminated specimens Alternate Specimens Lithium heparin (green top tube) Reference Laboratory ARUP Reference Lab Test Code 51394 CPT Codes 83520 x 12 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Multi-Analyte Fluorescent Detection Test Includes Interleukin 2; Interleukin 2 Receptor: Interleukin 12; Interferon Gamma; Interleukin 4; Interleukin 5; Interleukin 10; Interleukin 13; Interleukin 1 Beta; Interleukin 6; Interleukin 8; Tumor Necrosis Factor Alpha Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test: however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes Results are to be used for research purposes or in attempts to understand the pathophysiology of immune, infectious or inflammatory disorders. Supply Item Number 1372

Billing Code Test Code [sunquest] CYTOLOGY, PAP SMEAR, CONVENTIONAL SMEAR CPAPSH This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms PAP Smear, Conventional Container Type Microscope slides Store and Transport Store and transport at room temperature Specimen Type Gynecological Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test. Collection Procedure Obtain sample, smear on slide, fix immediately. Do not use lubricants. Ensure slide is labeled with two identifiers. Seal Pap-Pak. Required Patient Info Full name, Date of Birth, Physician, Specimen Source, LMP, DOS Unacceptable Condition Broken or unlabelled slides Alternate Specimens SurePath or ThinPrep Liquid-Based collection Department PSHMC Cytology Reference Laboratory PSHMC CPT Codes 88164, 88141, 88148, G0148, P3000, P3001 Test Schedule Sun-Fri Turnaround Time 5-7 days Supply Item Number 9719

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Billing Code Test Code [sunquest] CYTOLOGY, SURE PATH PAP SPPSH This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Container Type Blue top SP vial Store and Transport Ambient (room temperature) Specimen Type Gynecological Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test. Collection Procedure Obtain sample, swish device in vial, remove tip, drop in vial. Replace lid tightly. Shake vigorously. Do not use lubricants. Ensure vial is labeled with two identifiers. Required Patient Info Full name, Date of Birth, Physician, Specimen Source, LMP, DOS Unacceptable Condition Leaking or unlabelled vial Alternate Specimens Thinprep or conventional smear Department PSHMC Cytology Reference Laboratory PSHMC CPT Codes 88175, G0145, 88141, 88142, G0123, G0124 Test Schedule Sun-Fri Turnaround Time 5-7 days Supply Item Number 1635K

Billing Code Test Code [sunquest] CYTOLOGY, THIN PREP PAP THINSH This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms PAP, Thin Prep Container Type White top TP vial Store and Transport Ambient (room temperature) Specimen Type Gynecological Patient Prep Avoid douching and intercourse for at least twenty four hours prior to collection. Do not use topical creams or gels prior to test. Collection Procedure Obtain sample, swish device in vial, remove tip (optional) and drop in vial. Replace lid tightly. Shake vigorously. Do not use lubricants. Ensure vial is labeled with two identifiers. Required Patient Info Full Name, Date of Birth, Physician, Specimen Source, LMP, DOS Unacceptable Condition Leaking or unlabelled vial Alternate Specimens SurePath or Conventional smear Department PSHMC Cytology Reference Laboratory PSHMC CPT Codes 88142, 88141, G0123, G0124 Test Schedule Sun-Fri Turnaround Time 5-7 days Supply Item Number Thin Prep Device

Billing Code Test Code [sunquest] CYTOMEGALOVIRUS ANTIBODY, IGG CMVGL CMVGL Synonyms CMV Antibody, IgG; CMV, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, whole blood; Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter, or are contaminated; Avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86644 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes CMV Antibody, IgG, U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] CYTOMEGALOVIRUS ANTIBODY, IGG & IGM CMVGML CMVGML Synonyms CMV Antibody, IgG and IgM CMV, IgG & IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, whole blood; Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter, or are contaminated; Avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86644, 86645 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes CMV Antibody, IgG, U/mL; CMV Antibody, IgM, AU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] CYTOMEGALOVIRUS ANTIBODY, IGM CMVML CMVML Synonyms CMV Antibody, IgM; CMV, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, whole blood; Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated; Avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86645 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes CMV Antibody, IgM, AU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] CYTOMEGALOVIRUS BY RT-PCR, QUALITATIVE CMVRTP CMVRTP

Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms CMV, DNA, Quantitation; Molecular; Cytomegalovirus Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate plasma immediately from cells, transfer to a sterile plastic tube, and freeze. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Frozen whole blood and plasma frozen in a PPT tube. Alternate Specimens 1 mL EDTA, ACD or PPT frozen plasma. Separate plasma from the cells immediately and put in a separate sterile plastic tube and freeze. Department PAML Virology CPT Codes 87496 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-time PCR Test Includes CMV Source; Cytomegalovirus DNA PCR Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] CYTOMEGALOVIRUS BY RT-PCR, QUALITATIVE (NON-PLASMA CMVRT CMVRT SOURCES)

Dedicated Specimen Only. This test cannot be ordered as an add-on test on non-molecular samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms CMV by Real Time PCR; CMV; Cytomegalovirus; Molecular Container Type Remel M4, M4RT, M5, M6, or BD Universal Transport Media Store and Transport Frozen. Ship Category B Specimen Type Bronchial/BAL Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Submit specimens in an equal volume ratio of viral transport media. Room Temp 8 hours Refrigerated 1 day Frozen (-20°C) 3 months Unacceptable Condition Serum, non-sterile or leaking containers, whole blood, or bone marrow; Avoid multiple freeze/thaw cycles Alternate Specimens CSF, neonatal urine frozen in sterile containers. Ocular fluid, biopsy tissue, or swab (flocked preferred, polyester or rayon acceptable) frozen in viral transport media, (Remel M4, M4RT, M5, M6, or BD Universal Transport Media may be used). Department PAML Virology CPT Codes 87496 Test Schedule Mon-Sat Turnaround Time 1-3 days Method PCR Test Includes Cytomegalovirus Source; Cytomegalovirus Result by PCR; Cytomegalovirus Comment Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Notes For plasma specimens use CMVRTP order code. Supply Item Number 1785

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Billing Code Test Code [sunquest] CYTOMEGALOVIRUS BY RT-PCR, QUANTITATIVE CMVQRT CMVQRT

Dedicated Specimen Only. This test cannot be ordered as an add-on test on samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms CMV, DNA, Quantitation; Molecular; Cytomegalovirus Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B. Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate plasma immediately from cells, transfer to a sterile plastic tube, and freeze. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Frozen whole blood and plasma frozen in a PPT tube Alternate Specimens 1 mL EDTA, ACD or PPT frozen plasma. Separate plasma from the cells immediately, transfer to a separate sterile plastic tube, and freeze. Department PAML Virology CPT Codes 87497 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-time PCR Test Includes CMV Source; Cytomegalovirus DNA, Quantitation PCR, copies/mL Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] CYTOMEGALOVIRUS PCR, AMNIOTIC FLUID CMPCRA CMPCRA

Synonyms CMV PCR, Amnotic Fluid Container Type Sterile leakpoof plastic container Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen amniotic fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Nonsterile or leaking containers Reference Laboratory ARUP Reference Lab Test Code 0060040 CPT Codes 87496 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Qualitative PCR Test Includes CMV Source; CMV Detection, PCR. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.

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Billing Code Test Code [sunquest] D-DIMER, QUANTITATIVE XDIMQT XDIMQT Synonyms D-Dimer; Dimer & Crosslinked Fibrin Degradation Product. Container Type Blue top tube (buffered sodium citrate) Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85379 Test Schedule Sun-Sat & STAT Turnaround Time 24-48 hours Method Immuno-turbidimetric Test Includes D-Dimer, Quantitative, ug/mL FEU. Supply Item Number 1050 or 1072

Billing Code Test Code [sunquest] DANTRIUM DANT DANT Synonyms Dantrolene Container Type Lavender top tube (EDTA) Specimen Type Plasma Preferred Volume 2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Store and transport refrigerated or at room temperature. Alternate Specimens EDTA whole blood or serum (lavender or red top tube). Limitations No SST tubes and protect from light. Reference Laboratory NMS Reference Lab Test Code 1439SP CPT Codes 80299 Test Schedule Varies Turnaround Time 7 days Method Spectrofluorometric Test Includes Dantrolene, mcg/mL. Supply Item Number 1222

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Billing Code Test Code [sunquest] DENGUE FEVER VIRUS ANTIBODIES, IGG & IGM DENGUE DENGUE Paired sera are advised; Mark specimens plainly as acute or convalescent Synonyms Breakbone Fever; Flavivirus; Hemorrhagic Fever Container Type SST tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeat freeze/thaw cycles) Unacceptable Condition Contaminated, heat-inactivated, hemolyzed, severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 93096 CPT Codes 86790 x 2 Test Schedule Mon Turnaround Time 2-8 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Dengue Fever Virus Antibody, IgG, IV; Dengue Fever Virus Antibody, IgM, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] DEOXYCORTICOSTERONE, LC/MS/MS DEOXCC DEOXCC Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Collection Procedure Centrifuge specimen and transfer to a plastic transport tube. Room Temp 3 days Refrigerated 7 days Frozen (-20°C) 30 days Unacceptable Condition Serum spearator tube, moderate hemolysis, gross hemolysis, gross lipemia, grossly icteric Reference Laboratory Quest - SJC Reference Lab Test Code 90973 CPT Codes 82633 Test Schedule Sun, Tue, Thu Turnaround Time 5-8 days Method Liquid Chromatography, Tandem Mass Spectrometry Test Includes Deoxycorticosterone, ng/dL Clinical Significance Deoxycorticosterone (DOC) is a weak mineralocorticoid derived frim 21-hydroxylation of progesterone in the adrenal center

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Billing Code Test Code [sunquest] DESIPRAMINE DES DESIP Synonyms Norpramin; Pertofrane Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3.5 mL Minimum Volume 2.5 mL Collection Procedure Draw 10-14 hours post-dose. If a divided dose is given draw before morning dose. Specimen Processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated. Required Patient Info Time of dose and time drawn. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations SST and other gel-type tubes are not recommended because they may artifactually and randomly lower results. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80160 Test Schedule Mon-Fri Turnaround Time 1-3 days Method HPLC Test Includes Desipramine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] DESIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCDES TLCDES SUR. Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 30 days Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Desipramine Notes Test also included in comprehensive drug survey (Drug-Sur) Supply Item Number 1388

Billing Code Test Code [sunquest] DEXAMETHASONE (SUPPRESSION-2) DST2 DST Synonyms Cortisol Suppression (2 samples) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL for each timed sample Minimum Volume 0.2 mL for each timed sample Collection Procedure Draw cortisols at 8:00 am the morning before and the morning after an 11:00 pm oral dose of 1.0 mg dexamethasone. Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Clearly label specimens. Room Temp 8 hours Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 x 2 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression, ug/dL; Time Drawn Notes Low dose dexamethasone usually does not suppress cortisol production in Cushing's Syndrome. Supply Item Number 1467

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Billing Code Test Code [sunquest] DEXAMETHASONE (SUPPRESSION-3) DST3 DST3 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL each specimen Collection Procedure Refer to DST2 for protocol Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Label each specimen clearly. Room Temp 8 hours Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 x 3 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression #1, ug/dL; Time Drawn; Cortisol Post-Suppresion #2, ug/dL; Time Drawn Supply Item Number 1372

Billing Code Test Code [sunquest] DEXAMETHASONE (SUPPRESSION-4) DST4 DST4 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL each specimen Minimum Volume 0.2 mL each specimen Collection Procedure Refer to DST2 for protocol Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 x 4 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol Pre-Suppression, ug/dL; Time Drawn; Cortisol Post-Suppression #1, ug/dL; Time Drawn; Cortisol Post-Suppression #2, ug/dL; Time Drawn; Cortisol Post-Suppression #3, ug/dL; Time Drawn Supply Item Number 1372

Billing Code Test Code [sunquest] DEXAMETHASONE (SUPPRESSION-RANDOM) DST1 DST1 Synonyms Cortisol suppression (random) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure See DST2 for protocol Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 10 days Department PAML Immunochemistry CPT Codes 82533 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Cortisol, ug/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] DEXTROMETHORPHAN (URINE ONLY) TEST ALSO INCLUDED IN TLCDEX TLCDEX DRUG-SUR. Synonyms Robotrip Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Dextromethorphan Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] DEXTROMETHORPHAN AND METABOLITE RATIO, URINE DEXMR DEXMR Container Type Urine, leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 2 mL Minimum Volume 0.7 mL Collection Procedure Collect in a preservative free container Specimen Processing See attached Room Temp Indefinitely Refrigerated Indefinitely Frozen (-20°C) Indefinitely Reference Laboratory NMS Reference Lab Test Code 2917U CPT Codes 82492 Test Schedule Mon-Sun Turnaround Time Up to 9 days; this is a batched test Method High Performance Liquid

Billing Code Test Code [sunquest] DHEA DHYA DHYA Synonyms Dehydroepiandrosterone Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Collect between 6-10 AM. Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Required Patient Info Patient's date of birth. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Alternate Specimens EDTA, lithium or sodium heparinized plasma (lavender or green top tube). Reference Laboratory ARUP Reference Lab Test Code 2001640 CPT Codes 82626 Test Schedule Sun-Sat Turnaround Time 2-5 days Method HPLC/TMS Test Includes DHEA, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] DHEA-SO4 DHEA-SO4 DHEAS Synonyms DHEA Sulfate; Dehydroepiandrosterone Sulfate; DHEA-S Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Refrigerated 2 days from time of collection Frozen (-20°C) 2 months from time of collection Alternate Specimens . Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82627 Test Schedule Mon-Sat days Turnaround Time 1-3 days Method ICMA Test Includes DHEA-SO4, ug/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] DIAZEPAM AND NORDIAZEPAM VALIUM DIAZ Synonyms Valium Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90076 CPT Codes 80154 Test Schedule Sun-Sat Turnaround Time 3-5 days Method GC Test Includes Diazepam, ug/mL; Nordiazepam, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] DIC SCREEN (REFLEXIVE) DICB DIC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms DIC Screen; Disseminated Intravascular Coagulation, Screen Reflex Container Type Lavender top tube (EDTA), 2 blue top tubes (citrated plasma) and 2 blood smears Minimum Volume 3 mL EDTA, 5 mL citrate, and 2 slides Collection Procedure 3 mL EDTA whole blood (lavender top tube), 2 blood smears, and 2-3 mL citrated plasma (blue top tubes) Specimen Processing Tests on nonheparinized patients must be performed within 4 hours of drawing. Transport uncentrifuged or centrifuged with plasma remaining on top of the cells at room temperature or refrigerated. Tests on specimens suspected of containing unfractionated heparin should be centrifuged, the plasma removed from the cells within 1 hour of drawing, kept at room temperature or refrigerated, and tested within 4 hours of drawing. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less.. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85610, 85730, 85384, 85670 ,85379, 85049, 85008 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical, Microscopy Test Includes Protime, sec; Population Mean, sec; INR; PTT, sec; PTT Population Mean, sec; Fibrinogen, mg/dL; Thrombin Time, Patient, sec; Thrombin Time, Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/SO4 Mix, sec; D-Dimer, Quantitative, ug/mL FEU; Platelet Count, k/uL; RBC Morphology, DIC Comment. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Thrombin Time prolonged TT PT/CT Mix and/or TT PT/SO4 Mix 85670

Billing Code Test Code [sunquest] DIFFERENTIAL SLIDE REVIEW BY PATH DIF.PATH PATHD2 Container Type Lavender top tube (EDTA) and slides. Specimen Type Blood smears, whole blood Preferred Volume 2 smears, 5 mL whole blood Collection Procedure Two peripheral blood smears; one stained and one unstained. Send a copy of autoheme results with slides. If autoheme results are not available include EDTA whole blood (lavender top tube). Specimen Processing EDTA whole blood (lavender top tube) must be received within 12 hours of collection. Required Patient Info Autoheme results. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85060 Test Schedule Mon-Fri, days Turnaround Time 72 hours Method Microscopic Test Includes See CBC; Impression; Reviewed By. Supply Item Number 1222 1217

Billing Code Test Code [sunquest] DIFFERENTIAL, MANUAL DIF.AD AMDIF2 Container Type Lavender top tube (EDTA) and Peripheral blood smears Specimen Type Whole blood and Peripheral blood smears Specimen Processing Please send a copy of autoheme results with specimens. Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85007 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Microscopic Test Includes Segs, %, Segs, Abs, K/uL; Bands, %; Bands, Abs, K/uL; Lymphocytes, %; Lymphocytes, Abs, K/uL; Variant Lymphocytes, %; Variant Lymphocytes, Abs, K/uL; Monocytes, %; Monocytes, Abs, K/uL; Eosinophils, %; Eosinophils, Abs, K/uL; Basophils, %; Basophils, Abs, K/uL; Metamyelocytes, %; Myelocytes, %; Promyelocytes, %; Blast, %; Other, %; NRBC, /100 WBC; Meg. Frag, /100 WBC; RBC Morph; WBC Morph; Platelet Morph; Cells Counted Supply Item Number 1222

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Billing Code Test Code [sunquest] DIGITOXIN DGTXN DGTXN Synonyms Digitalis; Cystodigin R; Lanatoxin R Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection. Store and transport refrigerated. Required Patient Info Indicate name of drug. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0090085 CPT Codes 80299 Test Schedule Mon, Wed, Fri Turnaround Time 1-5 days Method Fluoresence Polar Immunoassay Test Includes Digitoxin, ng/mL. Notes Includes: Digifortis, Digiglusin, Digitora, Digitaline Nativelle, Gitaligin, Myodigin, Crystodigin & Pil- Digis. Supply Item Number 1372

Billing Code Test Code [sunquest] DIGOXIN DIG DIG Synonyms Lanoxin Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw just prior to next dose. Note times of dose and drawing. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Time of dose and time drawn Room Temp 1 day Refrigerated 5 days Frozen (-20°C) 1 month Alternate Specimens SST and other gel type tubes; however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. PSHMC can run plasma samples. Department PAML Immunochemistry CPT Codes 80162 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Digoxin, ng/mL Notes Brand names include: Lanoxin, Acylanid, Cedilanid, Cedilanid-D, Davoxin, Deslanoslide, Lantoslide C and Saroxin. Supply Item Number 1372

Billing Code Test Code [sunquest] DILTIAZEM (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCDIL TLCDIL SUR Synonyms Cardizem, Heart Medication Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 30 days Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Diltiazem Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388 2.1 www.paml.com 4/16/2013 page 368 D 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory D

Billing Code Test Code [sunquest] DILUTE RUSSELL VIPER VENOM (REFLEXIVE) ADRVVT ADRVVT Separate samples must be submitted when multiple tests are ordered. Unable to test for lupus inhibitor with heparin inhibitor present. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms DRVVT Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 2 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Unable to test for lupus inhibitor with heparin inhibitor present. Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85613 Test Schedule Daily Turnaround Time 1-3 days Method Electromechanical Test Includes dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; dRVVT Confirm Mix Ratio. Notes Prolonged dRVVT results require a mixing study with normal pooled plasma. dRVVT mix ratios greater than 1.2 require confirmatory testing. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes dRVVT prolonged dRVVT Mix Ratio 85613 dRVVT mix ratios > 1.2 dRVVT Confirm Ratio or Confirm Mix Ratio 85613

Billing Code Test Code [sunquest] DIPHENHYDRAMINE (URINE ONLY) TEST ALSO INCLUDED IN TLCDIP TLCDIP DRUG-SUR. Synonyms Banophen; Belix; Dermarest; Excedrin PM; Hydramine; Sleepinal; Sleep-Eze 3; Unisom Sleep Gels Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Diphenhydramine, Dimenhydrinate Notes Test also is included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] DIPHTHERIA & TETANUS ANTIBODIES, IGG DIPTEN DIPTEN Synonyms Immune Response (Diphtheria & Tetanus Antibodies, IgG); Vaccine Response (Diphtheria & Tetanus Antibodies, IgG) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Collection Procedure 'Pre' and 'post' vaccination specimens should be submitted for testing. 'Post' specimen should be drawn 30 days after immunization. Mark specimens clearly as 'Pre-Vaccine' or 'Post-Vaccine'. Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma or other body fluids Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50595 CPT Codes 86317 x 2 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Multiplex Bead Assay Test Includes Diphtheria Antibody, IU/mL; Tetanus Antibody, IU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] DIRECT EXAM, MISC MISCDE MISCDE

Container Type Sterile leakproof plastic container Store and Transport Store and transport refrigerated. Ship Category B Collection Procedure Submit specimen in sterile leakproof plastic container or if appropriate in culturette. Required Patient Info Indicate source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes This test is considered a shell order code. The appropriate CPT code will be added when the test is performed. Test Schedule Daily Turnaround Time 24-48 hours Test Includes Source; Direct Exam, Misc; Direct Exam, Status. Notes If testing is done at PSC use the workpar WET-MNT or Flexi ordercode WM or for KOH Prep use the workpar KOH or Flexi ordercode KOHPRP. If testing is done at PSHMC use the workpar MISCDE. If testing for occult blood and sending to PSHMC use the workpar MISCDE also. Supply Item Number 1387 or 7211

Billing Code Test Code [sunquest] DIRECT PLATELET ANTIBODIES, IGG & IGM DIRPLT DIRPLT Synonyms Anti-Platelet Antibody, Direct; Direct Platelet Antibodies, IgG & IgM; Platelet Antibody, Direct; Platelet AB; Direct IgG, IgM Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 10 mL Minimum Volume 5 mL Specimen Processing Store and transport at room temperature. Submit specimen ASAP as specimen stability is patient- dependent and should not exceed 48 hours. This must be received at the performing laboratory within 48 hours of collection. It must be received at the performing lab thru Friday only to meet this criteria. Required amount of blood may be dependent on platelet count. Critical ambient. Room Temp 48 hours Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Samples over 48 hours old, clotted, refrigerated or frozen specimens. Department PSHMC Flow Cytometry Reference Laboratory PSHMC CPT Codes 86023 x 2 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Flow Cytometry Test Includes Platelet Antibody, Direct, IgG; Platelet Antibody, Direct, IgM; Interpretation. Supply Item Number 1657

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Billing Code Test Code [sunquest] DISACCHARIDASE ANALYSIS DISAC DISAC Container Type See below Specimen Type See below Preferred Volume See below Minimum Volume 1-5 mg biopsy Collection Procedure See below Specimen Processing 5 mg frozen bowel tissue biopsies. Place in small, tightly capped plastic tube. Tissue should be placed on the wall of the plastic tube and frozen ASAP. Collect 1-2 biopsies, 2 samples are preferred. Store and transport frozen. Unacceptable Condition Tissue placed on gauze or filter paper and ambient or refrigerated samples. Reference Laboratory Joli CPT Codes 82657 x 4 Turnaround Time 3-5 days Method Spectrphotometry Test Includes Lactase, uM/min/gram protein; Sucrase, uM/min/gram protein; Maltase, uM/min/gram protein; Palatinase uM/min/gram protein; Interpretation. Supply Item Number 7211

Billing Code Test Code [sunquest] DISOPYRAMIDE DISOP DISOP Synonyms Norpace Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 4 days Refrigerated 2 months Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0090095 CPT Codes 80299 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Immunoassay Test Includes Disopyramide, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] DNA AUTOANTIBODIES, DOUBLE-STRANDED (ENDPOINT) DNAFAR DNAFAR Synonyms DNAFA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 48 hours Refrigerated 7 days Frozen (-20°C) 2 months Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 1211 CPT Codes 86225 Test Schedule Tue-Fri Turnaround Time 2-5 days Method Farr Radiobinding Assay

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Billing Code Test Code [sunquest] DNA CONTENT/CELL CYCLE ANALYSIS, MISCELLANEOUS DNAMIS DNAMIS Container Type See collection information Store and Transport See collection information Specimen Type See collection information Collection Procedure Collect: Tumor tissue, body fluid, peripheral blood in green (sodium or lithium), bone marrow in green (sodium or lithium), OR urine/bladder washings. Provide a Wright stained slide with all bone marrow and whole blood specimens along with clinical information and specimen source. Specimen Preparation: Tissue: Paraffin embedded tissue block enriched with tumor OR Body Fluid: Transport: 100 mL body fluid. (Min: 10 mL) OR Peripheral Blood: Transport 5 mL whole blood. OR Bone Marrow: Transport 2 mL bone marrow (specimens with low mononuclear cell counts may require more volume). OR Urine/Bladder Washings: Centrifuge and remove supernatant. The cell pellet should then be re-suspended in a cell culture media such as Hank's Balanced Salt Solution or RPMI. Storage/Transport Temperature: Tissue (paraffin embedded), Peripheral Blood, or Bone Marrow: Refrigerated or room temperature. Body Fluid or Urine/Bladder Washings: Refrigerated. Stability (collection to initiation of testing): Tissue (paraffin embedded): Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable. Body Fluid or Urine/Bladder Washings: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable. Peripheral Blood or Bone Marrow: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable Required Patient Info Source and clinical information Required Patient Info Source and clinical information Room Temp See collection information Refrigerated See collection information Frozen (-20°C) See collection information Unacceptable Condition No tumor in block, samples fixed in Bouin's solution, mercuric chloride containing fixatives or ethanol-based fixatives containing ethylene glycol, acetic acid and zinc chloride, decalcified samples, frozen samples that have thawed, hemolyzed or clotted blood or bone marrow samples. Reference Laboratory ARUP Reference Lab Test Code 0095155 CPT Codes 88182 Test Schedule Sun, Tue Turnaround Time 4-10 days Method Flow Cytometry Test Includes Source; DNA Content; S-Phase Interpretation Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes Interpretive information, if available for tumor type and source will be sent separate with the histogram. Supply Item Number Multiple varies

Billing Code Test Code [sunquest] DNA, DOUBLE STRANDED AUTOANTIBODY, IGG DNAMP DNAMP Synonyms Anti-DsDNA AB; Anti-Native DNA; Anti-Double Stranded DNA Ab; DSDNA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86225 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes DSDNA Autoantibody,IgG IU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] DNA, DOUBLE STRANDED CRITHIDIA IFA IFDNA IFDNA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 6 months Unacceptable Condition Repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86256 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA-Crithidia Test Includes DNA Double Stranded Crithidia Supply Item Number 1467

Billing Code Test Code [sunquest] DORIDEN DOR GLUTET Synonyms Glutethimide Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable Condition Serum separator tubes and gels. Alternate Specimens EDTA, sodium heparinized or fluoride/oxalate plasma (lavender, green or grey top tube). Reference Laboratory NMS Reference Lab Test Code 2160B CPT Codes 82980 Test Schedule Tue, Thu Turnaround Time 2-4 days Method GC/NPD Test Includes Doriden, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] DOXEPIN & METABOLITE DOX DOX Synonyms Sinequan; Adapin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3.5 mL Minimum Volume 2.5 mL Collection Procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen Processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated. Required Patient Info Date and time of dose and draw. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with desmethyldoxepin. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80166, 80299 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method HPLC Test Includes Doxepin, ng/mL; Desmethyldoxepin, ng/mL; Total Drug, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] DOXEPIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. TLCDXP TLCDXP Synonyms Sinequan; Adapin; Zaonalon; Prudoxin Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Doxepin Notes Test also is included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] DOXYLAMINE DOXY DOXY Synonyms Unisom Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Alternate Specimens EDTA plasma (lavender top tube). Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 1817SP CPT Codes 82491 Turnaround Time 10-15 days Method GC-N/P Detector Test Includes Doxylamine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] DOXYLAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCDXL TLCDXL SUR. Synonyms Bendectin Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Doxylamine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] DRUG FACILITATED SEXUAL ASSAULT PANEL DSFA1 DSFA1 Synonyms Date Rape Panel Container Type Random collection in a leak proof plastic urine container Store and Transport Refrigerated; Protect from light during storage and transport. Specimen Type Urine Preferred Volume 30 mL Minimum Volume 20 mL Specimen Processing Protect from light Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 82489, 80101 x 11 (HCPCS G0431), 80154 x 2, 83925, 83986, 82570, 82542 x 2 Test Schedule Mon-Fri Turnaround Time 1-2 days Method EMIT/Confirmation by GC/MS, LC/MS, TLC, GC/FID or Refract Test Includes Comprehensive Drug Survey, Opiate Compliance Panel 7, Ketamine by GC/MS, Gamma- hydroxybutyric Acid by GC/MS, 7 amino Flunitrazepam by LC-MS/MS, and 7 amino Clonazepam by LC-MS/MS, pH, Creatinine, Specific Gravity Notes Some drugs are light sensitive; Protect from light during storage and transport. Supply Item Number 1388 or Tox Kit

Billing Code Test Code [sunquest] DRUG OF ABUSE SCREEN (9 PANEL), SERUM/PLASMA DRUSER DRUSER (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 8 mL Minimum Volume 3.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 10 days Alternate Specimens Sodium fluoride/potassium oxalate plasma (grey top tube) Limitations No SST, PST tubes, or specimens sent at room temperature Reference Laboratory NMS Reference Lab Test Code 1864SP CPT Codes 80101 x 9 Test Schedule Sun-Fri Turnaround Time 3-5 days Method ELISA Test Includes Opiates; Cocaine/Metabolites; Benzodiazepines; Cannabinoids; Amphetamines; Barbiturates; Methadone; Phencyclidine; Propoxyphene Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Propoxyphene is positive Propoxyphene and Metabolite Confirmation 82542 by GC/MS If screen for Cocaine is positive Cocaine and Metabolites Confirmation by 82520 GC/MS If screen for Benzodiazepines is positive Benzodiazepines Confirmation BY LC-MS/MS 80154 If screen for Opiates is positive Opiates - Free (Unconjugated) Confirmation 83925 BY GC/MS If screen for Cannabinoids is positive Cannabinoids Confirmation by GC-GC-GC/MS 82542 If screen for Barbiturates is positive Barbiturates Confirmation by GC/MS 82205 If screen for Phencyclidine is positive Phencyclidine Confirmation by GC/MS 83992 If screen for Methadone is positive Methadone and Metabolite Confirmation by 83840 GC/MS If screen for Amphetamines is positive Amphetamines Confirmation by LC-MS/MS 82145

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Billing Code Test Code [sunquest] DRUGS OF ABUSE 9 PANEL & ALCOHOL SCREEN, SERUM DRASER DRASER /PLASMA (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 8 mL Minimum Volume 3.25 mL Collection Procedure Collect specimen using alcohol free skin preparation Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 10 days Unacceptable Condition No SST, PST tubes, or specimens received at room temperature Alternate Specimens Sodium fluoride/potassium oxalate plasma (grey top tube) Reference Laboratory NMS Reference Lab Test Code 1858SP CPT Codes 80101 x 9, 82055 Test Schedule Sun-Fri Turnaround Time 3-5 days Method Elisa, Enzymatic Test Includes Ethanol, mg/dL; Opiates, ng/mL; Cocaine/Metabolites, ng/mL; Benzodiazepines, ng/mL; Cannabinoids, ng/mL; Amphetamines, ng/mL; Barbiturates, mcg/mL; Methadone, ng/mL; Phencyclidine, ng/mL; Propoxyphene, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Ethanol is positive Ethanol Confirmation by Headspace GC 80102 If screen for Propoyxphene is positive Propoxyphene and Metabolite Confirmation 82542 by GC/MS If screen for Cocaine is positive Cocaine and Metabolites Confirmation by 82520 GC/MS If screen for Benzodiazepines is positive Benzodiazepines Confirmation BY LC-MS/MS 80154 If screen for Opiates is positive Opiates - Free (Unconjugated) Confirmation 83925 BY GC/MS If screen for Cannabinoids is positive Cannabinoids Confirmation by GC-GC-GC/MS 82542 If screen for Barbiturates is positive Barbiturates Confirmation by GC/MS 82205 If screen for Phencyclidine is positive Phencyclidine Confirmation by GC/MS 83992 If screen for Methadone is positive Methadone and Metabolite Confirmation by 83840 GC/MS If screen for Amphetamines is positive Amphetamines Confirmation by LC-MS/MS 82145

Billing Code Test Code [sunquest] DRUGS OF ABUSE CONFIRMATION, QUANTITATIVE, OPIATES OPSCON OPSCON Container Type Red top tube Store and Transport Store and transport refrigerated Specimen Type Serum or plasma Preferred Volume 4 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition SST or gel tubes Alternate Specimens Sodium fluoride/potassium oxalate, sodium heparin, EDTA or K2EDTA plasma (gray, green, lavender or pink top tube). Reference Laboratory ARUP Reference Lab Test Code 92354 CPT Codes 83925 Test Schedule Sun-Sat Turnaround Time 2-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes 1) Drugs covered: codeine, dihydrocodeine, morphine, 6-acetylmorphine, hydrocodone, hydromorphone, oxycodone and oxymorphone. 2) Positive cutoff: 2 ng/mL. 3) For Medical purposes only: not valid for forensic use. Clinical Significance Interpretive Data: Drugs covered: codeine, morphine, 6- acetylmorphine,hyrdrocodone,hydromorphone, oxycodone and oxymorphone. All drugs covered are the non-glucuronidated (free) form. Positive cutoff: 20 ng/mL; For medical purposes only; not valid for forensic use. The absence of expected drug(s) and/or drug metabolite(s) may indicate non- compliance, inappropriate timing of specimen collection relative to drug administration, poor drug absorption, diluted/adulterated urine, or limitations of testing. The concentration value must be greater than or equal to the cutoff to be reported as positive. A very small amount of an unexpected drug analyte in the presence of a large amount of an expected drug analyte may reflect pharmaceutical impurity. Interpretive questions should be directed to the laboratory. Supply Item Number 1372 2.1 www.paml.com 4/16/2013 page 376 D 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory D

Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 10 (REFLEXIVE) DA10 DA10 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Benzodiazepines; Methadone; Methaqualone; Cocaine; Phencyclidine;opiates; Propoxyphene; THC; Cannabinoids; Morphine; Codeine; Oxycodone; Hydrocodone; Hyrdromorphone; Amphetamine; Methamphetamine; Barbiturates Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 10 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines, Methadone, Methaqualone, and Propoxyphene Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCBAR 82489 TLCBEN 82489 TLCTHC 82489 TLCCOC 82489 TLCMET 82489 TLCQUA 82489 LCOP6 83925 TLCPCP 82489 TLCPRO 82489

Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 10 PLUS ALCOHOL (REFLEXIVE) DA10+ DA10A This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Ethanol; Benzodiazepines; Methadone; Methaqualone; Cocaine; Phencyclidine; Opiates; Propoxyphene; THC; Cannabinoids; Morphine; Codeine; Oxycodone; Hydrocodone; Hyrdromorphone; Amphetamine; Methamphetamine; Barbiturates Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 11 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, Barbiturates, Benzodiazepines, Methadone, Methaqualone, Propoxyphene, and Alcohol Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCBAR 82489 TLCBEN 82489 TLCTHC 82489 TLCCOC 82489 TLCMET 82489 TLCQUA 82489 LCOP6 83925 TLCPCP 82489 TLCPRO 82489 ALCOHOL,E 82055

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Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 2 (REFLEXIVE) DA2 DA2 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Cocaine HCL Injectable; Benzoylecgonine; Coke; Crack; Flake; Snow; Blow; Bump; C; Candy; Charlie; Rock; Toot; Cannabinoids; Marijuana; Weed; THC; Hashish; Boom; Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints; Mary Jane Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 2 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Cannabinoids (Marijuana), Cocaine Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCCOC 82489 the panel, a confirmation test will automatically be run for each one TLCTHC 82489

Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 2 PLUS ALCOHOL (REFLEXIVE) DA2+ DA2A This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Ethanol; Cocaine HCL Injectable; Benzoylecgonine; Coke; Crack; Flake; Snow; Blow; Bump; C; Candy; Charlie; Rock; Toot; Cannabinoids; Marijuana; Weed; THC; Hashish; Boom, Chronic; Gangster; Hash; Hash Oil; Hemp; Blunt; Dope; Ganja; Grass; Herb; Joints Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 3 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Cannabinoids (Marijuana), Cocaine, and Ethyl Alcohol Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCCOC 82489 the panel, a confirmation test will automatically be run for each one TLCTHC 82489 ALCOHOL,E 82055

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Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 5 (REFLEXIVE) DA5 DA5 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Cocaine; Cannabinoids; THC; Marijuana; Opiates; Morphine; Codeine; Oxycodone; Hydrocodone; Hydromorphone; Phencyclidine; Amphetamine; Methamphetamine; Biphetamine; Dexedrine; Adderall; Desoxyn; Oxycontin; Percodan; Dilaudid; Anexsia; Lorcet; Lortab Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 5 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamines, Cannabinoids, Cocaine, Opiates, and PCP Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCCOC 82489 TLCTHC 82489 LCOP6 83925 TLCPCP 82489

Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 5 PLUS ALCOHOL (REFLEXIVE) DA5+ DA5A This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Ethanol; Cocaine ; Cannabinoids; THC; Marijuana; Opiates; Morphine; Codeine; Oxycodone; Hydrocodone; Hydromorphone; Phencyclidine; Amphetamine; Methamphetamine; Biphetamine; Dexedrine; Adderall; Desoxyn; Oxycontin; Percodan; Dilaudid; Anexsia; Lorcet Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 6 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit Test Includes Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, and Alcohol Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCCOC 82489 TLCTHC 82489 LCOP6 83925 TLCPCP 82489 ALCOHOL,E 82055

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Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 6 (REFLEXIVE) DA6 DA6 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Benzodiazepines; Cocaine; THC; Cannabinoids; Morphine; Codeine; Oxycodone; Hydrocodone; Hyrdromorphone; Amphetamine; Methamphetamine; Barbiturates; Opiates; Marijuana Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 6 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamines, Barbituates, Benzodiazepine, Cocaine, Opiates, and Cannabinoids Notes Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCBAR 82489 TLCBEN 82489 TLCCOC 82489 TLCTHC 82489 LCOP6 83925

Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 7 (REFLEXIVE) DA7 DA7 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Benzodiazepines; Temazepam; Lorazepam; Oxazepam; Opiates; Diazepam; Cocaine; Phencyclidine; Norpropoxyphene; Propoxyphene; THC; Cannabinoids; Morphine; Codeine; Oxycodone; Hydrocodone; Hyrdromorphone; Amphetamine; Methamphetamine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 7 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Amphetamines, Cannabinoids, Cocaine, Opiates, PCP, Barbiturates, and Benzodiazepines Notes Positive results will automatically be confirmed. Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCBAR 82489 TLCBEN 82489 TLCCOC 82489 TLCTHC 82489 LCOP6 83925 TLCPCP 82489

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Billing Code Test Code [sunquest] DRUGS OF ABUSE SCREEN 7 PLUS ALCOHOL (REFLEXIVE) DA7+ DA7A This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Ethanol; Benzodiazepines; Temazepam; Opiates; Oxazepam; Diazepam; Cocaine; Phencyclidine; Norpropoxyphene; Propoxyphene; THC; Cannabinoids; Morphine; Codeine; Oxycodone; Hydrocodone; Hyrdromorphone; Amphetamine; Methamphetamine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 x 8 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit Test Includes Amphetamines, Benzodiazepines, Cannabinoids, Cocaine, Opiates, PCP, Proproxyphene, and Alcohol Notes Positive results will automatically be confirmed. Specific reflex test code and CPT code will depend on specific analyte screened positive. Each analyte is listed for reference. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive for any of the analytes in TLCAMP 82489 the panel, a confirmation test will automatically be run for each one TLCBAR 82489 TLCBEN 82489 TLCCOC 82489 TLCTHC 82489 LCOP6 83925 TLCPCP 82489 ALCOHOL,E 82055

Billing Code Test Code [sunquest] DULOXETINE, SERUM/PLASMA DUL DUL Synonyms Cymbalta Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Promptly separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 year Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Lavender (EDTA); pink (K2EDTA) Reference Laboratory NMS Reference Lab Test Code 4666SP CPT Codes 83789 Test Schedule Mon-Sun Turnaround Time 9-10 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) Test Includes Duloxetine Supply Item Number 1372

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Billing Code Test Code [sunquest] DYPHYLLINE DYP DYP Synonyms Neophylline; Dilor R Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Alternate Specimens EDTA plasma (lavender top tube). Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 1910SP CPT Codes 82491 Test Schedule Tue, Fri Turnaround Time 3-6 days Method HPLC Test Includes Dyphylline, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] EARLY CDT LUNG ECDTL ECDTL Synonyms Lung Cancer; Oncimmune Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 1.0 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) Unacceptable Reference Laboratory Oncimmune CPT Codes 83520 x 7 Test Schedule Tue-Sat Turnaround Time 5-7 days Method ELISA Compliance Remarks This test was developed and its performance characteristics were determined by Oncimmune. EarlyCDT-Lung showed performance of 93% specificity and 41% sensitivity for lung cancer in clinical validation studies (data on file). The test has not been cleared by the FDA. Oncimmune is a registered, high-complexity laboratory and is in compliance with all CLIA regulations.

Billing Code Test Code [sunquest] ECHINOCOCCUS ECHING ECHING Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Collection Procedure Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as acute or convalescent. Specimen Processing Separate serum from cells within 2 hours of collection. Transfer to standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 2007220 CPT Codes 86682 Test Schedule Mon, Thu Turnaround Time 2-6 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Echinococcus Antibody IgG

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Billing Code Test Code [sunquest] ECHOVIRUS ANTIBODY ECHO ECHO Acute and convalescent samples advised. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 ML Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent samples must be received within 30 days from receipt of acute samples. Mark samples plainly as 'acute' or 'convalescent.' Required Patient Info Specimen source. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma specimens. Alternate Specimens Red top tube (plain) or CSF Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 60053 CPT Codes 86658 x 5 Test Schedule Mon-Sat Turnaround Time 7-9 days Method Semi-Quantitative Serum Neutralization Test Includes Source; Echovirus Antibody, Type 6, Titer; Echovirus Antibody, Type 7, Titer; Echovirus Antibody, Type 9, Titer; Echovirus Antibody, Type 11, Titer; Echovirus Antibody, Type 30, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] ECTOPIC PREGNANCY PANEL ECTOPIC.PANEL ECPANL Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Unacceptable Condition Plasma samples and samples drawn on SST or other gel tubes and not separated immediately. Department PAML Immunochemistry CPT Codes 84144, 84702 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Progesterone, ng/mL; Beta HCG Quant, mIU/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] EHRLICHIA CHAFFEENSIS ANTIBODY, IGG & IGM EHRLGM EHRLGM Acute and convalescent samples advised. Synonyms Human Monocytic Ehrlichiosis (HME); HME AB IgG, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Contaminated, hemolyzed, or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 51002 CPT Codes 86666 x 2 Test Schedule Tue, Fri Turnaround Time 2-5 days Method IFA Test Includes Ehrlichia chaffeensis, IgG Antibody; Ehrlichia chaffeensis, IgM Antibody Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes Human ehrlichiosis is a tick-borne disease caused by rickettsial-like agents. Two forms, human monocytic ehrlichiosis (HME) and human granulocytic ehrlichiosis (HGE), have been described. HME is often referred to as 'spotless' or rashless Rocky Mountain spotted fever, and has been reported in various regions of the United States. The causative agent of HME has been identified as Ehrlichia chaffeensis. Infected individuals produce specific antibodies to Ehrlichia chaffeensis which can be detected by an immunofluorescent antibody (IFA) test. Supply Item Number 1467

Billing Code Test Code [sunquest] ELECTROLYTE & OSMOLALITY PROFILE, FECAL FCELOS FCELOS Separate samples must be submitted when multiple tests are ordered. Critical Frozen Container Type Leakproof plastic container Store and Transport Frozen Specimen Type Liquid stool Preferred Volume 10 grams Minimum Volume 5 grams Collection Procedure 24-hour or random liquid stool Specimen Processing Mix specimen well and transfer 10 g liquid stool to an unpreserved transport vial. Do not add saline or water to liquefy specimen. Indicate time and volume. CRITICAL FROZEN. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Formed or viscous stools Reference Laboratory ARUP Reference Lab Test Code 20699 CPT Codes 84999 x 2, 84302, 83735 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Ion-Selective Electrode/Freezing Point Test Includes Collection time; Fecal total weight; Fecal Magnesium mg/dL; Fecal Magnesium mg/d; Fecal Sodium; Fecal Potassium; Fecal Osmolality; Fecal Osmolality, calculated; Osmolal Gap Supply Item Number 1388

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Billing Code Test Code [sunquest] ELECTROLYTES PANEL EP EP Synonyms Lytes Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely. Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated. Alternate Specimens 2 mL serum (red top tube). Separate serum from the cells ASAP and handle anaerobically at all times to minimize exposure to air during collection, transfer and storage. Put in separate plastic tube and cap immediately. If plasma, must be used use lithium heparin (green top tube). Limitations Hemolysis will cause elevated potassium and minimal volume will concentrate. Department PAML Chemistry CPT Codes 80051 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ISE, Colorimetric Test Includes Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L Notes Hemolysis will cause elevated potassium values and minimal volumes will concentrate. Supply Item Number 1467

Billing Code Test Code [sunquest] ELECTROLYTES, FECAL (NA,K,CL) LYTST LYTST Specimen Type Liquid stool, random or timed. Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect in a clean, unpreserved leakproof plastic container. Specimen Processing Store and transport refrigerated. Required Patient Info If timed indicate hours of collection. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Formed or viscous stool. Limitations Do not add saline or water to liquefy sample. Reference Laboratory ARUP Reference Lab Test Code 60185 CPT Codes 84999, 82438, 84302 Test Schedule Sun-Sat Turnaround Time 3-5 days Method ISE Test Includes Sodium, Stool, mmol/L; Potassium, Stool, mmol/L; Chloride, Stool, mmol/L. Supply Item Number 1388

Billing Code Test Code [sunquest] ELECTROPHORESIS SCAN, URINE 24HR SCANUQ SCANUQ This workpar reports only the urine scan. Must be ordered with electrophoresis, workpar PELPUQ. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated. Specimen Type Urine Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerated during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs. Alternate Specimens Specimens that have been frozen for a short time. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84999 Method Agarose Gel ELP (High Resolution) Test Includes Collection Period, h; Volume, mL; ELP Scan, Urine; Protein, mg/24h; Albumin, mg/24h; Alpha-1, mg/24h; Alpha-2, mg/24h; Beta-1, mg/24h; Beta-2, mg/24h; Gamma, mg/24h; Albumin, %; Alpha- 1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %. Supply Item Number 1108

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Billing Code Test Code [sunquest] ELECTROPHORESIS, CITRATE GEL CITGEL CITGEL This procedure is used for the confirmation of abnormal hemoglobins identified on HPLC or cellulose acetate electrophoresis. Synonyms ELP; Citrate Gel Container Type Lavender top tube (EDTA) and smears. Specimen Type Whole blood and smears. Preferred Volume 5 mL whole blood and 2 blood smears. Minimum Volume 1 EDTA microtainer and 2 blood smears. Specimen Processing Store and transport refrigerated. Room Temp 4 days Refrigerated 2 weeks Unacceptable Condition Specimens held at room temperature for more than 4 days or refrigerated more than 2 weeks. Alternate Specimens Heparinized (green top tube) or citrated (blue top tube) whole blood. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 82664 Test Schedule Sun-Fri, as needed Turnaround Time 3-8 days Method Gel Electrophoresis Test Includes Citrate Gel Electrophoresis, Interpretation; Citrate Gel Electrophoresis; Reviewed By. Supply Item Number 1222 1217

Billing Code Test Code [sunquest] ELECTROPHORESIS, FLUID ELP.FLD PELPFL Synonyms Protein Electrophoresis, Fluid; ELP, Fluid Container Type Leakproof plastic container. Specimen Type Body Fluid Preferred Volume 4 mL Minimum Volume 3 mL Specimen Processing Store and transport refrigerated. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Agarose Gel ELP (high resolution) Test Includes Protein, Fld, g/dL; Albumin, Fld, g/dL; Alpha-1, Fld, g/dL, Alpha-2, Fld, g/dL; Beta-1, Fld, g/dL; Beta- 2, Fld, g/dL; Gamma, Fld, g/dL; Albumin, Fld, %; Alpha-1, Fld, %; Alpha-2, Fld, %; Beta-1, Fld, %; Beta-2, Fld, %; Gamma, Fld, %; Interpretation. Supply Item Number 1388

Billing Code Test Code [sunquest] ELECTROPHORESIS, PROTEIN ELP PELP Synonyms ELP; SPEP; Monoclonal Peak; M-Spike Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Plasma specimens Limitations Avoid hemolysis Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165 Test Schedule Mon-Fri Turnaround Time 1-4 days Method Agarose Gel ELP (high resolution) Test Includes Protein, Serum, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Beta-2, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; ELP, Interpretation; Monoclonal Peak. Supply Item Number 1467

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Billing Code Test Code [sunquest] ELECTROPHORESIS, PROTEIN (REFLEXIVE) PELPIF PELPIF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms ELP; SPEP; Monoclonal Peak; M-Spike; Immunofixation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Plasma specimens Limitations Plasma specimens Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Agarose Gel ELP (high resolution) Test Includes Protein, Serum, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Beta-2, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; Monoclonal Peak; Interpretation; Immunofixation Interp Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Indicated by electrophesis interpretation Immunofixation 84165, 86334

Billing Code Test Code [sunquest] ELECTROPHORESIS, PROTEIN, RANDOM URINE, (REFLEXIVE) PEURIF PEURIF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms ELP; UPEP; Monoclonal Peak; M-Spike; Immunofixation; Bence Jones Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Random urine collection Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Aliquot 100 mL of a well-mixed random urine collection into a leakproof plastic urine container. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166 Test Schedule Mon-Fri Turnaround Time 1-4 days Method Agarose Gel ELP (High resolution) Test Includes Urine Protein Electrophoresis, Random Urine; Immunofixation Random Urine, Interpretation if indicated Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Indicated by urine electrophoresis Immunofixation, Urine Random 84166, 86335 interpretation

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Billing Code Test Code [sunquest] ELECTROPHORESIS, PROTEIN, URINE (REFLEXIVE) PEPUIF PEPUIF Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms ELP; UPEP; Monoclonal Peak; M-Spike; Immunofixation; Bence Jones Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a 24-hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Agarose Gel ELP (High resolution) Test Includes Protein, Urine, Quant, mg/24h; Urine Protein Electrophoresis; Immunofixation Urine, Interpretation Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Indicated by urine electrophoresis Immunofixation, Urine 84166, 86335 interpretation

Billing Code Test Code [sunquest] ELECTROPHORESIS, SCAN, URINE (RANDOM) SCANUR SCANUR This workpar reports only the urine scan. Must be ordered with electrophoresis, workpar PELPUR. Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Refrigerate during collection. Specimen Processing Store and transport refrigerated. Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs. Alternate Specimens Specimens that have been frozen for a short time. Department PSHMC Immunology Reference Laboratory PSHMC Reference Lab Test Code Immunology CPT Codes 84999 Method Agarose Gel ELP (High Resolution) Test Includes ELP Scan, Urine; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %. Supply Item Number 1388

Billing Code Test Code [sunquest] ELECTROPHORESIS, URINE (RANDOM) ELP-R PELPUR Synonyms ELP; UPEP; Monoclonal Peak; M-Spike Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in sterile leakproof plastic container. Refrigerate during collection. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool and gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Agarose Gel ELP(High Resolution) Test Includes Electrophoresis, Urine, Random Supply Item Number 1387

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Billing Code Test Code [sunquest] EMETINE (GASTRIC ONLY) TEST INCLUDED IN DRUG-SUR.G. DRUG-SUR.G CDRSG Synonyms Epecac Specimen Type Gastric Preferred Volume 30 mL Minimum Volume 10 mL Limitations 2 ug/mL Department PAML Toxicology CPT Codes 80100 Test Schedule Mon-Fri Turnaround Time 1-2 DAYS Method Thin Layer Chromatography Test Includes Emetine Supply Item Number 1388

Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY PANEL, IGG & EEECSF EEECSF IGM, CSF Synonyms Eastern Equine Encephalitis Antibody Panel, CSF; Eastern Equine Encephalitis Antibody , IgG & IgM, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60417 CPT Codes 86652 x 2 Turnaround Time 2-5 days Method IFA Test Includes Encephalitis, Eastern Equine Antibody, IgG, CSF; Encephalitis, Eastern Equine Antibody, IgM, CSF; Encephalitis, Eastern Equine Antibody CSF, Interpretation. Supply Item Number 7211

Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG EEEGAB EEEGAB Synonyms Eastern Equine Encephalitis Antibody; Eastern Encephalitis Antibody, IgG Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40420 CPT Codes 86652 Turnaround Time 2-5 days Method IFA Test Includes Encephalitis, Eastern Equine Antibody, IgG. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG & IGM EEEAB EEEAB Synonyms Eastern Equine Encephalitis Antibody, IgG & IgM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40417 CPT Codes 86652 x 2 Turnaround Time 2-5 days Method IFA Test Includes Eastern Equine Encephalitis Virus,IgG, Eastern Equine Encephalitis Virus, IgM. Supply Item Number 1467

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Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG, CSF EQEGCF EQEGCF Synonyms Eastern Equine Encephalitis Antibody, IgG, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60420 CPT Codes 86652 Test Schedule Mon-Fri Turnaround Time 2-6days Method IFA Test Includes Encephalitis, Eastern Equine Antibody, IgG, CSF. Supply Item Number 7211

Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM EEEMAB EEEMAB Synonyms Eastern Equine Encephalitis Antibody, IgM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40425 CPT Codes 86652 Turnaround Time 2-5 days Method IFA Test Includes Encephalitis, Eastern Equine Antibody, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM, CSF EEEMCF EEEMCF Synonyms Eastern Equine Encephalitis Antibody, IgM, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60425 CPT Codes 86652 Turnaround Time 2-4 days Method IFA Test Includes Encephalitis, Eastern Equine Antibody, IgM, CSF. Supply Item Number 7211

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Billing Code Test Code [sunquest] ENCEPHALITIS, ST LOUIS ANTIBODY ENC.STLOUIS ENCSTL Acute and convalescent samples advised. Synonyms St. Louis Encephalitis Antibody Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed or contaminated specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50507 CPT Codes 86653 Test Schedule Tue, Fri Turnaround Time 3-5 days Method IFA Test Includes Encephalitis, St. Louis Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM SLEVAB SLEVAB Synonyms St. Louis Encephalitis Antibody Panel, IgG & IgM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40895 CPT Codes 86653 x 2 Turnaround Time 3-5 days Method IFA Test Includes St. Louis Encephalitis Virus, IgG; St. Louis Encephalitis Virus, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM, CSF SLEVSF SLEVSF Synonyms St. Louis Encephalitis Antibody Panel, IgG & IgM, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 60895 CPT Codes 86653 x 2 Test Schedule Mon-Fri Turnaround Time 2-6 days Method IFA Test Includes Encephalitis, St. Louis Antibody, IgG, CSF; Encephalitis, St. Louis Antibody, IgM, CSF; Interpretation. Supply Item Number 7211

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Billing Code Test Code [sunquest] ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG, CSF ENSTLG ENSTLG Acute and convalescent samples advised. Synonyms St. Louis Encephalitis Antibody, IgG, CSF Specimen Type CSF Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute sample. Please plainly mark sample as acute or convalescent. Specimen Processing Store and transport refrigerated. Room Temp 8 hours Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated or contaminated samples. Reference Laboratory ARUP Reference Lab Test Code 98895 CPT Codes 86653 Test Schedule Tue, Fri Turnaround Time 3-5 days Method IFA Test Includes Encephalitis, St. Louis Antibody, IgG, CSF. Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories. Supply Item Number 7211

Billing Code Test Code [sunquest] ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM SLEVM SLEVM Synonyms St. Louis Encephalitis Antibody, IgM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 40905 CPT Codes 86653 Turnaround Time 2-6 days Method IFA Test Includes Encephalitis, St. Louis Antibody, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM, CSF ENSTLM ENSTLM Acute and convalescent samples advised. Synonyms St. Louis Encephalitis Antibody, IgM, CSF Specimen Type CSF Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure Acute and convalescent samples must be labeled as such. Parallel testing is preferred, and convalescent samples must be received within 30 days from receipt of the acute sample. Please plainly mark sample as acute or convalescent. Specimen Processing Store and transport refrigerated. Room Temp 8 hours Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated or contaminated samples. Reference Laboratory ARUP Reference Lab Test Code 98899 CPT Codes 86653 Test Schedule Tue, Fri Turnaround Time 3-6 days Method IFA Test Includes Encephalitis, St Louis Antibody, IgM, CSF. Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories. Supply Item Number 7211

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Billing Code Test Code [sunquest] ENCEPHALITIS, WESTERN EQUINE ANTIBODY ENC.WEST ENCW Acute and convalescent samples advised. Synonyms Western Equine Encephalitis Antibody Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed or contaminated specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50514 CPT Codes 86654 Test Schedule Tue, Fri Turnaround Time 2-6 days Method IFA Test Includes Encephalitis, Western Equine Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] ENCEPHALITIS, WESTERN EQUINE ANTIBODY PANEL, IGG & WEEGMC WEEGMC IGM, CSF Synonyms Western Equine Encephalitis Antibody Panel, CSF Container Type Sterile leakproof plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 61045 CPT Codes 86654 x 2 Turnaround Time 2-5 days Method IFA Test Includes Encephalitis, Western Equine Antibody, IgG, CSF; Encephalitis, Western Equine Antibody, IgM, CSF; Encephalitis, Western Equine Antibody CSF, Interpretation. Supply Item Number 7211

Billing Code Test Code [sunquest] ENDOMYSIAL (EMA) ANTIBODY, IGG EDTG EDTG Synonyms Anti-Endomysial Ab, IgG Container Type Plain red top tube Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Hemolysis, lipemic, or icteric samples. Alternate Specimens SST tube. Reference Laboratory Mayo Reference Lab Test Code 91836 CPT Codes 86255 Test Schedule Mon-Fri Turnaround Time 4-6 days Method Immunofluorescence Test Includes Endomysial Antibody, IgG Supply Item Number 1372

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Billing Code Test Code [sunquest] ENDOMYSIAL ANTIBODY, IGA (REFLEXIVE) EMARX EMARX This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Endomysial Ab, IgA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples; Avoid repeated freeze/thaw cycles Department PAML Special Immunology, PAML Chemistry CPT Codes 83516 Test Schedule Tue-Sat Turnaround Time 1-4 days Method EIA, IFA (reflex) Test Includes Endomysial Antibody, IgA, Screen; Endomysial Antibody, IgA, Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Tissue Transglutaminase IgA Endomysial Antibody IgA titer 86256

Billing Code Test Code [sunquest] ENDOTOXIN, CONVENTIONAL DIALYSATE ENDODC ENDODC Container Type Non-pyrogenic plastic container Store and Transport Frozen Specimen Type Frozen conventional dialysate Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Collect 5 mL conventional dialysate in a non-pyrogenic plastic container. Collect sample using sterile technique. Room Temp Unstable Refrigerated 1 day Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 87176 Test Schedule 2nd Wed of the month Turnaround Time 2-30 days Method Kinetic turbidity Test Includes Endotoxin, Conventional Dialysate, EU/mL Supply Item Number 1458

Billing Code Test Code [sunquest] ENDOTOXIN, CONVENTIONAL DIALYSATE FOR INFUSION ENDODI ENDODI Container Type Non-pyrogenic plastic container Store and Transport Frozen Specimen Type Frozen dialysate for infusion Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Collect 5 mL dialysate for infusion in a non-pyrogenic plastic container. Collect sample using sterile technique. Room Temp Unstable Refrigerated 1 day Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 87176 Test Schedule 2nd Wed of the month Turnaround Time 2-30 days Method Kinetic turbidity Test Includes Endotoxin, Dialysate for infusion, EU/mL Supply Item Number 1458

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Billing Code Test Code [sunquest] ENDOTOXIN, DIALYSATE H20 ENDO ENDO Container Type Non-pyrogenic plastic container Store and Transport Frozen Specimen Type Frozen dialysis water Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Collect 5 mL dialysis water in a non-pyrogenic plastic container. Collect sample using sterile technique. Room Temp Unstable Refrigerated 1 day Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 87176 Test Schedule 2nd Wed of the month Turnaround Time 2-30 days Method Kinetic turbidity Test Includes Endotoxin, Dialysis H2O, EU/mL Supply Item Number 1458

Billing Code Test Code [sunquest] ENDOTOXIN, ULTRAPURE DIALYSATE ENDODU ENDODU Container Type Non-pyrogenic plastic container Store and Transport Frozen Specimen Type Frozen ultrapure dialysate Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Collect 5 mL ultrapure dialysate in a non-pyrogenic plastic container. Collect sample using sterile technique. Room Temp Unstable Refrigerated 1 day Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 87176 Test Schedule 2nd Wed of the month Turnaround Time 2-30 days Method Kinetic turbidity Test Includes Endotoxin, Ultrapure Dialysate, EU/mL Supply Item Number 1458

Billing Code Test Code [sunquest] ENDOTOXIN, ULTRAPURE WATER ENDOWU ENDOWU Container Type Non-pyrogenic plastic container Store and Transport Frozen Specimen Type Frozen ultrapure water Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Collect 5 mL ultrapure water in a non-pyrogenic plastic container. Collect sample using sterile technique. Room Temp Unstable Refrigerated 1 day Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 87176 Test Schedule 2nd Wed of the month Turnaround Time 2-30 days Method Kinetic turbidity Test Includes Endotoxin, Ultrapure Water, EU/mL Supply Item Number 1458

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Billing Code Test Code [sunquest] ENTAMOEBA HISTOLYTICA ANTIBODY, IGG AM-AB AMOEBA Synonyms Amebiasis histolytica Antibody; E. histolytica Antibody Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labelled as such and received within 30 days of the acute specimen. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples. Avoid repeat freeze/thaw cycles. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0050070 CPT Codes 86753 Test Schedule Tue, Fri Turnaround Time 3-6 days Method EIA Test Includes Entamoeba histolytica Ab, IgG, IV. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] ENTAMOEBA HISTOLYTICA ANTIGEN EIA ENTHA ENTHA

Container Type Clean, leakproof plastic container Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen random stool Preferred Volume 5 grams Collection Procedure Collect a random stool specimen and a clean leakproof container Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) 1 week Unacceptable Condition Specimens in preservative or at ambient temperature Reference Laboratory ARUP Reference Lab Test Code 0058001 CPT Codes 87337 Test Schedule Sun-Sat Turnaround Time 2-3 days Method EIA Test Includes Entamoeba histolytica Antigen by EIA. Supply Item Number 1388

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Billing Code Test Code [sunquest] ENTEROVIRUS DETECTION BY RT-PCR EVPCR EVPCR

Dedicated specimen only. This test cannot be ordered as an add-on test on non-molecular samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms Enterovirus by Real Time PCR; Enterovirus; Molecular; Aseptic Meningitis Container Type CSF, stool (sterile container), EDTA plasma (lavender top tube) Store and Transport Frozen. Ship Category B Specimen Type Frozen CSF, see below Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure CSF, Stool (sterile container), EDTA plasma (lavender top tube). Nasopharynx swabs and nasopharynx/throat swabs or rectal swab(flocked preferred, polyester or rayon acceptable) in viral transport media (M4, M4RT, M5, M6, or BD Universal Transport Media). Specimen Processing Put CSF in polypropylene tube and freeze. If sending plasma, separate plasma from the cells, place in separate polypropylene tube and freeze. Indicate source. Required Patient Info Source Room Temp Less than 1 hour Refrigerated 1 day Frozen (-70°C) Indefinitely Unacceptable Condition Serum; non-frozen samples; samples exposed to repeated freeze/thaw cycles; non-sterile or leaking containers; heparinized samples; hemolyed samples Alternate Specimens Nasopharynx and nasopharynx/throat swabs or rectal swab in viral transport media (M4, M4RT, M5, M6 or BD Universal Transport Media); Nylon flocked swabs preferred, polyester or rayon acceptable Department PAML Virology CPT Codes 87498 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-Time PCR Test Includes Source; Enterovirus Detection by RT-PCR Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests neccessary for standard medical care and generally do not require U.S. Food and Drug Administration approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1222 1785K 1766 1388

Billing Code Test Code [sunquest] EOSINOPHILS, SMEAR NASAL EOSBOD Container Type Slides Store and Transport Ambient (room temperature) Specimen Type Nasal smear Specimen Processing Swab of exudate rolled on glass slide. Carefully label slide. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89190 Test Schedule Mon-Sat days, Mon-Fri nights Turnaround Time 1-2 days Method Microscopic Test Includes Nasal smear, Eosinophils Supply Item Number 1217

Billing Code Test Code [sunquest] EOSINOPHILS, URINE EOS.UR EOSUR Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Room Temp 3 hours Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89190 Test Schedule Mon-Sat days, Mon-Fri nights Turnaround Time 24-48 hours Method Microscopic Test Includes Eosinophils, Urine, %.. Supply Item Number 1388 2.1 www.paml.com 4/16/2013 page 397 E 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory E

Billing Code Test Code [sunquest] EPIDERMAL (SKIN) ANTIBODY EPIDAB EPIDAB Synonyms Epidermal Antibody; Anti-Skin Antibody; Skin Immunofluorescent Studies; Skin Antibody; Anti- Epidermal (Skin), AL; Pemphigoid Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2-3 days Refrigerated 2 weeks Frozen (-70°C) 3-4 years Reference Laboratory Focus Reference Lab Test Code 20193 CPT Codes 86255 x 2 Test Schedule Mon-Fri Turnaround Time 2-5 days Method IFA Test Includes Intercellular Substance Antibody, Titer; Basement Membrane Antibody, Titer. Supply Item Number 1372

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Billing Code Test Code [sunquest] EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) MUTATION EGFRMT EGFRMT ANALYSIS (REFLEXIVE) Synonyms NSCLC; Lung Adenocarcinoma; EGFR Sequencing; EGFR Mutation; EGFR Deletions; Lung Cancer; TKIs; Gefitinib; Erlotinib Container Type Paraffin embedded tissue and/or slides Store and Transport Transport paraffin-embedded, formalin-fixed tissue block, or slides at 20-25 C. Protect paraffin block from excessive heat. Ship in cooled container during summer months. Include surgical pathology report Specimen Type Formalin fixed paraffin embedded tissue Preferred Volume Paraffin embedded Tissue block or 6 unstained 7-micron slides with an additional H & E stained slide containing at least 50% tumor cells Minimum Volume 1 paraffin embedded tissue block or 4 unstained 7-micron slides with 1 H & E stained slide containing at least 20% tumor cells Collection Procedure Collect tumor tissue Required Patient Info Surgical pathology report Room Temp Indefinitely Refrigerated Indefinitely Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition No tumor in tissue. Specimens fixed/processed in alternative fixatives (alcohol, Prefer ®) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81235 Test Schedule Wed-Sat Turnaround Time 10-12 days Method PCR Fragment analysis with reflex to sequencing Test Includes Qualitiative EGFR Mutation Status. Exon 19 deletion and L858 mutation detection and, if negative for those, exon 18, 19, 20, and 21 sequencing. Clinical Significance Lung cancer is the leading cause of cancer-related death in the world. Non-small cell lung carcinoma (NSCLS) accounts for 80% to 85% of all lung cancers. Patients with advanced-stage NSCLS who are not candidates for surgical resection have a poor prognosis under traditional chemotherapy, radiation therapy, or in combination. A major accomplishment in the treatment of advanced lung cancer has been the discovery of tyrosine kinase inhibitors (TKIs) targeting the epidermal growth factor receptor (EGFR).

EGFR, along with the signaling pathways downstream, plays a critical role in regulation of cell growth and cell cycle progression. Over-activation of EGFR, due to enhanced ligand response or complete ligand independence, is associated with unregulated growth and proliferation of tumor cells. Selective blockade of EGFR has shown to be an effective therapeutic approach against multiple epithelial cancers. Therefore, small molecules such as gefitinib and erlotinib targeting EGFR and inhibiting its TK activity have been developed as therapeutic agents and have shown therapeutic efficacy in NSCLS.

EGFR-mutant tumors were first discovered in 2004 and most often display adenocarcinoma histology in lung cancer and are associated with a better prognosis than EGFR wild-type tumors. In addition, multiple randomized prospective Phase III studies have shown that an EGFR TKI is superior to chemotherapy as an initial treatment for EGFR-mutant lung cancer. Activating somatic mutations in exons 18 through 21 of the tyrosine kinase domain of EGFR correlate with a high likelihood of response to EGFR-TKI treatment. The most common are in-frame deletions in exon 19 and a point mutation (L858R) in exon 21, which account for nearly 90% of the activating mutations in EGFR.

Mutation analysis of the tyrosine kinase domain (exon 18 to 21) of EGFR gene would be an essential screening step to predict TKI-therapeutic responses and prognosis in patients with NSCLC. Compliance Remarks This test was developed and its performance characteristics determined by PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes If initial testing for exon 19 deletions and exon 21 L858 mutations is negative, exons 18, 19, 20, and 21 will be sequenced in order to detect less common mutations within the EGFR gene. The following CPT codes will be added: 83898 x4, 83904 x4, 83909 x8, 83912. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If exon 19 Del and L858 Mutation EGFR Mutation Bill Only 81404 BEGFR is negative then exons 18, 19, 20, and 21 will be performed

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Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY PANEL EBPANL EBPANL Synonyms EBV Ab Panel; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86665 x 2, 86663, 86664 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes EBV Capsid Antibody, IgG,U/mL; EBV Capsid Antibody, IgM, U/mL ; EBV Nuclear Antibody, U/mL; EBV Early Antibody, U/mL; Interpretation. Supply Item Number 1467

Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY TO EARLY ANTIGEN, DIFFUSE EBVEAL EBVEAL IGG Synonyms EBV-EA, IgG; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Department PAML Special Immunology CPT Codes 86663 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes Epstein Barr Virus Early Antigen, IgG, U/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY TO NUCLEAR ANTIGEN, IGG EBVNAL EBVNAL Synonyms EBV Nuclear Antigen; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 monrh Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86664 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes Epstein Barr Virus, Nuclear Antibody, IgG, U/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, EBVGL EBVGL IGG Synonyms EBV Ab to VCA, IgG; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Serum samples that are grossly hemolyzed, icteric, lipemic, or contain particulate matter or are contaminated. Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86665 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, U/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, EBVGML EBVGML IGG & IGM Synonyms EBV, IgG & IgM; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86665 x 2 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes Epstein Barr Virus Antibody to Viral Capsid Antigen, IgG, U/mL; Epstein Barr Virus Antibody to Viral Capsid Antigen, IgM, U/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, EBVML EBVML IGM Synonyms EBV, IgM; EBV Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate mtter or are contaminated. Department PAML Special Immunology CPT Codes 86665 Test Schedule Mon-Fri Turnaround Time 1-4 days Method CLIA Test Includes Epstein Barr Virus Capsid Antibody, IgM, U/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS BY PCR EBVPC EBVPC

Dedicated Specimen Only. This test cannot be ordered as an add-on test on non-molecular samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms EBV; EBV by Real Time PCR; Epstein Barr Virus; Molecular; Qualitative Container Type Lavender top tube Store and Transport Frozen. Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma or serum from cells and transfer to a separate polypropylene tube and freeze. Required Patient Info Source Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Nonsterile or leaking containers, heparinized plasma, samples in viral transport media, urine. Alternate Specimens Serum or CSF. If sending CSF, place in a separate sterile plastic tube. Store and transport frozen. Department PAML Virology CPT Codes 87798 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method PCR Test Includes Source; Epstein Barr Virus by PCR Result; EBV PCR Comment Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Notes This test is performed pursuant to the agreement with Roche Molecular Systems.

Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS, QUANTITATIVE PCR EBVQRT EBVQRT

Dedicated Specimen Only. This test cannot be ordered as an add-on test on non-molecular samples previously tested. Separate specimens must be submitted when multiple tests are ordered. A dedicated sample is required for molecular testing. Synonyms EBV, Quantitative by PCR; EBV by Real Time PCR; Epstein Barr Virus; Molecular Container Type Lavender top tube Store and Transport Frozen. Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma or serum from the cells and transfer to a separate polypropylene tube and freeze. Required Patient Info Specimen source Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Nonsterile or leaking containers, heparinized plasma, samples in viral transport media or urine Alternate Specimens Serum, CSF. If sending CSF, transfer to a separate, sterile standard PAML aliquot tube. Store and transport frozen. Department PAML Virology CPT Codes 87799 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method PCR Test Includes Source; EBV DNA QuantLog, log copies/mL; EBV DNA Quant Result by PCR, copies/mL Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Dug Administgration approval. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine.. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Notes This test is performed pursuant to the agreement with Roche Molecular Systems.

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Billing Code Test Code [sunquest] EPSTEIN BARR VIRUS, QUANTITATIVE PCR, WHOLE BLOOD EBVQWB EBVQWB

Synonyms EBV, Quant by PCR, Whole Blood Container Type EDTA lavender top tube Store and Transport Store and transport refrigerated. Ship Category B Specimen Type EDTA whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Specimen source Specimen Processing Do not freeze whole blood specimens Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Heparinized, frozen, or plasma samples Alternate Specimens K2EDTA whole blood (pink top tube) Reference Laboratory ARUP Reference Lab Test Code 0051353 CPT Codes 87799 Test Schedule Sun-Sat Turnaround Time 2-5 days Method Real Time-Polymerase Chain Reaction Test Includes EBV Quant, Source; EBV QuantLog, log copies/mL; EBV DNA, Quant Interpretation; EBV Quant DNA, copies/mL Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Dug Administgration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. This test is performed pursuant to an agreement with Roche Molecular Systems, Inc. Supply Item Number 1222

Billing Code Test Code [sunquest] ERYTHROCYTE PORPHYRIN (EP), WHOLE BLOOD EPWBA EPWBA Synonyms FEP; Porphyrins, Whole Blood (FEP); Protoporphyrin, Free Erythrocyte (FEP) Container Type Royal blue top tube Specimen Type EDTA whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Submit specimen in an amber transport tube. CRITICAL-PROTECT FROM LIGHT. Protect from light within 1 hour of collection, storage and shipment. Store and transport refrigerated. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Specimens not collected in EDTA or clotted specimens. Alternate Specimens K2EDTA whole blood or EDTA whole blood (pink or lavender top tube). Limitations Specimens not protected from light will be reported with a disclaimer. Reference Laboratory ARUP Reference Lab Test Code 0020610 CPT Codes 84202 Test Schedule Mon, Wed, Sat Turnaround Time 2-5 days Method Extraction/Fluorometry Test Includes Erythrocyte Porphyrin (EP), ug/dL.

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Billing Code Test Code [sunquest] ERYTHROMYCIN (URINE ONLY) TEST ALSO INCLUDED IN TLCERY TLCERY DRUG-SUR. Synonyms Erythrocin; Ilosone; E-mycin; Robimicin Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Erythromycin and/or analogs Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] ERYTHROPOIETIN ERY ERTH Synonyms EPO; Epogen Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Morning samples drawn between 7:30 am and 12 noon are preferred due to diurnal variation. Specimen Processing Separate the serum from the cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 7 days Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed, lipemic or EDTA plasma specimens. Avoid repeat freeze/thaw cycles. Alternate Specimens Heparin plasma (green top tube). Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82668 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ICMA Test Includes Erythropoietin, mIU/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] ESCITALOPRAM ESCI ESCI Synonyms Lexapro Container Type Red top tube Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. Room Temp 30 days Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition SST or PST (gel separator tubes). Alternate Specimens EDTA OR K2EDTA plasma (lavender or pink top tube). Reference Laboratory NMS Reference Lab Test Code 1965SP CPT Codes 83789 Test Schedule Tue, Thu Turnaround Time 5-7 days Method LC-MS/MS Test Includes Escitalopram, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] ESTERASE STAIN, ACETATE SS.NSE CSAE Container Type See below Store and Transport Protect from light, store and transport at room temperature. Specimen Type See below Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and un-fixed. EDTA and heparin slides are acceptable. Required Patient Info Source Limitations Protect from light Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88319 Test Schedule Mon-Sat days Turnaround Time 72 hours Method Cytochemical Stain Test Includes Esterase Stain, Acetate Source; Stain; Interpretation; Reviewed by Notes Alpha Naphthol Acetate Esterase Supply Item Number Multiple varies

Billing Code Test Code [sunquest] ESTERASE STAIN, COMBINED SS.CE CSCE Container Type See below Store and Transport Protect from light, store and transport at room temperature Specimen Type See below Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed. Required Patient Info Source Alternate Specimens EDTA and heparin slides Limitations Protect from light Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88319 x 2 Test Schedule Mon-Sat days Turnaround Time 72 hours Method Cytochemical Stain Test Includes Esterase Stain, Combined Source; Stain; Interpretation; Reviewed by Notes Includes specific esterase (Naphthol AS-D chloroacetate esterase) and non-specific esterase (Alpha- naphthyl acetate esterase) Supply Item Number Multiple varies

Billing Code Test Code [sunquest] ESTERASE, STAIN, CHLOROACETATE SS.SE CSCAE Synonyms Specific Esterase Store and Transport Protect from light, store and transport at room temperature. Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips and/or sodium heparinized sample (green top tube). 3 mL EDTA (lavender top tube) of peripheral blood should also be sent. The slides should be air-dried, unstained and unfixed. EDTA and heparin slides are acceptable. Required Patient Info Source Limitations Protect from light Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88319 Test Schedule Mon-Sat days Turnaround Time 72 hours Method Cytochemical Stain Test Includes Esterase Stain, Chloroacetate Source; Stain; Interpretation; Reviewed by. Notes Naphthol AS-D Chloroacetate Esterase Supply Item Number Multiple varies

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Billing Code Test Code [sunquest] ESTRADIOL ESTRADIOL EDIOL Synonyms E2 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen or refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 days Frozen (-20°C) 2 months Alternate Specimens If sending a frozen sample, it is critical that separate samples are submitted when multiple tests are ordered. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82670 Test Schedule Mon-Sat days and STAT Turnaround Time 1-3 days Method ICMA Test Includes Estradiol, pg/mL. Notes Prior arrangements must be made for IVF candidates. If ordering this test STAT you must notify Client Services at 509-755-8999. Supply Item Number 1467

Billing Code Test Code [sunquest] ESTRADIOL, MALES, CHILDREN OR POSTMENOPAUSAL ESTMCP ESTMCP FEMALES BY TANDEM MASS SPECTROMETRY Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Plasma Preferred Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours after collection and transfer to a standard PAML aliquot tube Required Patient Info Indicate age and sex of patient on test request form AND specimen tube Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Lavender (EDTA), pink (K2EDTA) or green (sodium or lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 93247 CPT Codes 82670 Test Schedule Daily Turnaround Time 2-4 days Method Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry Test Includes Estradiol by TMS pg/mL Tanner stages Notes Ordering Recommendation: Suitable for measurement of estradiol in men, children, or postmenopausal women Supply Item Number 1467

Billing Code Test Code [sunquest] ESTRIOL, UNCONJUGATED ESTRIOL ESTFR This assay is for unconjugated/free Estriol Synonyms Estriol, Free Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Refrigerated 3 days Frozen (-20°C) 30 days Unacceptable Condition Grossly hemolyzed or lipemic specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82677 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method Immunometric Test Includes Estriol, Unconjugated, ng/mL. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 406 E 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory E

Billing Code Test Code [sunquest] ESTROGEN, TOTAL, SERUM ESTRT ESTRT Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 48 hours Refrigerated 7 days Frozen (-20°C) 2 years Unacceptable Condition Received room temperature Alternate Specimens Serum: SST (red-top/plastic), SST (red-top/glass); Plasma: EDTA (lavender-top), EDTA (royal blue- top), Sodium heparin (green-top), Lithium heparin (green-top), Sodium fluoride (gray-top), 3.2% Sodium Citrate (lt. blue-top), ACD solution B (yellow-top), Potassium oxalate (gray-top), PPT Potassium EDTA (white top) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 439 CPT Codes 82672 Test Schedule Sun-Fri Turnaround Time 5-6 days Method Extraction, Radioimmunoassay

Billing Code Test Code [sunquest] ESTROGENS, FRACTIONATED ESTF ESTF Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. The estradiol is a critical frozen specimen.

Refrigerated 2 days Frozen (-20°C) 2 months Unacceptable Condition Lipemic or hemolyzed samples. Multiple freeze/thaw cycles may lower estrone levels. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82671 Test Schedule Mon-Fri evenings Turnaround Time 2-4 days Method ICMA/RIA/Calculation Test Includes Estrone, pg/mL; Estradiol, pg/mL; Estrogens, Total, pg/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] ESTRONE ESTN ESTN Synonyms E1 Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 4 days Frozen (-20°C) 2 months Unacceptable Condition Lipemic or hemolyzed samples. Multiple freeze/thaw cycles may lower estrone levels. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82679 Test Schedule Mon-Fri Turnaround Time 2-4 days Method RIA Test Includes Estrone, pg/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] ETHOSUXIMIDE ETHO ETHO Synonyms Emeside; Zarontin Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 90415 CPT Codes 80168 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Enzyme Immunoassay Test Includes Ethosuximide, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ETHOTOIN ETHOTOIN ETHOT Synonyms Peganone Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 4 days Refrigerated 4 days Frozen (-20°C) 3 weeks Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes & gels. Reference Laboratory ARUP Reference Lab Test Code 90221 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 2-6 days Method GC Test Includes Ethotoin, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] ETHYL GLUCURONIDE, URINE (REFLEXIVE) ETGU ETGU This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container Room Temp 10 days Refrigerated 1 month Frozen (-20°C) 6 months Unacceptable Condition Blood, serum or plasma samples Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 2-3 days Method EIA Test Includes Ethyl Glucuronide, urine, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will ETGA 83789 automatically be run

Billing Code Test Code [sunquest] ETHYL GLUCURONIDE/ETHYL SULFATE BY LC-MS/MS ETGA ETGA Container Type Leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container Specimen Processing Store and transport at room temperature Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum or plasma samples Department PAML Toxicology CPT Codes 83789 Test Schedule Mon-Sat Turnaround Time 1-2 days Method LC-MS/MS Test Includes ETG, ng/mL; ETG, ng/mL Supply Item Number 1388

Billing Code Test Code [sunquest] ETHYLENE GLYCOL ETHY ETHY Synonyms Antifreeze Container Type Serum (red top tube) or plasma Store and Transport Transport at room temperature Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Limitations 50 mg/mL Department PAML Toxicology CPT Codes 82693 Test Schedule Mon-Fri and STAT Turnaround Time 1-2 days Method GC/FID Supply Item Number 1372

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Billing Code Test Code [sunquest] EUGLOBULIN LYSIS EUGLO EUGLYS Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1.5 mL Collection Procedure Blood/anticoagulant volume is critical. Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85360 Test Schedule Sun-Sat days Turnaround Time 24-48 hours Method Clot Lysis Test Includes Euglobulin Lysis, Patient, h; Euglobulin Lysis, Control, h. Supply Item Number 1050

Billing Code Test Code [sunquest] EVEROLIMUS BY LC-MS/MS EVERMS EVERMS Synonyms Everolimus B; Afinitor; Evero; Zortress Container Type Lavender top tube (EDTA), whole blood Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 3.0 mL Minimum Volume 0.5 mL Patient Prep Pre-dose (trough) levels should be drawn Collection Procedure Draw blood in a lavender top EDTA tube: DO NOT CENTRIFUGE or freeze specimen. Send whole blood refrigerated in original vacutainer. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Specimens other than whole blood collected in lavender EDTA Department PAML Bioanalytics CPT Codes 80299 Test Schedule Daily Turnaround Time 24-36 hours Method Tandem Mass Spectrometry Test Includes Everolimus, ng/mL Compliance Remarks PAML // PSHMC B: Laboratory Developed / Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Everolimus is marketed for prophylaxis of organ rejection in adult patients receiving a kidney transplant and for the treatment of renal cell carcinoma and for the treatment of subependymal giant cell astrocytoma (SEGA) associated with tuberous sclerosis (TS) in patients who are not candidates for curative surgical resection. The suggested therapeutic range for pre-transplant prophylaxis is 3-8 ng/mL, which is based on a predose (trough) specimen in patients also receiving cyclosporine. The suggested therapeutic range for treatment of SEGA is 5-10 ng/mL, also based on a predose (trough) specimen.

1.Eisen HJ, Tuzcu EM, Dorent R, et al: Everolimus for the prevention of allograft rejection and vasculopathy in cardiac-transplant recipients. N Engl J Med 2003;349(9):847-858 2. Kovarik JM, Beyer D, Schmouder RL: Everolimus drug interactions: application of a classification system for clinical decision making. Biopharm Drug Dispos 2006;27(9):421-426 3. Rothenburger M, Zuckermann A, Bara C, et al: Recommendations for the use of everolimus (Certican) in heart transplantation: results from the second German-Austrian Certican Consensus Conference. J Heart Lung Transplant 2007;26(4):305-311 4. Sanchez-Fructuoso AI: Everolimus: an update on the mechanism of action, pharmacokinetics and recent clinical trials. Expert Opin Drug Metab Toxicol 2008;4(6):807-819

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Billing Code Test Code [sunquest] EXTRACTABLE NUCLEAR AUTOANTIBODIES ENAMP ENAMP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 x 3 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SM Autoantibody, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI Supply Item Number 1467

Billing Code Test Code [sunquest] FACTOR 10 INHIBITORS, QUANTITATIVE (REFLEXIVE) F10INH F10INH Separate samples must be submitted when multiple tests are ordered. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Specimen Type Plasma, frozen Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity Specimen Processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 months Unacceptable Condition Severely hemolyzed, clotted samples Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85260 Test Schedule Mon-Fri Turnaround Time 48 hours Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor X, %; Factor 10 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor X activity less than 40% Factor X Inhibitor Units 85260

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Billing Code Test Code [sunquest] FACTOR 11 INHIBITORS, QUANTITATIVE (REFLEXIVE) F11INH F11INH Separate samples must be submitted when multiple tests are ordered. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Specimen Type Plasma, frozen Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity Specimen Processing Centrifuge specimen, separate plasma, recentrifuge, and separate into 2 clean plastic tubes (2 aliquots). Freeze at -20C or less. Avoid repeat freeze/thaw cycles. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 months Unacceptable Condition Severely hemolyzed, clotted samples Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85270 Test Schedule Mon-Fri Turnaround Time 48 hours Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor XI, %; Factor 11 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor XI activity less than 40% Factor XI Inhibitor Units 85270

Billing Code Test Code [sunquest] FACTOR 12 INHIBITORS, QUANTITATIVE (REFLEXIVE) F12INH F12INH Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85280 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor XII, %; Factor 12 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor XII activity less than 40% Factor XII Inhibitor Units 85280

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Billing Code Test Code [sunquest] FACTOR 2 INHIBITORS, QUANTITATIVE (REFLEXIVE) F02INH F02INH Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85210 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor II, %; Factor 2 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor II Activity less than 40% Factor II Inhibitor Units 85210

Billing Code Test Code [sunquest] FACTOR 5 INHIBITORS, QUANTITATIVE (REFLEXIVE) F05INH F05INH Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85220 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor V, %; Factor 5 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor V activity less than 40% Factor V Inhibitor Units 85220

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Billing Code Test Code [sunquest] FACTOR 7 INHIBITORS, QUANTITATIVE (REFLEXIVE) F07INH F07INH Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85230 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor VII, %; Factor 7 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor VII activity less than 40% Factor VII Inhibitor Units 85230

Billing Code Test Code [sunquest] FACTOR 9 INHIBITORS, QUANTITATIVE (REFLEXIVE) F09INH F09INH Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85250 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Population Mean, sec, PTT, sec; PTT Population Mean, sec; PT 1/1 Mix, sec; PT Control Plasma, sec; PTT1/1 Mix, sec; PTT Control Plasma, sec, Factor IX, %; Factor 9 Inhibitors, Inhibitor Units. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732 Factor IX activity less than 40% Factor IX Inhibitor Units 85250

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Billing Code Test Code [sunquest] FACTOR II FAC2 F02ACT Separate samples must be submitted when multiple tests are ordered Synonyms Factor II Activity; Factor 2 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85210 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor II, %. Supply Item Number 1050

Billing Code Test Code [sunquest] FACTOR IX FAC9 F09ACT Separate samples must be submitted when multiple tests are ordered Synonyms Christmas Factor; Factor IX Activity; Factor 9 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85250 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor IX, %. Supply Item Number 1050

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Billing Code Test Code [sunquest] FACTOR V FAC5 F05ACT Separate samples must be submitted when multiple tests are ordered. This is not the same test as Factor V Leiden. If Factor V Leiden is ordered the correct workpar is FVLMUT. It is utilized in association with APC resistance and venous thrombosis. This workpar is utilized to evaluate a prolonged PT/PTT. Synonyms Factor V Activity; Factor 5 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not beenseparated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85220 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor V, %. Supply Item Number 1050

Billing Code Test Code [sunquest] FACTOR V LEIDEN MUTATION FVMUT FVLMUT Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Synonyms Molecular Testing; Factor 5 Leiden Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood ( must be in original collection tube) Preferred Volume 5 mL Minimum Volume 1 mL or a full EDTA microtainer Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes. Alternate Specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube) Limitations Do not freeze Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81241 Test Schedule Mon-Sat Turnaround Time 2-5 days Method PCR Test Includes Factor V Leiden, Method; Factor V Leiden, Result; Factor V Leiden, Interpretation; Factor V Leiden, Comment; Factor V Leiden, Comment Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

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Billing Code Test Code [sunquest] FACTOR VII FAC7 F07ACT Separate samples must be submitted when multiple tests are ordered Synonyms Factor VII Activity; Factor 7 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85230 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor VII, %. Supply Item Number 1050

Billing Code Test Code [sunquest] FACTOR VIII (COAGULANT ACTIVITY) FAC8AS F08ACT Separate samples must be submitted when multiple tests are ordered Synonyms F8 Activity; F8 Coagulant Activity; F8 Assay; F8 Clotting Assay; F8c; Factor 8 Functional; Factor 8 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85240 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor VIII Coagulant Activity, %. Supply Item Number 1050

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Billing Code Test Code [sunquest] FACTOR VIII ACTIVITY, CHROMOGENIC FACT8C FACT8C Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells and put in separate plastic tube. Room Temp 8 hours Refrigerated 8 hours Frozen (-20°C) 21 days Unacceptable Condition Thawed plasma Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 16049 CPT Codes 85240 Test Schedule Tue, Thu Turnaround Time 3-8 days Method Chromogenic Assay Test Includes Factor VIII, Chromogenic, %

Billing Code Test Code [sunquest] FACTOR VIII INHIBITOR (QUANTITATIVE) FAC8.INH F08INH Separate samples must be submitted when multiple tests are ordered Synonyms Factor 8 Inhibitor Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85335 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor VIII Inhibitor, Bethseda Units. Supply Item Number 1050

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Billing Code Test Code [sunquest] FACTOR X FAC10 F10ACT Separate samples must be submitted when multiple tests are ordered Synonyms Factor X, Activity; Factor 10 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85260 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor X, %. Supply Item Number 1050

Billing Code Test Code [sunquest] FACTOR XI FAC11 F11ACT Separate samples must be submitted when multiple tests are ordered Synonyms Factor XI Activity; Factor 11 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85270 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor XI, %. Supply Item Number 1050

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Billing Code Test Code [sunquest] FACTOR XII FAC12 F12ACT Separate samples must be submitted when multiple tests are ordered. Synonyms Hageman Factor; Factor 12 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85280 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical Test Includes Factor XII, %. Supply Item Number 1050

Billing Code Test Code [sunquest] FACTOR XIII FAC13 F13 Separate samples must be submitted when multiple tests are ordered. Synonyms Factor 13 Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85291 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Urea Solubility Test Includes Factor XIII. Supply Item Number 1050

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Billing Code Test Code [sunquest] FAT STAIN (OIL RED O) FAT.ST OROSTN Container Type Leakproof plastic urine container. Specimen Type Urine, random. Preferred Volume 5mL Minimum Volume 1 mL Collection Procedure Collect a random urine. Specimen Processing BAL: transport immediately at room temperature to the lab. Unanticoagulated specimens are specimens of choice. Urine: 5 mL urine, random collection. Store and transport refrigerated. Room Temp 3 hours Unacceptable Condition Grossly bloody specimen and specimens which are 3/4 or more mucous or specimens that have been unrefrigerated more than 3 hours. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89125 Test Schedule Mon-Sat Days Turnaround Time 72 hours Method Cytochemical Stain Test Includes Source; Fat Stain Interpretation; Fat Stain Reviewed By. Supply Item Number 1388

Billing Code Test Code [sunquest] FAT, FECAL QUANTITATIVE, HOMOGENIZED ALIQUOT FATQNT FATQNT Separate samples must be submitted when multiple tests are ordered. Synonyms Fat, Quantitative; Fecal Fat, Quantitative; Fecal Lipids; Quantitative Fecal Fat; Stool Fat, Quantitative; Total Fat, Quantitative Container Type Pre-weighed stool container Store and Transport Frozen Specimen Type Frozen stool Preferred Volume 20 mL Minimum Volume 5 mL Patient Prep The patient should be on a diet consisting of 50 to 150 g of fat per day for 3 days prior to the study. Non-absorbable fat substitutes, such as Olestra, should be avoided prior to collection. Collection Procedure Collect a 24, 48 or 72-hour stool in pre-weighed container. Refrigerate during collection. Specimen Processing Weigh entire collection. Homogenize entire collection (using a graduated cylinder, add sufficient water to give 'milk shake' consistency) and aliquot 20 mL (20 g) to a clean, unpreserved container. Required Patient Info Hours of collection, sample weight, and water volume added Room Temp 1 hour Refrigerated 4 days Frozen (-20°C) 2 weeks Unacceptable Condition Random collections. Specimens containing barium or charcoal. Specimens in media or preservatives. Containers larger than 500 mL (500 g), such as paint cans, will be rejected and discarded. Submissions without collection time, weight, and water added information. Reference Laboratory ARUP Reference Lab Test Code 2002350 CPT Codes 82710 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Nuclear Magnetic Resonance Spectrometry Test Includes Collection Period, hr; Fecal Total Weight, grams; Fecal Fats, g/24h Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes Provide weight of entire collection, volume of water added for homogenization (if applicable), and duration of collection. Complete information is required in order to perform accurate calculations. If weight and time are not provided, the specimen is assumed to be a random collection. Alternative testing can be performed. See Fat, Fecal Qualitative. Supply Item Number 1410

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Billing Code Test Code [sunquest] FAT, STOOL STL-FAT FAT Synonyms Fecal Fat, Qualitative Container Type Sterile leakproof plastic container Store and Transport Refrigerated. If transportation time will exceed 1 day from collection, specimen should be frozen. Specimen Type Stool fresh, random Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect random stool in a clean leakproof container Required Patient Info Specimen source Room Temp 1 hour Refrigerated 1 day Frozen (-20°C) 1 week Frozen (-70°C) 1 week Unacceptable Condition Stool in preservatives or transport media and timed collection specimens Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 89125 Test Schedule Daily Turnaround Time 1-2 days Method Microscopic Test Includes Source; Fat, Stool; Fat, Stool, Status Supply Item Number 1387

Billing Code Test Code [sunquest] FATTY ACID PROFILE, PEROXISOMAL FATTYA FATTYA Synonyms Fatty; Long chain Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Patient is to have fasted overnight (12-14 hours), and must not consume any alcohol for 24 hours before the specimen is drawn. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Required Patient Info Patient's age, information regarding treatment, family history, and tentative diagnosis Reference Laboratory Mayo Reference Lab Test Code 81369 CPT Codes 82726 Test Schedule Mon-Fri Turnaround Time 3-8 days Method GC/MS Stable isotope Test Includes C22:0, nmol/mL; C24:0, nmol/mL; C26:0, nmol/mL; C24:0/C22:0, Ratio; C26:0/C22:0, Ratio; Pristanic Acid, nmol/mL; Phytanic Acid, nmol/mL; Pristanic Acid/Phytanic Acid Ratio, Ratio Supply Item Number 1467

Billing Code Test Code [sunquest] FATTY ACIDS PROFILE, ESSENTIAL FAP FAP Synonyms C12-C22 Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Patient Prep Patient should be fasting overnight (12-14 hours). Patient must not consume any alcohol for 24 hours before the specimen is drawn. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required Patient Info Patient's age, sex, and information regarding treatment, family history and tentative diagnosis.. Reference Laboratory Mayo Reference Lab Test Code 82426 CPT Codes 82544 Test Schedule Mon, Wed, Fri Turnaround Time 3-8 days Method GC/MS Stable isotope dilution Test Includes Fatty Acids Profile Essential. Supply Item Number 1372

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Billing Code Test Code [sunquest] FATTY ACIDS, FREE FATTY FATTYF Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Patient Prep Overnight fasting specimen is preferred. Collection Procedure Collect on ice. Specimen Processing Separate serum or plasma from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Non-frozen or heparinized specimens. Alternate Specimens EDTA, sodium citrate, fluoride/potassium oxalated or ammonium oxalated plasma (lavender, blue or black top tube). Reference Laboratory ARUP Reference Lab Test Code 80120 CPT Codes 82725 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Spectrophotometry Test Includes Fatty Acids, Free, mmol/L. Supply Item Number 1467

Billing Code Test Code [sunquest] FDA DONOR PANEL FDADO FDADO Container Type See below Store and Transport Refrigerated Specimen Type 2-6 mL Red top tubes and 3-6 mL EDTA Lavender top tubes Preferred Volume 12 mL whole blood and 18 mL EDTA whole blood Refrigerated 3 days Limitations Samples must be received within 3 days of collection. Reference Laboratory OBI CPT Codes 84999 Test Includes ABRH; CHAG; CRIP; CHOL; CVM; CMVM; HBC; AHBS; HBS; HBSN; HCV; HCVC; HIV; IFHI; H12C; HTLV; HTIL; ULTR; DHIV; DHCV; DHBV; STS; SYPG; WNV; WNVA

Billing Code Test Code [sunquest] FECAL IMMUNOCHEMICAL TEST (FIT) FOR OCCULT BLOOD IFOBT IFOBT Synonyms Occult Blood by FIT for Feces Container Type See below Store and Transport Ambient (room temperature) Specimen Type Random stool Collection Procedure Random stool specimen collected with the Polymedco collection device. Scrape the surface of the fecal sample probe. Stool must cover the grooved portion of the sample probe of the collection device. There are no dietary restrictions and it is a 1 day sampling. Specimen Processing The requisition must accompany the sample device. DO NOT FREEZE. Room Temp 15 days (in collection device) Refrigerated 1 month in collection device, 3 days if not Alternate Specimens Obtain sample off of toilet paper rather than the toilet bowl. If not sending sample in collection device probe, prefer that it be stored and transport refrigerated. Department PAML Immunology CPT Codes 82274 Test Schedule Tue-Sat Turnaround Time 1-3 days Method Immunoassay Test Includes Fecal Occult Blood by FIT Notes Collection devices available from PAML Supply Department Supply Item Number 1709

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Billing Code Test Code [sunquest] FELBAMATE FELBAMATE FELB Synonyms Felbatol Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 1 month Frozen (-20°C) 6 months Alternate Specimens Lavender (EDTA), pink (K2EDTA), green (sodium heparin), gray (sodium fluoride/potassium oxalate) Limitations Avoid use of separator tubes and gels Reference Laboratory ARUP Reference Lab Test Code 94030 CPT Codes 80299 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative High Performance Liquid Chromatography Test Includes Felbamate, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] FEMALE DONOR FDAFEO FDAFEO Container Type See below Store and Transport Refrigerated Specimen Type 2-6 mL red top tubes and 3-6 mL EDTA lavender top tubes Preferred Volume 12 mL whole blood and 18 mL EDTA whole blood Refrigerated 3 days Limitations Samples must be received within 3 days of collection. Reference Laboratory OBI CPT Codes 84999 Test Includes ABRH; CHAG; CRIP; HBC; AHBS; HBS; HBSN; HCV; HCVC; HIV; IFHI; H12C; ULTR; DHIV; DHCV; DHBV; STS; SYPG; WNV; WNVA

Billing Code Test Code [sunquest] FENTANYL & METABOLITE, BLOOD FENTBF FENTBF Synonyms Fentanyl Metabolite Sublimaze Container Type Lavender top tube Specimen Type EDTA whole blood Preferred Volume 2 mL Specimen Processing Store and transport refrigerated. Required Patient Info 1 mL Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Reference Laboratory NMS Reference Lab Test Code 2079B CPT Codes 83925 Test Schedule Tue, Fri Turnaround Time 4-7 days Method LC-MS/MS Test Includes Fentanyl, ng/mL; Norfentanyl, ng/mL. Notes Purpose: Therapeutic Drug Monitoring

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Billing Code Test Code [sunquest] FENTANYL & METABOLITE, SERUM/PLASMA FENSTN FENSTN Synonyms Fentanyl Metabolite Sublimaze Container Type Plain red top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Specimen Processing Promptly separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info 1 mL Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or PST tubes Alternate Specimens Potassium oxalage/sodium fluoride or EDTA plasma (grey or lavender top tubes) Reference Laboratory NMS Reference Lab Test Code 2079SP CPT Codes 83925 Test Schedule Tue, Fri Turnaround Time 4-7 days Method LC-MS/MS Test Includes Fentanyl, ng/mL; Norfentanyl, ng/mL Notes Purpose: Therapeutic Drug Monitoring

Billing Code Test Code [sunquest] FENTANYL AND NORFENTANYL CONFIRMATION IN URINE BY FENTU FENTU LC-MS/MS Synonyms Fent; Magic; Percopop; China White; Sublimaze Container Type Random urine container (clinical specimens); Workplace Drug Testing Kit w/COC (forensic) Specimen Type Urine Preferred Volume 20 mL random urine Minimum Volume 1 mL Room Temp 10 days Refrigerated 30 days Frozen (-20°C) 9 months Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Liquid Chromatography Tandom Mass Spectrometry LC/MS/MS Test Includes Fentanyl and Norfentanyl Supply Item Number 1388

Billing Code Test Code [sunquest] FENTANYL PAIN MANAGEMENT CONFIRMATION TESTING BY PFENT PFENT LCMSMS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for this test. Container Type Urine, leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 24-48 hours Method Gas Chromatography Mass Spectrometry Test Includes Fentanyl Norfentanyl

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Billing Code Test Code [sunquest] FERRITIN FERR FERR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Ensure that complete clot formation has taken place prior to centrifugation. Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 10 days Unacceptable Condition Samples that have been at room temperature more than 8 hours Alternate Specimens EDTA or heparin plasma (lavender or green top tubes) Department PAML Immunochemistry CPT Codes 82728 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Ferritin, ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] FETAL FIBRONECTIN FFN FFN Container Type See below Specimen Type See below Preferred Volume See below Collection Procedure Cervicovaginal swab in transport tube with buffer. A special collection kit is required for collection. Specimen must be obtained prior to digital examination. Care must be taken not to contaminate the swab of cervicovaginal secretions with lubricants, soaps, or disinfectants. Specimen Processing If testing will be done within 8 hours of collection, transport at room temperature. If not, sample must be stored at refrigerated temperature and the assay completed within 3 days of collection. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Cotton swabs and culturettes. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82731 Test Schedule Sun-Sat (SHMC runs these as STATS as soon as they receive them) Turnaround Time Within 2 hours of receipt in SHMC Lab. Method Solid Phase Immunosorbent Assay Test Includes Fetal Fibronectin. Notes The required collection kit is available from the PAML supply department.

Billing Code Test Code [sunquest] FETAL HEMOGLOBIN F FETALF FETALF Synonyms KB Container Type EDTA (lavender top tube) or K2EDTA (pink top tube) Specimen Type Whole blood Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated if test cannot be performed within 6 hours of collection. Required Patient Info Source Refrigerated 5 days Department PSHMC Hematology Cellular Flow Cytometry Reference Laboratory PSHMC CPT Codes 88184 Test Schedule Mon-Sat days Turnaround Time 24-48 hours Method Flow Cytometry Test Includes Source; Fetal Hemoglobin F, %. Supply Item Number 1222

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Billing Code Test Code [sunquest] FIBRIN MONOMER FIB.MONOMER FIBMON Separate samples must be submitted when multiple tests are ordered Synonyms Protamine Paracoagulation Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85366 Test Schedule Daily Turnaround Time 1-2 days Method Protamine Paracoagulant Precipitant Test Includes Fibrin Monomer. Notes Fibrin monomers are the building blocks for a fibrin clot. The test screens for soluble monomer complexes, the early products of fibrin formation. Supply Item Number 1050

Billing Code Test Code [sunquest] FIBRINOGEN XFIB XFIB Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85384 Test Schedule Sun-Sat days & STAT Turnaround Time 24-48 hours Method Electromechanical Test Includes Fibrinogen, mg/dL. Notes Fibrinogen is a quantitative measurement. The thrombin time is a qualitative test for how well fibrinogen functions. Supply Item Number 1050

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Billing Code Test Code [sunquest] FIBRINOGEN REFLEX TO THROMBIN TIME QFIB QFIB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen citrated plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85384 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes Fibrinogen, sec; Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec Notes If the fibrinogen is abnormal, this test reflexes to a thrombin time. An additional charge will be added. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Fibrinogen level less than 100 mg/dL Thrombin Time 85670 Thrombin Time prolonged TT PT/CT Mix and/or TT PT/SO4 Mix 85670

Billing Code Test Code [sunquest] FIBRINOLYSIS FIBLYS FIBLYS Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severly hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85390 Test Schedule Daily Turnaround Time 1-2 days Method Plasma Clot Lysis Test Includes Fibrinolysis. Supply Item Number 1090

Billing Code Test Code [sunquest] FIBRONECTIN AGGREGATES, IGA FIBRON FIBRON Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 4320 CPT Codes 83516, 82784 Test Schedule Wed Turnaround Time 2-10 days Method ELISA, Nephelometry Test Includes IgA Serum, mg/dL; Fibronectin Aggregrates, IgA, EIA Units. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 428 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FILARIA IGG4 ANTIBODY ICFIGA ICFIGA Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Reference Laboratory ARUP Reference Lab Test Code 0099598 CPT Codes 86682 Test Schedule Thu Turnaround Time 2-9 days Method ELISA Test Includes Filaria Ab, IgG4, IV.

Billing Code Test Code [sunquest] FIRST SCREEN MFSGZ MFSGZ Must have NT measurements from certified (FMF) or Maternal Fetal Medicine Foundation sonographer when ordering this test. Container Type SST Tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect initial specimen between 10 weeks/3 days and 13 weeks/6 days gestation. Specimen Processing Centrifuge specimen Required Patient Info NT measurements Unacceptable Condition Hemolyzed samples and samples received more than 7 days from date of collection Reference Laboratory Genzyme Genetics CPT Codes 84163, 84702 Test Schedule Mon-Sat Turnaround Time 4-5 days Test Includes First Screen Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

Billing Code Test Code [sunquest] FISH ASSAY, ANGELMAN SYNDROME FISHAS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen Synonyms FISH; UBE3A; Cytogenetics; 15q12; Prader-Willi; Angelman Syndrome Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication; Duplicated15q11q13 Syndrome Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions of the 15q11q13 region. Parent of origin cannot be ascertained, so without clinical information, this test cannot distinguish between Prader-Willi or patients with Angelman Syndrome, as part of their diagnostic differential. Normal results for this assay do not rule out the diagnosis and patients with AS as part of their diagnostic differential should be considered for 15q11q13 methylation analysis. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. A Duplicated15q11q13 Syndrome study can be ordered on the UBE3A probe. CPT code 88275 will be substituted for 88273 for duplication studies. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, 1p/19q DELETIONS AND REARRANGEMENTS IN GLIOFI GLIOFI GLIOMA, 1P/1Q, 19P/19Q, FFPE This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; 1p/1q; 19p/19q; 1p/19q; Glioma; Oligodendroglioma; Diffuse Astrocytoma; Oligoastrocytoma; Glioblastoma Multiforme; Anaplastic Astrocytomas; Glioblastoma Specimen Type Formalin-fixed, paraffin-embedded tumor tissue block Specimen Processing Only a formalin-fixed, paraffin-embedded tumor tissue block in which tumor's presence has been documented by another method. Please specify which DNA probes are desired: 1p/19q, P16, PTEN or EGFR. If the desired probes are not specified, only 1p/19q will be hybridized and reported. Required Patient Info Patient information and pathology interpretation Department PAML Cytogenetics CPT Codes 88271 x number of probes, 88283 x number of assays, 88275 x number of assays, 88291 Test Schedule Daily Turnaround Time 1 week Method FISH Notes FISH (fluorescent in situ hybridization) using DNA probes to detect deletions and rearrangements of 1p and 19q region associated with the following genes/chromosome regions: 1p/19q (1p36/19q13). Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, 20q DELETION HEMATOLOGIC MALIGNANCY FIS20Q This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; 20q; DS20S108; Cytogenetics; 20q deletion Container Type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood if blasts are present Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or cell culture transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of 20q- or del(20)(q) abnormal cell clones in patients with hematologic malignancy. Probe used is the DS20S108 at 20q12. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, 6q DELETIONS OR REARRANGEMENTS IN B-CELL F6QENT DISORDERS This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; 6q; MYB; Lymphoma; Myeloma; Waldenstrom's; Cytogenetics; B-CELL Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred. Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 X 3, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of 6q chromosome structural aberrations in B-cell disorders. DNA probes used are (CEP6, SHPRH, MYB) or (258B3, MYB and 252P19) depending on the breakpoints of deletion or rearrangement Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, 7q DELETIONS OR MONOSOMY 7 FISH7Q This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; 7q; EGR1; D7S486; Leukemia; Cytogenetics 7q deletion; -7; Monosomy 7 Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood if blasts are present Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for identification of abnormal cell clones containing either del (7)(q) or monosomy 7. Probe set used is D7S486/CEP7, located at 7q31 and chromosome 7 centromere Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, ALK GENE REARRANGEMENT, FFPE FALCLP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; ALCL; NPM; ALK; t(2;5) Lymphoma; Paraffin; Anaplastic large cell lymphoma; Lung cancer; 2p23; FFPE; ALK break-apart probe,Non-Small Cell Lung Cancer, NSCLC, Laboratory Developed Test (LDT), EML4/ALK Fusion Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Lymph node tissue embedded in paraffin Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88283, 88275, 88271 x 2 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH assay to detect rearrangements of the ALK gene on 2p23, resulting in EML4/ALK fusion, associated with NSCLC. Also detecting ALK gene rearrangement resulting from t(2;5) or variant translocation associated with Anaplastic Large Cell Lymphoma. This is a Non-FDA, Laboratory Developed Test (LDT). Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, ALK GENE REARRANGEMENTS, ANAPLASTIC FIALCL LARGE CELL LYMPHOMA This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; ALCL; NPM; ALK; t(2;5); Lymphoma; Cytogenetics; Anaplastic Large Cell Lymphoma; 2p23 Container Type Sodium heparin (Green top tube), bone marrow or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or leukemic whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or leukemic whole blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Intact or dissociated cells from lymph node in tissue transport tube containing cell culture media Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH to detect t(2;5) or variant translocation associated with Anaplastic Large Cell Lymphoma. ALK Break apart probe is used for this test. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, ALLAGILE SYNDROME FIALLA This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; JAG1; Allagile; Cytogenetics; 20p11.23; 20p deletion Container Type Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the JAG1 locus on 20p12.2 associated with Allagile Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, AML PANEL FISAML This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; AML; Myeloid; Leukemia; AML panel; RUNX1/ETO; PML/RARA; CBFB; MLL; AML sub-type confirmation; Cytogenetics Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics Reference Laboratory PAML Cytogenetics Laboratory CPT Codes 88291, 88283 x 4, 88271 x 8, 88275 x 4 Test Schedule Daily Turnaround Time 1 day for PML/RARA diagnostic samples; 3-5 days for the panel Method FISH Notes FISH panel for differentiation between AML FAB sub-types. DNA probes used are RUNX1/ETO, PML/RARA, CBFB and MLL. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, ANIRIDIA FIPAX6 FIPAX6 This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; Aniridia; WAGR Syndrome Container Type Green top tube (sodium heparin) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 0.5 mL Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen specimens Alternate Specimens Fixed cell pellet from another cytogenetics laboratory Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88273, 88291 Test Schedule Daily Turnaround Time 1 week Method FISH Test Includes FISH Aniridia Notes FISH for detection of WT1 and/or PAX6 gene deletion found in patients with Aniridia (WAGR Syndrome) Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, BCL2/IGH GENE REARRANGEMENT FISHBI This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; BCL2; IGH; Lymphoma; Follicular; Cytogenetics; t(14:18); BCL2 AND IGH Gene Rearrangement; Large B-cell Lymphoma Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for confirmation of BCL2/IGH gene rearrangement found in patients with Follicular and less frequently, large B-cell lymphoma, associated with t(14:18). Assay can also detect variant rearrangement involving either locus. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, BCL6 GENE REARRANGEMENT FIBCL6 This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; BCL6; Lymphoma; Cytogenetics; 3q27 Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for confirmation of BCL6 gene rearrangement in patients with lymphoma. BCL6 BREAKAPART PROBE USED FOR THIS TEST. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, BCL6 GENE REARRANGEMENT, FFPE TISSUE FBCL6P This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; BCL6; Lymphoma; FFPE; Paraffin; 3q27 Container Type Paraffin embedded tissue block Store and Transport Ambient (room temperature) Specimen Type Tissue embedded in paraffin Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 X 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for confirmation of BCL6 gene rearrangement in paraffin embedded tissue for patients with lymphoma 2.1 www.paml.com 4/16/2013 page 434 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FISH ASSAY, BCR/ABL1 GENE REARRANGEMENT FISHBA This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CML; ALL; BCR/ABL1; Chronic Myelogenous Leukemia; Acute Lymphocytic Leukemia; Cytogenetics; ASS; Philadelphia chromosome Container Type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 3, 88275 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of BCR/ABL-1 gene rearrangement, t(9;22) and variants. Provides confirmation of CML diagnosis and provides prognostic confirmation in both CML and ALL. The ASS DNA probe (proximal to ABL on 9q) is used as a control and to identify patients with deletions of the der(9) chromosome. The tricolor BCR/ABL1/ASS probe set is used for this test. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, BECKWITH-WIEDEMANN SYNDROME FISHBW This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; IGF2; Beckwith-Wiedemann; Cytogenetics; 11p15 Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of cytogenetic aberrations including deletion or duplication of the 11p15 region including the IGF2 locus which would result in Beckwith-Weidemann Syndrome. Negative assay results do not rule out the diagnosis and patients with normal test results should have methylation analysis of the region performed or have the diagnosis made on clinical findings only. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, CBFB GENE REARRANGEMENTS FISHCB This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CBFB; M4; Myeloid Leukemia; Cytogenetics; AML; Inv(16); 16; Eosinophilia; Acute Myelogenous Leukemia; M2 Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of CBFB gene rearrangement associated with inv(16) or t(16;16) for diagnostic confirmation in patients with eosinophilia and either M4 or M2 Acute myelogenous leukemia. CBFB Break apart probe is used for this test. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, CCND1 GENE REARRANGEMENTS, DUAL COLOR FCCND1 BREAK-APART PROBE This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CCND1; break-apart; t(11;14); 11q13; MCL; Mantle Cell Lymphoma; BCL1; Cytogenetics Container Type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone Marrow or whole peripheral blood Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes CCND1 dual color break apart probe is used for this test. Can assist in the detection of t(11;14) or 11q13 variants Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, CCND1/IGH GENE REARRANGEMENT FISHCC This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CCND1; IGH; MCL; Mantle Cell Lymphoma; Lymphoma; Cytogenetics; CCND1/IGH; BCL1; IGH/CCND1 Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of CCND1/IGH (BCL1/IGH) gene rearrangement associated with t(11:14). Can be used for diagnostic confirmation in patients with possible Mantle Cell Lymphoma (MCL) and to distinguish between MCL and Chronic Lymphocytic Leukemia. Assay can also detect variant translocations of either locus. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, CHARGE SYNDROME FISCHD This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; CHARGE; CHD7; 8q12; Cytogenetics Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions of the CHD7 locus at 8q12, found in patients with CHARGE syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, CLL PANEL FICLPA This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CLL; Chronic Lymphocytic Leukemia; CLL panel; ATM; CEP12; D13S25; TP53; CLL Prognostic panel; Cytogenetics Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics Reference Laboratory PAML Cytogenetics Laboratory CPT Codes 88291, 88283 x 2, 88271 x 5, 88275 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH panel to establish prognosis for patients diagnosed with Chronic Lymphocytic Leukemia. DNA probes used are ATM, CEP12, D13S25 and TP53 Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, CLL VS MCL, CLL PANEL AND CCND1/IGH FICLPP This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CLL; Chronic Lymphocytic Leukemia; Mantle Cell Lymphoma; MCL; CCND1/IGH; CLL vs MCL panel; ATM; CEP12; D13S25; TP53; Cytogenetics Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics Reference Laboratory PAML Cytogenetics Laboratory CPT Codes 88291, 88283 x 3, 88271 x 6, 88275 x 3 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH to help distinguish between diagnoses of Chronic Lymphocytic Leukemia and Mantle Cell Lymphoma Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, CRI DU CHAT SYNDROME FISCDC This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; Cri du Chat; 5p-; 5p15; 5p deletion syndrome; Cytogenetics Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect blood in sodium heparin (green top tube) Required Patient Info Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun, or specimens in SST tubes. Other collection tubes: EDTA, lithium heparin, clot tube Alternate Specimens Fixed cell pellet or slides from another cytogenetics laboratory Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88273, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection or confirmation of deletions of 5p15 associated with Cri du Chat Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, DDIT3 (CHOP) GENE REARRANGEMENT FISCHO This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; CHOP; Liposarcoma; Sarcoma; Tumor; Cytogenetics; DDIT3; 12q13; t(12;22); Myxoid Liposarcoma Container Type Tumor tissue transport tube containig cell culture media Store and Transport Ambient (room temperature) Specimen Type Fresh tumor tissue Preferred Volume 1-3mm2 Minimum Volume 1mm2 Collection Procedure PAML item # 1731, Transport tube bone marrow media, preferred Specimen Processing Submit fresh tumor tissue in tumor tissue transport tube containing cell culture media Room Temp 1-2 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88275, 88271 x 2, 88283 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of DDIT3 (CHOP) gene rearrangement associated with t(12;22). The gene rearrangement is found in patients with myxoid liposarcoma and can be used as diagnostic confirmation of pathology. Probe used is the CHOP (DDIT3) break-apart probe set for 12q13. Supply Item Number 1732

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Billing Code Test Code [sunquest] FISH ASSAY, DDIT3 (CHOP) GENE REARRANGEMENT, FFPE FICHOP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; DDIT3 (CHOP); Liposarcoma; Sarcoma; Paraffin; Tumor; t(12;22); FFPE; 12q13; Myxoid Liposarcoma Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of DDIT3 (CHOP) gene rearrangement associated with t(12;16) or variant t(12;22). The gene rearrangement is found in patients with myxoid liposarcoma and can be used as diagnostic confirmation of pathology. Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, DEK/CAN GENE REARRANGEMENT, t(6;9) FISHDC This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; DEK/CAN; Myeloid; Acute Myeloid Leukemia; Cytogenetics; t(6;9); AML Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood or bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow sample or peripheral whole blood in sodium heparin (green top tube). PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88275, 88271 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of DEK/CAN gene rearrangement associated with t(6;9). Translocation is found in patients with Acute Myeloid Leukemia. Probe set used is DEK/CAN (dual fusion), for the detection of t(6;9). Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, DELETION 22q SYNDROME, DIGEORGE/VCF FIS22Q SYNDROME This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; 22q; DiGeorge; VCFS;TUPLE1; Cytogenetics; 22q Deletion Syndrome; 22q Duplication Syndrome Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun, SST or other additive tubes. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics laboratory Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88273, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions of 22q11 region associated with DiGeorge and Velocardiofacial Syndromes. Patients with clinical signs of either of these syndromes should also have a full cytogenetic analysis performed. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Duplicated 22q11.22 Syndrome can be ordered. CPT code 88275 will be charged instead of 88273 on duplication studies. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, DIFFUSE LARGE B-CELL LYMPHOMA (BCL2/IGH FISHDL FISHDL AND BCL6) This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; BCL6; BCL2; IGH; Lymphoma Container Type Sodium heparin (Green top tube) or specimen transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Whole blood or bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow sample or peripheral whole blood in sodium heparin (green top tube) or transport tube with cell culture media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 4, 88283 x 2, 88275 x 2, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of cytogenetic aberrations common to diffuse large cell lymphoma. Probes for this panel include BCL2/IGH specific for the t(14;18) and variants and BCL6 (3q27) Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, DIFFUSE LARGE CELL LYMPHOMA, FFPE TISSUE FISDLP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; BCL6; BCL2; IGH; Lymphoma; Paraffin; DLBCL; FFPE Container Type Paraffin embedded tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 4, 88283 x 2, 88275 x 2 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of cytogenetic aberrations common to diffuse large cell lymphoma. Probes for this panel include BCL/IGH specific for the t(14;18) and variants and BCL6(3q27)

Billing Code Test Code [sunquest] FISH ASSAY, EGFR1 GENE AMPLIFICATION FIEGFR This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; EGFR1; NSCLC; Lung Cancer; Non Small Cell Lung Cancer; Glioma; Tumor; Cytogenetics; 7p12 Container Type 15 mL conical centrifuge tube or tube supplied by cytogenetics division Store and Transport Ambient (room temperature) Specimen Type Fresh or previously frozen tumor tissue in sterile cell culture media Preferred Volume 1-3mm2 Minimum Volume 1mm2 Collection Procedure Obtain fresh or previous tumor tissue and submit in sterile cell culture media. If cytogenetics is also requested, specimen must be fresh. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 1-2 days Department PAML Cytogenetics CPT Codes 88291, 88283, 88275, 88271 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of EGFR1 gene amplification status in either patients with tumor from Glioma family or patients with non-small cell lung carcinoma. Probe set used is EGFR/CEP7 at 7p12 and Chromosome 7 centromere. Supply Item Number 1732 or sterile 15 mL centrifuge tube (Corning or Falcon or equivalent)

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Billing Code Test Code [sunquest] FISH ASSAY, EGFR1 GENE AMPLIFICATION, FFPE FEGFRP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; EGFR; NSCLC; Lung Cancer; Non Small Cell Lung Cancer; Glioma; Paraffin; Tumor; 7p12; FFPE Container Type Tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit tumor tissue embedded in paraffin Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of EGFR gene amplification status in either patients with tumors from the Glioma family or patients with non-small cell lung carcinoma. EGFR is located at 7p12. Cep 7 is used as a control. Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, EGR1, 5Q DELETION OR MONOSOMY 5 FISH5Q This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; 5q; EGR1; Myeloid; MDS; Myelodysplasia; Leukemia; Cytogenetics; 5q Deletion; -5; Monosomy 5 Container Type Sodium heparin (Green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of 5q-(deletions of 5q)or Monosomy 5 positive abnormal cell clones, associated with myeloid hematologic disorders. Probe set used is EGR1/ D5S721, located at 5q31 and 5p15.2. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, ELL & ENL GENE REARRANGEMENT, t(11;19) FISHEE This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; ELL; ENL; Leukemia; Myeloid, Lymphoid; Cytogenetics; Acute Leukemia; 19p; t(11:19) Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect a bone marrow or peripheral blood in a sodium heparin(green top tube). PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88275, 88271 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH to distinguish between ENL & ELL gene rearrangement associated with t(11;19) in acute leukemia, either myeloid or lymphoid. The ENL & ELL probes located at 19p13.1, 19p13.3 are used in this test Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, ETV6 GENE REARRANGEMENT DUAL COLOR FIETV6 FIETV6 BREAK-APART PROBE This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; ETV6; Break-apart; t(12;21); Cytogenetics; 12p13 Container Type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone Marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes The ETV6 dual color break apart probe is used in this test Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, ETV6/RUNX1 GENE REARRANGEMENT, T(12;21) FISTEL FISTEL This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; TEL/AML1; ETV6; Pediatric Acute Leukemia; COG; RUNX1; Cytogenetics; t(12:21) Container Type Sodium heparin (green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of ETV6/RUNX1 gene rearrangement associated with the cytogenetically cryptic t(12;21). Assay can also detect variant translocations, deletion or other rearrangement of ETV6 and amplification involving the RUNX1 locus. The ETV6/RUNX1 (dual fusion) probe set is used in this test. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, EWSR1 GENE REARRANGEMENT FISHES This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; EWSR1; Ewing Sarcoma; Sarcoma; Tumor; Cytogenetics; t(11;22); EWSR1 break-apart; 22q12 Gene Rearrangement Container Type Tumor tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Solid tumor tissue in cell culture media Preferred Volume 1-3mm2 Minimum Volume 1mm2 Collection Procedure Collect solid tumor tissue in cell culture media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 1-2 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of t(11;22)or variant translocation considered diagnostic for Ewing Sarcoma. The EWSR1 dual color break-apart probe is used in this test to detect rearrangements at 22q12 Supply Item Number 1732

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Billing Code Test Code [sunquest] FISH ASSAY, EWSR1 GENE REARRANGEMENT, FFPE FISESP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; Ewing Sarcoma; EWSR 1; Paraffin; Tumor; t(11;22); FFPE; 22q12 Container Type Paraffin embedded tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of t(11:22) or variant translocation considered diagnostic for Ewing Sarcoma Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, FGFR1 GENE REARRANGEMENT FFGFR1 This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; FGFR1; Break-apart; t(8;11); Myeloproliferative disorder; Eosinophilia; MPD; EMS; t(8;6); t(8;9); t(8;13); t(8;22); 8p12; Cytogenetics Container Type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone Marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes A FGFR1 dual color break-apart probe located at 8p12 is used in this test Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FIP1L1, CHIC2, PDGFRA TRICOLOR PROBE FISFCP This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; FIP1L1; CHIC2; PDGFRA; 4q12; Break-apart; Myeloproliferative disorder; Eosinophilia; Cytogenetics; Tricolor break-apart probe; MPD Container Type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone Marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 3, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes The FIP1L1-CHIC2-PDGFRA tricolor probe set is used for this test to detect rearrangements involving 4q12 Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF 15Q11-Q13 DUPLICATI0N FISD15 This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; Duplication; Chromosome 15 Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Room Temp 3-5 days Unacceptable Condition Refrigerated, frozen, spun, or samples in SST tubes Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 10 days Method FISH Notes FISH for detection of duplication 15q11-q13 syndrome. Assay can detect either intrachromosome duplication or the presence of inverted duplication chromosomes derived from proximal 15q. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF BCR/ABL1 AND MLL GENE FADALL FADALL REARRANGEMENT IN ADULTS WITH B-CELL ALL This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; ALL; BCR/ABL1; MLL; Leukemia Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 5, 88283 x 2, 88275 x 2, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of BCR/ABL1 and MLL gene rearrangements in adults with B-cell ALL. Both gene rearrangements have an adverse impact on prognosis in this disease. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF CHIC2 GENE DELETION FISCHI This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; CHIC2; MGUS; Eosinophila; Hypereosinophila Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of CHIC2 deletion, surrogate aberration for the FIP1L1-PDGFRA gene rearrangement associated with hypereosinophila/eosinophila syndrome of Mast Cell Disease with eosinophila Supply Item Number 1731 or 1398 or 1397 2.1 www.paml.com 4/16/2013 page 447 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF FGFR3/IGH GENE FUSION, FFGFR3 FFGFR3 T(4;14) This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; FGFR3; Multiple Myeloma; Myeloma; IGH Container Type Sodium heparin (green top tube) or bone marrow transport tube Store and Transport Ambient (room temperature) Specimen Type Bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow and put in bone marrow transport tube or sodium heparin (green top tube) Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of FGFR3/IGH gene rearrangement associated with t(4;14), found in patients with high-risk Multiple Myeloma. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF FOXO1 (FKHR) GENE FISHFH FISHFH REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; FOXO1 (FKHR); Forkhead; Rhabdomyosarcoma; Sarcoma; Tumor Container Type Solid tumor transport tube containing sterile tissue culture media Store and Transport Ambient (room temperature) Specimen Type Fresh solid tumor tissue Preferred Volume 1-3mm2 Minimum Volume 1mm2 Collection Procedure Collect fresh solid tumor tissue and put in sterile tube containing tissue culture media Room Temp 1-2 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of FOXO1 (FKHR, Forkhead) gene rearrangement associated with t(2;13) or variant. Diagnostic for alveolar sub-type of Rhabdomyosarcoma.

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF IGH GENE REARRANGEMENT FISIGH FISIGH This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; IGH; Lymphoma Container Type Sodium heparin (green top tube) or specimen transport tube with cell culture media Store and Transport Ambient (room temperature) Specimen Type Whole blood or bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect peripheral whole blood or bone marrow and put in sodium heparin (green top tube) or specimen transport tube with cell culture media.

Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fresh lymph node or other tumor tissue in cell culture media. Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of IGH gene rearrangements. The translocation partner to IGH cannot be confirmed by this assay unless the assay is performed using a specimen that also includes metaphases (that has been previously cultured for cytogenetic analysis). Supply Item Number 1731 or 1398 or 1397 2.1 www.paml.com 4/16/2013 page 448 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MAF/IGH GENE FUSION, FISMAF FISMAF T(14;16) This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; MAF; Multiple Myeloma; Myeloma; IGH Container Type Sodium heparin (green top tube) or bone marrow transport tube Store and Transport Ambient (room temperature) Specimen Type Bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow in sodium heparin (green top tube) or bone marrow transport media. Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of FGFR3/IGH gene rearrangement; associated with t(14;16), found in patients with high-risk Multiple Myeloma. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MALT1 GENE FISHML FISHML REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; MALT1; Lymphoma Container Type Tumor tissue transport tube for tumor tissue, bone marrow transport tube or sodium heparin (Green top tube) for bone marrow Store and Transport Ambient (room temperature) Specimen Type Tumor tissue in media or bone marrow with known lymphoma involvement by pathology. Please indicate if cytogenetic analysis is also desired. Room Temp 1-2 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of MALT1 gene rearrangement associated with t(11;18); found in patients with marginal zone lymphoma, most often extranodal stomach or lung.

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MALT1 GENE FISMLP FISMLP REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE, FFPE This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; MALT; Lymphoma; Paraffin Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Specimen Processing Submit paraffin block Room Temp Indefinitely Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of MALT1 gene rearrangement associated with t(11;18); found in patients with marginal zone lymphoma, most often extra nodal stomach or lung. Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MLL GENE REARRANGEMENT FISMLL FISMLL This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; MLL; Leukemia; Myeloid; Lymphoid Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated and frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of MLL rearrangement (11q23), including translocation, deletion or gene amplification Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MYC/IGH GENE FISHMI FISHMI REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; IGH; MYC; Burkitts;Lymphoma Container Type Sodium heparin (Green top tube), bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow with known lymphoma involvement by pathology Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow with known lymphoma involvement in sodium heparin (green top tube) or bone marrow transport media Room Temp 1-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fresh lymph node tissue in tissue transport tube containing cell culture media. Please indicate if cytogenetic analysis is also desired. Department PAML Cytogenetics CPT Codes 88271 x 5, 88283 x 2, 88275 x 2, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of MYC,/IGH gene rearrangement associated with t(8;14). Assay can also detect alternate IGH or MYC gene rearrangements and MYC gene amplification Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF MYCN GENE AMPLIFICATION FISMYN This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; MYCN; Neuroblastoma; Tumor Container Type Tumor transport tube containing sterile tissue culture media Store and Transport Ambient (room temperature) Specimen Type Fresh or frozen tumor tissue. If cytogenetic analysis is also desired, tissue must be fresh Preferred Volume 1-3mm2 Minimum Volume 1mm2 Specimen Processing Please send specimen to the laboratory as soon as possible after collection Room Temp 1-2 days Department PAML Cytogenetics CPT Codes 88291, 88283, 88275, 88271 x 2 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for enumeration of MYCN copy number in neuroblastoma. CEP2 (chromosome 2 centromere probe) is used as the internal control for the assay to distinguish between amplification and aneusomy for chromosome 2.

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Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF PAX5 GENE FISPAX FISPAX REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; PAX5; Lymphoma Container Type Sodium heparin (green top tube) or specimen transport tube with cell culture media Store and Transport Ambient (room temperature) Specimen Type Whole blood or bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect peripheral whole blood or bone marrow in sodium heparin (green top tube)or specimen transport tube with cell culture media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of PAX5/IGH gene rearrangement associated with t(9;14), found in patients with high-risk lymphoma Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF PDGFRB GENE FPDGFR FPDGFR REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; PDGFRB; Myeloid; Myeloproliferative Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of PDGFR-Beta gene rearrangement, usually in the form of the near cryptic t(5;12). The rearrangement is found in patients with myeloproliferative disorders other than CML that may be responsive to treatment with Imatinib. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF PML/RARA GENE FISHPR FISHPR REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; Myeloid Leukemia; M3; Promyelocytic; PML; RARA Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 1 day Method FISH Notes FISH for detection of PML/RARA gene rearrangement associated with t(15;17). Some variant translocations may also be detected by the assay. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF SS18 (SYT) GENE FISHYT FISHYT REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; SS18 (SYT); Synovial Sarcoma; Sarcoma, Tumor Container Type Sodium heparin (green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 1-2 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fresh tumor tissue, ship specimen to the cytogenetics lab ASAP Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of SS18 (SYT) gene rearrangement associated with t(X;18) and variants found in Synovial Sarcoma. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF TP16 DELETION FITP16 This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; TP16; Lymphoblastic Leukemia; Leukemia Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of TP16 deletions associated with deletion of 9p found in patients with lymphoid leukemia Supply Item Number 1731 or 1398 or 1397 2.1 www.paml.com 4/16/2013 page 452 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF TP53 DELETION FITP53 This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; TP53; CLL; Myeloma; Myeloid Leukemia Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of TP53 deletions associated with poor prognosis in multiple types of hematologic malignancy. This probe can be ordered singly using this code, or as part of the CLL or Myeloma FISH panels. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF TP58 GENE FITP58 REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; TP58; Neuroblastoma; Glioblastoma; Tumor Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for confirmation of TP58 gene rearrangement at 1p36 Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION OF TP58 GENE FTP58P FTP58P REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE (FFPE) This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; TP58; Neuroblastoma; Glioblastoma; Paraffin; Tumor Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Specimen Processing Submit paraffin block Room Temp Indefinite Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for confirmation of TP58 gene rearrangement at 1p36 Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION/CONFIRMATION OF NUP98 FISHNU FISHNU GENE REARRANGEMENT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; NUP98; Myeloid Leukemia Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection and confirmation of NUP98 gene rearrangement associated with chromosome translocations involving 11p15; found in patients with Acute Myeloid Leukemia. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR DETECTION/IDENTIFICATION OF MARKER FISMAR CHROMOSOMES, MOSAIC OR NON-MOSAIC This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; Marker Chromosome Container Type Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88272 x number of probes used, 88271 x number of probes used Test Schedule Daily Turnaround Time 10 days Method FISH Notes FISH for identification of chromosome source of marker chromosomes found during prior cytogenetic analysis. Billing charges depend on the number of DNA probes required for identification. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR RB1 GENE DELETION IN CONSTITUTIONAL FISRBC SPECIMEN This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; RB1; Retinoblastoma Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2 Test Schedule Daily Turnaround Time 5 days Method FISH Notes Metaphase FISH for detection of constitutional RB1 gene deletion Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, FOR RB1 GENE DELETION OR REARRANGEMENT FISRBN IN NEOPLASTIC SPECIMENS This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH;RB1; Retinoblastoma Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fresh tumor tissue in transport media Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of RB1 gene deletion or other alteration. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR SIL/TAL1 GENE REARRANGEMENT OR FISSIL FISSIL DELETION OF SIL This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; SIL/TAL1; SIL; TAL1; T-Cell Acute Lymphocytic Leukemia; ALL Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of either SIL/TAL gene rearrangement or SIL gene deletion (1p32), aberrations that are found in patients with T-cell ALL. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOR TCRAD GENE REARRANGEMENT FISTCR FISTCR This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; T-cell Receptor; T-Cell ALL; Acute Leukemia Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Lymph node, lymph node embedded in paraffin Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for detection of TCRAD gene rearrangement on 14q11.2 Supply Item Number 1731 or 1398 or 1397 2.1 www.paml.com 4/16/2013 page 455 F 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory F

Billing Code Test Code [sunquest] FISH ASSAY, FOR X & Y CHROMOSOME DETECTION POST SEX- FISHXY MISMATCHED BONE MARROW TRANSPLANT This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; BMT; Bone Marrow Transplant; Chimerism, XY Container Type Sodium heparin (green top tube) or specimen transport tube with cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow sample in sodium heparin (green top tube) or in specimen transport tube with cell culture media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88275, 88271 x 2, 88283 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for assessment of graft post sex-mismatched bone marrow transplant Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, FOXO1 (FKHR) GENE REARRANGEMENT, FFPE FISFHP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; FKHR; Forkhead; Rhabdomyosarcoma; Sarcoma; Paraffin; Tumor; t(2;13); FFPE; Alveolar sub-type; 13q14 rearrangement; FOX01 Container Type Paraffin block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in a paraffin block Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit tumor tissue embedded in a paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of FKHR (Forkhead)gene rearrangement associated with t(2;13) or variant. Diagnostic for alveolar sub-type of Rhabdomyosarcoma Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, FUS GENE REARRANGEMENT 16P11 FISFUS FISFUS This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; FUS; TLS; 16p11; t(12;16); Break-Apart; Low-Grade Fibromyxoid Sarcoma; LGFMS; Malignant Myxoid Liposarcoma; MLS; CHOP Container Type Solid tissue transport tube containing sterile tissue culture media Store and Transport Ambient (room temperature) Specimen Type Fresh solid tumor tissue Preferred Volume 1-3 mm2 Minimum Volume 1 mm2 Collection Procedure Collect fresh solid tumor tissue and put in a sterile tube containing tissue culture media Room Temp 2 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH

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Billing Code Test Code [sunquest] FISH ASSAY, FUS GENE REARRANGEMENT, FFPE FIFUSP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; FUS (TLS); 16p11; t(12;16); Break-apart; Low-grade Fibromyxoid Sarcoma; LGFMS; Malignant Myxoid Liposarcoma; MLS; CHOP; Paraffin; FFPE Container Type Paraffin embedded tissue block, formalin-fixed, AND 1 hematoxylin-and -eosin stained slide Store and Transport Ambient (room temperature) Specimen Type Tumor tissue in paraffin block Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Required Patient Info Provide a pathology report with each tissue specimen, clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, HER2 GENE AMPLIFICATION, BREAST CANCER FISHER This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms HER2; ERBb2; PathVysion; HER-2/Neu; Amplification; 17q11.2; 17q12; Breast Cancer; FFPE; Formalin Fixed; Paraffin-Embedded Tissue Store and Transport Ambient (room temperature) Specimen Type Formalin fixed, paraffin-embedded tissue block or slides with 4 micron cut sections Preferred Volume 3-4 slides cut at 4 µm (microns) Minimum Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides. Formalin fixation time: > 6 hours and < 48 hours. An H&E stained slide with target area circled by a pathologist is required. Required Patient Info Clinical indication; H&E slide with pathologist review of section Room Temp Indefinite Refrigerated Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88275, 88283, 88271 x 2 Test Schedule Daily Turnaround Time 5-7 days Method Fluorescent In Situ Hybridization (FISH) with the PathVysion HER-2/neu probe Test Includes FISH HER-2/NEU Notes The HER2 FISH results for this tumor specimen are interpreted using the ASCO/CAP guidelines for breast adenocarcinoma. ASCO/CAP reporting guidelines:

A HER2:D17Z1 ratio less than 1.8 indicates absence of HER2 gene amplification.

A HER2:D17Z1 ratio from 1.8 - 2.2 is equivocal for HER2 gene amplification.

A HER2:D17Z1 ratio greater than 2.2 indicates HER2 gene amplification when there are greater than 6 HER2 signals per nucleus.

If the ratio at 1.8-2.2 should be interpreted with caution.

1) Sconig an additional 50 nuclei and recalculate the ratio.

2) Reflex IHC. Supply Item Number 1388

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Billing Code Test Code [sunquest] FISH ASSAY, HER2 GENE AMPLIFICATION, GASTRIC CANCER FIHE2G This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms HER2; HER-2/Neu; ERBb2; Human Epidermal Growth Factor Receptor 2; PathVysion; Amplification; 17q11.2; 17q12; Gastroesophageal; Gastro-Esophageal Cancer; Gastric Cancer; FFPE; Formalin Fixed Paraffin-Embedded Tissue Store and Transport Ambient (room temperature) Specimen Type Formalin fixed, Paraffin-embedded tissue block or slides with 4 micron cut sections Preferred Volume 3-4 slides cut at 4 µm (microns) Minimum Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides. Formalin fixation time: > 6 hours and < 48 hours. An H&E stained slide with target area circled by a pathologist is required. Required Patient Info Clinical indication; H&E slide with pathologist review of section Room Temp Indefinite Refrigerated Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88275, 88283, 88271 x 2 Test Schedule Daily Turnaround Time 5-7 days Method Fluorescent In Situ Hybridization (FISH) Clinical Significance Studies have shown that 20% of gastric cancers and 33% of gastroesophageal junction (GEJ) carcinomas show HER2 overexpression and/or amplification which is correlated to poor outcomes and a more aggressive disease. The ToGA trial studies, an international multicenter phase III clinical study, involving 24 countries globally, has shown that the anti-HER2 humanized monoclonal antibody Trastuzumab is effective in prolonging survival in HER2-positive carcinoma of the stomach and the gastroesophageal junction. (Albarello, L, et al, 2011, Adv Anat Pathol. Jan;18(1):53-9). Supply Item Number 1388

Billing Code Test Code [sunquest] FISH ASSAY, IGH GENE REARRANGEMENT, FFPE FIIGHP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; IGH; Lymphoma; Paraffin; FFPE; IGH GENE REARRANGEMENT; ALTERNATE IGH GENE REARRANGEMENT; 14q32; MM; Multiple myeloma; HCL; Hairy cell leukemia Container Type Paraffin block Store and Transport Ambient (room temperature) Specimen Type Formalin-fixed, paraffin embedded (FFPE) lymph node or other solid tissue Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist. Specimen Processing Submit tumor tissue embedded in a paraffin block Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of IGH gene rearrangements. The translocation partner to IGH cannot be confirmed by this assay. Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, IGH/BCL2 GENE REARRANGEMENT, FFPE FISBIP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; IGH; BCL2; Follicular; Lymphoma; Paraffin; Diffuse large B-cell lymphoma; DLBCL; Follicular lymphoma; t(14;18); FFPE Container Type Paraffin tissue block Specimen Type Lymph node tissue or other solid tissue embedded in paraffin Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist. Specimen Processing Submit paraffin block. Store and transport at room temperature. Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for confirmation of BCL2/IGH gene rearrangement found in patients with Follicular and less frequently, large B-cell lymphoma, associated with t(14;18). Assay can also detect variant rearrangement involving either locus.

Billing Code Test Code [sunquest] FISH ASSAY, IGH/CCND1 GENE REARRANGEMENT, FFPE FISCCP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; IGH; CCND1; MCL; Mantle Cell Lymphoma; Lymphoma; Paraffin; FFPE; BCL1; t(11:14) Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Formalin-fixed, paraffin embedded (FFPE) lymph node or other solid tissue Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit paraffin block Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of CCND1/IGH (BCL1/IGH) gene rearrangement associated with t(11;14). Can be used for diagnostic confirmation in patients with possible Mantle Cell Lymphoma (MCL)and to distinguish between MCL and Chronic Lymphocytic Leukemia. Assay can also detect variant translocation of either locus. Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, IGH/MYC GENE REARRANGEMENT, FFPE FISMIP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; MYC; Lymphoma; Paraffin; Burkitts; FFPE; IGH/MYC; t(8;14); Alternate MYC Gene Rearrangement; Alternate IGH Rearrangement; Burkitt's Lymphoma Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Formalin-fixed, paraffin embedded (FFPE) lymph node or other solid tissue Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist. Specimen Processing Submit paraffin block Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88275, 88283, 88271 x 3 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of MYC/IGH gene rearrangement associated with t(8;14) and found in patients with Burkitt's Lymphoma. Probe set includes CEP 8. Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, KALLMAN SYNDROME FISHKS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; KAL1; Kallman Syndrome; Cytogenetics; Xp22.3; KALL Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Paper requisition or request form; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the KAL1 locus associated with Kallman Syndrome. Full cytogenetic analysis should also be performed to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Molecular testing for KAL-1 is not part of this test. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, LANGER-GIDEON SYNDROME, MULTIPLE FISHLG EXOSTOSIS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; EXT1; EXT2; Langer-Gideon; Multiple Exostosis; 8q24.1 deletion; 11p11.2 deletion Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info A completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 4, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions involving the EXT1 and EXT2 loci associated with Langer- Gideon/Multiple Exostosis family of Syndromes. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, MDS PANEL FISMYE FISMYE This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; Myeloid; MDS; Myelodysplastic; Leukemia; MDS Panel; Cytogenetics Container Type Sodium heparin (green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood containing blasts Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 6, 88283 x 3, 88275 x 3, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH to identify cytogenetic aberrations associated with myeloid disease, either Myelodysplastic Syndrome or Acute Myeloid Leukemia. DNA probes used as EGR1(5q-), D7S486 (7q- or monosomy 7), CEP8 (trisomy 8), and D20SI08 (20q-), all common cytogenetic aberrations in this category of neoplastic disease. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, MILLER-DIEKER SYNDROME FISHMD This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; Miller-Dieker Syndrome; LIS1; Cytogenetics; 17p13.3; 17p13.3 deletion; 17p13.3 duplication; Lissencephaly Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Peripheral whole blood Preferred Volume 3-5 mL Minimum Volume 0.5-1 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info A completed paper test requisition; Clinical indication Room Temp 1-2 days Unacceptable Condition Refrigerated, frozen, spun or sample collected in SST tube. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics laboratory Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88273, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including D17S25/LIS1 locus. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, MPD PANEL, FIP1L1/CHIC2/PDGFRA; PDGFRB; FISMPD FGFR1 This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms MPD, Eosinophilia; FIP1L1/CHIC2/PDGFRA; PDGFRB; FGFR1; Myeloproliferative disorder; FIP1L1; CHIC2; PDGFRA; 4q12; Myeloid; PDGFR; Cytogenetics; FISH Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood containing blasts Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics Reference Laboratory PAML Cytogenetics Laboratory CPT Codes 88271 x 7, 88275 x 3, 88283 x 3, 88291 Test Schedule Daily Turnaround Time 3-5 days Notes FISH for myeloproliferative disease or eosinophilia. Probes in this panel are: FIP1L1/CHIC2/PDGFRA, PDGFRB, FGFR1 Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, MULTIPLE MYELOMA PANEL FISHMM FISHMM This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; Multiple Myeloma; Myeloma; MM Panel; FGFR3/IGH; MLL; D13S19; TP53; SWOG; Prognosis in Multiple Myeloma; Cytogenetics; Magnetic Cell Sorting (MACS) CD138 Microbeads Isolation Plasma Cells Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5-5 mL Minimum Volume 0.5 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-4 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283 x 4, 88271 x 8, 88275 x 4 Test Schedule Daily Turnaround Time 3-5 days Method FISH Test Includes MACS (magnetic cell sorting) CD138 Microbeads isolation technique to enrich plasma cells Notes FISH analysis can be performed on CD138+ enriched fresh BM aspirates if FISH is requested upfront. Otherwise, FISH analysis will be performed on cells harvested from stimulated or un-stimulated cultures. Probes used include FGFR3/IGH, MLL, D13S19/LAMP1 and TP53/CEP17. If there is evidence of alternate IGH gene rearrangement, the reflex FISH assays for MAF/IGH and CCND1/IGH probe sets will be performed. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, MYC GENE REARRANGEMENT, DUAL COLOR FISMYC FISMYC BREAK-APART PROBE, T(8;14) OR VARIANT MYC, BURKITT LYMPHOMA This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; MYC; t(8;14); Break-Apart; Burkitt Lymphoma Container Type Bone marrow transport tube containing cell culture media OR sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Alternate Specimens Fresh lymph node tissue in tissue transport tube containing sterile tissue culture media. Please indicate if cytogenetic analysis is also desired. Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, MYC GENE REARRANGEMENT, FFPE FIMYCP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; MYC; t(8;14); Break-apart; Burkitt Lymphoma; Paraffin; FFPE Container Type Paraffin embedded tissue block, formalin-fixed, AND 1 hematoxylin-and -eosin stained slide Store and Transport Ambient (room temperature) Specimen Type Formalin-fixed, paraffin embedded (FFPE) lymph node or other solid tissue. Preferred Volume 2-3 slides cut at 3 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Required Patient Info Provide a pathology report with each tissue specimen Room Temp Indefinite Unacceptable Condition Decalcified specimens Alternate Specimens If slides are sent, provide 2-4 slides with one H+E stained slide, 3 um thick sections from paraffin embedded tissue block. Baking the slide is not required. Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Supply Item Number Paraffin block in 1388 plus slides

Billing Code Test Code [sunquest] FISH ASSAY, MYCN GENE AMPLIFICATION, FFPE FIMYNP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; MYCN; Neuroblastoma; Paraffin; Tumor; 2p23; 2p24; N-MYC Amplification; FFPE; Brain tumor Container Type Tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit tumor tissue embedded in paraffin Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for enumeration of MYCN copy number in neuroblastoma. CEP2 (chromosome 2 centromere probe) is used as the internal control for the assay to distinguish between amplification and aneusomy for chromosome 2. Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, PAX5 GENE REARRANGEMENT, FFPE TISSUE FIPAXP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; PAX5; Lymphoma; Paraffin; FFPE; IGH/PAX5 Gene rearrangement; t(9;14); 9p13; NHL; High risk lymphoma Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Solid tumor or lymph node embedded in paraffin Preferred Volume 2-3 slides cut at 3 µm (microns) Minimum Volume 1mm2 Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist Specimen Processing Submit paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of PAX5/IGH gene rearrangement associated with t(9;14), found in patients with high-risk lymphoma. Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, PEDIATRIC B-CELL ALL PANEL FISCOG FISCOG This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; COG, Pediatric ALL; ALL; Acute Lymphocytic Leukemia; Acute Lymphoblastic Leukemia; B-cell ALL; Pediatric ALL panel; Cytogenetics Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics Reference Laboratory PAML Cytogenetics Laboratory CPT Codes 88271 x 12, 88283 x 5, 88275 x 5, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH panel for Children's Oncology Group case submission for COG study and for prognosis in pediatric B-cell Lymphocytic Leukemia. DNA probes used are BCR/ABL1, MLL, ETV6/RUNX1; and CEP4, CEP10, and CEP17. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, PRADER-WILLI SYNDROME FISHPW This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; PWS; SNRPN; Prader-Willi Syndrome; Cytogenetics; 15q11.2; 15q11.2 deletion Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 3, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions within 15q11 to q13 region; assay uses SNRPN locus DNA probe. Assay cannot distinguish parent of origin for the deletion. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, PRENATAL ANEUPLOIDY SCREEN, AMNIOTIC FISHAN FLUID If chromosome analysis is being performed at another laboratory, this test may be ordered using CGFISH order code when ordering FISH alone. However, standard of care is to order this test as a companion test to routine cytogenetics on amniotic fluid. Please see AFCYTO test description and use CGAF order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; Aneuvysion; Cytogenetics; Aneuploidy screen; Prenatal interphase; Aneuploidy Container Type Sterile screw top centrifuge tube (Corning, Falcon or equivalent) Store and Transport Ambient (room temperature) Specimen Type Amniotic Fluid Preferred Volume 3-5 mL Minimum Volume 3 mL Collection Procedure Collect 3-5 mL amniotic fluid and put in 15 mL sterile screw top centrifuge tube (Corning, Falcon or equivalent). Do not spin Specimen Processing Do not centrifuge or freeze. Additional sterile amniotic fluid for accompanying cytogenetic analysis is also required, as this is not a stand-alone diagnostic test Required Patient Info Completed paper test requisition; Clinical indication; Gestational age Room Temp 1-2 days Unacceptable Condition Refrigerated, frozen, spun or samples with visible blood Department PAML Cytogenetics CPT Codes 88291, 88283 x 2, 88271 x 5, 88275 x 2 Test Schedule Daily Turnaround Time 1-2 days Method FISH Notes Interphase FISH (fluorescent in situ hybridization) for detection of aneuploidy involving chromosomes 13, 18, 21, X and Y. This is not a stand-alone test; all specimens submitted for prenatal interphase FISH analysis must also have additional amniotic fluid volume submitted for cytogenetic analysis, per current standard of care. Please see AFCYTO for information about chromosome analysis testing on amniotic fluid. Supply Item Number Sterile 15 mL centrifuge tube (Corning or Falcon or equivalent)

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Billing Code Test Code [sunquest] FISH ASSAY, PTEN DELETION IN PARAFFIN EMBEDDED FIPTEN FIPTEN TISSUE, FFPE This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; PTEN; Glioma; Paraffin; Tumor Container Type Paraffin embedded tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Collection Procedure Submit tumor tissue embedded in paraffin Room Temp Indefinitely Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of PTEN deletion in patients with tumor from Glioma family Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, RARA GENE REARRANGEMENT, RARA DUAL FIRARA FIRARA COLOR BREAK-APART PROBE, T(15;17), APL This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; RARA; Break-apart; t(15;17); Acute Promyelocytic Leukemia; Myeloid Leukemia; M3 Container Type Bone Marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone Marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, RUBENSTEIN-TAYBI SYNDROME FISHRT This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; CREBBP; Rubenstein-Taybi; 16p13.3; 16p13.3 deletion; Cytogenetics Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the CREBBP locus, associated with Rubenstein-Taybi Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, RUNX1/RUNX1T1 (ETO/AML1), t(8;21) FISHRE This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; AML; RUNX1; ETO; M2; Leukemia; Cytogenetics; 8q22; 21q22 Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88275 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH to determine RUNX1/ETO gene rearrangement status, confirm t(8;21) or variant. Probe set used is ETO/AML1 (RUNX1/RUNX1T1), for detection of t(8;21) Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, SMITH-MAGENIS SYNDROME FISHSM This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; SMS; Smith-Magenis Syndrome; 17p11; Cytogenetics Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection or confirmation of deletions including the SMS gene region on 17p11. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post- natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, SOTOS SYNDROME FISOTO This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; NSD1; Soto; Cytogenetics; 5q35; Soto Syndrome Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the NSD1 locus at 5q35. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, SRY GENE DELETION, GAIN OR FISSYT FISSYT REARRANGEMENTS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; SRY; Sex Reversal; Cytogenetics; Yp11.3 Container Type Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of translocation of the SRY sex determining gene to either the X chromosome or to an autosome (5 cell analysis). For use in patients with known sex reversal and with prior cytogenetic analysis. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, SS18 (SYT) GENE REARRANGEMENT, FFPE FISYTP This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; SYT; Synovial Sarcoma; Sarcoma; Paraffin; Tumor; FFPE; t(X;18); SYT Gene Rearrangement; 18q11.2; SS18 Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist. Specimen Processing Submit paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of SYT gene rearrangement associated with t(X;18) and variants found in Synovial Sarcoma in paraffin embedded tissues. Supply Item Number Paraffin block in 1388

Billing Code Test Code [sunquest] FISH ASSAY, STS LOCUS: X-LINKED ICTHYOSIS FISICT This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; STS; Icthyosis; Cytogenetics; Xp22.3; X-linked icthyosis; Steroid sulfatase differentiation; Steroid sulfatase deficiency Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST specimens. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Department PAML Cytogenetics CPT Codes 88291, 88283, 88271 x 2, 88273, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of STS locus (Xp22.3) deletions found in female carriers and affected male individuals with X-linked Icthyosis. Full cytogenetic analysis should be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, TCF3/PBX1 GENE REARRANGEMENT, FITCF3 FITCF3 T(1;19)(Q23;P13) FOR B CELL ALL This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; TCF3; PBX1; Dual-Fusion; t(1;19); B Cell Acute Lymphoblastic Leukemia Container Type Bone marrow transport tube containing cell culture media OR Sodium heparin (green top tube) Store and Transport Ambient (room temperature) Specimen Type Bone marrow or whole peripheral blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Room Temp 3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, TRICHORHINOPHALANGEAL, TYPE 1 SYNDROME FITRPS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; TRPS; Trichorhinophalangeal Syndrome; Cytogenetics; 8q24 Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of chromosome deletions associated with Trichorhinophalangeal Syndrome, Type 1 using a DNA probe to the TRPS locus at 8q24. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, TRISOMY 8 IN HEMATOLOGIC MALIGNANCY FITRI8 FITRI8 This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; Trisomy 8; Myeloid, Leukemia Container Type Sodium heparin (green top tube) or tissue transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood if blasts are present Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or cell culture transport media Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples Department PAML Cytogenetics CPT Codes 88271 x 2, 88283, 88275, 88291 Test Schedule Daily Turnaround Time 3-5 days Method FISH Notes FISH for identification of abnormal cell clone containing trisomy 8. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH ASSAY, WILLIAMS SYNDROME FISELN This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; ELN; Williams Syndrome; Cytogenetics; 7Q11.23 Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated, frozen, spun or SST samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the ELN locus at 7q11.23 associated with Williams Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, WILMS TUMOR/ANIRIDIA/WAGR SYNDROME FISWT1 FISWT1 (REFLEXIVE) This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms FISH; WT1; 11p13; PAX6; Cytogenetics; WAGR Syndrome; Wilms Tumor; Aniridia; Genital Anomalies; Retardation Container Type Green top tube (sodium heparin) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Peripheral blood or bone marrow Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral blood or bone marrow in sodium heparin (green top tube) or bone marrow transport media at room temprerature. Required Patient Info Completed paper test requisition; clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen samples; Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet from another cytogenetics laboratory Department PAML Cytogenetics CPT Codes 88291, 88275, 88283, 88271 x 2 Test Schedule Daily Turnaround Time 5-10 days Method Fluorescent in situ hybridization Clinical Significance FISH assay for detection or confirmation of deletion of WT1 gene on 11p13 associated with Wilm's Tumor, and WAGR syndrome (Wilm's Tumor; Aniridia; Genital anomalies; Retardation). Notes FISH for detection of WT1 gene deletion found in patients with Wilm's Tumor. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis and karyotyping of peripheral blood. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Positive for WT1 deletion PAX6 deletion by FISH 88283, 88273, 88271 x 2

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Billing Code Test Code [sunquest] FISH ASSAY, WOLF-HIRSCHHORN SYNDROME FISWHS This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; WHS; Wolf-Hirschhorn Syndrome; Cytogenetics; 4p16.1 Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection or confirmation of chromosome deletions involving the 4p16.1 region using the WHS critical region DNA probe. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH ASSAY, WT1 GENE DELETION OR REARRANGEMENT, FIWT1P FFPE This test may be ordered using CGFISH order code. A completed paper requisition or test request form specifying clinical indication and the specific FISH panel or probe is also REQUIRED to be sent with the specimen. Synonyms FISH; WT1; Wilm's Tumor; Paraffin; Tumor; FFPE; 11p11; 74J11 Container Type Paraffin tissue block Store and Transport Ambient (room temperature) Specimen Type Tumor tissue embedded in paraffin Preferred Volume 2-3 slides cut at 4 µm (microns) Collection Procedure Formalin-fixed, paraffin embedded (FFPE) block or slides, including an H & E stained section with target area circled by a pathologist. Specimen Processing Submit paraffin block Required Patient Info Clinical indication Room Temp Indefinite Unacceptable Condition Decalcified specimens Department PAML Cytogenetics CPT Codes 88291, 88271 x 2, 88283, 88275 Test Schedule Daily Turnaround Time 5-7 days Method FISH Notes FISH for detection of WT1 deletion in patients with Wilm's Tumor. CEP11 centromere probe is run as a control with the WT1 probe. Supply Item Number Paraffin block in 1388

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Billing Code Test Code [sunquest] FISH ASSAY, XIST (X-INACTIVATION) LOCUS FIXIST This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; XIST; X Chromosome; Cytogenetics; X-inactivation center; Xp13.2 deletion Container Type Sodium heparin (Green top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requisition; Clinical indication Room Temp 2-3 days Unacceptable Condition Refrigerated or frozen. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Daily Turnaround Time 5-10 days Method FISH Notes FISH for detection/confirmation of presence/absence of the XIST X-inactivation center. For use in patients with X-chromosome derived marker chromosomes or other known structural rearrangements of the X chromosome. Full cytogenetic analysis should be performed to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH FOR DETECTION 6Q ABERRATIONS IN B-CELL F6QDIS DISORDERS This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; MYB; 6q; SHPRH; Waldestrom's Myeloma Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Store and transport at room temperature Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. Room Temp 2-3 days Refrigerated 2-3 days Unacceptable Condition Frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283, 88271x 3, 88275 Test Schedule Mon-Fri Turnaround Time 5 days Method FISH Notes FISH analysis for detection of 6q chromosome structural abnormalities in B-cell neoplasia. DNA probes used are SHPRH, MYB and CEP6. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH FISCDL CORNELIA DE LANGE SYNDROME This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using the PAML computer system. Synonyms FISH; CDL; NIPBL; Cornelia de Lange Container Type Sodium heparin (Green top tube) Store and Transport Store and transport at room temperature Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Room Temp 2-3 days Refrigerated 2-3 days Unacceptable Condition Frozen samples Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab. Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2 Test Schedule Mon-Fri Turnaround Time 10 days Method FISH Notes FISH for detection of deletions of 5p13 associated with Cornelia de Lange Syndrome. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FISH PANEL FOR B-CELL LYMPHOMA SUB-CLASSIFICATION FISHLY FISHLY This test must be ordered on a paper requisition that accompanies the specimen. It is not an orderable test using PAML computer system. Synonyms FISH; IGH; CCND1; BCL2; MALT1; BCL6; MYC; PAX5; Lymphoma Container Type Sodium heparin (Green top tube), bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow with known lymphoma infiltrate by morphology Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or leukemic whole blood in sodium heparin (green top tube) or bone marrow transport media. Room Temp 1-3 days Refrigerated 1-3 days Unacceptable Condition Frozen samples Alternate Specimens Fresh lymph node or disaggregated lymph node tissue in tumor transport tube with sterile cell culture media. Please indicate if cytogenetic analysis is also desired. Department PAML Cytogenetics CPT Codes 88271 x 13, 88283 x 6, 88275 x 6, 88291 Test Schedule Mon-Fri Turnaround Time 5 days Method FISH Notes FISH for detection of gene rearrangements associated with various sub-types of B-cell lymphoma. CCND1/IGH: Mantle Cell Lymphoma, BCL2/IGH: Follicular Lymphoma, MALT1: MALT Lymphoma, BCL6: Large B-cell Lymphoma, MYC: Burkitt Lymphoma. Supply Item Number 1731 or 1398 or 1397

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Billing Code Test Code [sunquest] FISH PANEL-NEOPLASTIC REFLEX , MM IGH+, FGFR3/IGH FISMMR FISMMR This test may be ordered using CGFISH when it is ordered alone. When ordered with cytogenetics on the same specimen, this test should be ordered by the specimen type code: CGBM for bone marrows, CGLB for leukemic or neoplastic blood. A completed paper requisition must accompany the specimen. Synonyms FISH; MAF; CCND1; Myeloma; Multiple Myeloma; Reflex from MM Panel; MAF/IGH; CCND/IGH; IGH; t(14;16); t(11;14); Cytogenetics Container Type Sodium heparin (Green top tube) or bone marrow transport tube containing cell culture media Store and Transport Ambient (room temperature) Specimen Type Bone marrow or peripheral whole blood Preferred Volume 0.5 mL Minimum Volume 0.1 mL Collection Procedure Collect bone marrow or peripheral blood in sodium heparin (green top tube) or bone marrow transport media. PAML item # 1731, Transport tube bone marrow media, preferred. Room Temp 2-3 days Refrigerated 2-3 days Unacceptable Condition Frozen samples Department PAML Cytogenetics CPT Codes 88291, 88283 x 2, 88271 x 4, 88275 x 2 Test Schedule Sun-Sat Turnaround Time 2-7 days Method FISH Notes Reflex FISH panel for patients diagnosed with Multiple Myeloma who, by FISH, test positive for IGH gene rearrangement, but negative for FGFR3/IGH gene rearrangement. DNA probes used are MAF/IGH and CCND1/IGH for the t(14;16)and t(11;14) which have prognostic implications in the patients with Myeloma. Supply Item Number 1731 or 1398 or 1397

Billing Code Test Code [sunquest] FISH, CONSTITUTIONAL, 3Q29 DELETION SYNDROME FISH3Q This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; 3q29 Syndrome; cytogenetics; 3q29 Container Type Sodium heparin (Green top tube) Store and Transport Store and transport at room temperature Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 1-2 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requistion; Clinical indication Room Temp 2-3 days Refrigerated 2-3 days Unacceptable Condition Frozen samples. Other collection tubes: EDTA; lithium heparin; clot tubes; ACD Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab. Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Sun-Sat Turnaround Time 5-10 days Method FISH Notes FISH for detection or confirmation of deletions within the 3q29 region. Full cytogenetic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post-natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] FISH, CONSTITUTIONAL, CONGENITAL DIAPHRAGMATIC FISCDH HERNIA This test may be ordered using CGFISH order code when ordering FISH alone. However, this test is usually ordered with routine cytogenetics. Please see PBCYTO test description and use CGPB order code when ordering this FISH test together with routine cytogenetics. A completed paper requisition or test request form is also REQUIRED with the specimen. Synonyms FISH; DIH1; Congenital Diaphragmatic Hernia; CDH; 15q26; cytogenetics Container Type Sodium heparin (Green top tube) Store and Transport Store and transport at room temperature Specimen Type Whole blood Preferred Volume 3-5 mL Minimum Volume 0.5-1 mL Collection Procedure Collect peripheral whole blood in sodium heparin (green top tube) Required Patient Info Completed paper test requistion; Clinical indication Room Temp 2-3 days Refrigerated 1-2 days Unacceptable Condition Frozen, spun or SST samples. Other collection tubes: EDTA, lithium heparin, clot tubes, ACD. Alternate Specimens Fixed cell pellet or slides from another cytogenetics lab. Department PAML Cytogenetics CPT Codes 88291, 88283, 88273, 88271 x 2, 88230 Test Schedule Sun-Sat Turnaround Time 5-10 days Method FISH Notes FISH for detection of deletions including the DIH1 locus, associated with congenital diaphragmatic hernia. Full cytogentic analysis should also be performed in these cases to rule out other cytogenetic abnormalities. Please see PBCYTO test directory entry for information on ordering concurrent post- natal, constitutional chromosome analysis & karyotyping of peripheral blood. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] FK 506 FK506 FK506 Synonyms Tacrolimus; Prograf Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw specimen 30 minutes before the next dose. Specimen Processing Store and transport refrigerated. Refrigerated 1 week Frozen (-20°C) 6 months Limitations Avoid repeat freeze/thaw cycles. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80197 Test Schedule Sun-Sat days; Mon-Fri evenings Turnaround Time 1-2 days Method CMIA Test Includes FK 506, ng/mL. Supply Item Number 1222

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Billing Code Test Code [sunquest] FLECAINIDE FLEC FLEC Synonyms Almarytm, Apocard, Ecrinal, Flecaine, Tambocor Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Timing of specimen collection: Pre-dose (trough) draw - At steady state concentration Specimen Processing Separate serum or plasma from cells within 6 hours of collection and transfer to a standard PAML aliquot tube Room Temp 6 weeks Refrigerated 6 weeks Frozen (-20°C) 6 weeks Unacceptable Condition Gel separator tubes or gels of any kind; drug loss is immediate and no testing will be performed Alternate Specimens Lavender (EDTA), pink (K2EDTA or K3EDTA), green (sodium or lithium heparin), or gray (sodium fluoride/potassium oxalate) Reference Laboratory ARUP Reference Lab Test Code 0090003 CPT Codes 80299 Test Schedule Daily Turnaround Time 2-3 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Flecainide, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] FLEXERIL FLEXERIL FLEX Synonyms Cyclobenzaparine Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 4 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport at room temperature. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 1405SP CPT Codes 82491 Method GC Test Includes Flexeril, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] FLT3MT MUTATION DETECTION BY PCR FLT3MT FLT3MT Separate samples must be submitted when multiple tests are ordered. Synonyms FLT3 ITD and D835; Soft-FLDV Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood or bone marrow Preferred Volume Whole blood: 5 mL; bone marrow: 3 mL Minimum Volume Whole blood: 4 mL; bone marrow: 1 mL Specimen Processing Do not freeze Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Serum or plasma; frozen specimens; clotted whole blood; severely hemolyzed specimens Alternate Specimens Yellow (ACD solution A or B) or green (sodium or lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 2005400 CPT Codes 81245, 81479 Test Schedule Varies Turnaround Time 4-8 days Method Qualitative Polymerase Chain Reaction/Capillary Electrophoresis Test Includes FLT3 Mutation Detection by PCR Compliance Remarks This test was developed & its performance characteristics determined by the Laboratory for Personalized Molecular Medicine. It has not been cleared or approved by the U.S. Food & Drug Adm (FDA). Such approval is not required for.results have been shown to be clinically useful. The Laboratory for Personalized Molecular Medicine is CLIA certified to perform high-complexity testing. Notes Specimens received from clients outside of New York State will be tested at Laboratory for Personalized Molecular Medicine (LabPMM). Supply Item Number 1222

Billing Code Test Code [sunquest] FLU A, FLU B, and RSV by PCR RESPCR RESPCR

Synonyms Influenza A; Influenza B; Respiratory Syncytial Virus; RSV, Real-Time PCR; Molecular Container Type Viral transport media (M6) Store and Transport Refrigerated. Ship Category B Specimen Type Nasopharyngeal (NP) swab-flocked preferred Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Any specimen other than nasopharynx swab in viral transport media (VTM) Alternate Specimens Polyester, rayon, or nylon tipped swabs or flocked swabs in M4, M4RT, M5, M6; Copan or BD Universal Transport Media Department PAML Virology CPT Codes 87631 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-Time PCR Test Includes Flu A, Flu B, Respiratory Syncytial Virus, Comment Supply Item Number 1785K

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Billing Code Test Code [sunquest] FLU A, FLU B, AND RSV BY PCR (REFLEXIVE) RESPRX RESPRX

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Influenza A; Influenza B; RSV; Respiratory Syncytial Virus, Real-Time PCR; Molecular Container Type Viral transport media (M6) Store and Transport Refrigerated; Ship Category B Specimen Type Nasopharyngeal (NP) swab-flocked preferred Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Any specimen other than nasopharynx swab in viral transport media (VTM) Alternate Specimens Polyester, rayon, or nylon tipped swabs; flocked swabs in M4, M4RT, M5, M6, Copan; BD Universal Transport Media Department PAML Virology CPT Codes 87631 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-Time PCR Test Includes Flu A; Flu B; Respiratory Syncytial Virus; 2009 H1N1; Seasonal H1; Seasonal H3 Notes This test will reflex to Influenza A Subtyping assay if Influenza A is detected. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Positive Flu A by PCR FLATYP 87502, 87503 BFLUST

Billing Code Test Code [sunquest] FLUNITRAZEPAM & METABOLITE URINE (REFLEXIVE) FLUNCO FLUNCO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Rohypnol; Flunitrazepam Metabolite Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine Preferred Volume 6 mL Minimum Volume 2.1 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container Specimen Processing Aliquot 6 mL urine into a leakproof plastic urine container Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 3 months Reference Laboratory NMS Reference Lab Test Code 9341U CPT Codes 80100 Test Schedule Tue, Thu Turnaround Time 3-6 days Method HPLC, LC-MS/MS Test Includes Flunitrazepam, Urine, ng/mL; Norflunitrazepam, Urine, ng/mL; 7-Amino Flunitrazepam, Urine, ng/mL; Flunitrazepam, Urine Confirmation, ng/mL; Norflunitrazepam, Urine Confirmation, ng/mL; 7- Amino Flunitrazepam, Urine Confirmation, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Flunitrazepam is positive Flunitrazepam and Metabolites Confirmation 80154 by LC-MS/MS

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Billing Code Test Code [sunquest] FLUORESCENT PARASITE SMEAR CRYSM CRYSM

Synonyms Cryptosporidium; Isospora; Cyclospora Container Type Sterile leakproof plastic container with 10% formalin or in a unifix preservative vial Store and Transport Store and transport at room temperature. Ship Category B Specimen Type Stool Preferred Volume Walnut-sized portion Minimum Volume Pea-sized portion Collection Procedure Collect a walnut-sized portion of fresh stool in a 10% formalin or Unifix Preservative Vial. Note fill line on collection vial. Label with patient name and collection date. Frozen (-20°C) Unacceptable Alternate Specimens Specimens may only be submitted without preservative if transport time will not exceed 1 hour. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87206, 87015 Test Schedule Daily Turnaround Time 24-48 hours Method Concentration/Mod. Acid Fast Stain Test Includes Fluorescent Parasite Smear; Report Status Supply Item Number 1614

Billing Code Test Code [sunquest] FLUORESCENT TREPONEMAL ANTIBODY (REFLEXIVE) FTA.ARUP FTA This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms FTA AB; FTA-ABS, IGG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated. Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition CSF, plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50477 CPT Codes 86780 Test Schedule Sun-Sat Turnaround Time 3-6 days Method IFA Test Includes FTA, Serum, IgG. Notes Reflex testing to TP-PA will only happen if the FTA is found to be inconclusive. Supply Item Number 1467

Billing Code Test Code [sunquest] FLUORIDE FLUORIDE FLUOR Container Type Lavender top tube (EDTA) Specimen Type Plasma Preferred Volume 4 mL Minimum Volume 1.5 mL adult or 1.2 mL pediatric Specimen Processing Separate plasma from cells and place in separate plastic tube. Store and transport refrigerated. Unacceptable Condition Grey top tubes or SST tubes. Alternate Specimens Serum (red top tube). Reference Laboratory NMS Reference Lab Test Code 2090SP CPT Codes 82735 Test Schedule Wed Turnaround Time 10 days Method Ion Chromatography Test Includes Fluoride, mg/L. Notes 3-hr test time. Supply Item Number 1222

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Billing Code Test Code [sunquest] FLUORIDE, URINE FLUOR.EXP.U FLUUR Container Type Plastic container (acid washed or trace metal-free) Store and Transport Refrigerated Specimen Type Urine Preferred Volume 5 mL Minimum Volume 2.9 mL Collection Procedure Pre-shift or end-of-shift urine collection Specimen Processing 5 mL aliquot of a random urine specimen Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Avoid exposure to gadolinium-based contrast media for 48 hours prior to sample collection Reference Laboratory NMS Reference Lab Test Code 2090U CPT Codes 82735 Test Schedule Wed Turnaround Time 4-8 days Method ISE Test Includes Fluoride, Urine, mg/L; Fluoride, Urine, mg/g Cr Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] FLUOXETINE & NORFLUOXETINE FLUOX FLUOX Synonyms Prozac Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Room Temp 12 hours Refrigerated 5 days Frozen (-20°C) 1 month Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2 EDTA) Limitations Avoid the use of serum separator tubes and gels Reference Laboratory ARUP Reference Lab Test Code 90450 CPT Codes 80299 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method HPLC Test Includes Fluoxetine, ng/mL; Norfluoxetine, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] FLUOXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCFLX TLCFLX SUR. Synonyms Prozac; Sarafem Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Fluoxetine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] FLUPHENAZINE FLUPHENAZINE FLUPH Synonyms Prolixin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Measure at least 2 weeks after initiating treatment. Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2 EDTA). Limitations Protect from light. Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0099906 CPT Codes 84022 Test Schedule Tue, Fri Turnaround Time 3-6 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Fluphenazine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] FLURAZEPAM DALMANE-Q FLURAZ Synonyms Dalmane; N-Desalkylflurazepam Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours and place in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 2 months Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90180 CPT Codes 82742 Test Schedule Sun-Sat Turnaround Time 2-4 days Method GC Test Includes Flurazepam, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] FLURAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCFLR TLCFLR SUR Synonyms Dalmane; Sleeping Pills; Tranks Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 2000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Flurazepam Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] FLUVOXAMINE LUVOX LUVOX Synonyms Luvox Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition No SST tubes or PST tubes. Reference Laboratory NMS Reference Lab Test Code 2124SP CPT Codes 82491 Test Schedule Mon-Fri Turnaround Time 4-6 days Method GC Test Includes Fluvoxamine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] FOLATE FOLATE FOL Synonyms Folic Acid Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate 12 x 75 plastic tube and freeze. Room Temp 2 days Refrigerated 3 days Frozen (-20°C) 2 weeks Unacceptable Condition Repeat freeze/thaw cycles Alternate Specimens SST (brick top tube) Limitations Hemolysis significantly increases folate values due to the high folate concentrations in red blood cells. Department PAML Immunochemistry CPT Codes 82746 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Folate, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] FOLATE, RBC FOL-R RBCFOL Synonyms Folic Acid, RBC; RBC Folate Container Type Two lavender top tubes (EDTA) Specimen Type One frozen EDTA whole blood (for folate measurement) and one refrigerated EDTA whole blood (for HCT measurement). Specimen Processing Frozen sample can either be in the original EDTA tube (frozen), or the original EDTA tube can be mixed well and poured into a plastic transport tube before freezing. Store and transport frozen. Refrigerated sample should be stored and transported refrigerated. Do not freeze both tubes. Required Patient Info Hematocrit value if only frozen EDTA whole blood submitted. Room Temp 3 hours Refrigerated 4 days Frozen (-20°C) 2 months Unacceptable Condition One frozen tube and no hematocrit value or refrigerated EDTA tube; repeat freeze/thaw cycles Alternate Specimens One frozen EDTA whole blood and hematocrit value Department PAML Immunochemistry CPT Codes 82747 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Folate-RBC, ng/mL Supply Item Number 1222

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Billing Code Test Code [sunquest] FOLLICLE STIMULATING HORMONE, PITUITARY FSH FSH Synonyms Follicle Stimulating Hormone; Serum Follitropin; FSH Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed or grossly lipemic samples Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 83001 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes FSH, mIU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] FONDAPARINUX FONDAP FOND Synonyms Arixtra; Anti-Xa Level; LMWH Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Draw 3-4 hours post Fondaparinux dose. Blood/anticoagulant volume is critical. Specimen Processing If time interval between drawing and testing exceeds 2 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 2 hours Refrigerated 2 hours Frozen (-20°C) 1 month Unacceptable Condition Specimens that are not double spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant). Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85520 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Anti-Xa Chromogenic Test Includes Fondaparinux, mg/L. Compliance Remarks This test was developed and its performance characteristics determined by Providence Sacred Heart Medical Center. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1090

Billing Code Test Code [sunquest] FORMIC ACID FORM FA Synonyms Formaldehyde Container Type Green top tube (sodium heparin) . Specimen Type Heparinized plasma Preferred Volume 2 mL Specimen Processing Separate plasma from the cells and put in separate plastic tube. Store and transport refrigerated or ambient temperature. Unacceptable Condition Specimens collected in sodium fluoride (grey top tubes). Alternate Specimens Serum. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 2134SP CPT Codes 83921 Turnaround Time 10-15 days Method IC Test Includes Formic Acid, Serum, mcg/mL. Supply Item Number 1398

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Billing Code Test Code [sunquest] FORMIC ACID, URINE 24HR FORM-U FAUQ Synonyms Formaldehyde, Urine Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 3 mL Minimum Volume 1.4 mL Collection Procedure Collect urine prior to the last shift of work week Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 30 days Reference Laboratory NMS Reference Lab Test Code 2134U CPT Codes 83921, 82570 Turnaround Time 10-15 days Method GC/Colorimetry Test Includes Collection Period, hrs; Volume, mL; Creatinine, Urine, mg/L; Formic Acid, Urine, g/mL; Formic Acid, Urine, mg/g Cr Notes When Formaldehyde is requested, order Formic Acid. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] FRAGILE X CARRIER SCREEN (REFLEXIVE) FXSCRN FXSCRN This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test on the PAML computer system if you are interfaced. This test may reflex to additional tests depending upon the results of this test. These CPT codes may be added: 83894, 83892 x 2, 83896, and 83897 Synonyms FMR-1 Carrier Screen; Molecular Testing; Fragile X Carrier Screen; FX Carrier Screen Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 5 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original draw tube. Required Patient Info Patient family history and clinical indication Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparin, ACD whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old, and specimens not received in the original collection tubes Alternate Specimens Sodium citrate whole blood (blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81243 Test Schedule Tue Turnaround Time 4-10 days Method PCR & Restriction Digest/Southern Blot Test Includes Fragile X Carrier Screen Result Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes This test is only appropriate for asymptomatic individuals with a family history of fragile x syndrome or for females of reproductive age with an interest in family planning. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes FMR1 Gene Characterization Southern FX 81244 BFXSCR

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Billing Code Test Code [sunquest] FRAGILE X MUTATION ANALYSIS (REFLEXIVE) FXDIAG FXDIAG This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test on the PAML computer system if you are interfaced. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. These CPT codes may be added: 83894, 83892 x 2, 83896, and 83897. Synonyms FMR-1; MolecularTesting; Fragile X Diagnostic Assay; FX Diagnostic Assay; FMR-1 Diagnostic Assay; Fragile X Tremmor Ataxia Syndrome; Premature Ovarian Failure; FMR1 Related Disorders Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 5 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original draw tube. Required Patient Info Patient family history and clinical indication Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparin, ACD whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old, and specimens not received in the original collection tubes. Alternate Specimens Sodium citrate whole blood (blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81243 Test Schedule Tue Turnaround Time 2-3 weeks Method PCR & Restriction Digest/Southern Blot Test Includes Fragile X Mutation Analysis Result Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes This test is only appropriate for patients with a family history of fragile X syndrome, premature ovarian failure or older males with tremor. If chromosome analysis is ordered or desired please see order code PBCYTO. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes FMR1 gene characterization Southern FX 81244 BFXDIA

Billing Code Test Code [sunquest] FRAGILE X SYNDROME MUTATION ANALYSIS FRGXG FRGXG Container Type Yellow top tube Store and Transport Refrigerated Specimen Type ACA-A whole blood Preferred Volume 20 mL Minimum Volume Child-5-7 mL Required Patient Info Patient family history and clinical indication Unacceptable Condition Frozen samples Alternate Specimens EDTA whole blood (lavender top tube) Reference Laboratory Genzyme Reference Lab Test Code 520 CPT Codes 81243, 81244 Test Schedule Mon-Sat Turnaround Time 10-14 days Method PCR & SB Test Includes Indication, Results, Comments, Method, Signed

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Billing Code Test Code [sunquest] FRANCISELLA TULARENSIS AB, IGG FTABGA FTABGA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from the cells ASAP or within 2 hours of collection and put in separate plastic tube. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat inactivated or turbid samples Reference Laboratory ARUP Reference Lab Test Code 2005353 CPT Codes 86668 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Semi-Quantative ELISA Test Includes Francisella tularensis Ab, IgG, U/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing.

Billing Code Test Code [sunquest] FRANCISELLA TULARENSIS AB, IGM FTABMA FTABMA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from the cells ASAP or within 2 hours of collection and put in separate plastic tube. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat inactivated or turbid samples Reference Laboratory ARUP Reference Lab Test Code 2005354 CPT Codes 86668 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Semi-Quantative ELISA Test Includes Francisella tularensis Ab, IgM, U/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing.

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Billing Code Test Code [sunquest] FRANCISELLA TULARENSIS ANTIBODIES, IGG & IGM FTAGMA FTAGMA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Febrile Antigens (Francisella tularensis Antibodies, IgG & IgM) Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from the cells ASAP or within 2 hours of collection and put in separate plastic tube. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat inactivated or turbid samples Reference Laboratory ARUP Reference Lab Test Code 2005350 CPT Codes 86668 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Semi-Quantative ELISA Test Includes Francisella tularensis Ab, IgG, U/mL; Francisella tularensis Ab, IgM, U/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing.

Billing Code Test Code [sunquest] FREE LIGHT CHAINS GAMMOPATHY DIAGNOSTIC PANEL GAMPAN GAMPAN Synonyms Electrophoresis; ELP; SPEP; Monoclonal Peak; M-Spike; Immunofixation; Kappa; Lambda; FREELITE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Plasma; repeated freeze/thaw cycles should be avoided; contaminated samples; samples containing particulate matter; lipemic or hemolyzed serum samples Reference Laboratory PAML and PSHMC CPT Codes 83883 x 2, 86334, 84165 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Nephelometry/Agarose Gel ELP, IFE Test Includes Kappa FLC, mg/dL; Lambda FLC, mg/dL, Kappa/Lambda FLC Ratio; Protein, Total, g/dL; Albumin, g/dL; Alpha-1, g/dL; Alpha-2, g/dL; Beta-1, g/dL; Gamma, g/dL; Albumin, %; Alpha-1, %; Alpha-2, %; Beta-1, %; Beta-2, %; Gamma, %; Interpretation; Monoclonal Peak; Immunofixation Interp. Supply Item Number 1467

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Billing Code Test Code [sunquest] FREE T-3 FT3 FT3 This test is not for Free T3 by Equilibrium Dialysis Synonyms FT3; Free Triiodothyronine; Triiodothyronine, Free; T-3, Free Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 2 weeks Unacceptable Condition Grossly hemolyzed or grossly lipemic specimens Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 84481 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Free T3, pg/mL Supply Item Number 1467

Billing Code Test Code [sunquest] FREE T-4 FREE T4 FT4 Synonyms T4 Free; T-4, Free; Thyroxine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 4 hours Refrigerated 7 days Frozen (-20°C) 2 months Alternate Specimens Red top tube (plain) Limitations Avoid repeat freeze-thaw cycles Department PAML Immunochemistry CPT Codes 84439 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Free T4, ng/dL Supply Item Number 1467

Billing Code Test Code [sunquest] FREE THYROXINE (T4) T4DDUW T4DDUW Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition EDTA plasma, avoid repeat/freeze thaw cycles Alternate Specimens Heparinized plasma or PST tube Reference Laboratory UW Reference Lab Test Code T4FR CPT Codes 84439 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Chemiluminescence Test Includes Thyroxine (Free), ng/dl Supply Item Number 1467

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Billing Code Test Code [sunquest] FRUCTOSAMINE FRUCTO FRUCTO Represents average glucose concentration over a 1-3 week period. Synonyms Glycated Serum Protein; GSP; Glycated Albumin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 3 days Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or icteric samples may cause falsely elevated results. Alternate Specimens Heparin or EDTA plasma (green or lavender top tubes) Limitations Under therapeutic concentrations, Levodopa may produce elevated values. Department PAML Chemistry CPT Codes 82985 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Fructosamine, umol/L Supply Item Number 1467

Billing Code Test Code [sunquest] FRUCTOSE, SEMEN FRUCTOSE FRUC Synonyms Semen Fructose Container Type Leakproof plastic container. Specimen Type Frozen semen Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Specimen should be frozen within 2 hours of collection. Store and transport frozen. Room Temp unstable Refrigerated unstable Frozen (-20°C) 2 years Reference Laboratory ARUP Reference Lab Test Code 0080112 CPT Codes 82757 Test Schedule Fri Turnaround Time 3-9 days Method Spectrophotometry Test Includes Fructose, Semen, mg/dL. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] FTA-ABS (MONTANA) MONFTA MONFTA This workpar is to be used only to confirm RPR reactive specimens from Montana state.

Container Type Red top tube Store and Transport Store and transport refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Reference Laboratory Montana State Public Health Laboratory CPT Codes 86781, 86592, 86593 Test Schedule Wed Turnaround Time 10 days Method VDRL; VDRL , Quantitative; FTA (ABS). Test Includes VDRL VDRL, Quantitative FTA (ABS)

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Billing Code Test Code [sunquest] FUNGAL ANTIBODIES BY CF FUNGAL SER FUNGCF Acute and convalescent samples advised; Mark specimens plainly as acute or convalescent Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.35 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50605 CPT Codes 86612, 86635, 86698 x 2, 86606 Test Schedule Sun-Fri Turnaround Time 3-4 days Method Semi-Quantitative Complement Fixation Test Includes Blastomyces Antibody, Titer; Coccidioides Antibody, Titer; Histoplasma mycelia Antibody, Titer; Histoplasma Yeast Antibody, Titer; Aspergillus Antibody, Titer. Notes Negative fungal serology does not rule out the possibility of current infection Supply Item Number 1467

Billing Code Test Code [sunquest] FUROSEMIDE, (QUANTITATIVE) FURUQ FURUQ Synonyms Lasix Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 2 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 6 months Reference Laboratory NMS Reference Lab Test Code 2140U CPT Codes 82491 Test Schedule Tue, Fri Turnaround Time 3-5 days Method HPLC Test Includes Furosemide, mcg/mL Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] GABAPENTIN GABAP GABAP Synonyms Gabapentin, Free; Gabarone; Neurontin Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 5 weeks Refrigerated 6 weks Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 90057 CPT Codes 80299 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Liquid Chromatography-Tandem Mass Spectrometry Test Includes Gabapentin, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] GALACTOSE, URINE GAL-U GALUR Container Type Leakproof plastic urine container. Specimen Type Frozen urine, random Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine collection. Store and transport frozen. Reference Laboratory Mayo Reference Lab Test Code 8765 CPT Codes 82760 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Enzymatic Test Includes Galactose, Urine. Notes If positive TLC results are confirmed by enzymatic method. Supply Item Number 1387or 1388

Billing Code Test Code [sunquest] GALACTOSE-ALPHA-1,3-GALACTOSE (ALPHA-GAL) IGE IGALAI IGALAI Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) GT 4 weeks Unacceptable Condition Lipemic samples may lead to rejection Reference Laboratory Viracor-IBT Reference Lab Test Code 30039 CPT Codes 86003 Test Schedule Mon-Fri Turnaround Time 3-4 days Method Immunoassay Compliance Remarks This test was developed and its performance characteristics determined by Viracor-IBT Laboratories. It has not been cleared or approved for diagnostic use by the U.S. Food and Drug Administration. Supply Item Number 1467

Billing Code Test Code [sunquest] GAMMA GLUTAMYL TRANSFERASE GGT GGT Synonyms GGT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 82977 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes GGT, U/L Supply Item Number 1467

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Billing Code Test Code [sunquest] GAMMA HYDROXY BUTYRIC ACID GHBMS GHBMS Synonyms G, Georgia Home Boy; Grievous Bodily Harm; Xyrem; Salty Water; Scoop; Soap Container Type Random urine Specimen Type Urine Preferred Volume 50 mL Minimum Volume 10 mL Room Temp 7 days Refrigerated 2 weeks Limitations 50 ng/mL Department PAML Toxicology CPT Codes 83921 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography/ Mass Spectrometry Test Includes Gamma hydroxy butyric acid Notes Test is also included in Drug Facilitated Sexual Assault panel, DFSA1 Supply Item Number 1388

Billing Code Test Code [sunquest] GANGLIOSIDE (ASIALO-GM1, GM1, GM2, GD1a, GD1b, & GM1COM GM1COM GQ1b) Antibodies This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.3 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Room temperature samples; Plasma, CSF, or other body fluids; Heat-inactivated, severely icteric, lipemic, contaminated, or hemolyzed specimens; Reference Laboratory ARUP Reference Lab Test Code 0051033 CPT Codes 83516 x 6 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method ELISA Test Includes Asialo-GM1 Abs,IgG/IgM, IV; GM1 Abs, IgG/IgM, IV; GM2 Abs, IgG/IgM, IV; GD1a Abs, IgG/IgM, IV; GD1b Abs, IgG/IgM, IV; GQ1b Abs, IgG/IgM, IV. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food & Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] GANGLIOSIDE (GM1) ANTIBODIES, IGG & IGM GM1ABS GM1ABS This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Anti-GM1 Antibody Panel; Ganglioside-Monosialic Acid Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.3 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Room temperature specimens. Plasma, CSF, or other body fluids. Contaminated, heat-inactivated, hemolyzed, icteric, or severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 0050591 CPT Codes 83516 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes GM1 Antibody, IgG, IV; GM2 Antibody, IgM, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] GASTRIN GAS GAST This workpar is to be used when A SINGLE GASTRIN TEST is ordered. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, pg/mL. Notes This order code is to be used when a single gastrin test is ordered. Supply Item Number 1467

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Billing Code Test Code [sunquest] GASTRIN, SAMPLE 1 GAS.S1 GAST1 Use this workpar to order the first gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #1, pg/mL; Gastrin, Time 1. Supply Item Number 1467

Billing Code Test Code [sunquest] GASTRIN, SAMPLE 2 GAS.S2 GAST2 Use this workpar to order the second gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge. place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #2, pg/mL; Gastrin, Time 2. Notes This order code is to be used when 2 gastrin tests are ordered. Supply Item Number 1467

Billing Code Test Code [sunquest] GASTRIN, SAMPLE 3 GAS.S3 GAST3 Use this workpar to order the third gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in a plastice tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #3, pg/mL; Gastrin, Time 3. Notes This order code is to be used when 3 gastrin tests are ordered. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 496 G 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory G

Billing Code Test Code [sunquest] GASTRIN, SAMPLE 4 GAS.S4 GAST4 Use this workpar to order the fourth gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #4, pg/mL; Gastrin, Time 4. Notes This order code is to be used when 4 gastrin tests are ordered. Supply Item Number 1467

Billing Code Test Code [sunquest] GASTRIN, SAMPLE 5 GAS.S5 GAST5 Use this workpar to order the fifth gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #5, pg/mL; Gastrin, Time 5. Notes This order code is to be used when 5 gastrin tests are ordered. Supply Item Number 1467

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Billing Code Test Code [sunquest] GASTRIN, SAMPLE 6 GAS.S6 GAST6 Use this workpar to order the sixth gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separtate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #6, pg/mL; Gastrin, Time 6. Notes This order code is to be used when 6 gastrin tests are ordered. Supply Item Number 1467

Billing Code Test Code [sunquest] GASTRIN, SAMPLE 7 GAS.S7 GAST7 Use this workpar to order the seventh gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasna, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #7, pg/mL; Gastrin, Time 7. Notes This order code is to be used when 7 gastrin tests are ordered. Supply Item Number 1467

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Billing Code Test Code [sunquest] GASTRIN, SAMPLE 8 GAS.S8 GAST8 Use this workpar to order the eighth gastrin when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should fast at least 12 hours to determine an accurate basal level. Specimen Processing Separate serum from cells within 1 hour of collection, preferably in a refrigerated centrifuge, place in a separate plastic tube and freeze. Store and transport frozen. Room Temp 1 hour from time of collection Refrigerated 4 hours from time of collection Frozen (-20°C) 30 days from time of collection Unacceptable Condition EDTA plasma, lipemic, icteric or grossly hemolyzed specimens. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82941 Test Schedule Mon, Wed, Fri eves Turnaround Time 1-3 days Method ICMA Test Includes Gastrin, #8, pg/mL; Gastrin, Time 8. Notes This order code is to be used when 8 gastrin tests are ordered. Supply Item Number 1467

Billing Code Test Code [sunquest] GENERAL HEALTH GHPNA GHPNA Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain), lavender top tube (EDTA) and blood smears Store and Transport Refrigerated Specimen Type Serum, whole blood and peripheral blood smears Preferred Volume 3 mL serum; 5 mL EDTA whole blood and 2 smears Minimum Volume 1 mL serum; 0.3 mL whole blood and 2 blood smears Specimen Processing Centrifuge ASAP, keep upright and capped. If red top tube collected, separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Handle anaerobically at all times. Prefer to receive lavender top tube within 12 hours of collection. Refrigerated 1 day Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry, PAML Immunochemistry, PSHMC Hematology CPT Codes 80050 Test Schedule Mon-Sat Turnaround Time 1-2 days Test Includes Comprehensive Metabolic Panel; CBC; TSH, uIU/mL Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity is compromised. Hemolysis will cause elevated potassium values, minimal volumes will concentrate, and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values. Supply Item Number 1467 1372 1222

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Billing Code Test Code [sunquest] GENERAL HEALTH PANEL (REFLEXIVE) GHPNAR GHPNAR This test adds a Free T4 if the TSH is abnormal. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) and lavender top tube (EDTA) Specimen Type Serum, whole blood, and peripheral blood smears Preferred Volume 3 mL serum, 5 mL EDTA whole blood, and 2 smears Minimum Volume 1 mL serum, 0.3 mL EDTA whole blood and 2 blood smears Specimen Processing Centrifuge SST tube, keep upright, keep capped, and transport refrigerated. If red top tube is collected, separate serum from cells ASAP and handle anaerobically at all times. Transfer to standard PAML aliquot tube, cap immediately and refrigerate. Store and transport whole blood refrigerated. Prefer to receive lavender top tube within 12 hours of collection. Refrigerated Serum - 1 day Unacceptable Condition Plasma specimens Department PAML Chemistry, PAML Immunochemistry, PSHMC Hematology CPT Codes 80050 Test Schedule Mon-Sat Turnaround Time 1-2 days Test Includes Comprehensive Metabolic Panel; CBC; TSH (Reflex), uIU/mL Notes If delay in test performance is anticipated, slides are required. Appropriate comments are generated with report if sample integrity compromised. Hemolysis will cause elevated potassium values, minimal volumes will concentrate, and previously frozen serum may show a marked decrease in ALP values immediately upon thawing but will return to initial values. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes TSH is abnormal Free T4 84439

Billing Code Test Code [sunquest] GENOMIC DNA ISOLATION & STORAGE DNAISO DNAISO This is not a test, it is a service only. Container Type EDTA whole blood (lavender top tube) Store and Transport Ambient (room temperature) or refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) unstable Unacceptable Condition Heparin, serum/plasma, grossly hemolyzed specimens, shared or aliquoted specimens, frozen specimens, leaky containers, specimen more than 5 days old and improperly labeled specimen. Alternate Specimens 2 mL EDTA bone marrow (lavender top tube), minimum 1 mL & is stable 48 hours room temperature or refrigerated. Sodium citrate or ACD whole blood (blue or yellow top tube). Limitations Must be in original collection tube Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 84311 Test Schedule Tue, Wed, Fri Method Spectrophotometry Test Includes Genomic DNA Concentration, ng/uL; Date Completed; Comment Supply Item Number 1222

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Billing Code Test Code [sunquest] GENTAMICIN (PAIRED) GENT2 GENTIN Synonyms Garamycin, Paired Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw trough sample within 1 hr of next dose and draw peak sample 1 hr after the IM dose or 1/2 hr after the IV infusion is complete. Note time of dose and times of drawing. Clearly label specimens. Specimen Processing Separate serum from cells and place in separate plastic tube. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation. Required Patient Info Peak time and trough time Refrigerated 6 weeks Frozen (-20°C) 6 months Frozen (-70°C) 6 months Alternate Specimens Lithium heparin plasma (green top tube), SST, and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80170 x 2 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Gentamicin, Trough, ug/mL; Gentamicin Time, Trough, h; Gentamicin, Peak, ug/mL; Gentamicin Time, Peak, h Supply Item Number 1372

Billing Code Test Code [sunquest] GENTAMICIN (SINGLE) GENT GENR Synonyms Garamycin, Single Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw trough sample within 1 hr of next dose or draw peak sample 1 hr after IM dose or 1/2 hr after the IV infusion is complete. Note times of dose and drawing. Clearly label specimens. Specimen Processing Separate serum from cells and place in separate plastic tube. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation. Required Patient Info Time of dose and drawing Refrigerated 6 weeks Frozen (-20°C) 6 months Frozen (-70°C) 6 months Alternate Specimens Lithium heparin plasma (green top tube), SST and other gel-type tubes; however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80170 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Gentamicin, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] GENTAMICIN, PEAK GENT.PK GENPK Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation. Required Patient Info Time of dose and drawing. Refrigerated 6 weeks Frozen (-20°C) 6 months Frozen (-70°C) 6 months Alternate Specimens Lithium heparin plasma (green top tube), SST, and other gel-type tubes; however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80170 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Gentamicin, Peak, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] GENTAMICIN, TROUGH GENT.TR GENTR Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw trough specimen within 1 hour prior to next dose. Note time of dose and drawing Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimen. Samples containing carbenicillin or piperacillin should be stored frozen if a delay in analysis of more than 8 hours is anticipated. Failure to freeze samples containing these antibiotics may result in falsely low gentamicin levels due to in vitro inactivation. Required Patient Info Time of dose and drawing Refrigerated 6 weeks Frozen (-20°C) 6 months Frozen (-70°C) 6 months Alternate Specimens Lithium heparin plasma (green top tube), SST and other gel-type tubes, however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80170 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Gentamicin, Trough, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] GIARDIA ANTIBODY, IGG, IGA & IGM GIAAGM GIAAGM Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separte serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 3 days Refrigerated 2 months Frozen (-20°C) Indefinitely Unacceptable Condition Grossly hemolyzed specimens. Reference Laboratory Focus Reference Lab Test Code 46050 CPT Codes 86674 x 3 Test Schedule Tue, Wed, Fri Turnaround Time 3-6 days Method IFA Test Includes Giardia lamblia Antibody, IgG; Giardia lamblia Antibody, IgA; Giardia lamblia Antibody, IgM; Interpretation. Compliance Remarks This test was develeoped and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food & Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of this test. Supply Item Number 1467

Billing Code Test Code [sunquest] GIARDIA LAMBLIA ANTIGEN GIAEIA GIAEIA Container Type Leakproof plastic container Store and Transport If fresh stool submitted, store and transport refrigerated if time to test is LT 3 days, freeze if more than 3 days. Specimen Type Stool Preferred Volume 1 gram or mL Minimum Volume 1 gram or mL Collection Procedure Collect fresh, unpreserved stool in a clean, leakproof container. Room Temp Fresh - unacceptable, CB - 1 week, formalin - indefinitely Refrigerated 3 days Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Unifix or PVA transport media is unacceptable Alternate Specimens Stool preserved in 10% formalin, SAF or Cary-Blair transport media, ship at ambient temperature. Rectal swabs in Cary-Blair media are acceptable, must have visible stool present. Department PAML Virology CPT Codes 87329 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Enzyme Immunoassay Test Includes Giardia Lamblia Antigen

Billing Code Test Code [sunquest] GLIADIN DEAMIDATED PEPTIDE (DGP) ANTIBODIES, IGA & GLIGA GLIGA IGG Synonyms Gliadin Antibodies; Gliadin Peptide Antibodies; Deaminated Gliadin Peptide Antibodies Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Heat inactivated samples Limitations Avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 83516 x 2 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Gliadin Antibodies, IgA, Units; Gliadin Antibodies, IgG, Units Supply Item Number 1467

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Billing Code Test Code [sunquest] GLIPIZIDE GLIPI GLIPI Synonyms Glucotrol Container Type Red top tube Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.2 mL Specimen Processing Separate serum from cells promptly and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 4 months Unacceptable Condition SST or PST (gel separator tubes). Alternate Specimens Plasma Reference Laboratory NMS Reference Lab Test Code 2158SP CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method HPLC Test Includes Glipizide, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] GLOMERULAR BASEMENT MEMBRANE ANTIBODY GLBMAB GLBMAB Synonyms Anti-Glomerular Basement Membrane Ab; Anti-GBM; AGBM; GBM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Heat inactivated or samples other than serum Limitations Avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon, Wed, Fri Turnaround Time 2-4days Method EIA Test Includes Glomerular Basement Membrane Antibody, U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] GLOMERULAR FILTRATION PROFILE GFP24 GFP Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 24 hour urine collection Preferred Volume 2 mL serum and 40 mL urine Minimum Volume 0.2 mL serum and 1 mL urine Collection Procedure Collect a 24-hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period and total volume Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) and 1 mL urine Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen will be accepted within 7 days of urine collection. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82575, 84155 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable), Colorimetric, Calculation Test Includes Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/24h; Protein, Urine, mg/24h; Protein/Creatinine Ratio, Ratio; Creatinine Clearance mL/min Notes Must have patient's height, weight, collection period, and the total volume to calculate the results. Supply Item Number 1467 1108

Billing Code Test Code [sunquest] GLOMERULAR FILTRATION PROFILE (12HR) GFP.12 GFP12 Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mLs. It will report collection time and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 12 hour urine collection Preferred Volume 2 mL serum and 40 mL urine Minimum Volume 0.2 mL serum and 1 mL urine Collection Procedure Collect a 12 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Aliquot 40 mL of a well-mixed 12 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period, and total volume Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) and urine Limitations Serum should be collected within 24 hours of urine collection start or finish. Serum specimen will be accepted within 7 days of urine collection. Serum specimen should be free of hemolysis. Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82575, 84156 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic (IDMS Traceable), Colorimetric, Calculation Test Includes Collection Period, h; Volume, mL; Creatinine, mg/dL; Creatinine, Urine, g/12h; Protein, Urine, mg/12h; Protein/Creatinine Ratio, Ratio; Creatinine Clearance, mL/min Notes Must have patient's height, weight, collection period, and the total volume to calculate the results. Supply Item Number 1467 1108

Billing Code Test Code [sunquest] GLOMERULAR FILTRATION RATE, ESTIMATED GFR GFR This test can be added to any serum creatinine order or with any panel that includes serum creatinine. Age and gender must be included in the test request for the calculation to be performed. There is no charge for the calculation. The calculation is valid only for individuals age 20 years or older. Synonyms Creatinine Calculation; Estimated Glomerular Filtration Rate; EGFR Required Patient Info Age and gender Department PAML Chemistry Method Calculation Test Includes Glomerular Filtration Rate, Estimated, mL/min/1.73m2

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Billing Code Test Code [sunquest] GLUCAGON GLUCQ GLUCQ Separate samples must be submitted when multiple tests are ordered Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 3 mL Minimum Volume 1.1 mL Patient Prep Overnight fasting is required Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze Room Temp 1 day Refrigerated 1 day Frozen (-20°C) 28 days Unacceptable Condition Moderate icteria; gross icteria Reference Laboratory Quest Diagnostics Nichols Institue (SJC) Reference Lab Test Code 519 CPT Codes 82943 Test Schedule Tue, Fri Turnaround Time 6-9 days Method Extraction, Radioimmunoassay (RIA) Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1222

Billing Code Test Code [sunquest] GLUCOSE CHALLENGE, PREGNANT (1HR) GCT.PG GCTPG This workpar is to be used as a screening test for gestational diabetes in pregnant patients only. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Patient Prep Diet requirements are not necessary Collection Procedure Collect specimen 1 hour after 50 gram glucose load Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82950 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose-1 hr (PREG), mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, 2 HR GTOL2 GTOL2 This workpar is not to be used for pregnant patients. Use the workpar GTT2PG or GTT3.PG for gestational diabetes study. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Collection Procedure Draw fasting specimen just prior to 75 gram glucose load. Draw other specimen in 2 hours. Clearly label each specimen. Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Clearly label each specimen. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82950, 82947 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, fasting, mg/dL; Glucose, 120 minutes, mg/dL Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements. Supply Item Number 1467

Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, 2 HR (3 SPECIMENS) G2TOL G2TOL This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Collection Procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose and the third sample 2 hours after the dose. Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Clearly label each specimen. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Reference Laboratory Chemistry CPT Codes 82951 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 120 minutes, mg/dL Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements. Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, 3 HR (4 SPECIMENS) G3TOL G3TOL This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Collection Procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose and the fourth sample 3 hours after the dose. Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Clearly label each specimen. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82951, 82952 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 120 minutes, mg/dL; Glucose, 3 hr, mg/dL Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements.

Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, 4 HR (5 SPECIMENS) G4TOL G4TOL This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Collection Procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose, the fourth sample 3 hours after the dose, and the fifth sample 4 hrs after the last dose. Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Clearly label each specimen. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82951, 82952 x 2 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hrs, mg/dL; Glucose, 3 hrs, mg/dL; Glucose, 4 hrs, mg/dL Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements. Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, 5 HR (6 SPECIMENS) G5TOL G5TOL This is not a standard glucose study recommended by ADA. This workpar is not to be used for pregnant patients. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: Non-pregnant adults-75 grams, children-1.75 gm/kg of ideal body weight up to a maximum of 75 grams. Collection Procedure Draw fasting specimen just prior to 75 gram glucose load. Draw one hour sample 1 hour post dose, the third sample 2 hours after the dose, the fourth sample 3 hours after the dose, the fifth sample 4 hrs after the last dose and the sixth sample 5 hrs after the last dose. Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Clearly label each specimen. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin, sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable for 24 hours. Department PAML Chemistry CPT Codes 82951, 82952 x 3 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, fasting, mg/dL; Glucose, 1 hr, mg/dL; Glucose, 2 hrs, mg/dL; Glucose, 3 hrs, mg/dL; Glucose, 4 hrs, mg/dL Glucose, 5 hrs, mg/dL Notes According to the ADA, a prolonged GTT is usually unnecessary for the diagnosis of diabetes. Call PAML for printed diet requirements. Supply Item Number 1467

Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, PREGNANT (2HR) GTT2PG GTT2PG These criteria apply to the 2-hour (75 gram) ADA and IADPSG glucose tolerance testing protocol for gestational diabetes. It should not be confused with the 2-hour GTT used for nonpregnant adults in the diagnosis Type 2 Diabetes. Synonyms HAPO; IADPSG Container Type SST tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: 75 grams. Collection Procedure Draw fasting specimen just prior to the 75 gram glucose load. Draw 1 hour and 2 hour post-dose specimens. Clearly label specimens. Specimen Processing Separate serum or plasma from cells within 30 minutes of collection and transfer to a standard PAML aliquot tube. Frozen (-20°C) 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin, or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable for 24 hours. Department PAML Chemistry CPT Codes 82951 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose-Preg, fasting, mg/dL; Glucose-Preg, 1 hour, mg/dL; Glucose-Preg, 2 hour Notes Call PAML for printed diet instructions. Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUCOSE TOLERANCE, PREGNANT (3HR) GTT3.PG GTPG This is the recommended study for diagnosis of gestational diabetes in pregnant patients. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL each specimen Minimum Volume 0.3 mL each specimen Patient Prep This test should be done in the morning after an overnight fast of between 8 and 14 hours, and after at least 3 days of unrestricted diet (150 or more grams carbohydrate per day) and unlimited physical activity. The patient should remain seated and should not smoke throughout the test. Patient can have nothing by mouth except water during test period. GLUCOSE DOSE: 100 grams. Collection Procedure Draw fasting specimen just prior to 100 gram glucose load. Draw 1 hour, 2 hour and 3 hour post- dose specimens. Clearly label specimens. Specimen Processing Separate serum from cells within 30 minutes of collection and transfer to standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82951, 82952 Test Schedule Sun-Fri nights Turnaround Time 24-48 hours Method Hexokinase Test Includes Glucose-Preg, fasting, mg/dL; Glucose-Preg, 1 hour, mg/dL; Glucose-Preg, 2 hour, mg/dL; Glucose-Preg, 3 hour, mg/dL Notes Call PAML for printed diet instructions Supply Item Number 1467

Billing Code Test Code [sunquest] GLUCOSE, CSF GLU-C GLUSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells immediately and transfer to a standard PAML aliquot tube. Room Temp 3 days if separated from cells Refrigerated 1 month if separated from cells Frozen (-20°C) Acceptable but not preferred Limitations Process immediately to avoid falsely low results Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82945 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes Glucose, CSF, mg/dL Supply Item Number 7211

Billing Code Test Code [sunquest] GLUCOSE, FASTING OR RANDOM GLU GLU A fasting glucose is the ADA's preferred screening test for diabetes in non-pregnant adults. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes of collection and transfer to a standard PAML aliquot tube and refrigerate. Required Patient Info Fasting status of patient Refrigerated 2 weeks if separated within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82947 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, Fasting or Random, mg/dL Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 510 G 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory G

Billing Code Test Code [sunquest] GLUCOSE, FLUID GLU-FLD GLUFL Container Type Green top tube (lithium heparin) Store and Transport Store and transport refrigerated Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Promptly separate fluid from cells and place in separate plastic tube. Refrigerate promptly. Note type of fluid. Required Patient Info Type of body fluid Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 year Alternate Specimens Fluid in a sterile container Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 82945 Test Schedule Daily Turnaround Time 24-48 hours Method Enzymatic Test Includes Glucose, Fluid, mg/dL Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] GLUCOSE, RANDOM GLURAN GLURAN Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82947 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, Random, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] GLUCOSE, SPECIFIC GLU.SPECIFIC GLUSP To be used only for an additional glucose specimen. Please be specific when recording the nature of the specimen. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes of collection and place transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82947 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, Specific, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUCOSE, URINE (QUALITATIVE) GLC GLUD If patient is less than 3 years of age, order the workpar URED for urine reducing substances. Synonyms Reducing Substances, Urine Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Refrigerated 5 days Alternate Specimens Frozen specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81005 Test Schedule Mon-Sat days, Mon-Fri nights & STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Glucose, Urine, mg/dL. Supply Item Number 1387 188

Billing Code Test Code [sunquest] GLUCOSE, URINE (RANDOM) GLU-R GLUUR Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine in a sterile leakproof plastic container Refrigerated 5 days Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82945 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Glucose, Urine, mg/dL Supply Item Number 1387

Billing Code Test Code [sunquest] GLUCOSE, URINE 24HR GLU-U GLUUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Patient Prep Deliver to lab ASAP. Results will be lowered as sample ages. Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 5 days Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 82945 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Collection Period, h; Volume, mL; Glucose, Urine, mg/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] GLUCOSE-6-PHOSPHATE DEHYDROGENASE G6PD G6PD Synonyms G6PDH Container Type Blue top tube (buffered sodium citrate) Store and Transport Store and transport refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Refrigerated 7 days Unacceptable Condition Heparinized or clotted specimens Alternate Specimens Lavender top tube (EDTA) Limitations Tube must be at least half full Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 82960 Test Schedule Sun-Fri Turnaround Time 1 week Method Colorimetric Test Includes Glucose-6-Phosphate Dehydrogenase. Notes This test distinguishes normal from gross deficiency (qualitative) and should not be used to assess the degree of deficiency (quantative). Supply Item Number 1090

Billing Code Test Code [sunquest] GLUCOSE-6-PHOSPHATE DEHYDROGENASE G6ARUP G6ARUP Container Type EDTA (lavender top tube) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1.5 mL Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) Unacceptable Reference Laboratory ARUP Reference Lab Test Code 0080135 CPT Codes 82955 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Enzymatic Test Includes Glucose-6-Phosphate Dehydrogenase, U/gHgb

Billing Code Test Code [sunquest] GLUTAMIC ACID DECARBOXYLASE ANTIBODY GLADAB GLADAB Synonyms GAD65; GAD Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma and grossly hemolyzed specimens Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method EIA Test Includes Glutamic Acid Decarboxylase Antibody, U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] GLUTAMINES, CSF GLUTAMINE GLUTSF Container Type CSF sterile plastic tube. Specimen Type Frozen CSF (cell-free) Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing CSF must be cell-free. Freeze immediately. Store and transport frozen. Reference Laboratory Child Ortho Hosp CPT Codes 82131 Test Schedule Varies Turnaround Time 4-12 days Method Anion Exchange Chromatography Test Includes Glutamine CSF. Supply Item Number 7211

Billing Code Test Code [sunquest] GLYBURIDE GLY GLY Synonyms Micronase Container Type Red top tube Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.2 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 4 months Unacceptable Condition SST or PST (gel separator tubes). Alternate Specimens Plasma. Reference Laboratory NMS Reference Lab Test Code 2163SP CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 4-7 days Method HPLC Test Includes Glyburide, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] GOLD GOLD GOLDS Container Type Royal blue top tube (metal free plain) Specimen Type Serum Preferred Volume 4 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Reference Laboratory NMS Reference Lab Test Code 2171SP CPT Codes 80172 Test Schedule Mon Turnaround Time 2-9 days Method GFAAS Test Includes Gold, mcg/mL. Supply Item Number 1052

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Billing Code Test Code [sunquest] GROWTH HORMONE ANTIBODIES HGHAB HGHAB Synonyms Human Growth Hormone Antibodies Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within one hour and place in separate plastic tube and freeze. Reference Laboratory Esoterix Endocrinology Reference Lab Test Code 500214 CPT Codes 86277 Test Schedule Varies Turnaround Time 7-10 days Method HGH-I125 Binding Capacity Test Includes Growth Hormone Antibodies, ng/mL Compliance Remarks This test was developed and its performance characteristics determined by Esoterix. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. This laboratory is regulated under CLIA of 1988 as qualified to perform high complexity clinical testing. Supply Item Number 1467

Billing Code Test Code [sunquest] GTT, 2 HOUR GLU2HR GLU2HR This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes andtransfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 2 hours, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] GTT, 3 HOUR GLU3 GLU3 This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 3 hours, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] GTT, 30 MINUTES GLH GLH This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82947 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 30 minutes, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] GTT, 4 HOUR GLU4 GLU4 This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 4 hours, mg/dL

Billing Code Test Code [sunquest] GTT, 5 HOUR GLU5 GLU5 This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 5 hours, mg/dL

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Billing Code Test Code [sunquest] GTT, 6 HOUR GLU6 GLU6 This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 6 hours, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] GTT, 90 MINUTES GLU1H GLU1H This testing interval is not recognized as a standard testing interval according to the ADA Guidelines and as such does not have any normal ranges associated with it. Use only when not following the recommended ADA Guidelines criteria established for the diagnosis of Diabetes Mellitus. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 30 minutes and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks if separated from the cells within 30 minutes of collection Alternate Specimens Lithium heparin or sodium fluoride/potassium oxalate plasma (green or gray top tube). Gray top tube whole blood is stable 24 hours. Department PAML Chemistry CPT Codes 82952 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hexokinase Test Includes GTT, 90 minutes, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] GUAIAC TEST FOR OCCULT BLOOD OC.BLD OCBLD If testing is performed at PSC use the workpar OC.BLD or the Flexi order code OCBLD. If testing is done at PSHMC use the worpar MISCDE. Synonyms Hemoccult; Guaiac Container Type Leakproof plastic container or Hemoccult Sensa packet Store and Transport If sending stool specimen, prefer that it be stored and transported refrigerated. Specimen Type Random stool Specimen Processing Special Hemoccult Sensa packet available from laboratory. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 82270 Test Schedule Daily Turnaround Time 1-2 days Method Colorimetric Test Includes Occult Blood Supply Item Number 1388 7147

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Billing Code Test Code [sunquest] GUAIAC TEST FOR OCCULT BLOOD X 2 OC.BLD2 OCBLD2 If testing is performed at PSC use the workpar OC.BLD2 or the Flexi order code OCBLD2. If testing is done at PSHMC use the worpar MISCDE. Synonyms Hemoccult x 2; Guaiac x 2 Container Type Leakproof plastic container or Hemoccult Sensa packet Store and Transport If sending stool specimen, prefer that they be stored and transported refrigerated. Specimen Type Random stool Specimen Processing Stool, 2 separate random collections. Special Hemoccult Sensa packets available from laboratory. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 82270 Test Schedule Daily Turnaround Time 1-2 days Method Colorimetric Test Includes Occult Blood x 2 Supply Item Number 1388 7147

Billing Code Test Code [sunquest] GUAIAC TEST FOR OCCULT BLOOD X 3 OC.BLD3 OCBLD3 If testing is performed at PSC use the workpar OC.BLD3 or the Flexi order code OCBLD3. If testing is done at PSHMC use the worpar MISCDE. Synonyms Hemoccult x 3; Guaiac x 3 Container Type Leakproof plastic container or Hemoccult Sensa packet Store and Transport If sending stool specimens, prefer that they be stored and transported refrigerated Specimen Type Random stool Specimen Processing Stool, 3 separate random collections. Special Hemoccult Sensa packets available from laboratory. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 82270 Test Schedule Daily Turnaround Time 1-2 days Method Colorimetric Test Includes Occult Blood x 3 Supply Item Number 1388 7147

Billing Code Test Code [sunquest] HAEMOPHILUS INFLUENZAE TYPE B ANTIBODY, IGG H.INFB.AB HFLUBG This test is used to determine vaccine response. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure 'Pre' and 30-day 'Post' vaccination samples should be submitted together for testing. Post sample should be drawn 30 days after immunization. Clearly label tubes. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, contaminated specimens or other body fluids. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50542 CPT Codes 86317 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Multi-Analyte Fluorescent Detection Test Includes Haemophilus influenzae Type B Antibody, ug/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] HALOPERIDOL HALDOL HAL Synonyms Haldol Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum or plasma from cells within 6 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Sodium or lithium heparin, EDTA, K2EDTA, K3EDTA or sodium fluoride/potassium oxalate (green, lavender pink or grey top tube). SST or PST: Serum or plasma in a gel separator tube stored at room temperature is acceptable if separated from the gel within 6 hours. Serum or plasma in a gel separator tube stored refrigerated is acceptable if separated from the gel within 2 hours. Limitations Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0099640 CPT Codes 80173 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Haloperidol, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] HANTAVIRUS IGG & IGM ANTIBODIES (REFLEXIVE) HANTA HANTA This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 41244 CPT Codes 86790 x 2 Test Schedule Mon-Sat Turnaround Time 2-3 days Method Enzyme-Linked Immunosorbent Assay Test Includes Hantavirus Antibody, IgG; Hantavirus Antibody, IgM Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance Characteristics refer to the analytical performance of the test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes A positive IgG and IgM screen, a Sin Nombre (SNV) Virus IgG 86790 HANTGC SNV-specific IgG will be Confirmation performed A positive IgM screen, a SNV- Sin Nombre (SNV) Virus IgM 86790 HANTGM specific IgM will be performed Confirmation

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Billing Code Test Code [sunquest] HAPTOGLOBIN HAPTO HAPT Synonyms HP; HPT; Hemoglobin-Binding Protein Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Collection Procedure Fasting specimen Specimen Processing Separate serum from cells and place in separate plastic tube. Specimen can only be thawed once. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 2 months Frozen (-70°C) 2 months Unacceptable Condition Hemolyzed, lipemic, or plasma specimens Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83010 Test Schedule Daily Turnaround Time 1-2 days Method Immunoturbidimetric Test Includes Haptoglobin, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] HCG QUANTITATIVE TUMOR MARKER HCGTM HCGTM Synonyms Beta HCG Quantitative, Tumor Marker Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp unstable Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Room temperature samples. Alternate Specimens EDTA plasma, heparinized plasma or SST (lavender , green, or brick top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84702 Test Schedule Mon-Sat days Turnaround Time 1-4 days Method Chemiluminescence Test Includes HCG Quantitative, Tumor Marker, IU/L. Supply Item Number 1372

Billing Code Test Code [sunquest] HCG, SERUM QUANTITATIVE, BETA HCG-QUANT BHCGQ Synonyms Chorionic Gonadotropin Quant; HCG Beta, Quant; Human Chorionic Gonadotropin Quant; Beta HCG, Quantitative; Intact HCG & Free Beta Subunits by ICMA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 12 months Department PAML Immunochemistry CPT Codes 84702 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes HCG-Quant Beta Subunit, mIU/mL Notes Minimum detectable concentration is 2.0 mIU/mL. This method is calibrated according to the WHO 3rd International Reference Preparation for Chorionic Gonadotropin (WHO 3rd IRP 75/537). The degradation half-life for HCG is 1 day following surgical removal of ectopic pregnancy or trophoblastic tissue. Supply Item Number 1467

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Billing Code Test Code [sunquest] HCG, URINE, QUALITATIVE, BETA PRG PRGU Synonyms Pregnancy, Urine; HCG Beta, Qual; Beta HCG Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Random urine Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure The first morning specimen is preferred. Specimen Processing Aliquot 1 mL of a random urine specimen. Refrigerated 3 days Limitations Sensitive to 25 mIU/mL Department PAML Immunology CPT Codes 84703 Test Schedule Mon-Sat; Branches STAT Turnaround Time 1-2 days Method EIA Test Includes Pregnancy Test, mIU/mL Notes This method is calibrated according to the WHO Third International Standard for Chorionic Gonadotropin (WHO 3rd IS 75/537). Pregnancy is detected 1 week after implantation or 4-5 days before first missed menses. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] HCV FIBROSURE HCVFS HCVFS Synonyms ActiTest, FibroSURE, Fibrotest Container Type SST Tube Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 3 mL Patient Prep Patient should be fasting 8 hours prior to the test. Specimen Processing Separate serum from cells within 1 hour of collection. Using standard PAML aliquot tubes transfer 2.5 mL in first tube and 0.5 mL in second tube. Required Patient Info Patient age and sex Room Temp Not acceptable Refrigerated 3 days Unacceptable Condition Gross hemolysis; gross lipemia Reference Laboratory Labcorp Reference Lab Test Code 550123 CPT Codes 82247, 84460, 83010, 82172, 82977, 83883 Turnaround Time 6-10 days Test Includes Fibrosure Score; Fibrosure Stage; Necroinflammat Activity Score; Necroinflammat Activity Grade; Alpha 2-Macroglobulins, QN, mg/dL; Haptoglobin, mg/dL; Apolipoprotein A-1, mg/dL; Bilirubin, Total, mg/dL; GGT, IU/L; ALT (SGPT), IU/L; Interpretation; Limitations; Comment. Clinical Significance Assessment of liver status following a diagnosis of HCV. Baseline determination of liver status before initiating HCV therapy. Post-treatment assessment of liver status six months after completion of therapy. Non-invasive assessment of liver status in patients who are at increased risk of complications from a liver biopsy. Compliance Remarks This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the US Food and Drug Administration (FDA). The FDA has determined that such clearance or approval is not necessary. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEAT SHOCK PROTEIN 70 BY WB HSP70 HSP70 Synonyms 68KD Heat Shock Protien 70 by WB Container Type Red top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Anticoagulants or preservatives, hemolyzed or lipemic samples. Specimens with large clots or bacterial growth present. Alternate Specimens SST tube Reference Laboratory ARUP Reference Lab Test Code 97338 CPT Codes 84182 Test Schedule Thu Turnaround Time 2-9 days Method Western Blot Test Includes Heat Shock Protein 70 by WB Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test: however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1372

Billing Code Test Code [sunquest] HEAVY METALS PANEL 3, BLOOD HVY HVYMTL Container Type Royal blue top tube (K2EDTA) Store and Transport Store and transport room temperature in the original tube Specimen Type K2EDTA whole blood Preferred Volume 7 mL Minimum Volume 1.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the- counter medications (upon the advice of their physician) and avoid shellfish and seafood for 48-72 hours before collection. Specimen Processing Lead requisition form may be required (ARUP form #32990-Barcode; #32991-No Barcode). Notification will be given if required. Unacceptable Condition Heparin anticoagulant. Frozen specimens. Alternate Specimens NA2EDTA whole blood (NA2EDTA royal blue top tube), refrigerated specimens are acceptable but not preferred. Reference Laboratory ARUP Reference Lab Test Code 0099470 CPT Codes 82175, 83655, 83825 Test Schedule Mon-Sat Turnaround Time 2-4 days Method AA/ICP-MS Test Includes Arsenic, ug/L; Lead, ug/dL; Mercury, ug/L Notes Mercury is volatile, concentration may reduce after 7 or more days of storage. If the sample is drawn and stored in the appropriate container the arsenic & lead values do not change with time. Supply Item Number 9734

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Billing Code Test Code [sunquest] HEAVY METALS, URINE (RANDOM) HVY.RU HMUR Container Type Trace element free tube Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine specimen into a leakproof trace element free tube. Adjust pH to 2 with 6N nitric acid. Required Patient Info pH Room Temp 3 days Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal materials Limitations See individual metals Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83655, 83018 x 2 Test Schedule Tue, Thu, Sat Turnaround Time 2-5 days Method Electrothermal (Flameless) AAS and Mercury Hydride Test Includes Lead, Urine, ug/L; Mercury, Urine, ug/L; Arsenic, Urine, ug/L Supply Item Number 1796 or 9771

Billing Code Test Code [sunquest] HEAVY METALS, URINE 24HR HVY-U HMUQ Order the workpar '1TV' with this test. Enter the collection (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Add 20 mL 6N nitric acid to a 24 hour dark plastic urine container at the start of the collection. Collect a 24 hour urine specimen. Use only SAGE, SSA jug from Fisher, GUARD, P-Splitter, or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen Processing Aliquot 50 mL of a well-mixed 24 hour urine collection into a leakproof plastic container. Record collection time and total volume. Adjust pH to 2. Required Patient Info Collection period, pH, and total volume Room Temp 3 days Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimen contaminated with blood or fecal material Alternate Specimens May add 20 mL 6N HNO3 at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container and performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours. Limitations See individual metals Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83655, 83018 x 2 Test Schedule Tue, Thu, Sat Turnaround Time 2-5 days Method Electrothermal (Flameless) AAS and Mercury Hydride Test Includes Collection Period, h; Volume, mL; Lead, Urine, ug/L; Lead, Urine, ug/24h; Mercury, Urine, ug/L; Mercury, Urine, ug/24h; Arsenic, Urine, ug/L; Arsenic, Urine, ug/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] HELICOBACTER PYLORI ANTIBODY, IGA HPYA HPYA Synonyms H. pylori IgA; Campylobacter pylori IgA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from the cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples; Avoid repeated freeze/thaw cycles Alternate Specimens Serum (plain red top tube or Corvac) Department PAML Special Immunology CPT Codes 86677 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Helicobacter pylori Ab, IgA Supply Item Number 1467

Billing Code Test Code [sunquest] HELICOBACTER PYLORI ANTIBODY, IGG HELICO.AB HPYG This test is qualitative and no quantitative interpretations should be made with respect to the index values. Synonyms H. pylori; h pylori Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Icteric, lipemic, hemolyzed, heat inactivated or plasma specimens. Department PAML Special Immunology CPT Codes 86677 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Helicobacter pylori Antibody, IgG Supply Item Number 1467

Billing Code Test Code [sunquest] HELICOBACTER PYLORI ANTIBODY, IGG & IGA HPYAG HPYAG Synonyms H. pylori IgA & IgG; Campylobacter pylori IgA & IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens; Avoid repeated freeze/thaw cycles Alternate Specimens Serum (plain red top tube or Corvac) Department PAML Special Immunology CPT Codes 86677 x 2 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Helicobacter pylori Antibody, IgA; Helicobacter pylori Antibody, IgG Supply Item Number 1467

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Billing Code Test Code [sunquest] HELICOBACTER PYLORI ANTIBODY, IGM HPMAG HPMAG Synonyms H. pylori; h pylori Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed samples. Alternate Specimens EDTA or heparin plasma (lavender or green top tube). Reference Laboratory ARUP Reference Lab Test Code 98392 CPT Codes 86677 Test Schedule Tue, Thu, Sun Turnaround Time 3-6 days Method ELISA Test Includes Helicobacter pylori Antibody, IgM, EV. Supply Item Number 1467

Billing Code Test Code [sunquest] HELICOBACTER PYLORI ANTIGEN, STOOL HPSEIA HPSEIA Container Type Leakproof plastic container, wax-free Store and Transport Store and transport refrigerated if time to test is less than 3 days. Freeze if more than 3 days. Specimen Type Stool Preferred Volume 1 gram or mL Minimum Volume 1 gram or mL Collection Procedure Collect fresh, unpreserved stool in a clean, leakproof container Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Must be fresh or frozen stool only, transport media is unacceptable Department PAML Virology CPT Codes 87338 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Enzyme Immunoassay Test Includes Helicobacter Pylori Antigen Notes Antimicrobials, proton pump inhibitors, and bismuth preparations are know to suppress H. pylori; ingestion of these less than 2 weeks prior to testing may give false negative result.

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Billing Code Test Code [sunquest] HELICOBACTER PYLORI BREATH TEST HPYBT HPYBT Performance characteristics of this test have not been established in pediatric populations (Less than 18 years). Synonyms H. pylori; Breath test; Helicobacter; h pylori Container Type See below Specimen Type See below Preferred Volume See below Patient Prep Patient is to be fasting for 1 hour prior to the test, no food, liquids or smoking; abstain from the following medications for 2 weeks prior to the test: all antibiotics, Proton Pump Inhibitors (Prilose, Prilosec OTC, Prevacid, Aciphex, Protonix and Nexium), generic version of PPIs and Bismuth Preparations such as Pepto Bismol. Can use Zantac, Tagamet, Pepsid and Axid. Collection Procedure Breath samples using Breath Tek UBT Kit-one blue bag for the baseline sample and one pink bag for the post dose sample. Follow instruction contained in the collection kit. Specimen Processing Send both pink and blue bags at room temperature clearly marked. Room Temp 7 days Unacceptable Condition Bags not fully inflated or only one of the bags submitted, time between ingestion of solution and post-dose collection should not exceed 15 minutes. Limitations Reference ranges on pediatric patients have not been established. Department PAML Virology CPT Codes 83013 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Infared spectrophotometry Test Includes Helicobacter pylori Breath Test Notes Determination of eradication of H. pylori bacteria should be done at least 4 weeks after completion of therapy. Supply Item Number 8058

Billing Code Test Code [sunquest] HELICOBACTOR PYLORI SCREEN HELICO.SCR HPS Synonyms H. pylori Container Type CLOTest device Store and Transport Ambient (room temperature) Specimen Type Gastric tissue Preferred Volume 2 mm Minimum Volume 1 x 1 mm Patient Prep Discontinue the use of antibiotics and bismuth preparations 3 weeks prior and proton pump inhibitors 2 weeks prior to biopsy. Collection Procedure Obtain biopsy of the stomach or duodenum. Lift the label on the CLOtest far enough to expose the yellow gel. Using a clean applicator device, push the entire sample from the forceps beneath the surface of the gel. Reseal the label on the slide and record the patient name, date, and time the biopsy sample was inserted. Room Temp 3 days Refrigerated Unacceptable Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Refrigerated or frozen samples Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87081 Test Schedule Daily Turnaround Time 1-2 days Method Culture Test Includes Helico Pylori Screen; Helico Pylori Screen, Status

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Billing Code Test Code [sunquest] HELPER SUPPRESSOR HSSUB HSSUB

Synonyms T4/T8; CD4/CD8; Helper/Suppressor; Flow Cytometry Container Type Yellow top tube (ACD Type A or B) and lavender top tube (EDTA) Store and Transport Transport at room temperature. Ship Category B Specimen Type Whole blood Preferred Volume 7 mL ACD and 5 mL EDTA Minimum Volume 5 mL ACD and 2.5 mL EDTA Required Patient Info In accordance with the CDC guidelines please provide the following patient information: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Unacceptable Condition EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing. Limitations Specimens must be processed within 72 hours of collection. Department PSHMC Flow Cytometry Reference Laboratory PSHMC CPT Codes 86360 Test Schedule Mon-Sat by 11 am Turnaround Time 48 hours Method Flow Cytometry Test Includes Source; WBC, K/uL; Lymphocytes, %; Lymph ABS, K/uL; CD4, %; CD4 ABS, /uL; CD8, %; CD8 ABS, /uL; CD4/CD8 Ratio, to 1.0; Note; Note. Supply Item Number 1055 1495

Billing Code Test Code [sunquest] HEMATOCRIT HCT CRIT Synonyms Hct; PCV Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimens within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85014 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes Hematocrit, % Notes Microtainers must be filled to second mark Supply Item Number 1222

Billing Code Test Code [sunquest] HEMOGLOBIN HGB HB Synonyms Hgb Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours of collection Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85018 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes Hemoglobin, g/dL Notes Microtainers must be filled to second mark Supply Item Number 1222

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Billing Code Test Code [sunquest] HEMOGLOBIN & HEMATOCRIT H&H HH Synonyms H & H; Hgb & Hct Container Type Lavender top tube (EDTA) Store and Transport Prefer specimen be stored and transported refrigerated Specimen Type Whole blood Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85018, 85014 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes Hemoglobin, g/dL; Hematocrit, % Notes Microtainers must be filled to second mark.

Billing Code Test Code [sunquest] HEMOGLOBIN & HEMATOCRIT, FLUID H&H.FLD HHFL Container Type Lavender top tube (EDTA) Specimen Type Body fluid Preferred Volume 5 mL Minimum Volume 0.25 mL Specimen Processing Store and transport refrigerated immediately. Required Patient Info Indicate source. Unacceptable Condition Samples received without anticoagulant or clotted specimens. Specimens that have been at room temperature for 24 hours or more will be reported with a disclaimer. Alternate Specimens Heparinized fluid (green top tube). Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85014, 85018 Test Schedule Sun-Sat Turnaround Time 24-48 hours Method Automated Test Includes Hemoglobin, Fluid, g/dL; Hematocrit, Fluid, %.

Billing Code Test Code [sunquest] HEMOGLOBIN A1C, (GLYCOHEMOGLOBIN) GLHGB GLYCO Represents average glucose concentration over a 6-8 week period. Synonyms Glycohemoglobin; Hemoglobin A1c; Hgb A1c; HGBA1C; A1C Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Minimum Volume 1 mL Room Temp 1 day Refrigerated 7 days Frozen (-20°C) 2 weeks Alternate Specimens Sodium fluoride/potassium oxalate whole blood (grey top tube) Department PAML Immunochemistry CPT Codes 83036 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Boronate Affinity HPLC Test Includes Hgb A1c, %; Estimated Average Glucose, mg/dL Supply Item Number 1222

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Billing Code Test Code [sunquest] HEMOGLOBIN A2, QUANTITATIVE A2 A2QT Order this test for the quantitation of Hemoglobin A2. Synonyms Quantitative A2 Container Type Lavender top tube (EDTA) Specimen Type Whole blood and 2 fresh blood smears Preferred Volume 5 mL Minimum Volume 2.5 mL Specimen Processing Store and transport refrigerated. Refrigerated 7 days Unacceptable Condition Hemolyzed specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83021 Test Schedule Wed Turnaround Time 1 week Method HPLC Test Includes Hemoglobin A2, %. Supply Item Number 1222

Billing Code Test Code [sunquest] HEMOGLOBIN F, QUANTITATIVE HGBF FQT Order this test for the quantitation of hemoglobin F. Do not use for differentiating fetal and maternal blood. Synonyms Alkaline Denaturation; Fetal Hemoglobin Container Type Lavender top tube (EDTA) Specimen Type Whole blood and 2 fresh blood smears Preferred Volume 5 mL Minimum Volume 2.5 mL Specimen Processing Store and transport refrigerated. Refrigerated 7 days Unacceptable Condition Hemolyzed specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83021 Test Schedule Wed Turnaround Time 1 week Method HPLC Test Includes Hemoglobin F, %. Supply Item Number 1222

Billing Code Test Code [sunquest] HEMOGLOBIN S, QUANTITATIVE HGBS SQT Synonyms Quantitative Hemoglobin S; Quantitative Hgb S; % HB S Container Type Lavender top tube (EDTA) Specimen Type Whole blood and 2 fresh blood smears Preferred Volume 5 mL Minimum Volume 2.5 mL Specimen Processing Store and transport refrigerated. Refrigerated 7 days Unacceptable Condition Hemolyzed specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83021 Test Schedule Wed Turnaround Time 1 week Method HPLC Test Includes Hemoglobin S, %. Supply Item Number 1222

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Billing Code Test Code [sunquest] HEMOGLOBIN, QUANTITATIVE, PLASMA HGB.PLASMA PHGBQT Synonyms Plasma Hemoglobin Container Type Green top tube (lithium or sodium heparin). No SST or gel tubes. Store and Transport Store and transport frozen Specimen Type Frozen heparinized plasma Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Careful collection to avoid hemolysis is critical Specimen Processing Separate plasma from the cells. Spin plasma for an additional 10 minutes at 1600g. Carefully draw off the supernatant plasma with a transfer pipet and transfer it to a plastic tube and freeze. Frozen (-20°C) 3 weeks Unacceptable Condition Specimens drawn in anticoagulant other than heparin or EDTA and microtainers. Alternate Specimens EDTA plasma (lavender top tube) Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83051 Test Schedule Daily all shifts Turnaround Time 24-48 hours Method Spectrophotometry Test Includes Plasma Hemoglobin, mg/dL Supply Item Number 1411

Billing Code Test Code [sunquest] HEMOGLOBIN, URINE HGBU HGBU Container Type Leakproof plastic container Specimen Type Frozen urine Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 4 mL urine from a well-mixed random urine collection. Centrifuge sample prior to freezing, and send urine free from cells and other sediment. Put in leakproof plastic container and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 8 hours Frozen (-20°C) 1 month Alternate Specimens Refrigerated samples if received in performing laboratory within 8 hours of collection. Reference Laboratory ARUP Reference Lab Test Code 20221 CPT Codes 83069 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Spectrophotometry Test Includes Hemoglobin, Urine. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] HEMOGLOBINOPATHY/THALASSEMIA PANEL (REFLEXIVE) HGB.THAL.PAN HGTHAL EL This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Electrophoresis, Hemoglobin; Hemoglobin Electrophoresis; Hgb Electrophoresis; Thalassemia/Hemoglobinopathy Panel, (Reflexive) Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood and 2 fresh blood smears Preferred Volume 5 mL Minimum Volume 0.5 mL Required Patient Info Patient's date of birth Refrigerated 1 week Unacceptable Condition Hemolyzed specimens Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83021 Test Schedule Sun-Fri Turnaround Time 1 week Method Ion Exchange/HPLC Test Includes Hgb A2, %; Hgb F, %; Hgb Other; Hgb S (Relative), %; ZPP/Heme Ratio, mol/mol; Kleinhauer Betke Stain; Hemoglobin S Solubility; Monoclonal C; Citrate Gel Electrophoresis; Monoclonal E; Cellulose Electrophoresis; Unstable Hgb; Slide Interpretation; Interpretation; Reviewed By. Notes This is a consultative evaluation in which the case will be evaluated, the appropriate tests performed and the results interpreted. It will always include the Hgb A2 and the Hgb F slide review or interpretive report. Additional charges will be made for additional testing. It may include cellulose acetate electrophoresis, citrate agar electrophoresis at pH 6.5 and appropriate monoclonal antibody (Hgb S), isoelectric focusing, Zinc Protoporphyrins, a test for hereditary persistance of fetal hemoglobin (Kleihauer-Betke), a test for unstable hemoglobin, and peripheral slide review. Very complicated hemoglobin abnormalities may be referred. Supply Item Number 1222

Billing Code Test Code [sunquest] HEMOGLOBINOPATHY/THALASSEMIA SCREEN HGSCRN HGSCRN This test is only a screen. If a variant hemoglobin is detected, variant may be identified by ordering Hemoglobinopathy/Thalassemia Panel (Reflexive). Synonyms Hemoglobinopathy Screen; Thalassemia Screen Container Type Lavender top tube Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated. Refrigerated 1 week Unacceptable Condition Hemolyzed specimens. Department PSHMC-Hematology Department Reference Laboratory PSHMC CPT Codes 83021 Test Schedule Sun-Fri Turnaround Time 3 days Method HPLC Test Includes Hemoglobin A; Hemoglobin A2, %; Hemoglobin F, %; Other Hemoglobins Seen; Comment.

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Billing Code Test Code [sunquest] HEMOGRAM WITH PLATELET, AUTOMATED AUT AHEMP2 Synonyms Hemogram Container Type Lavender top tube (EDTA) Store and Transport Prefer specimen be stored and transported refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85027 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes WBC, K/uL; RBC, M/uL; HGB, g/dL; HCT, %; MCV, fL; MCH, pg; MCHC, g/dL; RDW. %; Platelet Count, K/uL Notes Appropriate comments are generated with reports if sample integrity is compromised. Microtainers must be filled to second mark. Supply Item Number 1222

Billing Code Test Code [sunquest] HEMOSIDERIN, URINE HSIDU HSIDU Separate samples must be submitted when multiple tests are ordered. Container Type Leakproof plastic urine container Store and Transport Frozen Specimen Type Random urine Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure First-morning collection is preferred Specimen Processing Aliquot 4 mL of a random urine specimen Room Temp 1 hour Refrigerated 24 hours Frozen (-20°C) 1 week Unacceptable Condition Specimens in preservatives Reference Laboratory ARUP Reference Lab Test Code 20222 CPT Codes 83070 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Semi-Quantitative Microscopy Test Includes Hemosiderin, Urine Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] HEPARIN ASSAY HEPARIN HEPASY Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity Specimen Processing Separate plasma from cells within 2 hours of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20C or lower. Store and transport frozen. Room Temp 2 hours Refrigerated 2 hours Frozen (-20°C) 1 month Unacceptable Condition Specimens that aren't double spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant). Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85520 Test Schedule Daily Turnaround Time 1-3 days Method Anti-Xa Chromogenic Test Includes Heparin Level, IU/mL. Notes Inappropriate sample collection and handling may lead to the release of platelet factor 4 (PF4) which is a potent inhibitor of heparin. Supply Item Number 1050

Billing Code Test Code [sunquest] HEPARIN INDUCED THROMBOCYTOPENIA ANTIBODY HITAR HITAR (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HIT; HAT; Heparin Induced Platelet Antibody; HIT Antibody Reflexive; Heparin Induced Thrombocytopenia Antibody Reflexive; Heparin Platelet Factor 4 Antibody Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 24 hours Refrigerated 24 hours Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, clotted and short sample considerably below 9:1 ratio Limitations Blood/anticoagulant ratio volume is critical Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 86022 Test Schedule Mon-Sat must be received in performing lab by 11:30 am. STAT testing must be approved by the Medical Director. Turnaround Time 1-2 days Method EIA Test Includes Heparin PF4 Screen, OD; Heparin PF4 IgG, OD; Heparin Dependence, %. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Heparin PF4 Screen Heparin PF4 IgG 86022 Positive Heparin PF4 IgG Heparin Dependence 86022

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Billing Code Test Code [sunquest] HEPARIN-DEPENDENT PLATELET ANTIBODY (SRA) - HDPAUH HDPAUH UNFRACTIONATED HEPARIN Synonyms Serotonin Release Assay (SRA); SRA-Porcine Heparin; SRA-UFH; SRA-Unfractionated Heparin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 year Reference Laboratory Blood Center of Wisconsin Reference Lab Test Code 5508 CPT Codes 86022 Test Schedule Mon-Sat Turnaround Time 3-5 days Method Serotonin Release Assay Compliance Remarks This test was developed and its performance characteristics determined by Blood Center of Wisconsin. It has not been cleared or approved by the FDA. However, the FDA has determined that such clearance or approval is not necessary. The test has been validated in house and is used for clinical purposes. It should not be regarded as investigational or for research. Our Laboratory is cerfified under the Clincial Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high complexity clinical laboratory testing. Notes The Blood Center of Wisconsin Blood Center strongly encourages clinicians to order SRA test with UFH only. SRA testing using UFH is more sensitive (i.e. better able to detect a heparin-dependent antibody) than SRA using LMWH, regardless of the type of heparin causing sensitization.

Billing Code Test Code [sunquest] HEPATIC FUNCTION PANEL HFPA HFPA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks when protected from light Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 80076 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic Test Includes Total Protein, g/dL; Albumin, g/dL; Bilirubin, Total, mg/dL; Bilirubin, Direct, mg/dL; Alkaline Phosphatase, U/L; AST(SGOT), U/L; ALT(SGPT), U/L Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS A DIAGNOSTIC PANEL (REFLEXIVE) HAVABP HAVABP This panel tests for anti-HAV Total and reflexes to anti-HAV IgM if the anti-HAV Total is reactive. The anti-HAV Total tests for IgG and IgM but does not differentiate between them and a reactive indicates either acute or remote past HAV infection. Anti-HAV IgM confirms acute HAV infection, however, if liver enzymes are normal and anti-HAV IgM is persistently positive, long term persistence of anti-HAV IgM is suggested. For suspected acute hepatitis A infection order anti-HAV IgM. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium or sodium heparin plasma Limitations Heparinized plasma is acceptable; however, it may increase the reactivity of HAVIgM in HAV Total reactive samples. Department PAML Immunochemistry CPT Codes 86708 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Antibody, Total; Interpretation Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Anti-HAV Total is reactive Hepatitis A Virus Antibody, IgM 86079

Billing Code Test Code [sunquest] HEPATITIS A VIRUS ANTIBODY, IGM HAVABM HAVABM Order this assay when acute hepatitis A infection is suspected. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma. Limitations Heparinized plasma is acceptable, however it may increase the reactivity of some samples. Department PAML Immunochemistry CPT Codes 86709 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Antibody, IgM Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS A VIRUS ANTIBODY, TOTAL HAVABT HAVAB This assay tests for IgG and IgM antibodies but does not differentiate between them. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA plasma, lithium, or sodium heparin Department PAML Immunochemistry CPT Codes 86708 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Antibody, Total Supply Item Number 1467

Billing Code Test Code [sunquest] HEPATITIS A, B, C (REFLEXIVE) ABCHEP ABCHEP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg and/or HBcore Total, while HBcore IgM may show increased reactivity. Department PAML Immunochemistry CPT Codes 86708, 87340, 86704, 86803 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Antibody, Total; Hepatitis A Virus Antibody, IgM; HBs Antigen Screen; HBs Antigen Confirmation; Hepatitis B Core Antibody, Total; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody Screen; Interpretation Notes If the HAV Total is positive, it will reflex to HAV IgM, and an additional charge will be added. If the HB Core Total is positive, it will reflex to HB Core IgM, and an additional charge will be added. Only the HCV Screen will be done;The HBsAG Confirmation will be done if indicated. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Anti-HAV Total is reactive Hepatitis A Virus Antibody, IgM 86709 Hepatitis B Core Antibody Total is reactive Hepatitis B Core Antibody, IgM 86705 HBsAg is Reactive HBsAG Confirmation 87341

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Billing Code Test Code [sunquest] HEPATITIS B CORE ANTIBODY, IGM HBCORE.IGM HBCABM Synonyms HB Core Antibody, IgM; Anti-HBC/IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma Limitations Heparinized plasma is acceptable, however it may increase the reactivity of some samples. Department PAML Immunochemistry CPT Codes 86705 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis B Core Ab, IgM Supply Item Number 1467

Billing Code Test Code [sunquest] HEPATITIS B CORE ANTIBODY, TOTAL HBCORET HBCAB This workpar does not reflex to IgM. Synonyms Hep B Core AB, Total; Hep B Core Antibody, Total Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, sodium heparin plasma Limitations Heparinized plasma is acceptable, however it may decrease the reactivity of some samples. Department PAML Immunochemistry CPT Codes 86704 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis B Core Antibody, Total Notes PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS B CORE ANTIBODY, TOTAL TO HEPATITIS B CORE HBCABR HBCABR IGM (REFLEXIVE) If the Hepatitis B Core Ab, Total is reactive, a Hepatitis B Core Ab, IgM will be done. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium or sodium heparin plasma Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBcore Total, while HBcore IgM may show increased reactivity. Department PAML Immunochemistry CPT Codes 86704 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis B Core Antibody, Total, Hepatitis B Core Antibody, IgM Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Hepatitis B Core Antibody Total is reactive Hepatitis B Core Antibody, IgM 86705

Billing Code Test Code [sunquest] HEPATITIS B E ANTIBODY ANTI-HBE HBEAB Synonyms HB E Antibody; Anti-HBe; HBeAb Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Plasma specimens and heparinized patients may produce false reactive results. Limitations Heparinized patients may produce false reactive results. Department PAML Special Immunology CPT Codes 86707 Test Schedule Mon-Fri Turnaround Time 1-3 days Method EIA Test Includes Hepatitis Be Antibody Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS B E ANTIGEN HBEAG HBEAG Synonyms HB E Antigen; HBeAg Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Plasma and heparinized patients may produce false reactive results. Limitations Heparinized patients may produce false reactive results. Department PAML Special Immunology CPT Codes 87350 Test Schedule Mon-Fri Turnaround Time 1-3 days Method EIA Test Includes HBeAg Supply Item Number 1467

Billing Code Test Code [sunquest] HEPATITIS B SURFACE ANTIBODY ANTI-HBS HBSAB Recommended test for the evaluation of vaccine induced immunity. Synonyms HB Surface Ab; Anti-HBS; HBsAb; Anti-HBs; HBsAgAb; Hepatitis Bs Antibody; Hep BsAb Titer Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma Limitations Heparinized plasma is acceptable, however it may lower the index value of some samples. Department PAML Immunochemistry CPT Codes 86706 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis B Surface Ab, IV Notes PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated reentry protocols, or for screening human cell, tissues and cellular tissue-based products. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS B SURFACE ANTIGEN (REFLEXIVE) HBSAG HBSAG HBsAg results will be confirmed by ICMA neutralization if indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HB Surface Antigen; HBsAg; HAA; Hepatitis Associated Antigen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 14 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, sodium or lithium heparin plasma specimens Limitations Heparinized plasma is acceptable, however it may decrease the reactivity of some samples. Department PAML Immunochemistry CPT Codes 87340 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes HBsAg Screen; HBsAg Confirmation if screen is reactive Notes PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HBsAg is Reactive HBsAG Confirmation 87341

Billing Code Test Code [sunquest] HEPATITIS B SURFACE ANTIGEN CONFIRMATION HBSAG.CONFIR HBSAGC M

Synonyms HB Surface Antigen Confirmation; HBsAg Confirmation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma specimens Limitations Heparinized plasma is acceptable; however, it may decrease the reactivity of some samples. Department PAML Immunochemistry CPT Codes 87341 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Neutralization Test Includes HBsAg Confirmation Notes PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS B VIRUS DNA QUANTITATIVE BY PCR, HIGHLY HBVRQT HBVRQT SENSITIVE

This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated specimen is required for molecular testing. This test is intended for use as an aid in management of HBV-infected individuals undergoing anti-viral therapy. The COBAS AmpliPrep/COBAS TaqMan HBV Test is not intended for use as a screening test for the presence of HBV in blood or blood products or as a diagnostic test to confirm the presence of HBV infection. Synonyms HBV DNA Quantification by Real-time PCR; HBV Viral Load; Hepatitis B by PCR Viral Load; HBV DNA Quant; Molecular; Hep B Container Type Lavender top tube (EDTA) Store and Transport Frozen. If transport greater than 7 days, freeze at -70C. Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for single test only. Recollection may be required if repeat testing is needed.) Specimen Processing Separate plasma from cells within 24 hours of collection and transfer to a separate polypropylene tube and freeze. Room Temp 3 days Refrigerated 1 week Frozen (-20°C) 6 weeks Frozen (-70°C) Indefinitely Unacceptable Condition Avoid repeated freeze/thaw cycles; whole blood; heparin; ACD plasma; samples frozen in gel separator tubes Alternate Specimens Serum (Serum separator tube (gold, brick, SST, or corvac); Separate serum from cells within 24 hours and transfer into a separate polypropylene tube and freeze. Store and transport frozen. Department PAML Virology CPT Codes 87517 Test Schedule Mon, Thu Turnaround Time 3-4 days Method RT-PCR; Ampliprep/Taqman HBV Test Test Includes HBV DNA Viral Load Result, LogIU/mL; HBV DNA Viral Load Result; IU/mL; HBV DNA Viral Load Comment Compliance Remarks This assay was peformed using the FDA approved Roche COBAS AmpliPrep/COBAS TaqMan HBV Test. Supply Item Number 1222 or 1467

Billing Code Test Code [sunquest] HEPATITIS B VIRUS GENOTYPING HBVGEA HBVGEA

Please submit most recent viral load and test date, if available. Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells within 24 hours of collection, transfer to a standard PAML aliquot tube and freeze. Room Temp 1 day on cells; 3 days separated Refrigerated 1 week Frozen (-20°C) 6 weeks Unacceptable Condition Heparinized specimens Alternate Specimens Pink (K2EDTA) or plasma preparation tube Reference Laboratory ARUP Reference Lab Test Code 2001567 CPT Codes 87912 Test Schedule Tue Turnaround Time 10-12 days Method Polymerase Chain Reaction/Sequencing Compliance Remarks This test is performed pursuant to a license agreement with Roche Molecular Systems, Inc. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test: however, FDA clearance or approval is not currently required for clinical use. The results are not inted to be used as the sole means for clinical diagnosis or patient management decisions. Notes This test may be unsuccessful if the HBV viral load is less than log 3.0 OR 1,000 IU/mL of plasma. Supply Item Number 1222

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Billing Code Test Code [sunquest] HEPATITIS C ANTIBODY HEP-C HCVAB This test is for the screen only. The confirmation is not done. Synonyms Anti-Hepatitis C; HCV; Anti-HCV Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma Department PAML Immunochemistry CPT Codes 86803 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Anti-HCV Notes PAML intends use of this assay for clinical diagnosis. This assay should not be used for cadaveric samples, blood donor screening, associated re-entry protocols, or for screening human cell, tissues and cellular tissue-based products. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS C VIRUS GENOTYPING BY PCR & LINE PROBE HCVGTY HCVGTY ASSAY (REFLEXIVE)

This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping Container Type Lavender top tube Store and Transport Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for single test only. Recollection maybe be required if repeat testing is needed.) Specimen Processing Separate plasma from cells within 6 hours of collection and transfer to a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. Room Temp Unstable Refrigerated 3 days Frozen (-70°C) 6 weeks Unacceptable Condition Whole blood, heparin, unfrozen, or ACD plasma samples; Do not allow samples to thaw. Alternate Specimens Serum (SST tube) handled same as plasma or frozen PPT tube Department PAML Virology CPT Codes 87522 Test Schedule Mon, Wed, Fri Turnaround Time 3-7 days Method PCR & Line Probe Genotyping (LIPA) Test Includes HCV Genotype by PCR & Line Probe Assay Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Notes Specimens sent to PAML for HCV Genotyping will first be tested for presence of HCV RNA by RTPCR. For specimens containing sufficient HCV RNA, the HCV Genotype by LiPA immunoblot will then be performed, and an additional charge will be added.

Specimen must have minimum of 100 IU/mL for valid genotype.

This assay incorporates DNA probes to detect the 6 major HCV genotypes (1-6) and their most common subtypes (1a, 1b, 2a/c, 2b, 3a, 3b, 4a through 4h, 5a, and 6a). Due to high conservation of the 5' un-translated region of the HCV genome, this test has limitations in differentiating subtype 1a from 1b. Therefore, these subtypes may be reported as genotype 1 without subtyping information. In rare instances, Type 6 virus may be misclassified as Type 1. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HCV viral load > 100 IU/mL Hep C Genotype Line Probe Assay 87902

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Billing Code Test Code [sunquest] HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA 3.0 HEPCQB HEPCQB

This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing. Synonyms HCV Viral Load; HCV Quant; HCV Branched Chain; HCV RNA Quantitative Evaluation by bDNA; Molecular Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen. Ship Category B Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL (Minimum volume allows for single test only. Recollection may be required if repeat testing is needed.) Specimen Processing Separate serum from cells aseptically within 4-6 hours by centrifugation at 800-1600 x g for 10-15 minutes. Transfer aseptically to a separate polyproplyene tube and freeze. Room Temp Unstable Refrigerated 2 days Frozen (-20°C) 3 days Frozen (-70°C) Indefinitely Unacceptable Condition Repeat freeze/thaw cycles; heparinized plasma Alternate Specimens EDTA or ACD plasma (lavender or yellow top tube) spun within 4 hours at 1000 x g for 10-15 minutes. Transfer plasma aseptically, immediately to sterile polypropylene tube and freeze. Store and transport frozen. PPT tube: centrifuge and freeze immediately. Do not refrigerate Limitations Avoid freeze/thaw cycles Department PAML Virology CPT Codes 87522 Test Schedule Test set up Tues/Thur AM, reported Wed/Fri AM, overnight incubation required Turnaround Time 2 days Method Branched Chain DNA Test Includes Hepatitis C Virus RNA Quantitative by bDNA Notes This test is useful to establish baseline viral load, predict therapeutic response, and guide duration of therapy. A negative result does not exclude low-level virema. Supply Item Number 1467 or 1222 or 1253

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Billing Code Test Code [sunquest] HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA REFLEX TO HCVBGT HCVBGT GENOTYPING

This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HCV RNA Quantification by branched chain DNA; HCV Viral Load; Hepatitis C bDNA Viral Load; HCV RNA Quant; Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping Container Type Lavender top tube Store and Transport Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for single test only. Recollection maybe be required if repeat testing is needed.) Specimen Processing Separate plasma from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. A dedicated sample is required for molecular testing. Room Temp Unstable Refrigerated 3 days Frozen (-70°C) 6 weeks Unacceptable Condition Whole blood, heparin, unfrozen, or ACD plasma samples; Do not allow samples to thaw. Alternate Specimens Serum (SST tube) handled same as plasma or frozen PPT tube Department PAML Virology CPT Codes 87522 Test Schedule Tue, Thu Turnaround Time 3-7 days Method Viral load by branched chain DNA and HCV Genotyping by Line Probe Assay. Test Includes Hepatitis C RNA Quantitative by bDNA 3.0, IU/mL; Hepatitis C RNA Quantitative by bDNA 3.0, Log10; HCV Genotype by PCR & Line Probe Assay Compliance Remarks This statement applies only to the genotype portion of this test. Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Notes Specimen must have minimum of 100 IU/mL HCV RNA for valid genotype. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Hepatitis C Virus detected HCV Genotype by PCR and Line Probe assay 87522, 87902

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Billing Code Test Code [sunquest] HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR , HIGHLY HCVPGT HCVPGT SENSITIVE, REFLEX TO GENOTYPING

This test cannot be ordered as a reflexive test on serum or plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HCV RNA Quantification by Real-time PCR; HCV Viral Load; Hepatitis C PCR Viral Load; HCV RNA Quant; Molecular; HCV Genotype by PCR & Probe; HCV Genotype; Hepatitis C Virus Genotyping Container Type Lavender top tube Store and Transport Ship Category B Specimen Type Frozen EDTA plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for single test only. Recollection maybe be required if repeat testing is needed.) Specimen Processing Separate plasma from cells within 6 hours of collection and place in a separate polypropylene tube and freeze. If transport is GT 3 days, freeze at -70C. A dedicated sample is required for molecular testing. Room Temp Unstable Refrigerated 3 days Frozen (-70°C) 6 weeks Unacceptable Condition Whole blood, heparin, unfrozen, or ACD plasma samples; Do not allow samples to thaw. Alternate Specimens Serum (SST tube) handled same as plasma Department PAML Virology CPT Codes 87522 Test Schedule Sun-Fri - HCV Viral Load; Mon, Wed, Fri - Genotype Turnaround Time 3-7 days Method PCR Ampliprep/TaqMan HCV Test & PCR/LiPA Test Includes Hepatitis C RNA Viral Load Result, LogIU/mL; Hepatitis C RNA Viral Load Result, IU/mL; HCV Genotype by PCR & Line Probe Assay. Compliance Remarks This statement applies only to the genotype portion of this test. Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Notes The lower limit of detection for HCV Genotype 1 is 7.1 IU/mL. Samples that have HCV RNA detected but below the limit of quantitation will be reported as 'HCV RNA Detected, LT 43 IU/mL'. Specimen must have minimum of 100 IU/mL for valid genotype. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Hepatitis C Virus detected > 100 IU/mL HCV Genotype by PCR and Line Probe assay 87902

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Billing Code Test Code [sunquest] HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR, HIGHLY HCVRQT HCVRQT SENSITIVE

This test cannot be ordered as a reflexive test on serum or plasma previously tested antibodies. A dedicated sample is required for molecular testing. Synonyms HCV RNA Quantification by Real-Time PCR; HCV PCR Viral Load; Hepatitis C Virus by PCR Viral Load; Molecular Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B Specimen Type Plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for a single test only. Recollection may be requested if repeat testing is needed.) Specimen Processing Separate plasma from the cells within 6 hours of collection and transfer to a separate polypropylene tube. If transport greater than 3 days, freeze at -70C. Room Temp Unstable Refrigerated 3 days before freezing Frozen (-70°C) 6 weeks Unacceptable Condition Whole blood specimens; heparinized specimens; unfrozen and ACD plasma specimens; do not allow specimens to thaw; samples frozen in gel-separator tubes Alternate Specimens Serum (Serum separator tube (gold, brick, SST, or corvac), separate from cells within 6 hours of collection and transfer to a separate polypropylene tube and freeze. Limitations Avoid freeze/thaw cycles Department PAML Virology CPT Codes 87522 Test Schedule Sun-Fri Turnaround Time 1-3 days Method PCR: Ampliprep/TaqMan HCV Test Test Includes Hepatitis C Virus RNA Quantitation Result, Log IU/mL; Hepatitis C Virus RNA Quantitation Result, IU/mL Notes Specimens received with less than minimum volume for testing will automatically be run with a dilution according to the guidelines below: --Specimens with 500 - 1000 µL will be diluted resulting in a modification of the quantitative range of the assay to 1.9 - 8.1 log IU/mL (86 - 138,000,000 IU/mL). --Specimens with 200 - 500 µL will be diluted resulting in a modification of the quantitative range of the assay to 2.3 - 8.5 log IU/mL) 215 - 345,000,000 IU/mL). Supply Item Number 1222 or 1467

Billing Code Test Code [sunquest] HEPATITIS D ANTIBODY, TOTAL HEPDAB HEPDAB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Delta Hepatitis Antibody, Total Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 24310 CPT Codes 86692 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method EIA Test Includes Hepatitis D Virus Antibody, Total. Compliance Remarks This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Focus Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1467

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Billing Code Test Code [sunquest] HEPATITIS DELTA ANTIGEN BY ELISA HDAGA HDAGA Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 1 hour of draw and put into separate plastic tube and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed, lipemic specimens, or thawed specimens Reference Laboratory ARUP Reference Lab Test Code 2006450 CPT Codes 87380 Test Schedule Varies Turnaround Time 4-9 days Method Enzyme-linked immunosorbent assay Test Includes Hepatitis Delta Antigen

Billing Code Test Code [sunquest] HEPATITIS E ANTIBODY, IGG HEABF HEABF Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 20171 CPT Codes 86790 Test Schedule Mon, Thu Turnaround Time 6-9 days Method ELISA Test Includes Hepatitis E Ab, IgG. Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnsotics. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] HEPATITIS E VIRUS ANTIBODIES, IGG & IGM HEVGMF HEVGMF Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 20173 CPT Codes 86790 x 2 Test Schedule Mon, Thu Turnaround Time 6-9 days Method ELISA Test Includes Hepatitis E Virus Ab, IgG; Hepatitis E Virus Ab, IgM; Interpretation. Compliance Remarks This test was developed and its performance characteristcs have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of the test.

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Billing Code Test Code [sunquest] HEPATITIS E VIRUS, IGM HEPEM HEPEM Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 20172 CPT Codes 86790 Test Schedule Varies Turnaround Time 6-9 days Method ELISA Test Includes Hepatitis E Virus IgM. Compliance Remarks This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Focus Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1467

Billing Code Test Code [sunquest] HEPATITIS PANEL, ACUTE (REFLEXIVE) HEPACU HEPACU Order this panel when the patient has clinical acute hepatitis of less than 6 months duration and the origin is unknown. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium, or sodium heparin plasma Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg, while HBcore IgM and/or HAV IgM may show increased reactivity. Department PAML Immunochemistry CPT Codes 80074 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Antibody, IgM; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody, IgM; Hepatitis C Antibody; Interpretation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HBsAg is Reactive HBsAG Confirmation 87341

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Billing Code Test Code [sunquest] HEPATITIS PANEL, CHRONIC (REFLEXIVE) HEPCHR HEPCHR

Order this panel when the patient has a past history (greater then 6 months) of hepatitis of unknown origin, or when evaluating a patient for abnormal liver enzymes of unknown etiology. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Grossly hemolyzed or grossly lipemic samples Alternate Specimens EDTA, lithium or sodium heparin plasma Limitations Heparinized plasma is acceptable, however in some samples it may decrease the reactivity of HBsAg, HBcore Total and/or HBsAb. Department PAML Immunochemistry CPT Codes 86708, 87340, 86704, 86706, 86803 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Hepatitis A Virus Total; Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis B Core Antibody; Hepatitis B Surface Antibody, IV; Hepatitis C Antibody Screen; Interpretation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Anti-HAV Total is reactive Hepatitis A Virus Antibody, IgM 86709 Hepatitis B Core Antibody Total is reactive Hepatitis B Core Antibody, IgM 86705

Billing Code Test Code [sunquest] HEPATITIS PANEL, HBV PROGNOSIS (REFLEXIVE) HBCHR HBCHR

Order this panel when the patient is known to have chronic hepatitis B infection. This panel determines the degree of infectivity and monitors for the development of immunity. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Alternate Specimens EDTA, lithium, or sodium heparin plasma Department PAML Immunochemistry CPT Codes 87340, 87350, 86707, 86706 Test Schedule Mon-Sat Turnaround Time 1-3 days Method ICMA Test Includes Hepatitis B Surface Antigen; Hepatitis B Surface Antigen Confirmation; Hepatitis Be Antigen; Hepatitis Be Antibody; Hepatitis B Surface Antibody, IV; Interpretation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HBsAg is Reactive HBsAG Confirmation 87341

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Billing Code Test Code [sunquest] HEPTIMAX® HCV RNA HEPTI HEPTI Separate samples must be submitted when multiple tests are ordered Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 5 mL plasma collected in two Lavendar top (EDTA) tubes Minimum Volume 3 mL(x2) Specimen Processing Separate serum or plasma from whole blood within 6 hours of collection by centrifugation at 800- 1600 x g for 20 minutes at room temperature. Transfer the plasma to a properly identified, sterile, polypropylene screw-cap vial. Room Temp unacceptable Refrigerated 2 days Frozen (-20°C) 6 weeks Unacceptable Condition Unspun PPT tube; received room temperature; Samples collected using heparin as anticoagulant Alternate Specimens Plasma collected in an PPT Potassium EDTA (white top); serum Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 10565N CPT Codes 87522 Test Schedule Sun-Fri Turnaround Time 7-8 days Method TaqMan® Real-Time PCR/TMA Test Includes Heptimax HCV RNA, IU/mL; Heptimax HCV RNA, LogIU/mL. Clinical Significance Predict response to antiviral therapy, differentiate lack of therapeutic response from partial therapeutic response, and demonstrate resolution of infection. Hepatitis C Virus (HCV) is a major causative agent for hepatitis. Supply Item Number 1222 will need 2 samples.

Billing Code Test Code [sunquest] HEREDITARY HEMOCHROMATOSIS HHPCR3 HHCPCR Due to the sensitivity of this test, submit the entire specimen in an unopened original collection tube. Synonyms HFE; Molecular Testing; Hemochromatosis Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL or a full EDTA microtainer Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old. Also specimens not received in the original collection tubes. Alternate Specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube) Limitations Do not freeze Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81256 Test Schedule Mon, Thu Turnaround Time 2-7 days Method PCR Test Includes Hereditary Hemochromatosis Result; Genotype; Interpretation; Comment Notes Test includes detection of C282Y, H63D, and S65C mutations Supply Item Number 1222

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS BY WESTERN BLOT HSVUWB HSVUWB

Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and refrigerate. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 2 months Alternate Specimens 1 mL CSF. If CSF is sent, it must be paired with concurrent serum. Reference Laboratory University of Washington CPT Codes 84181 Test Schedule Mon, Thu Turnaround Time 7-10 days Method Western Blot Test Includes Herpes Simplex Virus by Western Blot Source; Herpes Simplex Virus by Western Blot Result; Herpes Simplex Virus by Western Blot, Interpretation Compliance Remarks This test was developed and its performance characteristics determined by UW Medicine, Department of Laboratory Medicine. It has not been cleared or approved by the U.S. Food and Drug Administration. Supply Item Number 1467

Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS CULTURE HSVELV HSVELV This test will detect Herpes Simplex Virus only. If Varizella Zoster is suspected, please order VZHSFA or VIRCUL. This test should not be ordered on CSF samples, see Notes. Synonyms HSV Culture; Herpes; HSV Container Type See below Store and Transport Refrigerated Specimen Type Swab (flocked preferred) from mouth, vesicle or cervical/genital lesion or tissue biopsy in viral transport media (M4, M4-RT, M5, M6, Copan universal transport media ). Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Calcium alginate swabs, wood swabs, dry swabs or swabs in gel media, CSF, stool, urine and serum, or plasma. Also, swabs collected after application of creams, ointments, lotions, ice, alcohol, Betadine solutuion, zinc, or following sitz baths. Alternate Specimens Polyester or cotton swabs in M4 media (or other) Department PAML Virology CPT Codes 87255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ELVIS Shell Vial Culture Test Includes Source; HSV Culture; HSV Culture, Status Notes If Herpes simplex virus is isolated, a request for typing as HSV1 and HSV2 may be made by contacting PAML Client Services. There will be an additional fee charged for the typing. For CSF source, urine, or stool, order VIRCUL. For the most sensitive detection of Herpes simplex encephalitis, order Herpes Simplex Virus by PCR (HSVRTD). Specimen requirement: 1 mL CSF. This test is specific for Herpes simplex virus only. It cannot be used to determine presence or absence of other viruses. Supply Item Number 1785K

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS CULTURE & TYPING (REFLEXIVE) HSVETP HSVETP This test will detect Herpes Simplex Virus only. If Varizella Zoster is suspected, please order VZHSFA or VIRCUL. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HSV Culture and Typing; Herpes; HSV Container Type See below Store and Transport Refrigerated Specimen Type Swab (flocked preferred) from mouth, vesicle or cervical/genital lesion or tissue biopsy in viral transport media (M4, M4-RT, M5, M6, Copan universal transport media) Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Calcium alginate swabs, wood swabs, dry swabs, or swabs in gel media, and CSF, urine, stool, serum or plasma. Also, swabs collected after application of creams, ointments, lotions, ice, alcohol, Betadine solutuion, zinc, or following sitz baths. Alternate Specimens Polyester or cotton swabs in M4 media or other Department PAML Virology CPT Codes 87255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ELVIS Shell Vial Culture Test Includes Source; HSV Culture; HSV Culture, Status Notes If Herpes simplex virus is isolated, the isolate will be typed as HSV 1 or 2. There will be an additional fee charged for the typing. For CSF, urine, stool or source, order VIRCUL. For the most sensitive detection of Herpes simplex encephalitis, order Herpes Simplex Virus by PCR (HSVRTD). Specimen requirement: 1 mL CSF. This test is specific for Herpes simplex virus only. It cannot be used to determine presence or absence of other viruses. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HSV Isolated HSV Typing 87253 x 2

Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS I & II ANTIBODY, TYPE-SPECIFIC HERP I&II.IGG HSVG IGG-HERPESELECT® Synonyms HSV Type-Specific I & II Ab, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Heat treated, hemolyzed, lipemic, contaminated, or plasma specimens Department PAML Special Immunology CPT Codes 86696, 86695 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes HSV I IgG Type-Specific Antibody, IV; HSV II IgG Type-Specific Antibody, IV Notes This is the same assay that is performed at Focus.

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS I & II DETECTION AND HSVRTD HSVRTD DIFFERENTIATION BY RT-PCR

Not recommended for testing serum or plasma on patients older than 30 days unless viremia present. For routine screening of exposure order HSVG for HSV antibodies. Dedicated Specimen Only. Separate samples must be submitted when multiple tests are ordered. Synonyms HSV Detection and Differentation by Real-time PCR; HSV; Herpes; Molecular Container Type See below Store and Transport Frozen. Ship Category B Specimen Type See below Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure See below Specimen Processing 1 mL frozen CSF in sterile propolyene tube. Ocular fluid, or swabs from lesions frozen in viral transport media. Bronchial/BAL specimens submitted in an equal volume ratio of viral transport media (Remel M4, M4RT, M5, M6, BD Universal Transport Media). Required Patient Info Indicate source Room Temp 8 hours Refrigerated 24 hours except swabs in viral transport media - 3 days Frozen (-20°C) 3 months Unacceptable Condition CSF, serum or plasma samples older than 24 hours that have not been frozen, unsterile or leaking containers, heparinized or hemolyzed samples, amniotic fluid (see HSPCRA) Alternate Specimens Serum or EDTA plasma (sterile container, red or lavender top tube). Separate serum or plasma from the cells and transfer to a sterile polypropylene tube. Department PAML Virology CPT Codes 87529 x 2 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-time PCR Test Includes Source; Herpes Simplex Virus Type 1; Herpes Simplex Virus Type 2; Comment; Comment Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by PAML Laboratories. It has not been approved by the FDA. This test should not be regarded as investigational or for research use. Notes Not recommended for testing serum/plasma on patients older than 30 days, unless viremia present. For routine exposure screening, order HSVG for HSV antibodies. Supply Item Number 1766 1785K 1222

Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS IGG 1 & 2 DIFFERENTIATION BY HSVB12 HSVB12 IMMUNOBLOT-HERPSELECT Synonyms HSV; Herpes Simplex Virus; HerpeSelect, Type-Specific Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Heat-treated, hemolyzed, lipemic, contaminated, or plasma specimens Department PAML Virology CPT Codes 86695, 86696 Test Schedule Mon, Thu Turnaround Time 1-5 days Method Immunoblot Test Includes HSV 1&2 IgG Notes Useful in cases of interdeterminate HSV 1 & 2 IgG results. Recommend intial screen by HSVG. Supply Item Number 1467

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS IGM ANTIBODY HSVIGM HSVIGM Synonyms HSV, IgM Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Plasma, lipemic, hemolyzed, heat treated, or contaminated specimens Limitations Avoid multiple freeze/thaw cycles Department PAML Special Immunology CPT Codes 86694 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Herpes Simplex Virus IgM Antibody, OD Supply Item Number 1467

Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS PCR, AMNIOTIC FLUID HSPCRA HSPCRA

Synonyms HSV PCR, Amnotic Fluid; HSV Types 1 and Type 2 PCR, Amniotic Fluid Container Type Sterile leakpoof plastic container Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen amniotic fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Required Patient Info Specimen source Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Nonsterile or leaking containers. Heparinized samples Reference Laboratory ARUP Reference Lab Test Code 0060041 CPT Codes 87529 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Qualitative PCR Test Includes HSV Source; HSV by PCR. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS TYPE-SPECIFIC 1 IGG- HSV1G HSV1G HERPESELECT® Synonyms HSV Type-Specific I IgG Ab; HSV Type Specific IgG Herpeselect Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Plasma, lipemic, contaminated, hemolyzed, or heat inactivated specimens; avoid multiple freeze/thaw cycles Department PAML Special Immunology CPT Codes 86695 Test Schedule Mon-Sat Turnaround Time 1-3 Method EIA Test Includes Herpes Simplex Virus I IgG, IV Supply Item Number 1467

Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS TYPE-SPECIFIC 2 IGG- HSV2G HSV2G HERPESELECT® Synonyms HSV Type-Specific 2 IgG Ab; HSV Type Specific IgG 2 Herpeselect® Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Plasma, lipemic, contaminated, hemolyzed, or heat inactivated specimens; avoid multiple freeze/thaw cycles Department PAML Special Immunology CPT Codes 86696 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Herpes Simplex Virus 2 IgG, IV Supply Item Number 1467

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Billing Code Test Code [sunquest] HERPES SIMPLEX VIRUS TYPE-SPECIFIC I & II IGG- HSGM HSGM HERPESELECT® & HERPES SIMPLEX VIRUS IGM ANTIBODY Synonyms HSV Type-Specific I &II IgG & IgM Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Plasma, lipemic, contaminated, hemolyzed, or heat inactivated specimens; avoid multiple freeze/thaw cycles Department PAML Special Immunology CPT Codes 86695, 86696, 86694 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Herpes Simplex Virus I IgG Type-Specific Antibody, IV; Herpes Simplex Virus II IgG Type-Specific Antibody, IV; Herpes Simplex Virus IgM Antibody, OD Supply Item Number 1467

Billing Code Test Code [sunquest] HERPESVIRUS 6 ANTIBODY, IGG HER6AB HER6AB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms HHV6; Roseola Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Paired sera advised. Label acute and convalescent samples accordingly. Convalescent samples must be received within 30 days of acute sample. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Lipemic, hemolyzed, contaminated, or heat-inactivated samples Alternate Specimens Serum (red top tube) Reference Laboratory ARUP Reference Lab Test Code 65288 CPT Codes 86790 Test Schedule Tue, Thu Turnaround Time 2-7 days Method ELISA Test Includes Herpesvirus 6 Antibody, IgG. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S. Food & Drug Administration has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to performhigh-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] HERPESVIRUS 6 ANTIBODY, IGG & IGM HEV6GM HEV6GM Synonyms Roseola Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40540 CPT Codes 86790 x 2 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Immunofluorescence Assay Test Includes Herpesvirus 6 Antibody, IgG; Herpesvirus 6 Antibody, IgM; Interpretation Compliance Remarks This assay was developed and its performance characteristics determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of this test. Supply Item Number 1467

Billing Code Test Code [sunquest] HERPESVIRUS 6 DNA, PCR HHV6PC HHV6PC Container Type ACD (yellow-top) tube or lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood or plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Plasma sample; separate plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp Whole blood: 2 days, Plasma: 2 days Refrigerated Whole blood: 1 week, Plasma: 1 week Frozen (-20°C) Whole blood: Unacceptable, Plasma: 1 month Unacceptable Condition Specimen containing heparin, leaking or broken containers Alternate Specimens 1 mL (minimum 0.3 mL) serum, CSF, bone marrow (EDTA, ACD) bronchoalveolar lavage, amniotic fluid or frozen tissue. Reference Laboratory Focus Reference Lab Test Code 43160 CPT Codes 87532 Test Schedule Daily Turnaround Time 2-3 days Method Real-Time PCR Test Includes Herpesvirus 6 DNA Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of the test. This test is performed pursuant to a license agreement with Roche Molecular Systems, Inc. Supply Item Number 1055, 6039, 1222

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Billing Code Test Code [sunquest] HERPESVIRUS 7 IGG AND IGM ANTIBODY PANEL HSV7AP HSV7AP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40543 CPT Codes 86790 x 2 Test Schedule Thu Turnaround Time 2-8 days Method Indirect Fluorescent Antibody Compliance Remarks This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Focus Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Billing Code Test Code [sunquest] HEXAGONAL PHOSPHOLIPID NEUTRALIZATION TEST HPNT HPNT Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Limitations Heparin levels greater than 1IU/mL may interfere. Direct Thrombin Inhibitors (hirudin, argatroban) may interfere in the test and lead to false positives. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85598 Test Schedule Sun-Fri Turnaround Time 1-2 days Method Electromechanical (clot based) Test Includes Hexagonal Phospholipid Neutralization

Billing Code Test Code [sunquest] HIGH DENSITY LIPOPROTEIN HDL HDL Synonyms HDL Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Patient should be fasting 12 hours prior to collection Specimen Processing Separate serum from cells within 2 hours of collection and and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83718 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Elimination/Enzymatic Test Includes HDL, mg/dL; LDL (Calculated), mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] HIGH MOLECULAR WEIGHT KININOGEN ASSAY (HMW FITGZ FITGZ KININOGEN) Synonyms HMW Kininogen; Fitzgerald Factor Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Specimen Processing Separate plasma from cells and place in 2 separate plastic tubes and freeze. Reference Laboratory Esoterix Coagulation Reference Lab Test Code 500460 CPT Codes 85293 Test Schedule Once a week Turnaround Time 2-10 days Method Clot Test Includes HMW Kininogen Assay, % Supply Item Number 1050

Billing Code Test Code [sunquest] HIGH SENSITIVITY C-REACTIVE PROTEIN HCRP HCRP Synonyms hsCRP; High Sensitivity CRP, Cardiac CRP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Frozen plasma samples Alternate Specimens EDTA, lithium heparin, or sodium heparin plasma (lavender or green top tubes) Limitations Very lipemic or turbid samples should be clarified by centrifugation. Department PAML Immunology CPT Codes 86141 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes High Sensitivity CRP, mg/L Supply Item Number 1467

Billing Code Test Code [sunquest] HIGH SENSITIVITY C-REACTIVE PROTEIN & CHOLESTEROL HCRPP HCRPP PROFILE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 5 days Frozen (-20°C) 3 months Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Immunology, PAML Chemistry CPT Codes 86141, 82465, 83718 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic, Nephelometry Test Includes High Sensitivity CRP, mg/L; Cholesterol, mg/dL; HDL, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] HISTAMINE HIST HIST This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Green top tube (sodium heparin) Store and Transport Store and transport frozen Specimen Type Frozen whole blood Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Freeze whole blood in separate plastic tube. Room Temp 2 hours Refrigerated 24 hours Frozen (-20°C) 2 weeks Unacceptable Condition Non-frozen specimens Alternate Specimens EDTA frozen whole blood (lavender top tube). Test will be run with a disclaimer due to specimen type. Reference Laboratory ARUP Reference Lab Test Code 70037 CPT Codes 83088 Test Schedule Mon, Thu Turnaround Time 2-6 days Method EIA Test Includes Histamine, nmol/L. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1398

Billing Code Test Code [sunquest] HISTAMINE, PLASMA HISTP HISTP Separate samples must be submitted when multiple tests are ordered. Critical frozen Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Collect in a pre-chilled tube and on ice. Specimen Processing Centrifuge refrigerated and separate upper two-thirds of plasma within 20 minutes. Transfer to a standard PAML aliquot tube and freeze. CRITICAL FROZEN. Room Temp 1 hour Refrigerated 6 hours Frozen (-20°C) 6 months Unacceptable Condition Non-frozen or hemolyzed specimens Alternate Specimens Pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0070036 CPT Codes 83088 Test Schedule Tue, Sat Turnaround Time 2-6 days Method Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Histamine, Plasma, nmol/L Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1222

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Billing Code Test Code [sunquest] HISTAMINE, URINE HIST-U HISTUR This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type 24-hour dark plastic urine container Store and Transport Store and transport frozen Specimen Type Frozen 24-hour or random urine collection Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour or random urine collection in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed 24-hour or random urine collection in a leakproof plastic urine container and freeze. Record total volume and collection period. Required Patient Info Record total volume and collection interval on transport tube and test request form. Room Temp Unacceptable Refrigerated 24 hours Frozen (-20°C) 6 weeks Unacceptable Condition Room temperature samples Alternate Specimens Samples preserved with HCl if frozen immediately Reference Laboratory ARUP Reference Lab Test Code 0070038 CPT Codes 83088 Test Schedule Mon, Thu Turnaround Time 2-6 days Method EIA Test Includes Collection Period, h; Volume, mL; Creatinine, Urine, mg/dL; Histamine, Urine, nmol/L; Histamine, Urine, nmol/g. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1108

Billing Code Test Code [sunquest] HISTONE ANTIBODY HISTONE HISTOG Synonyms Histone Reactive ANA; HRANA; Anti-Histone Reactive ANA Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma or urine, lipemic, contaminated or grossly hemolyzed samples. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0050860 CPT Codes 83516 Test Schedule Mon, Wed-Sat Turnaround Time 3-5 days Method ELISA Test Includes Histone Antibody (Hrana), Units. Supply Item Number 1467

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Billing Code Test Code [sunquest] HISTOPLASMA ANTIBODY HISTO.CF HISCF Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic or contaminated specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50625 CPT Codes 86698 x 2 Test Schedule Sun-Fri Turnaround Time 3-5 days Method CF Test Includes Histoplasma Antibody Mycelial, Titer; Histoplasma Antibody Yeast, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] HISTOPLASMA ANTIBODY PANEL HISABP HISABP Acute and convalescent samples advised. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic or contaminated samples. Reference Laboratory ARUP Reference Lab Test Code 50627 CPT Codes 86698 x 3 Test Schedule Sun-Fri Turnaround Time 3-5 days Method CF/ID Test Includes Histoplasma Ab Mycelia, CF; Histoplasma Ab Yeast, CF; Histoplasma Ab, ID. Supply Item Number 1467

Billing Code Test Code [sunquest] HISTOPLASMA ANTIGEN HISAG HISAG Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Identify source if other than serum. Room Temp 24 hours Refrigerated 2 weeks Frozen (-20°C) Indefinitely Alternate Specimens Urine, plasma, CSF or BAL fluid or other sterile body fluid. Reference Laboratory MiraVista Reference Lab Test Code 90019 CPT Codes 87385 Test Schedule Mon-Fri Turnaround Time 3-7 days Method EIA Test Includes Histoplasma Antigen, ng/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] HISTOPLASMA PRECIPITIN ANTIBODY HISTO.AB HISID Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma specimens. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50174 CPT Codes 86698 Test Schedule Sun-Fri Turnaround Time 3-5 days Method Immunodiffusion Test Includes Histoplasma Precipitin Antibody. Supply Item Number 1467

Billing Code Test Code [sunquest] HLA B27 (REFLEXIVE) HLA B27 HLAB27 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Yellow top tube (ACD type A) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 2 mL Room Temp 3 days Unacceptable Condition EDTA whole blood (lavender top tube), serum, heparin gel tubes. REFRIGERATED OR FROZEN SPECIMENS (even for short periods of time) ARE UNACCEPTABLE. Alternate Specimens Sodium or lithium heparin whole blood (green top tube), 48 hour stability on heparin tubes Limitations On Saturday, specimens must arrive by 11 AM. Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 86812 Test Schedule Mon-Sat by 11am Turnaround Time 2-4 days Method Flow Cytometry Test Includes HLA-B27 Notes If result is 'indeterminate,' specimen will be sent to a reference laboratory for confirmation by Molecular-SSP. A fee will be added. Refrigeration or freezing (even for short periods) renders the sample unacceptable. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Result is indeterminate HLA B27 confirmation 86812 HLAB27.CONFIRM

Billing Code Test Code [sunquest] HLA-A GENOTYPE HLAGT HLAGT Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5.0 mL Minimum Volume 3.0 mL Room Temp 3 days Refrigerated 7 days Frozen (-20°C) Unacceptable Unacceptable Condition Specimens collected in green top tube (sodium or lithium heparin) Alternate Specimens Pink (K2EDTA) or Yellow (ACD solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2006984 CPT Codes 81380 Test Schedule Mon-Fri Turnaround Time 5-9 days Method PCR/Sequence Oligonucleotide Probe Hybridization Test Includes HLA Class I, Locus A*, Allele 1; HLA Class I, Locus A*, Allele 2; HLA-A Genotype Interpretation

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Billing Code Test Code [sunquest] HLA-B 1502 TYPING HL1502 HL1502 Container Type Yellow top tube A or B Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 10 mL Minimum Volume 5 mL Specimen Processing Do not spin Room Temp 1 week Refrigerated 1 week Frozen (-20°C) unacceptable Unacceptable Condition Hemolyzed, plasma, or frozen samples Reference Laboratory Quest Reference Lab Test Code 40045X CPT Codes 81381 Test Schedule Mon-Fri Turnaround Time 11-13 days Method PCR/Sequence Specific Probes Test Includes HLA-B 1502 Typing Results; Reviewed by Supply Item Number 1055

Billing Code Test Code [sunquest] HLA-B GENOTYPE HLBGT HLBGT Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5.0 mL Minimum Volume 3.0 mL Room Temp 3 days Refrigerated 7 days Frozen (-20°C) Unacceptable Unacceptable Condition Specimens collected in green top tube (sodium or lithium heparin) Alternate Specimens Pink (K2EDTA) or yellow (ACD solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2006986 CPT Codes 81380 Test Schedule Mon-Fri Turnaround Time 5-9 days Method PCR/Sequence Specific Oligonucleotide Probe Hybridization Test Includes HLA Class I, Locus B*, Allele 1; HLA Class I, Locus B*, Allele 2; HLA-B Genotype Interpretation

Billing Code Test Code [sunquest] HLA-C GENOTYPE HLCGT HLCGT Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5.0 mL Minimum Volume 3.0 mL Room Temp 3 days Refrigerated 7 days Frozen (-20°C) Unacceptable Unacceptable Condition Specimens collected in green top tube (sodium or lithium heparin) Alternate Specimens Pink (K2EDTA) or Yellow (ACD solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2006988 CPT Codes 81380 Test Schedule Mon-Fri Turnaround Time 7-10 days Method PCR/Sequence Specific Oligonucleotide Probe Hybridization Test Includes HLA Class I, Locus Cw*, Allele 1; HLA Class I, Locus Cw*, Allele 2; HLA-C Genotype Interpretation

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Billing Code Test Code [sunquest] HLA-DQB GENOTYPING HLADQB HLADQB Additional CPT modifiers may be required for procedures performed to test for oncologic or inherited disorders. Synonyms Celiac Disease Container Type EDTA (lavender top tube) or K2EDTA (pink top tube) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 3 mL Required Patient Info HLA test request form and Consent Form are recommended Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Sodium or Lithium heparin whole blood (green top tube) Alternate Specimens 10 mL ACD A or B whole blood (yellow top tube) Reference Laboratory ARUP Reference Lab Test Code 2002810 CPT Codes 81382 Test Schedule Mon-Fri Turnaround Time 5-8 days Method PCR/Sequence specific Oligo probe Test Includes Class II locus DQB, Allele 1, Class II locus DQB, Allele 2, HLA-DQ Oligotyping Interp Supply Item Number 1222 (2) and 1055

Billing Code Test Code [sunquest] HLA-DR GENOTYPING HLADRG HLADRG Container Type Lavender top tube Store and Transport Ambient (room temperature) Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 3 mL Required Patient Info HLA Test Request Form Recommended. Counseling & informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Lithium or sodium whole blood (green top tubes) Alternate Specimens K2EDTA or ACD Solution A or B whole blood (pink or yellow top tubes) Reference Laboratory ARUP Reference Lab Test Code 2002798 CPT Codes 81382 Test Schedule Mon-Fri Turnaround Time 5-9 days Method PCR/Sequence Specific Oligonucleotide Probe Hybridization Test Includes HLA Class II, Locus DRB1*, Allele 1; HLA Class II, Locus DRB1*, Allele 2; HLA-DR Genotyping Interpretation Notes Order this test for single antigen HLA-DR identification. Please specify antigens. Refer to HLA-DQB Genotyping for single antigen HLD-DQB identification.

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Billing Code Test Code [sunquest] HNPCC/LYNCH SYNDROME (MSH2) SEQUENCING DELETION & MSH2A MSH2A DUPLICATION Synonyms HNPCC/Lynch Syndrome (MSH2) Sequencing & Deletion/Duplication; Lynch Syndrome (MSH2) Full Gene Analysis; MSH2 Sequencing & Deletion/Duplication Container Type Lavender top tube Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Required Patient Info Source, Genetic consent form recommended Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Frozen samples Alternate Specimens K2EDTA, ACD, A or B whole blood (pink or yellow top tube) Reference Laboratory ARUP Reference Lab Test Code 0051654 CPT Codes 81295, 81297 Test Schedule Varies Turnaround Time Within 35 days Method PCR Test Includes MSH2 Specimen; MSH2 Full Gene Analysis Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intented to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] HNPCC/LYNCH SYNDROME (MSH6) SEQUENCING DELETION & MSH6AR MSH6AR DUPLICATION Synonyms HNPCC/Lynch Syndrome (MSH6) Sequencing & Deletion/Duplication; Lynch Syndrome (MSH6) Full Gene Analysis; MSH6 Sequencing & Deletion/Duplication; MSH6 Full Gene Analysis Container Type Lavender top tube Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Required Patient Info Counseling and genetic form recommended Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Frozen samples Alternate Specimens K2EDTA, ACD, A or B whole blood (pink or yellow top tube) Reference Laboratory ARUP Reference Lab Test Code 0051656 CPT Codes 81298, 81300 Test Schedule Varies Turnaround Time Within 35 days Method PCR/Seq/Dup/Del Test Includes MSH6 Full Gene Analysis Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intented to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 1222

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Billing Code Test Code [sunquest] HOMOCYSTEINE, CARDIAC RISK HOMCY HOMCY Container Type Green top tube (lithium heparin) Store and Transport Store and transport refrigerated Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Place tube on ice immediately after drawing Specimen Processing Centrifuge immediately after collection and separate plasma from cells and place in separate plastic tube. If immediate centrifugation is not possible, specimen should be kept on ice and centrifuged within one hour. Room Temp 4 days (plasma) Refrigerated 3 weeks (plasma) Frozen (-20°C) 1 year (plasma) Unacceptable Condition EDTA plasma is not an acceptable sample type Alternate Specimens Serum Limitations Hemolyzed or turbid specimens or severely lipemic specimens are not recommended Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83090 Test Schedule Mon-Sun Turnaround Time 1-2 days Method Enzymatic Test Includes Homocysteine, umol/L Notes Specimens not placed on ice immediately may exhibit a 10-20% increase in concentration. Supply Item Number 1594

Billing Code Test Code [sunquest] HOMOCYSTINE, URINE 24HR HOMO-U HOMOUQ Container Type 24-hour dark plastic urine container Store and Transport Frozen Specimen Type Frozen 24-hour urine collection Preferred Volume 5 mL Minimum Volume 3 mL Patient Prep Ascorbic acid interferes with this assay. Patients should abstain from Vitamin C ingestion 48 hours prior to specimen collection. Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record total volume. Required Patient Info Record total volume and collection time interval on transport tube and request form. Room Temp Unacceptable Refrigerated 24 hours Frozen (-20°C) 1 month Unacceptable Condition Samples with acid or other preservatives or pH LT 5 or GT 8 are unacceptable. Limitations Large amounts of hemoglobin or blood can interfere with quantitation. Reference Laboratory ARUP Reference Lab Test Code 80413 CPT Codes 83090 Test Schedule Mon Turnaround Time 3-11 days Method Spectrophotometric Test Includes Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Homocystine, Urine, mg/L; Homocystine, Urine, mg/g Cr; Homocystine, Urine, mg/d Notes Ascorbic acid interferes with this assay. Random samples are reported as HOMO/CREA Ratios. For timed specimens other than 24 hours, the result will be extrapolated to represent a 24 hour time period. Reference range may not apply. Supply Item Number 1108

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Billing Code Test Code [sunquest] HOMOVANILLIC ACID (HVA) URINE HVAA HVAA Synonyms 3-Methoxy-4-Hydroxy Phenylacetic Acid (Homovanillic Acid (HVA), Urine); HVA (Homovanillic Acid (HVA), Urine) Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type 24 hour or random urine Preferred Volume 4 mL Minimum Volume 1 mL Patient Prep Abstain from medications for 72 hours prior to collection Collection Procedure 24-hour or random urine. Refrigerate 24-hour specimens during collection. Specimen Processing Aliquot 4 mL from a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and collection time interval on transport tube and test request form. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition Specimen types other than urine Reference Laboratory ARUP Reference Lab Test Code 80422 CPT Codes 83150 Test Schedule Tue-Sun Turnaround Time 2-4 days Method Quantitative High Performance Liquid Chromatography Notes Moderately elevated HVA (homovanillic acid) may be caused by a variety of factors such as essential hypertension, intense anxiety, intense physical exercise, and numerous drug interactions (including some over-the-counter medications and herbal products).

Medications which may interfere with catecholamines and their metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, chlorpromazine, clonidine, disulfiram, diuretics (in doses sufficient to deplete sodium), epinephrine, glucagon, guanethidine, histamine, hydrazine derivatives, imipramine, levodopa (L-dopa, Sinemet®), lithium, MAO inhibitors, melatonin, methyldopa (Aldomet®), morphine, nitroglycerin, nose drops, propafenone (Rythmol), radiographic agents, rauwolfia alkaloids (Reserpine), and vasodilators. The effects of some drugs on catecholamine metabolite results may not be predictable.

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Billing Code Test Code [sunquest] HPV HIGH RISK, REFLEX TO HPV GENOTYPE 16/18 IF HPV HPVWGT HPVWGT POSITIVE (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. This test is a lab developed test. For further information, see the Compliance Remarks section below. Synonyms Human Papilloma Virus; HPV; Molecular; Condyloma; Genital Warts; HPV RNA, High Risk, E6/E7; ThinPrep; SurePath; PAP Container Type ThinPrep® or SurePath® Store and Transport Ambient (room temperature) Specimen Type Liquid Based Cytology Specimen Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Cervical and endocervical samples collected using the ThinPrep® or SurePath® specimen transport media. Room Temp ThinPrep® 18 weeks; Surepath® 3 weeks Refrigerated ThinPrep® 18 weeks; Surepath® 3 weeks Unacceptable Condition Samples in EIA transport media, wooden swabs, and male samples. Frozen ThinPrep® or SurePath® specimens; cervical biopsies; Digene Cervical Sampler Limitations This test does not detect DNA of HPV low-risk types (e.g. 6, 11, 42, 43, 44) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87621 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Polymerase Chain Reaction Test Includes HPV High Risk DNA (14 high risk types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68), and, if positive, 16/18 Genotyping Clinical Significance Studies have shown an association between certain HPV genotypes and some anogenital diseases. HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68 make up the 'high risk' group and are associated with cervical carcinoma and its characteristic lesions; cervical atypia, severe dysplasia, cervical introepithelial neoplasi (CIN), and carcinoma in situ. The HPV test should only be used to augment existing methods for the detection of cervical disease and results interpreted in conjunction with relevant clinical information from other diagnostic and screening tests, physical examinations and full medical history. Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes HPV High Risk Other includes any one of, or combination of, the following high risk HPV types: 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes HPV HR positive Human Papilloma Virus, Genotype 87621 x 2 BHPVGT 16/18

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Billing Code Test Code [sunquest] HU, YO, AND RI ANTIBODIES WITH REFLEX TO TITERS AND HUYORI HUYORI WESTERN BLOT This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Paraneoplastic; Anti-Neuronal Antibodies Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.6 mL Patient Prep Overnight fasting is preferred Specimen Processing Separate serum from cells put in separate plastic tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 3 weeks Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 90138 CPT Codes 86255 x 3 Test Schedule Mon, Wed, Fri Turnaround Time 4-7 days Method Immunofluorescence Assay Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Hu Ab, IFA is positive Hu Ab, Western Blot 84181 If Hu Ab, Western Blot is positive Hu Ab Titer 86256 If Yo Ab, IFA is positive Yo Ab Western Blot 84181 If Yo Ab, Western Blot is positive Yo Ab Titer 86256 If Ri Ab, IFA is positive Ri Ab, Western Blot 84181 If Ri Ab, Western Blot is positive Ri Ab Titer 86256

Billing Code Test Code [sunquest] HU, YO, RI ANTIBODIES WITH REFLEX TO TITERS AND HYRCSF HYRCSF WESTERN BLOT, CSF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Paraneoplastic; Anti-Neuronal Antibodies Container Type CSF plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 2.4 mL Minimum Volume 1.5 mL Patient Prep Overnight fasting is preferred Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Received room temperature Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 90122 CPT Codes 86255 x 3 Test Schedule Mon, Wed, Fri Turnaround Time 4-6 days Method Immunofluorescence Assay Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Hu Ab, IFA, CSF is positive Hu Ab, Western Blot CSF 84181 If Hu Ab, Western Blot, CSF is positive Hu Ab Titer CSF 86256 If Yo Ab, IFA, CSF is positive Yo Ab Western Blot, CSF 84181 If Yo Ab, Western Blot, CSF is positive Yo Ab Titer CSF 86256 If Ri Ab, IFA, CSF is positive Ri Ab, Western Blot CSF 84181 If Ri Ab, Western Blot, CSF is positive Ri Ab Titer CSF 86256

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Billing Code Test Code [sunquest] HUMAN ANTI-MOUSE ANTIBODY (HAMA) HAMAF HAMAF Synonyms HAMA Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory FOCUS Reference Lab Test Code 41882 CPT Codes 83520 Test Schedule Thu Turnaround Time 2-9 days Method ELISA Test Includes Human Anti-Mouse Antibody, ng/mL;

Billing Code Test Code [sunquest] HUMAN EPIDIDYMIS PROTEIN 4 (HE4) EPIP4A EPIP4A Synonyms HE4; Human HE4 Antigen; Ovarian Cancer Monitoring Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen. Separate samples must be submitted when multiple tests are ordered. Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 4 hours Refrigerated 3 days Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens Alternate Specimens Plain red top tube Reference Laboratory ARUP Reference Lab Test Code 2003020 CPT Codes 86305 Test Schedule Thu, Sun Turnaround Time 2-8 days Method EIA Test Includes Human Epididymis Protein 4, pmol/L Notes Ordering Recommendation: Not a stand-alone tumor marker for ovarian cancer screening or diagnosis. May be used with CA-125 to monitor epithelial ovarian cancer post therapy if pretreatment levels were elevated. Do not use in mucinous or germ-cell ovarian cancer. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE HGH HGH Use this workpar when A SINGLE HGH TEST is ordered. Synonyms HGH; Growth Hormone, Somatotropin Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times. Alternate Specimens Heparin plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 1 HGH.S1 GH1 Use this workpar to order the first HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times Alternate Specimens Heparin plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #1, ng/mL; HGH, Time 1. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 2 HGH.S2 GH2 Use this workpar to order the second HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Alternate Specimens Heparin plasma (green top tube). Freeze/thaw no more than 2 times. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #2, ng/mL; HGH, Time 2. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 3 HGH.S3 GH3 Use this workpar for ordering the third HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens.Freeze/thaw no more than 2 times. Alternate Specimens Heparin plasma (green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #3, ng/mL; HGH, Time 3. Supply Item Number 1467

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Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 4 HGH.S4 HGH4 Use this workpar for ordering the fourth HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times. Alternate Specimens Heparin plasma (green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #4, ng/mL; HGH, Time 4. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 5 HGH.S5 HGH5 Use this workpar for ordering the fifth HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times. Alternate Specimens Heparin plasma (lavender or grren top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #5, ng/mL; HGH, Time 5. Supply Item Number 1467

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Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 6 HGH.S6 HGH6 Use this workpar for ordering the sixth HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times Alternate Specimens Heparin plasma (green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #6, ng/mL; HGH, Time 6. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 7 HGH.S7 HGH7 Use this workpar for ordering the seventh HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times. Alternate Specimens Heparin (green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #7, ng/mL; HGH, Time 7. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN GROWTH HORMONE, SAMPLE 8 HGH.S8 HGHP8 Use this workpar for ordering the eighth HGH when multiple specimens are collected. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 250 uL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Note medication. Store and transport frozen. Required Patient Info Medication. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed or lipemic specimens. Freeze/thaw no more than 2 times. Alternate Specimens Heparin (green top tube). Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83003 Test Schedule Mon-Fri days Turnaround Time 2-5 days Method ICMA-BCI DxI 600 Test Includes HGH, #8, ng/mL; HGH, Time 8. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 575 H 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory H

Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRA SENSITIVE HIVUS HIVUS VIRAL LOAD BY PCR

This test cannot be ordered as a reflexive test on plasma samples previously tested for antibodies. A dedicated sample is required for molecular testing. Synonyms HIV1 Viral Load; Molecular; HIV Ultra Sensitive; HIV RNA Quant Container Type Lavender top tube (EDTA) Store and Transport Frozen. Ship Category B Specimen Type Frozen plasma Preferred Volume 3 mL Minimum Volume 1.5 mL (Minimum volume allows for a single test only. Recollection may be requested if repeat testing is needed.) Collection Procedure All plasma specimens must be spun and aliquoted into separate sterile polypropylene tubes and frozen. Specimen Processing Separate plasma from cells within 6 hours of collection and transfer to a separate polypropylene tube and freeze. Room Temp 1 day Refrigerated 5 days Frozen (-20°C) 1 month Frozen (-70°C) Indefinitely Unacceptable Condition Nonfrozen samples, samples exposed to repeated freeze/thaw cycles, serum, heparinized samples, and samples transported in a PPT tube (aliquot plasma prior to submission) Alternate Specimens Frozen plasma from K2EDTA or PPT tube (pink top tube or PPT tube); plasma must be removed and submitted in a separate polyproylene tube Department PAML Virology CPT Codes 87536 Test Schedule Tue, Thu, Sun Turnaround Time 3-4 days Method RT-PCR: Ampliprep/TaqMan HIV-1 Test Test Includes HIV-1 Viral Load Result, Log Copies/mL; HIV-1 Viral Load Result, Copies/mL; HIV-1 Viral Load Comment Notes Specimens received with less than minimum volume for testing will automatically be run with a dilution according to the guidelines below: --Specimens with 500-1000 µL will be diluted resulting in a modification of the quantitative range of the assay to 1.6-7.3 log copies/mL (40-20,000,000 copies/mL). --Specimens with 200-500 µL will be diluted resulting in a modification of the quantitative range of the assay to 2.0-7.7 log copies/mL (100-50,000,000 copies/mL). This test should be used only for patients with documented HIV-1 infection. It is not intended for use as a screening test for HIV, or as a diagnostic test to establish the presence or absence of HIV-1 infection. Use ordercodes 12HIVR and 1HIVWB to diagnose HIV 1 infection. Supply Item Number 1222

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Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRASENSITIVE VIRAL HIVQBD HIVQBD LOAD BY BDNA

This test cannot be ordered as a reflexive test on serum or plasma sample previously tested for antibodies. A dedicated sample is required for molecular testing. Synonyms HIV Ultrasensitive RNA Quant; HIV Ultrasensitive by Signal Amplification; HIV Ultrasensitive Viral Load; HIV-1Ultrasensitive RNA Quantitative Evaluation by bDNA; HIV Viral Load; Molecular Container Type PPT tube Store and Transport Frozen. Ship Category B Specimen Type Frozen plasma Preferred Volume 5 mL Minimum Volume 1.5 mL (Minimum volume allows for a single test only. Recollection may be requested if repeat testing is needed.) Specimen Processing Centrifuge PPT tube at 800-1600 X g for 10-15 minutes and freeze immediately. Room Temp Unstable Refrigerated EDTA or ACD plasma - 2 days (if removed from cells and placed in separate tube) Frozen (-20°C) PPT, EDTA, or ACD plasma - 3 days Frozen (-70°C) All specimens - indefinitely Unacceptable Condition Serum; non-separated samples more than 4 hours old; heparinized plasma; repeated freeze/thaw cycles Alternate Specimens EDTA or ACD plasma (lavender or yellow top tube). Do not refrigerate whole blood. Separate plasma from cells within 4 hours by centrifugation at 1,000 x g for 10-15 minutes. Transfer plasma immediately to sterile plastic tube and freeze. Store and transport frozen. Limitations Avoid freeze/thaw cycles Department PAML Virology CPT Codes 87536 Test Schedule Test set up Mon/Wed/Fri AM, reported Tue/Thur/Sat AM, overnight incubation required Turnaround Time 2-6 days Method Branched Chain DNA Test Includes HIV-1, Ultrasensitive RNA bDNA, Copies/mL; Log10 value Notes This test should be used only for patients with documented HIV-1 infection. It is not intended for use as a screening test for HIV, or as a diagnostic test to establish the presence or absence of HIV-1 infection. Use ordercodes 12HIVR and 1HIVWB to diagnose HIV 1 infection. BDNA collection kits are available from the PAML Supply Department. Supply Item Number 1253 or 1222

Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS-1 & 2 ANTIBODY 12HIVR 12HIVR (VIROLOGY SEROLOGY) (REFLEXIVE) Confirmation by HIV-1 Western Blot. If non-confirmable, sample will be held for 1 month in case the attending clinician wants the patient sample sent out for specific HIV-2 testing. The physician must contact Client Services if HIV-2 testing is required. A fee will be added dependent upon what tests must be done. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HIV-I/II; HIV-1/HIV-2; HIV1/2; HIV-1/HIV-2 Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Sodium citrate or CPDA-1 plasma, multiple freeze/thaws, or hemolyzed specimens Alternate Specimens EDTA, sodium or lithium heparin, or ACD plasma Department PAML Immunology, PAML Virology CPT Codes 86703 Test Schedule Mon-Sat Turnaround Time 1-2 days - Do not quote TAT for HIV. May take up to 6 days if Reactive and WBLOT is performed. Method ICMA, Western Blot Test Includes HIV-1/HIV-2; Western Blot; p18 band; p24 band; p31 band; p40 band; gp41 band; p51/55 band; p65 band; gp120/160 band Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes HIV 1/2 Ab is reactive 1HIVWB 86689

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Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS-1 GENOTYPING HIVGT2 HIVGT2

Synonyms HIV-1 drug resistance; HIV-1 gene sequencing; HIV-1 mutations; HIV Genotyping; HIV Resistance; HIV-1 Drug Resistance Mutation Analysis; HIV-1 Genotyping for Drug Resistance; HIV-1 Mutation Analysis Container Type Frozen EDTA plasma or ACD plasma in a PPT tube or polypropylene tube containing plasma that has been poured off from a PPT tube Store and Transport Frozen Specimen Type EDTA Plasma or ACD Plasma Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Collect whole blood in two 5 mL EDTA (lavender) or ACD tubes (yellow top tubes). Vacutainer PPT Brand tubes, Becton-Dickenson # 36278 or equivalent & immediately invert the tubes 8 to 10 times. IMPORTANT: specimens collected with heparin are not suitable for this assay. Specimen Processing Separate plasma within 30 minutes, but no later than 2 hours, if using PPT tubes or equivalent. Centrifuge at 1,000 to 2,000 x g at RT for 15 minutes. ASAP, transfer to 2 sterile polypropylene tubes and freeze at -65 to -80C. Ship at -70C or less on dry ice. Required Patient Info HIV viral load Refrigerated 1 day Frozen (-20°C) 4 weeks Frozen (-70°C) 6 months Unacceptable Condition Specimens collected with heparin are not suitable for this assay. Plasma samples cannot go through more than 2 freeze/thaw cycles. Patients must have viral load > 1,000 copies/mL. Limitations Plasma samples cannot go through more than 2 freeze-thaw cycles. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87901 Test Schedule Mon, Thurs Turnaround Time 2-7 days Method PCR/CLIP® Sequencing Test Includes Resistance Associated RT Mutations; Zidovudine (AZT); Didanosine (DDL); Lamivudine (3TC/Emtricitabine; Stavudine(D4T); Abacavir (ABC); Tenofovir (TDF); Nevirapine (NVP); Efavirenz; Etravirine (ETR); Rilpivirine (RPV);Resistance Associated PR Mutations; Saquinavir + Ritonavir (SQV/R); Indinavir (IDV); IDV/R; Nelfinavir (NFV); Fosamprenavir (FPV); FPV/R; Lopinavir + Ritonavir (LPV/R); Atazanavir (ATV); Atazanavir + Ritonavir; Tipranavir + Ritonavir (TPV/R); Darunavir + Ritonavir; Comment Clinical Significance HIV-1 genotyping for drug resistance provides useful information regarding key mutations associated with resistance to nucleotid reverse-transcriptase inhibitors (NRTIs)., nonnucleotide reverse- transcriptase inhibitors (NNRTIs), and protease inhibitors (PIs). Monitoring drug resistance periodically during treatment is one important factor for guiding therapeutic decisions. Compliance Remarks This test is FDA approved and is intended for in vitro diagnostic use. This test is performed pursuant to an agreement with Roche Molecular Systems.

Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS-1, WESTERN BLOT 1HIVWB 1HIVWB

For confirmation of HIV-1 antibody. This order is recommeded only for clients as confirmation of indeterminate or positive HIV 1 antibody. For initial screens, refer to 12HIVR. Synonyms HIV-1; Western Blot Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Sodium citrate or CPDA-1 plasma Alternate Specimens EDTA, sodium or lithium heparin, or ACD plasma Department PAML Virology CPT Codes 86689 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Western Blot Test Includes HIV-1 Western Blot; Western Blot Interpretation; p18 Band; p24 Band; p31 Band; p40 Band; gp41 Band; p51/55 Band; p65 Band; gp120/160 Band Supply Item Number 1467

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Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, EIA HIV2AB HIV2AB Repeatedly reactive specimens are confirmed by HIV-2 Western Blot and an additional charge will be added for this confirmation. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays and negative or indeterminate on HIV- 1 Western Blot be tested by HIV-2 EIA. An exception to this is a person with a positive result by HIV-1 blot and risk factors for HIV-2 infection.

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HIV-2 Ab; HIV-2 Antibody Container Type SST tube Store and Transport Store and transport refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Alternate Specimens Plasma Reference Laboratory Focus Reference Lab Test Code 41092 CPT Codes 86702 Test Schedule Tue & Thu Turnaround Time 2-6 days Method EIA Test Includes HIV-2 Antibody, EIA. Supply Item Number 1467

Billing Code Test Code [sunquest] HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, HIV2WB HIV2WB IMMUNOBLOT This workpar is to be used only to order HIV-2 antibody by Immunoblot. There is a strong serologic crossreaction between HIV-1 and HIV-2. The CDC recommends only specimens repeatedly reactive on combination HIV-1/2 EIA assays, negative or indeterminate on HIV-1 Western blot and positive on HIV-2 EIA be tested by HIV-2 Immunoblot.

This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms HIV-2 Antibody, IB; HIV-2 Ab, IB Container Type SST tube Store and Transport Store and transport refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube Reference Laboratory Focus Reference Lab Test Code 41090 CPT Codes 86689 Test Schedule Once per week Turnaround Time 7-10 days Method Immunoblot Test Includes HIV-2 Antibody, Immunoblot Compliance Remarks This assay was performed using reagents labeled 'For Research Use Only' by the manufacturer; it has not been approved by the FDA. If used in a blood bank setting, it is the responsibility of the client to follow all applicable FDA regulations and guidelines. The assay's performance characteristics have been established by Focus Diagnostics, Inc. Notes This test may sometimes be used for a patient with a positive result by HIV-1 Blot and risk factors for HIV-2 infection. In this case the patients HIV-1 Western blot results (including the bands detected) must be sent with the request. Supply Item Number 1467

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Billing Code Test Code [sunquest] HUMAN METAPNEUMOVIRUS BY RT-PCR HMEPCR HMEPCR

Container Type Sterile leakproof plastic containers Store and Transport Store and transport frozen. Ship Category B Specimen Type Bronchoalveolar lavage (BAL), sputum, swabs, washes or pleural fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Transfer 1 mL to a sterile container. Swabs should be placed in M4 or UMT viral transport media and frozen. Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) 2 months Unacceptable Condition Specimens exposed to freeze/thaw cycles. Non-sterile and/or leaking containers. Respiratory aspirates in collection containers with tubing, specimens tend to leak from these containers. Alternate Specimens Respiratory swabs in M4 or UTM media, frozen. Reference Laboratory ARUP Reference Lab Test Code 60784 CPT Codes 87798 Test Schedule Sun-Sat Turnaround Time 3-5 days Method RT-PCR Test Includes HMPV Source; Human Metapneumovirus by RT-PCR. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Drug Adminsitration approval or clearance. This test was developed and its performance characteristics determined by ARUP Lab. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1387

Billing Code Test Code [sunquest] HUMAN PAPILLOMA VIRUS, GENOTYPE 16/18 HPVGTY HPVGTY This test is a lab developed test. For further information, see the Compliance Remarks section below. Synonyms Human Papilloma Virus; HPV; Molecular; Condyloma; Genital Warts; HPV RNA, High Risk, E6/E7; ThinPrep; SurePath; PAP Container Type ThinPrep® or SurePath® Store and Transport Ambient (room temperature) Specimen Type Liquid Based Cytology Specimen Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Cervical and endocervical samples collected using the ThinPrep® or SurePath® specimen transport media. Room Temp ThinPrep® 18 weeks; Surepath® 3 weeks Unacceptable Condition Samples in EIA transport media, wooden swabs, and male samples. Frozen ThinPrep® or SurePath® specimens; cervical biopsies; Digene Cervical Sampler Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87621 x 2 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Polymerase Chain Reaction Test Includes HPV Genotype 16 and HPV Genoptype 18 Clinical Significance Studies have shown an association between certain HPV genotypes and some anogenital diseases. HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68 make up the 'high risk' group and are associated with cervical carcinoma and its characteristic lesions; cervical atypia, severe dysplasia, cervical introepithelial neoplasi (CIN), and carcinoma in situ. The HPV test should only be used to augment existing methods for the detection of cervical disease and results interpreted in conjunction with relevant clinical information from other diagnostic and screening tests, physical examinations and full medical history. Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes This assay only reports presence or absence of HPV genotype 16 and HPV genotype 18. It does not include reporting of other HPV High Risk genotypes. Supply Item Number 1852K or 1639K

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Billing Code Test Code [sunquest] HUMAN PAPILLOMA VIRUS, HIGH RISK HPVHRD HPVHRD This test is a lab developed test. For further information, see the Compliance Remarks section below. Synonyms Human Papilloma Virus; HPV; Molecular; Condyloma; Genital Warts; HPV RNA, High Risk, E6/E7; ThinPrep; SurePath; PAP Container Type ThinPrep® or SurePath® Store and Transport Ambient (room temperature) Specimen Type Liquid Based Cytology Specimen Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Cervical and endocervical samples collected using the ThinPrep® or SurePath® specimen transport media. Room Temp ThinPrep® 18 weeks; Surepath® 3 weeks Refrigerated ThinPrep® 18 weeks; Surepath® 3 weeks Unacceptable Condition Samples in EIA transport media, wooden swabs, and male samples. Frozen ThinPrep® specimens; Cervical biopsies; Digene Cervical Sampler Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87621 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Polymerase Chain Reaction Test Includes HPV High Risk DNA (14 high risk types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68) Clinical Significance Studies have shown an association between certain HPV genotypes and some anogenital diseases. HPV types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66 and 68 make up the 'high risk' group and are associated with cervical carcinoma and its characteristic lesions; cervical atypia, severe dysplasia, cervical introepithelial neoplasi (CIN), and carcinoma in situ. The HPV test should only be used to augment existing methods for the detection of cervical disease and results interpreted in conjunction with relevant clinical information from other diagnostic and screening tests, physical examinations and full medical history. Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes This test will not differentiate HPV genotypes detected. A result of Detected for the HPV High Risk assay includes any one of, or combination of, the following high risk HPV types: 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, 68. If HPV genoptyping 16 or 18 results are requested after HPV High Risk testing is final, please call PAML Client Services to have Human Papilloma Virus genotype 16/18 added (HPVGTY). Supply Item Number 1852K or 1639K

Billing Code Test Code [sunquest] HUMAN PLACENTAL LACTOGEN HPLA HPLA Container Type Red top tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 4 hours Refrigerated 24 hours Frozen (-20°C) 2 weeks Reference Laboratory Quest Reference Lab Test Code 504X CPT Codes 83632 Test Schedule Thu Turnaround Time 4-10 days Method EIA Test Includes Human Placental Lactogen, ug/mL. Compliance Remarks This test was developed and its performance characteristics determined by Cambridge Biomedical Research Group, Inc. It has not been cleared or approved by the U.S. Food & Drug Administration. Supply Item Number 1372

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Billing Code Test Code [sunquest] HUMAN T-LYMPHOTROPIC VIRUS TYPES I/II ANTIBODIES 12HTLV 12HTLV WITH REFLEX TO HTLV I/II CONFIRMATION

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms HTLV 1/2 (Human T-Lymphotropic Virus Types I/II Antibodies with Reflex to HTLV I/II Confirmation); HTLV I/II (Human T-Lymphotropic Virus Types I/II Antibodies with Reflex to HTLV I/II Confirmation); HTLV Types I/II Antibodies (Human T-Lymphotropic Virus Types I/II Antibodies with Reflex to HTLV I/II Confirmation) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) Indefinitely Unacceptable Condition Specimens containing particulate material. Heat-inactivated, severely hemolyzed, or lipemic specimens. Alternate Specimens EDTA, Heparin, (lavender or green top tube), or citrated plasma; Separate the serum or plasma from the cells ASAP. Limitations Avoid repeated freeze thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0051164 CPT Codes 86790 Test Schedule Sun-Fri nights Turnaround Time 24-48 hours, if reflexed add 1-8 days. Western Blot confirmation performed on Mondays. Method EIA/Western Blot Test Includes HTLV I/II Antibody Compliance Remarks This test uses a kit designated as 'for research use, not for clinical use.' This performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Notes ARUP intends use of this assay for clinical diagnosis. This assay should not be used for blood donor screening, associated re-entry protocols, or for screening Human Cell, Tissues and Cellular and Tissue-Based Products (HCT/P). Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If HTLV I/II screen is repeatedly HTLV I/II Confirmation by 86689 BHTLV reactive, then HTLV I/II Western Blot Confirmation by Western Blot will be performed

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Billing Code Test Code [sunquest] HUMORAL IMMUNITY PANEL 1 HUMIMM HUMIMM Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and put in 1 mL aliquots into 4 plastic tubes. Pre and Post diphtheria/tetanus & pneumococcal vaccine specimens should be submitted together for testing. Post specimen should be drawn 30 days after immunization and if shipped separately, must be received within 60 days or Pre specimen. Please clearly mark specimens 'Pre-vaccine' or 'Post-vaccine' so that specimens can be saved and tested simultaneously. Room Temp 2 hours Refrigerated 8 days Frozen (-20°C) 1 month Unacceptable Condition Plasma Reference Laboratory ARUP Reference Lab Test Code 50980 CPT Codes 86317, 82784 x 3, 86317 x 14, 86317 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Neph, Multi-analyte fluoresence detection Test Includes Diphtheria Ab, IgG, IU/mL; Tetanus Ab, IgG, IU/mL; Pneumococcal Serotype 1, IgG, ug/mL; Pneumococcal Serotype 3, IgG, ug/mL; Pneumococcal Serotype 4, IgG, ug/mL; Pneumococcal Serotype 5, IgG, ug/mL; Pneumococcal Serotype 6B, IgG, ug/mL; Pneumococcal Serotype 7F, ug/mL; Pneumococcal Serotype 8, IgG, ug/mL; Pneumococcal Serotype 9N, IgG, ug/mL; Pneumococcal Serotype 9V, IgG, ug/mL; Pneumococcal Serotype 12F, IgG, ug/mL; Pneumococcal Serotype 14, IgG, ug/mL; Pneumococcal Serotype 18C, ug/mL; Pneumococcal Serotype 19F, ug/mL; Pneumococcal Serotype 23F, ug/mL; Pneumococcal Serotype Interpretation; IgA, mg/dL; IgG, mg/dL; IgM, mg/dL; IgG Subclass 1, mg/dL; IgG Subclass 2, mg/dL; IgG Subclass 3, mg/dL; IgG Subclass 4, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] HUNTINGTON DISEASE DNA SCREEN HUNDUW HUNDUW Given the likely impact of presymptomatic testing on life plans and insurability, patients should be adequately informed and counselled before this test is ordered and the results given. The Huntington Disease Society of America at 1-800-345-4372 can provide approved counseling program information or the Inland Northwest Genetics Clinic can provide information at 509-535-2278. Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 2 mL Specimen Processing Only draw patient Sun-Thur. UW does not accept samples on Sunday. Refrigerated 3 days Alternate Specimens Cultured amniocytes in T25 or T75 flasks at room temperature, Chorionic villi &/or tissue in sterile tube or culture media at room temperature. Reference Laboratory U of Washington Reference Lab Test Code UOW 850 CPT Codes 81401 Test Schedule As received Turnaround Time 3-4 weeks Method PCR Capillary Electrophoresis Test Includes HD allele 1; HD allele 2; HD Clinical Information; HD Interprettion Clinical Significance This test was developed & its performance characteristics determined by UW Medicine, Department of Laboratory Medicine. It has not been cleared or approved by the U.S. Food and Drug Administration. Notes For further information on genetics testing call U of Washington at 206-598-6429. Supply Item Number 1222

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Billing Code Test Code [sunquest] HYDROCODONE CONFIRMATION BY LC-MS/MS LCOP6 LCOP6 Synonyms Vicodin; Tussionex; Hycotuss; Hycodan; Histinex HC; Lorcet; Lortab; Norco; Rezira; Zolvit; Zydone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS) Test Includes Hydromorphone,Hydrocodone,Codeine,Morphine,Oxycodone,Oxymorphone Notes Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

Billing Code Test Code [sunquest] HYDROCODONE, FREE, UNCONJUGATED HYDROCODONE HYDCOD Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Peak draw time is 90 minutes post dose. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 2340SP CPT Codes 83925 Test Schedule Mon, Tue, Wed, Thu, Fri Turnaround Time 3-5 days Method GC/MS Test Includes Hydrocodone, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] HYDROCORTISONE (URINE ONLY) TEST ALSO INCLUDED IN TLCHYD TLCHYD DRUG-SUR. Synonyms Solu-Cortef; A-hydroCort; Hydrocortisone Tablets; Hydrocortone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon - Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Hydrocortisone Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] HYDROMORPHONE - FREE (UNCONJUGATED) SCREEN, HYDMCO HYDMCO SERUM/PLASMA Synonyms Dilaudid Container Type Red top tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.4 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube Room Temp 20 days Refrigerated 20 days Frozen (-20°C) 8 months Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Plasma Reference Laboratory NMS Reference Lab Test Code 2350SP (5116SP Confirmation) CPT Codes 80100 Test Schedule Mon, Wed, Fir Turnaround Time 4-8 days Method LC/MS/MS, HPLC Test Includes Hydromorphone, Free, ng/mL; Hydromorphone, Free Confirmation, ng/mL. Notes Positive results will automatically be confirmed by LC/MS-MS. Additional charges do not apply. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Hydromorphone - Free Hydromorphone - Free (Unconjugated) 83925 (Unconjugated) is positive Confirmation

Billing Code Test Code [sunquest] HYDROMORPHONE BY LC-MS/MS LCOP6 LCOP6 Synonyms Dilaudid; Exalgo Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS) Test Includes Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone Notes Test is also included in Comprehensive Drug Survey. Replaces TLCOPA.

Billing Code Test Code [sunquest] HYDROXYCHLOROQUINE PLAQ PLAQ Synonyms Plaquenil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum or plasma from cells immediately and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Alternate Specimens EDTA plasma (lavender top tube) or K2EDTA (pink top tube. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 2362SP CPT Codes 83789 Test Schedule Tue Turnaround Time 5-7 days Method LC-MS/MS Test Includes Hydroxychloroquine, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] HYPERCOAGULATION CONSULT EXTENDED PANEL HYPCEX HYPCEX (REFLEXIVE) Separate samples must be submitted when multiple tests are ordered. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type 2 (5 mL) blue top tubes (buffered sodium citrate), 1 red top tube (plain), 1 lavender top tube (EDTA), 1 green top tube (lithium heparin) Specimen Type Frozen serum, frozen citrated plasma, EDTA whole blood and lithium heparin plasma Preferred Volume 3-2 mL aliquots of frozen citrated plasma, 2 mL frozen serum, 5 mL EDTA whole blood and 1 mL lithium heparin plasma Minimum Volume See individual components Patient Prep Patient should be fasting Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Read thoroughly and follow all the following directions carefully: If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 6 clean plastic tubes (6 aliquots), and freeze at -20C or less. 2. 2 mL frozen serum. Separate, store and transport frozen. 3. 5 mL EDTA whole blood submitted untouched in original tube at room temperature. If delayed more than 72 hours, refrigerate. (If Factor V Leiden is indicated, it will be performed on this same tube submitted for the Prothrombin 20210 Mutation.) 4. 1 mL lithium heparin plasma. Put on ice immediately after drawing and separate within 1 hour of drawing and refrigerate. Room Temp See individual components Refrigerated See individual components Frozen (-20°C) See individual components Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants Department PSHMC Coagulation, PSHMC Chemistry, PSHMC Molecular Diagnostics, PAML Immunology CPT Codes 86147 x 2, 83090, 81240, 85307, 85303, 85306, 85300, 85301, 85610, 85670, 85730, 85613 Test Schedule Varies Turnaround Time Varies Method See individual components Test Includes Homocysteine, Cardiac Risk, umol/L; PT 20210, Method; PT 20210, Result; PT 20210, Interpretation; PT 20210 Comment; PT 20210 Comment; Factor V Leiden, Method; Factor V Leiden, Result; Factor V Leiden, Interpretation; Factor V Leiden, Comment; Factor V Leiden, Comment, Cardiolipin Ab, IgG, GPL; Cardiolipin Ab, IgM, MPL; APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti- thrombin III Activity, %; Anti-thrombin III Antigen, mg/dL; Protime, sec; Protime, Patient/Control Mix, sec; Thrombin Time, Patient, sec; Thrombin Time, Patient/Ps Mix, sec; PTT, Patient, sec; PTT, Control, sec; PTT/Patient/Control Mix, sec; HPNT (Hexagonal Phospholipid Neutralization), sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; Hypercoagulation Consult, Interpretation; Reviewed By Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes PT > 15.0 PT Pt/Nl mix BILL ONLY 85611 BPTMX TCT > 20.0 TT Pt/PSO4 mix BILL ONLY 85675 BPSO4 APTT > 36 PTT Pt/Nl mix BILL ONLY 85732 BPTTMX APTT mix > 5 HPNT BILL ONLY 85598 BHPNT DRVVT > 45.7 DRVVT mix BILL ONLY 85613 BDRVVM DRVVT ratio > 1.2 DRVVT confirm BILL ONLY 85613 BPCON APCR < 2.0 FVL mutation BILL ONLY 81241 BFVHYP

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Billing Code Test Code [sunquest] HYPERCOAGULATION CONSULTATION BASIC (REFLEXIVE) HYPERB HYPERB Separate samples must be submitted when multiple tests are ordered. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 3-2 mL aliquots Minimum Volume 4-1 mL aliquots Patient Prep Patient should be fasting Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85307, 85303, 85306, 85300, 85301, 85610, 85670, 85730, 85613 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Clot-based, Chromogenic, Immuno-turbid Test Includes APC Resistance; Protein C Activity, %; Protein S Activity, %; Anti-thrombin III Activity, %; Anti- thrombin III Antigen, mg/dL; Protime, sec; Protime, Patient/Control Mix, sec; Thrombin Time, Patient, sec; Thrombin Time, Patient/Ps Mix, sec; PTT, Patient, sec; PTT, Control, sec; PTT/Patient/Control Mix, sec; HPNT (Hexagonal Phospholipid Neutralization), sec; dRVVT, sec; dRVVT Mix Ratio; dRVVT Confirm Ratio; Hypercoagulation Consult, Basic Interpretation; Review Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes PT > 15.0 PT Pt/Nl mix 85611 BPTMX TCT > 20.0 TT Pt/PSO4 mix 85675 BPSO4 APTT > 36 PTT Pt/Nl mix 85732 BPTTMX APTT mix > 5 HPNT 85598 BHPNT DRVVT > 45.7 DRVVT mix 85613 BDRVVM DRVVT ratio > 1.2 DRVVT confirm 85613 BPCON

Billing Code Test Code [sunquest] HYPERSENSITIVE PNEUMONITIS EXTENDED PANEL (FARMER'S HYPEXT HYPEXT LUNG PANEL) Synonyms Farmer's Lung Panel Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 5.0 mL-two 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Plasma, severely lipemic, contaminated or hemolyzed Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0050157 CPT Codes 86331 x 7, 86003 x 4, 86606 x 5 Test Schedule Sun-Sat Turnaround Time 4-8 days Method ID/Immunocap Test Includes Aspergillus fumigatus # 1; Aspergillus fumigatus # 6; Aureobasidium pullulans; Pigeon Serum; Micropolyspora faeni; Thermoactimomyces vulgaris #1; Aspergillus flavus; Aspergellus fumigatus #2; Aspergillus fumigatus #3; Saccharomonospora viridis; Thermoactinomyces candidus; Thermoactinomyces sacchari; Allergen, Animal Feather Mix, IgE; Allergen Beef, IgE, kU/L; Allergen, Pork, IgE, kU/L; Allergen,Fungi/Mold Phoma betae, IgE, kU/L; Allergen-Interp, Immunocap Score IgE Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 587 H 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory H

Billing Code Test Code [sunquest] HYPERSENSITIVE PNEUMONITIS I HLDP HPNEUM Synonyms Hypersensitive Lung Disease Panel Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 55076 CPT Codes 86331 x 4, 86606 x 2 Test Schedule Sun-Sat Turnaround Time 4-5 days Method Qualitative Immunodiffusion Test Includes Aspergillus fumigatus #1; Aspergillus fumigatus #6; Aureobasidium pullulans; Pigeon Serum; Micropolyspora faeni; Thermaoactinomyces vulgaris #1 Notes Precipitating antibodies against the offending antigen can be demonstrated in most active cases of hypersensitivity pneumonitis. However, a positive test does not always indicate active disease since asymptomatic individuals may develop precipitins without any features of hypersensitivity. A positive test is a helpful diagnostic tool when supported by historical and clinical evidence. The absence of a positive test does not rule out hypersensitivity pneumonitis. Supply Item Number 1467

Billing Code Test Code [sunquest] HYPERSENSITIVE PNEUMONITIS II HPENII HPENII Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Plasma specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50157 CPT Codes 86331 x 3, 86606 x 3 Test Schedule Mon-Fri Turnaround Time 4-8 days Method ID Test Includes Aspergillus flavus; Aspergillus fumigatus # 2; Aspergillus fumigatus # 3; Saccharomonospora viridis; Thermoactinomyces candidus; Thermoactinomyces sacchari Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] HYPERTHYROID PROFILE HYPERA HYPER Synonyms Thyroid Profile (Hyper) Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 days Frozen (-20°C) 2 months Unacceptable Condition Grossly hemolyzed, grossly lipemic, or grossly icteric specimens Department PAML Immunochemistry CPT Codes 84479, 84436, 84480 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes FTI; T3 Uptake, %; Total T4, ug/dL; T3 by ICMA TBG Corrected, ng/dL Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] HYPOTHYROID PROFILE HYPOA HYPO Synonyms Thyroid Profile (Hypo) Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 days Frozen (-20°C) 2 months Department PAML Immunochemistry CPT Codes 84479, 84436, 84443 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes FTI; T3 Uptake, %; Total T4, ug/dL; TSH, uIU/mL Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] IA-2 ANTIBODY IA2A IA2A Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Plasma, hemolyzed, or lipemic samples Alternate Specimens Serum (red top tube) Reference Laboratory ARUP Reference Lab Test Code 0050202 CPT Codes 86341 Test Schedule Fri Turnaround Time 3-11 days Method RIA Test Includes IA-2 Antibody, Kronus Units/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] IBUPROFEN IBU IBU Synonyms Motrin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw one hour after dosing. Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2 EDTA). Reference Laboratory ARUP Reference Lab Test Code 90176 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 2-6 days Method HPLC Test Includes Ibuprofen, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ICA 512 AUTOANTIBODIES ICA512 ICA512 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume Pediatric Minimun: 0.1 mL (This volume does not permit repeat analysis) Specimen Processing Separate serum from cells within 1 hour of collection and transfer to a standard PAML aliquot tube and freeze. Reference Laboratory Esoterix Reference Lab Test Code 500255 CPT Codes 86341 Test Schedule Wed Turnaround Time 4-8 days Method Immunoprecipitation Test Includes ICA 512 Autoantibodies, U/mL Supply Item Number 1467

Billing Code Test Code [sunquest] ID CULTURE AFB (REFLEXIVE) AFB.ID AFBID

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms AFB Identification; ID for AFB, AFB Culture Container Type LJ Slant or Bactec 12 B Vial Store and Transport Ship Category A Specimen Type Isolate on LJ slant or positive Bactec 12 B vial Specimen Processing Send properly packaged isolate Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes Varies with what tests must be done to identify the organism Turnaround Time 5-60 days Test Includes Culture, AFB ID; Culture Status Notes Call Microbiology for more information Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ID FUNGUS (MOLD) (REFLEXIVE) FUNGID FUNGID

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Fungus Identification Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Isolated mold colony Collection Procedure Select isolated mold colony from primary plate or subculture and inoculate to a slant with a tight fitting, leakproof screw cap lid. Required Patient Info Source Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87107 Test Schedule Daily Turnaround Time 2-26 days Method Culture Test Includes Source; ID Fungus (Mold) Result; ID Fungus (Mold) Status. Notes The test previously was used for yeast identification also. Yeast ID is now to be ordered as YID (Yeast ID). Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

Billing Code Test Code [sunquest] ID ORGANISM WITH SUSCEPTIBILITY (REFLEXIVE) CIDS CIDS

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type See below Store and Transport Ambient (room temperature). Ship Category B Specimen Type Freshly isolated colonies on appropriate type of media in a screw cap primary receptacle with a leak proof seal. Room Temp 3 days Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Mixed organisms Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Sun-Sat Turnaround Time 3-10 days Method Culture, Susceptibility Test Includes Source; ID Organism with Susceptibility Result; ID Organism with Susceptibility Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ID ORGANISM, BLOOD/BODY FLUID (REFLEXIVE) CBDFID CBDFID

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Culture Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Bacterial colony on a media slant Minimum Volume Visible growth Collection Procedure Select ISOLATED bacterial colony from a primary plate or subculture and inoculate to a slant with a tight fitting, leakproof screw cap lid. Incubate slant overnight. Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Daily Turnaround Time 3-10 days Method Culture Test Includes ID Organism Blood/Body Fluid Result; ID Organism Blood/Body Fluid Status Notes If susceptibility testing is requested, when appropriate order CBFIDS. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

Billing Code Test Code [sunquest] ID ORGANISM, BLOOD/FLUID & SUSCEPTIBILITY (REFLEXIVE) CBFIDS CBFIDS

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Organism Identification; Blood; Body Fluid; Fluid with Susceptibility if Appropriate Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Bacterial colony on a media slant Minimum Volume Visible growth Collection Procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant with a tight fitting screw cap lid. Incubate slant overnight. Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Daily Turnaround Time 3-10 days Method Culture Test Includes Source; ID Organism Blood/Fluid and Susceptibility Result; Status Notes Organism identification will reflex to susceptibility testing (CPT code 87186 and/or 87184) if appropriate. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If antimicrobial susceptibility Disk Diffusion, MIC 87184, 87186 testing is appropriate If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ID ORGANISM, RESPIRATORY & SUSCEPTIBILITY (REFLEXIVE) CRIDS CRIDS

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Organism Identification, Respiratory, with Susceptibility if Appropriate Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Bacterial colony on a media slant Minimum Volume Visible growth Collection Procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant with a tight fitting screw cap lid. Incubate slant overnight. Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Daily Turnaround Time 3-10 days Method Culture Test Includes Source; ID Organism, Respiratory & Susceptibility Result; Status Notes Organism identification will reflex to susceptibility testing (CPT code 87186 and/or 87184) if appropriate. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If antimicrobial susceptibility Disk Diffusion, MIC 87184, 87186, 87181 testing is appropriate If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

Billing Code Test Code [sunquest] ID ORGANISM, RESPIRATORY (REFLEXIVE) CRID CRID

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Organism Identification, Respiratory Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Bacterial colony on a media slant Minimum Volume Visible growth Collection Procedure Isolated bacterial colony on a media slant. Select isolated bacterial colony from a primary plate or subculture and inoculate to a slant with a tight fitting screw cap lid. Incubate slant overnight. Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Daily Turnaround Time 3-10 days Method Culture Test Includes Source; ID Organism, Respiratory Result; Status Notes If susceptibility testing is requested, when appropriate order CRIDS. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ID ORGANISM, URINE (REFLEXIVE) CORGUR CORGUR

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Urine Organism ID, Culture; ID Urine Organism, Culture Container Type See below Store and Transport Ambient (room temperature). Ship Category B Specimen Type See below Preferred Volume See below Collection Procedure Submit freshly isolated colonies on appropriate media slant from urine culture. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87088 Test Schedule Sun-Sat Turnaround Time 3-10 days Test Includes Source; Culture, Organism ID, Urine; Culture Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

Billing Code Test Code [sunquest] ID ORGANISM, URINE WITH SUSCEPTIBILITY (REFLEXIVE) CURIDS CURIDS

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type See below Store and Transport Ambient (room temperature). Ship Category B Specimen Type Freshly isolated colonies on appropriate type of media in a screw cap primary receptacle with a leak proof seal. Room Temp 3 days Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Mixed organisms Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87088 Test Schedule Sun-Sat Turnaround Time 3-10 days Method Culture, Susceptibility Test Includes Source; ID Organism, Urine with Susceptibility Result; ID Organism, Urine with Susceptibility Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If antimicrobial susceptibility Disk Diffusion, MIC 87184, 87186 testing is appropriate If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ID YEAST (REFLEXIVE) YID YID

This test may reflex to additional tests depending on the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Yeast Identification Container Type Media slant Store and Transport Ambient (room temperature). Ship Category A Specimen Type Yeast colony on a media slant Minimum Volume Visible growth Collection Procedure Isolated yeast colony on a media slant. Select isolated yeast colony from a primary plate or subculture and inoculate to a slant with a tight fitting screw cap lid. Incubate slant overnight. Unacceptable Condition Agar plate or mixed culture/only pure isolates will be tested Alternate Specimens A culture swab may be used to harvest actively growing organisms and then submitted in bacterial transport media. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87106 Test Schedule Daily Turnaround Time 2-28 days Method Culture Test Includes Source; Yeast ID Result; Yeast ID Status Notes Identification will reflex to susceptibility only if requested. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If antimicrobial susceptibility Disk Diffusion 87184 testing is requested If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

Billing Code Test Code [sunquest] IGF BINDING PROTEIN - 2 IGFBP2 IGF2Q IGF2Q Container Type Plain red top tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate the serum from cells and put in a separate plastic tube. Store and transport frozen. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Specimens received at room temperature or refrigerated. Alternate Specimens Specimens collected in SST (plastic or glass) Reference Laboratory Quest Reference Lab Test Code 37102X CPT Codes 83519 Compliance Remarks This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. This test has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of this test. Supply Item Number 1372

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Billing Code Test Code [sunquest] IGF BINDING PROTEIN-1 (IGFBP-1) IGFP1 IGFP1 Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Patient Prep Overnight fasting is required Specimen Processing Separate serum from cells put in separate plastic tube. Room Temp 24 hours Refrigerated 7 days Frozen (-20°C) 28 days Unacceptable Condition Gross hemolysis, Gross lipemia Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 36590 CPT Codes 83519 Test Schedule Sun, Wed Turnaround Time 5-9 days Method Radioimmunoassay Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] IGF BINDING PROTEIN-3 IGFB3 IGFB3 Synonyms IGFBP-3 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 1 hour of collection and place in separate plastic tube and freeze. Reference Laboratory Esoterix Endocrinology Reference Lab Test Code 140152 CPT Codes 83519 Test Schedule Mon-Sat Turnaround Time 4-6 days Method RIA in dilute serum Test Includes IGF Binding Protein-3, mg/L

Billing Code Test Code [sunquest] IGF BINDING PROTEIN-3 IGFB3A IGFB3A Synonyms IGFBP-3 Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Tissue or urine. Grossly hemolyzed or lipemic samples. Alternate Specimens Heparin plasma (green top tube) Reference Laboratory ARUP Reference Lab Test Code 70060 CPT Codes 82397 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Chemiluminescent Immunoassay Test Includes IGF Binding Protein-3, mg/L Supply Item Number 1467

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Billing Code Test Code [sunquest] IGF BINDING PROTEIN-3 (IGFBP-3) IGFB3P IGFB3P Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Room temperature Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 28 days Unacceptable Condition Gross hemolysis, gross lipemia, plasma, specimen out of stability Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 34458 CPT Codes 83519 Test Schedule Mon-Fri Turnaround Time 3-4 days Method Immunoassay

Billing Code Test Code [sunquest] IGF-I, LC/MS IGFIL IGFIL Synonyms Somatomedin-C; Insulin-Like Growth Factor; IGF-1 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Allow blood to clot (10-15 minutes) at room temperature. Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 5 days Frozen (-20°C) 1 week Frozen (-70°C) 3 weeks Unacceptable Condition Received in glass tubes Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 16293 CPT Codes 84305 Test Schedule Sun-Fri Turnaround Time 5-7 days Method Liquid Chromatography/Mass Spectrometry (LC/MS) Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1467

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Billing Code Test Code [sunquest] IGH-BCL2 (BCL-2/JH) TRANSLOCATION, T(14;18) BY PCR BCLJHT BCLJHT Synonyms Follicular Lymphoma (IGH-BCL2 (BCL-2/JH) Translocation, t(14;18) by PCR, Fluid) Container Type Lavender top tube (EDTA) OR bone marrow (EDTA) OR tissue Store and Transport Whole blood OR bone marrow: refrigerated; Fresh tissue: frozen on dry ice; FFPE tumor tissue: ambient (room temperature) or refrigerated. Ship in cooled container during summer months. Specimen Type EDTA whole blood or bone marrow Preferred Volume 5 mL whole blood or 3 mL bone marrow Minimum Volume 1 mL whole blood or 1 mL bone marrow Specimen Processing Whole blood: Transport 5 mL. (Min: 1 mL) OR bone marrow: Transport 3 mL (Min: 1 mL) OR Fresh tissue: Freeze immediately. Transport 100 mg or 0.5-2.0 cm3 tissue. OR FFPE tumor tissue: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport tissue block or four 10-micron shavings. Tissue block will be returned after testing. Transport block(s) and/or shavings in a tissue transport kit. Room Temp Whole blood OR bone marrow: 1 day; fresh tissue: unacceptable; FFPE tumor tissue: indefinitely Refrigerated Whole blood OR bone marrow: 5 days; fresh tissue: 2 hours; FFPE tumor tissue: indefinitely Frozen (-20°C) Whole blood OR bone marrow: unacceptable; fresh tissue: 1 year; FFPE tumor tissue: unacceptable Unacceptable Condition Whole blood OR bone marrow: frozen specimens. Clotted or grossly hemolyzed specimens. FFPE tumor tissue: Specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or B- 5) or tissue sections on slides. Decalcified specimens. Reference Laboratory ARUP Reference Lab Test Code 0055616 CPT Codes 81479 Test Schedule DNA isolation: Sun-Sat; Assay: Sun-Sat Turnaround Time 3-7 days Method PCR Test Includes bcl-2/JH, t(14;18) mbr, Fluid; bcl-2/JH, t(14;18) mcr, Fluid Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1495

Billing Code Test Code [sunquest] IGH-CCND1 (BCL-1/JH) TRANSLOCATION, T(11;14) BY PCR BCL1FA BCL1FA Synonyms BCL-1 (IGH-CCND1 (BCL-1/JH) Translocation, t(11;14) by PCR, Fluid); Mantle Cell Lymphoma (IGH- CCND1 (BCL-1/JH) Translocation, t(11;14) by PCR, Fluid) Container Type Lavender top tube (EDTA) OR bone marrow (EDTA) OR tissue Store and Transport Whole blood OR bone marrow: Refrigerated. Fresh tissue: Frozen on dry ice. FFPE tumor tissue: Room temperature or refrigerated. Ship in cooled container during summer months. Specimen Type Lavender (EDTA) OR bone marrow (EDTA) OR tissue Preferred Volume 5 mL whole blood or 3 mL bone marrow or 100 mg fresh tissue or FFPE tumor tissue Minimum Volume 1 mL whole blood or 1 mL bone marrow or 100 mg fresh tissue or FFPE tumor tissue Specimen Processing Whole blood: Transport 5 mL. (Min: 1 mL) OR bone marrow: Transport 3 mL. (Min: 1 mL) OR Fresh tissue: Freeze immediately. Transport 100 mg or 0.5-2.0 cm3 tissue. OR FFPE tumor tissue: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport tissue block or four 10-micron shavings. Tissue block will be returned after testing. Transport block(s) and/or shavings in a tissue transport kit. Room Temp Whole blood OR bone marrow: 1 day; fresh tissue: unacceptable; FFPE tumor tissue: indefinitely Refrigerated Whole blood OR bone marrow 5 days; fresh tissue: 2 hours; FFPE tumor tissue: indefinitely Frozen (-20°C) Whole blood OR bone marrow: unacceptable; fresh tissue: 1 year; FFPE tumor tissue: unacceptable Unacceptable Condition Whole blood OR bone marrow: Frozen specimens. Clotted or grossly hemolyzed specimens. FFPE tumor tissue: Specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or B- 5) or tissue sections on slides. Decalcified specimens. Reference Laboratory ARUP Reference Lab Test Code 55557 CPT Codes 81401, G0452 Test Schedule DNA isolation: Sun-Sat; Assay: Varies Turnaround Time 3-7 days Method PCR Test Includes bcl-1 JH, t(11:14) by PCR, Fluid Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1657

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Billing Code Test Code [sunquest] IMIPRAMINE & METABOLITE IMI IMDES Synonyms Tofranil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3.5 mL Minimum Volume 2.5 mL Collection Procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen Processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated. Required Patient Info Date and time of dose and draw. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80174, 80160 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method HPLC Test Includes Imipramine, ng/mL; Desipramine, ng/mL; Total Drug, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] IMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCIMI TLCIMI SUR. Synonyms Tofanil; Janimine; SK-Pramine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Imipramine, clomipramine, desipramine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] IMMUNE CELL FUNCTION IMMCFA IMMCFA Container Type Green top tube (sodium heparin) Store and Transport Room temperature Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw patients on Mon-Fri only. Patient must be drawn by noon and the sample received at PAML by 1400 the same day in order for the stability requirements to be met. Specimen Processing Send sample in original draw tube at room temperature. Room Temp 30 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Hemolysis, specimens greater than 30 hours after collection, clotted blood Limitations This is a critical ambient specimen. Do not refrigerate or freeze. Specimen must be collected within 30 hours of test performance. Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 15435 CPT Codes 86352 Test Schedule Mon-Sat Turnaround Time 3-5 days Method Luminometer

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Billing Code Test Code [sunquest] IMMUNE COMPLEX PROFILE I IM-COM I IMCOM Container Type SST tube Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 0.5 mL per aliquot Specimen Processing Allow to clot for 2 hours, centrifuge. Separate serum from cells and place in two separate plastic tubes and freeze within 1 hour of centrifugation. Store and transport frozen. Unacceptable Condition Non-frozen specimens and specimens subjected to repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50667 CPT Codes 86332 x 2 Test Schedule Tue Turnaround Time 3-10 days Method FC/ELISA Test Includes RAJI Cell Assay, ugE/mL; C1Q Binding, ugE/mL. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] IMMUNOFIXATION IEP IEP Synonyms ELP; SPEP; Monoclonal Peak; M-Spike; Immunofixation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Patient's age Refrigerated ELP: 5 days Frozen (-20°C) ELP: 1 month Unacceptable Condition Plasma specimens Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165, 86334 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Immunofixation ELP/High Resolution Test Includes See ELP; Immunofixation, Serum, Interpretation Notes If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU). Protein electrophoresis is included. Supply Item Number 1467

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Billing Code Test Code [sunquest] IMMUNOFIXATION, BLOOD AND URINE 24HR IEP.SU IEPSUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms IEP, Serum and Urine; Immunoelectrophoresis, Serum and Urine Container Type SST tube and 24-hour dark plastic urine container. Specimen Type Serum and 24-hour urine collection. Preferred Volume 2 mL serum, 100 mL urine Minimum Volume 0.5 mL serum, 5 mL urine Collection Procedure See component tests. Specimen Processing Record collection time and total volume. See component tests. Required Patient Info Collection period, total volume and patient's age. Refrigerated ELP, serum-5 days, ELP, urine-5 days Frozen (-20°C) ELP, serum-1 month, ELP, urine-1 month Unacceptable Condition Plasma and acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165, 84166, 86334, 86335 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Immunofixation ELP/High Resolution Test Includes Collection Period, h; Volume, mL; ELP; Immunofixation, Serum, Interpretation; ELP, Urine; Immunofixation, Urine, Interpretation. Notes Same day collection for urine & serum is recommended when ordering this test. Supply Item Number 1467 1108

Billing Code Test Code [sunquest] IMMUNOFIXATION, URINE (RANDOM) IEP-RU IEPUR NOTE: If both serum and urine IEP are ordered, same day collection is recommended; order IEP.SU-R. Synonyms Immunoelectrophoresis, Urine Random, IEP Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Store and transport refrigerated. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166, 86335 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Immunofixation ELP/High Resolution Test Includes ELP Urine Interpretation; Immunofixation Urine Interpretation. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] IMMUNOFIXATION, URINE 24HR IEP-U IEPUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms ELP; UPEP; Monoclonal Peak; M-Spike; Immunofixation; Bence Jones Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a 24 hour urine collection in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24 hour urine collection in a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166, 86335 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Immunofixation ELP/High Resolution Test Includes Collection Period, h; Volume, mL; Protein, Urine, Quantative, mg/24h; ELP Urine, Interpretation; Immunofixation Interpretation, Urine Notes If ordering both serum and urine IEP, same day collection is recommended (order IEP.SU). Supply Item Number 1108

Billing Code Test Code [sunquest] IMMUNOFIXATION, URINE/SERUM (RANDOM) IEP.SU-R IEPSUR NOTE: Same day collection for urine and serum is recommended when ordering this test. Synonyms ELP; UPEP; Monoclonal Peak; M-Spike; Immunofixation; Bence Jones Container Type Serum separator tube (gold, brick, SST, or corvac) and leakproof plastic urine container Store and Transport Refrigerated Specimen Type Serum and urine Preferred Volume Serum: 2 mL; urine: 100 mL Minimum Volume Serum: 0.5 mL; urine: 5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Patient's age Refrigerated ELP, serum-5 days, ELP, urine-5 days Frozen (-20°C) ELP, serum-1 month, ELP, urine-1 month Unacceptable Condition Plasma or hemolyzed specimens. Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84165, 84166, 86334, 86335 Method Immunofixation ELP/High Resolution Test Includes ELP, Serum; ELP, Serum, Interpretation; Monoclonal Peak; Immunofixation Serum Interpretation; ELP Urine Interpretation; Immunofixation Urine Interpretation Supply Item Number 1467 1388

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Billing Code Test Code [sunquest] IMMUNOGLOBULIN A, SERUM IGA IGA Synonyms IgA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Limitations Avoid repeat freeze-thaw cycles Department PAML Immunology CPT Codes 82784 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgA, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] IMMUNOGLOBULIN D IMGD IMGD Synonyms IgD Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, or hemolyzed samples. Plasma samples are not recommended. Reference Laboratory ARUP Reference Lab Test Code 99200 CPT Codes 82784 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Nephelometry Test Includes Immumoglobulin D, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] IMMUNOGLOBULIN E, TOTAL IGEC IGEC Synonyms IgE Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 6 months Unacceptable Condition Urine or other body fluids. Limitations Avoid repeat freeze/thaw cycles. Department PAML Immunochemistry CPT Codes 82785 Test Schedule Mon-Fri Turnaround Time 1-3 days Method FEIA Test Includes IgE, kU/L. Supply Item Number 1467

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Billing Code Test Code [sunquest] IMMUNOGLOBULIN G, CSF IGG-C IGGSF Synonyms IgG, CSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type Spinal fluid Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate from cells or other particulate if present. Refrigerate immediately. Room Temp Not acceptable if not analyzed immediately Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Immunology CPT Codes 82784 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgG, CSF, mg/dL Supply Item Number 7211

Billing Code Test Code [sunquest] IMMUNOGLOBULIN G, SERUM IGG IGG Synonyms IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Limitations Avoid repeat freeze-thaw cycles Department PAML Immunology CPT Codes 82784 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgG, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] IMMUNOGLOBULIN G, SUBCLASSES IGGSB IGGSB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Indicate patient's age. Required Patient Info Patient's age Room Temp 2 hours Refrigerated 2 days Frozen (-20°C) 6 months Unacceptable Condition Plasma, lipemic, hemolyzed, or microbially contaminated samples; only one freeze/thaw cycle. This method is not suitable for samples containing Rheumatoid factor, paraproteins, or other circulating complexes. Department PAML Immunology CPT Codes 82787 x 4 Test Schedule Tue-Sat Turnaround Time 1-3 days Method Nephelometry Test Includes Immunoglobulin G Subclass 1, mg/dL; Immunoglobulin G Subclass 2, mg/dL; Immunoglobulin G Subclass 3, mg/dL; Immunoglobulin G Subclass 4, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] IMMUNOGLOBULIN M, SERUM IGM IGM Synonyms IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Limitations Avoid repeated freeze-thaw cycles Department PAML Immunology CPT Codes 82784 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgM, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] IMMUNOGLOBULINS, A, G, & M, SERUM AGM IGGAM Synonyms Quantitative Immunoglobulins; Immunoglobulin Profile; AGM; Total IgG, IgA, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Limitations Avoid repeat freeze-thaw cycles Department PAML Immunology CPT Codes 82784 x 3 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes IgA, mg/dL; IgG, mg/dL; IgM, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] IMMUNOPHENOTYPE SCREEN (REFLEXIVE) IPSCRN IPSCRN This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Flow Cytometry; Leukemia/Lymphoma Container Type See below Store and Transport Ambient (room temperature); transport ASAP Specimen Type Peripheral blood, bone marrow, body fluids, tissue Preferred Volume See below Minimum Volume See below Collection Procedure Peripheral Blood-7 mL ACD and 3 mL EDTA. Maintain at room temperature. Bone Marrow-3 mL ACD or Sodium Heparin. Body fluid-5 to 10 mL of fluid (send in RPMI if possible). Tissue-Tissue sample in RPMI. Required Patient Info Clinical indication and patient's date of birth Room Temp 2 days Unacceptable Condition Frozen samples, grossly hemolyzed samples Department PSHMC Flow Cytometry Reference Laboratory PSHMC CPT Codes 88189, 88184, 88185 x 26 Test Schedule Mon-Sat (Sun and STAT upon request) Turnaround Time Mon-Fri: 24 hours after receipt in lab Method Flow Cytometry Test Includes CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD11B, CD13, CD14, CD15, CD16, CD19, CD20, CD33, CD34, CD38, CD41a, CD45, CD56, CD64, CD71, CD103, CD117, Kappa, Lambda, HLA-DR, Interpretation Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If additional antibodies are required to Various antibodies 88185 x # of antibodies diagnose sample due to clinical indication or results of screen

Billing Code Test Code [sunquest] IMMUNOPHENOTYPE TISSUE SCREEN (REFLEXIVE) IPTISS IPTISS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Flow Cytometry; Leukemia/Lymphoma Container Type See below Store and Transport Store and transport at room temperature. Transport ASAP. Specimen Type Tissue Preferred Volume See below Minimum Volume See below Collection Procedure Tissue-Tissue sample in RPMI Required Patient Info Clinical indication and patient's date of birth Room Temp 48 hours Department PSHMC Flow Cytometry Reference Laboratory PSHMC CPT Codes 88188, 88184, 88185 x 13 Test Schedule Mon-Sat (Sun and STAT upon request) Turnaround Time Mon-Fri: 24 hours after receipt in lab Method Flow Cytometry Test Includes CD2, CD3, CD4, CD5, CD7, CD8, CD10, CD19, CD20, CD45, CD56, CD103, Kappa, Lambda, Interpretation Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If additional antibodies are required to Various antibodies 88185 x # of antibodies diagnose sample due to clinical indication or results of screen

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Billing Code Test Code [sunquest] IMMUNOPHENOTYPING ONE ANTIBODY IP1AB IP1AB Please indicate specific antibody requested. Container Type Yellow top tube (ACD Type A) Specimen Type ACD whole blood Preferred Volume 7 mL Minimum Volume 2 mL Specimen Processing Samples must be processed with 48 hours of collection. Store and transport at room temperature. Required Patient Info Source Alternate Specimens Sodium heparin whole blood (green top tube). Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 88184 Test Schedule Mon-Sat by 11 am Turnaround Time 1-3 days Method Flow Cytometry Test Includes Source; Result; Note. Supply Item Number 6039

Billing Code Test Code [sunquest] IMMUNOPHENOTYPING TWO ANTIBODIES IP2AB IP2AB Please indicate specific antibody requested. Container Type Yellow top tube (ACD Type A) Specimen Type ACD whole blood Preferred Volume 7 mL Minimum Volume 2 mL Specimen Processing Samples must be processed with 48 hours of collection. Store and transport at room temperatue. Required Patient Info Source Alternate Specimens Sodium heparin whole blood (green top tube). Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 88184, 88185 Test Schedule Mon-Sat by 11 am (Sunday by request) Turnaround Time 1-3 days Method Flow Cytometry Test Includes Source; Result; Note. Supply Item Number 6039

Billing Code Test Code [sunquest] INDICANS, URINE (QUALITATIVE) INDIC INDIC Container Type Leakproof plastic urine container. Specimen Type Frozen urine, random Preferred Volume 8 mL Minimum Volume 3 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot two 4 mL samples of a random urine specimen into two leakproof plastic urine containers and freeze. Store and transport frozen. Do not add preservatives. Room Temp unacceptable Refrigerated 8 hours Frozen (-20°C) 1 year Reference Laboratory ARUP Reference Lab Test Code 80403 CPT Codes 81005 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Colorimetric Test Includes Indicans, Urine Qualitative. Supply Item Number 1388

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Billing Code Test Code [sunquest] INFLAMMATORY BOWEL DISEASE DIFFERENTIATION PANEL IBDP IBDP Synonyms Irritable Bowel Disease; Saccharomyces cerevisiae; ANCA; Crohn Disease; Ulcerative Colitis; ASCA Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens. Avoid repeat freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86671 x 2, 86256 Test Schedule Mon, Wed, Fri; ANCAA Sun, Tue, Thu Turnaround Time 3-6 days Method ELISA, IFA Test Includes S. cerevisiae, IgG, Units; S. cerevisiae, IgA, Units; ANCA, Atypical Pattern. Notes This will identify atypical ANCA pattern only. For other ANCA testing, please use order code ANCASR.

Billing Code Test Code [sunquest] INFLUENZA A & B VIRUS ANTIGEN FLABAG FLABAG

Synonyms Flu; Rapid Antigen Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Collection Procedure Throat and/or nasopharynx (NP) swabs (flocked preferred, polyester or rayon acceptable), bronchial or nasal wash or BAL in viral transport media (Remel M4, M4RT, M5, M6, or BD Universal Transport Media may be used for these specimens). Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Sputum specimens Alternate Specimens Polyester or cotton swabs in M4 media or other VTM Department PAML Virology CPT Codes 87400 Test Schedule Daily and no STAT Turnaround Time 1 day Method ICT Assay Test Includes Source; Influenza A and B Virus Antigen; Influenza A and B Virus Antigen Status Notes This is the rapid ICT method for the detection of Influenza A and B Antigen. Recommended only on symptomatic patients during influenza season (Nov thru May). If the Flu A and B Antigen test is negative, the ordering physician may order a viral culture or FLUDFA to screen for other respiratory viruses on the same specimen by contacting Client Services. Supply Item Number 1785K

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Billing Code Test Code [sunquest] INFLUENZA A & B VIRUS ANTIGEN BY DFA, REFLEX TO VIRAL FLUDFA FLUDFA CULTURE If the DFA is negative it will reflex to a viral culture. At client request, viral culture may be added regardless of DFA result. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Influenza; Flu A; Flu B Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Preferred Volume See below Minimum Volume See below Collection Procedure Nasopharyngeal swab, throat swab (flocked preferred, polyester or rayon acceptable), bronchial brush or wash or BAL, submitted in viral transport media (Remel M4, M4RT, M5, M6, or BD Universal Transport Media) Required Patient Info Source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Sputum, calcium alginate swab, dry swab, wooden swab, swab in gel media, samples received frozen at -20C, samples GT 3 days old unless received frozen on dry ice. Department PAML Virology CPT Codes 87015, 87275, 87276 Test Schedule Twice daily. Received by 0500, results by 1200; received by 1300, results by 1700. Turnaround Time Less than 24 hours after receipt in Virology Method DFA reflex to culture Test Includes Source; Viral Culture & DFA Stain; Report Status Clinical Significance Rapid sensitive test for Influenza A & B. Will not differentiate Influenza A subtype. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Negative DFA Viral Culture 87252, 87254 BVRCUL

Billing Code Test Code [sunquest] INFLUENZA A SUBTYPING RT-PCR FLATYP FLATYP

Synonyms 2009 H1N1; Seasonal Flu, Swine Flu, Novel Flu, Influenza typing; Influenza A subtyping; Flu; Flu A; Molecular; Pandemic Flu Respiratory Virus PCR; Influenza A Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Collection Procedure Nasopharynx (NP) swab (flocked preferred, polyester or rayon acceptable) in viral transport media (Remel M4 or M4RT, M5, M6, Copan or BD Universal transport media) Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Any specimen other than nasopharynx swab in viral transport media (VTM). Department PAML Virology CPT Codes 87502, 87503 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Real-Time PCR Test Includes 2009 H1N1; Seasonal H1; Seasonal H3 Notes Detection of Influenza A by an alternate method suggested prior to ordering Influenza A subtyping assay. Will not detect Influenza B or other respiratory viruses. Supply Item Number 1785K

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Billing Code Test Code [sunquest] INFLUENZA A VIRUS, IGG FLUAG FLUAG Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples. Reference Laboratory ARUP Reference Lab Test Code 51074 CPT Codes 86710 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method ELISA Test Includes Influenza A Virus Antibody, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] INFLUENZA ANTIGEN, A/B, RAPID (PSC ONLY) RAPFLU RAPFLU This procedure is performed ONLY at designated Patient Service Centers and in NOT AVAILABLE AT THE MAIN LABORATORY. Container Type See below Specimen Type See below Preferred Volume See below Patient Prep See below Collection Procedure See below Specimen Processing Nasopharynx swab in sterile dry tube or transprot device. Use only swabs provided by the manufacturer of the test kit. Store and transport refrigerated. This is the rapid method for the detection of Influenza A & B virus antigen, but it does not differentiate between them. If this test is negative, a VIR-CULT may be ordered on a separate swab in FT media as a confirmatory test. Refrigerated 1 day Unacceptable Condition Sputum and specimens collected using cotton swabs, wooden shafts or submitted in any type of transport media. Department PSC ONLY CPT Codes 87804 Test Schedule Mon-Fri Turnaround Time 30 minutes Method Immunochromatographic Strip Test Includes Influenza Antigen, A & B, Rapid

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Billing Code Test Code [sunquest] INFLUENZA B VIRUS, IGG FLUBG FLUBG Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples. Reference Laboratory ARUP Reference Lab Test Code 51080 CPT Codes 86710 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method ELISA Test Includes Influenza B Virus Antibody, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] INHIBIN A INHA INHA Container Type SST tube Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Plasma and severely lipemic or hemolyzed samples. Limitations Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 70137 CPT Codes 86336 Test Schedule Sat-Sun Turnaround Time 2-4 days Method ELISA Test Includes Inhibin A, pg/mL. Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to peform high-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] INHIBIN B INHB INHB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Room Temp Unacceptable Refrigerated 48 hours Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic or ambient specimens Reference Laboratory ARUP Reference Lab Test Code 70413 CPT Codes 83520 Test Schedule Wed Turnaround Time 2-9 days Method ELISA Test Includes Inhibin B, pg/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] INSECTICIDE EXPOSURE PANEL CHESCR CHESCR Synonyms Cholinesterase; RBC & Pseudocholinesterase; Pseudocholinesterase & Cholinesterase, RBC Container Type Lavender top tube (EDTA) Store and Transport Refrigerated. Do not place whole blood directly on cool pack when shipping. Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing DO NOT FREEZE; Do not spin down or separate Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Green (sodium or lithium heparin); Frozen whole blood; Hemolyzed specimens Alternate Specimens Pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 20175 CPT Codes 82480, 82482 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Quantitative Enzymatic Test Includes Cholinesterase, Plasma, U/mL; Cholinesterase, RBC, U/mL; Cholinesterase RBC Hgb Ratio, U/gHgb; Cholinesterase, Plasma Ellman Standard, U/mL; Cholinesterase RBC Ellman Standard, U/mL Supply Item Number 1222

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Billing Code Test Code [sunquest] INSULIN ASSAY INS INS Use this workpar to order a single INSULIN test. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Sample types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, Fasting, uIU/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] INSULIN AUTOANTIBODY INSAA INSAA Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 weeks Refrigerated 4 weeks Frozen (-20°C) 4 weeks Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 36178 CPT Codes 86337 Test Schedule Sun, Tue, Thu Turnaround Time 4-5 days Method Radiobinding Assay Supply Item Number 1467

Billing Code Test Code [sunquest] INSULIN, FREE & TOTAL INS.F&T INSFT Separate samples must be submitted when multiple tests are ordered. Synonyms Free & Total Insulin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1.1 mL Patient Prep Fasting specimen preferred; reference intervals established for fasting specimens. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Heparinized specimens; sodium fluoride/potassium oxalate plasma; hemolyzed specimens Alternate Specimens Lavender (EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0070155 CPT Codes 83525, 83527 Test Schedule Mon, Thu, Sat Turnaround Time 3-4 days Method Quantitative Ultrafiltration/Quantitative Chemiluminescent Immunoassay Test Includes Insulin, Free, uIU/mL; Insulin, Total, uIU/mL. Notes Ordering Recommendation: Not recommended to diagnose diabetes mellitus. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 613 I 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory I

Billing Code Test Code [sunquest] INSULIN, SAMPLE 1 INS.S1 INSLN1 Use this workpar to order the first insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hrs Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids & hemolysis. Alternate Specimens EDTA plasma (lavender top tubes). Sample types should not be used interchangeably. Limitations Thaw specimens only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-3 days Method ICMA Test Includes Insulin, #1, uIU/mL; Insulin, Time 1. Supply Item Number 1467

Billing Code Test Code [sunquest] INSULIN, SAMPLE 2 INS.S2 INSLN2 Use this workpar to order the second insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Samples types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #2, uIU/mL; Insulin, Time 2. Supply Item Number 1467

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Billing Code Test Code [sunquest] INSULIN, SAMPLE 3 INS.S3 INSLN3 Use this workpar to order the third insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Sample types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #3, uIU/mL; Insulin, Time 3. Supply Item Number 1467

Billing Code Test Code [sunquest] INSULIN, SAMPLE 4 INS.S4 INSLN4 Use this workpar to order the fourth insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Sample types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #4, uIU/mL; Insulin, Time 4. Supply Item Number 1467

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Billing Code Test Code [sunquest] INSULIN, SAMPLE 5 INS.S5 INSLN5 Use this workpar to order the fifth insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Sample types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #5, uIU/mL; Insulin, Time 5. Supply Item Number 1467

Billing Code Test Code [sunquest] INSULIN, SAMPLE 6 INS.S6 INSLN6 Use this workpar to order the sixth insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum. Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Sample types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #6, uIU/mL; Insulin, Time 6. Supply Item Number 1467

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Billing Code Test Code [sunquest] INSULIN, SAMPLE 7 INS.S7 INSLN7 Use this workpar to order the seventh insulin when multiple specimens are collected. Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 250 uL Patient Prep Patient should be fasting. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 6 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Heparin plasma (green top tube), other fluids and hemolysis. Alternate Specimens EDTA plasma (lavender top tube). Samples types should not be used interchangeably. Limitations Thaw samples only once. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83525 Test Schedule Mon-Sat days Turnaround Time 1-2 days Method ICMA Test Includes Insulin, #7, uIU/mL; Insulin, Time 7. Supply Item Number 1467

Billing Code Test Code [sunquest] INTEGRATED SCREEN, COMPLETION MIGZC MIGZC This is the second part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar MIGZC & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect second specimen between 15 wks/0 days & 21 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 82105, 82677, 84702, 86336 Test Schedule Mon-Sat Turnaround Time 4-5 days Test Includes Integrated Screen, Completion. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

Billing Code Test Code [sunquest] INTEGRATED SCREEN, INITIAL MIGZI MIGZI Must have NT measurements from certified (FMF) or Maternal Fetal Medicine Foundation sonographer when ordering this test. This is the first part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar MIGZC & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect initial specimen between 10 wks/3 days & 13 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Required Patient Info NT measurements Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 84163 Test Schedule Mon-Sat Turnaround Time after second specimen is received. Test Includes Integrated Screen, Initial. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

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Billing Code Test Code [sunquest] INTERFERON-BETA, IGG INFBEG INFBEG Container Type SST Tube Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Collect sample at least 8 hours after interferon injection. Required Patient Info Interferon drug used for treatment Room Temp 2-3 days Refrigerated 2 weeks Frozen (-70°C) 3-4 years Reference Laboratory Focus Reference Lab Test Code 29958 CPT Codes 83520 Test Schedule Mon Turnaround Time 3-10 days Method ELISA Test Includes Interferon-Beta Used for Treatment; Interferon-Beta, IgG, Units. Supply Item Number 1467

Billing Code Test Code [sunquest] INTERLEUKIN 1 BETA BY MAFD IL1BA IL1BA Separate samples must be submitted when multiple tests are ordered Critical frozen Synonyms IL-1 beta Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube and freeze Room Temp After separation from cells: Ambient: 30 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated, refrigerated or contaminated specimens Alternate Specimens Plain red or green (lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 0051536 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Multiplex Bead Assay Test Includes Interleukin 1 Beta by MAFD, pg/mL Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

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Billing Code Test Code [sunquest] INTERLEUKIN 10 BY MAFD I10MAF I10MAF Separate samples must be submitted when multiple tests are ordered. Critical frozen Synonyms IL-10; Interleukin-10, Plasma; Interleukin-10, Serum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube and freeze. Room Temp After separation from cells: 30 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Unacceptable Condition Refrigerated specimens; contaminated or heat-inactivated specimens Alternate Specimens Plain red, or green (lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 51534 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Multiplex Bead Assay Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] INTERLEUKIN 2 RECEPTOR SOLUBLE BY MAFD I2MAFD I2MAF Separate samples must be submitted when multiple tests are ordered Critical frozen Synonyms IL-2R Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube and freeze Room Temp After separation from cells: ambient: 30 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Unacceptable Condition Refrigerated specimens, contaminated, or heat-inactivated specimens Alternate Specimens Plain red or green (lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 51529 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Multiplex Bead Assay Test Includes Interleukin 2 Receptor by MAFD, pg/mL Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

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Billing Code Test Code [sunquest] INTERLEUKIN 28 B (IL28B)-ASSOCIATED VARIANTS, 2SNPS IL28BA IL28BA Counseling and informed consent are recommended for genetic testing. Synonyms IL-28B; Interleukin 28B Polymorphism; Lambda Interferon Genotyping; Ribavirin Genotyping Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Alternate Specimens Pink (K2EDTA) or yellow (ACD Solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2004680 CPT Codes 81479 Test Schedule Mon, Thu Turnaround Time 8-10 days Method Qualitative Polymerase Chain Reaction/Qualitative Fluorescence Monitoring Test Includes IL28B-Associated Variants,2 SNP's Specimen Type; IL28B rs12979860; IL28B rs8099917; IL28B Associated Variants, SNPs Interpretation Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Notes Detects genetic variants associated with interleukin 28 B (IL28B) that may aid in predicting probability of treatment response. Supply Item Number 1222

Billing Code Test Code [sunquest] INTERLEUKIN 6 BY MAFD I6MAFD I6MAF Separate samples must be submitted when multiple tests are ordered Critical frozen Synonyms IL-6; Interleukin-6, Plasma; Interleukin-6, Serum Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube and freeze. Room Temp After separation from cells: ambient: 30 minutes Refrigerated Unacceptable Frozen (-20°C) 1 year Unacceptable Condition Refrigerated specimens; contaminated or heat-inactivated specimens Alternate Specimens Plain red, or green (lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 51537 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Multiplex Bead Assay Test Includes Interleukin 6 Receptor by MAFD, pg/mL Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

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Billing Code Test Code [sunquest] INTRINSIC FACTOR BLOCKING ANTIBODY IBF IFBAB Synonyms Anti-Intrinsic Factor (Intrinsic Factor Blocking Antibody) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.15 mL Patient Prep For patients undergoing B12 therapy, wait 48 hours to one week prior to collecting specimen. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed or severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 70210 CPT Codes 86340 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method ELISA Test Includes Intrinsic Factor Blocking Antibody Supply Item Number 1467

Billing Code Test Code [sunquest] IODINE SERUM/PLASMA IODSP IODSP Container Type Royal blue top tube (plain) trace metal-free Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and transfer to a standard PAML aliquot tube Room Temp 10 days Refrigerated 10 days Frozen (-20°C) Unacceptable Alternate Specimens Royal blue top tube (metal free EDTA) Reference Laboratory Quest Diagnostics Chantilly (VAL) Reference Lab Test Code S52099 CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 4-5 days Method Inductively Coupled Plasma/Mass Spectrometry Supply Item Number 1052

Billing Code Test Code [sunquest] IODINE, RANDOM URINE IODRU IODRU Container Type Urine, sterile leakproof plastic urine container Store and Transport Room temperature Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect random urine without preservatives Room Temp 10 days Refrigerated 10 days Frozen (-20°C) Unacceptable Reference Laboratory Quest Diagnostics Chantilly (VAL) Reference Lab Test Code S51887 CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 4-7 days Method Inductively Coupled Plasma/Mass Spectrometry

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Billing Code Test Code [sunquest] IODINE, URINE 24HR IODUQM IODUQM Synonyms Iodine; Soft-UIOD; Urinary Free Iodide; Urinary Free Iodine; Urinary Iodide; Urinary Iodine Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type 24-hr urine collection Preferred Volume 10 mL aliquot of a 24-hour urine collection Minimum Volume 3 mL Patient Prep Gadolinium, iodine and barium are known to interfere with most metals test. It any contrast media containing any of these has been administered do not collect the specimen for 96 hours. Collection Procedure Collect in a leakproof plastic urine container with no metal caps or glued inserts. Specimen Processing Aliquot 10 mL of the 24-hour urine collection. This must be refrigerated within 4 hours of completion of the 24 hour collection. Required Patient Info Record total volume and collection period. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Reference Laboratory Mayo Reference Lab Test Code 9549 CPT Codes 83789 Test Schedule Mon-Fri Turnaround Time 3-7 days Test Includes Iodine, 24 hr, Urine, mcg/specimen; Collection Period, hrs; Urine Volume, mLs; Iodine Concentration, mcg/L

Billing Code Test Code [sunquest] IRON BINDING CAPACITY IBC IBC Synonyms TIBC; % Transferrin Saturation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure AM collection recommended Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 1 week Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 83540, 83550 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Iron, ug/dL; Iron Binding Capacity, ug/dL; % Saturation, % Supply Item Number 1467

Billing Code Test Code [sunquest] IRON STAIN FESTN FESTN Container Type See below. Specimen Type See below. Preferred Volume See below. Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides, and/or 1 clot or biopsy in fixative. Specimen Processing Store and transport at room temperature. Required Patient Info Specimen source. Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88313 Test Schedule Mon-Sat Turnaround Time 72 hours Method Cytochemical Stain Test Includes Source; Bone Marrow, Iron; Red Cell, Iron. Supply Item Number Multiple varies

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Billing Code Test Code [sunquest] IRON, LIVER IRNLIA IRNLIA Synonyms Fe, Liver; Hemochromatosis; Hepatic Iron Concentration; Hepatic Iron Index; Quantitative Iron, Tissue Container Type See below. Specimen Type Frozen Liver tissue Preferred Volume See below. Minimum Volume Must be a least 1 cm long. Collection Procedure Obtain with an 18 gauge needle. Specimen Processing Tissue can be fresh, paraffin-embedded, formalin-fixed, or dried. Samples should be stored and transported in metal-free conatiner such as royal blue top tube (no additive). Store and transport frozen. Required Patient Info Age is required to calculate iron index. Room Temp Fresh tissue-unacceptable; paraffin block-indefinitely Refrigerated Fresh tissue-1 week; paraffin block-indefinitely Frozen (-20°C) Fresh tissue-indefinitely Unacceptable Condition Specimens less than 0.25 mg (dry weight). Specimens stored or shipped in saline. Alternate Specimens Paraffin blocks are acceptable. Formalin is acceptable, but not preferred. Reference Laboratory ARUP Reference Lab Test Code 0028250 CPT Codes 83540 Test Schedule Mon, Wed, Fri Turnaround Time 4-8 days Method ICP/MS Test Includes Fe Weight, mg; Hepatic Iron Concentration, ug/g of tissue; Hepatic Iron Index. Supply Item Number 1052

Billing Code Test Code [sunquest] IRON, TOTAL IRN FE Synonyms Fe Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Collection Procedure Specimens should be collected in the morning from patients in a fasting state. Avoid hemolysis. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 1 week Unacceptable Condition Hemolyzed specimens, EDTA, and potassium oxalate plasma (lavender or grey top tube) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83540 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Iron, ug/dL Supply Item Number 1467

Billing Code Test Code [sunquest] IRON, URINE 24HR IRN-U IRONUQ Synonyms Fe, Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection Preferred Volume 10 mL Minimum Volume 7 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container with no preservative or metal caps or glued inserts. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container with no metal caps or glued inserts. Refrigerate within 4 hours of completion of collection. Record total volume and collection period. Required Patient Info Collection period and total volume Reference Laboratory Mayo Reference Lab Test Code 8571 CPT Codes 83540 Test Schedule Mon-Fri Turnaround Time 2-5 days Method ICPES Test Includes Collection Period, Hrs; Volume, mLs; Iron, Urine, ug/specimen Supply Item Number 1108 2.1 www.paml.com 4/16/2013 page 623 I 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory I

Billing Code Test Code [sunquest] ISLET CELL CYTOPLASMIC ANTIBODY, IGG ISLET ISLET Synonyms Islet Cell Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, or contaminated specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50138 CPT Codes 86341 Test Schedule Mon, Wed, Fri Turnaround Time 2-3 days Method IFA Test Includes Anti-Islet Cell Antibody, Titer Supply Item Number 1467

Billing Code Test Code [sunquest] ISOAGGLUTININ TITER, ANTI-A ISOAT ISOAT Only valid for blood types B and O. Synonyms Anti-A Container Type Red top tube (plain) Store and Transport Ambient (room temperature) preferred, or refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Patient's blood type and age Room Temp 4 days Refrigerated 10 days Frozen (-20°C) 10 days Unacceptable Condition Gross hemolysis; serum separator tube (gels) Limitations Specimen must arrive within 10 days of draw. Reference Laboratory Mayo Reference Lab Test Code ATITH CPT Codes 86886 Test Schedule Mon-Sun Turnaround Time 3-4 days Method Hemagglutination Test Includes Isoagglutinin Titer, Anti-A, Titer Notes Decreased isoagglutinin titers may be seen in normal elderly individuals and in children < or =12 months. This test is not useful for individuals with blood type A or AB.

Useful For: Evaluation of individuals with possible hypogammaglobulinemia. Investigation of suspected roundworm infections.

Dilutions > 1:2048 are reported as > 2048. Supply Item Number 1372

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Billing Code Test Code [sunquest] ISOAGGLUTININ TITER, ANTI-B ISOBT ISOBT Only valid for blood types A and O. Synonyms Anti-B Container Type Red top tube (plain) Store and Transport Ambient (room temperature) preferred, or refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Patient's blood type and age Room Temp 4 days Refrigerated 10 days Frozen (-20°C) 10 days Unacceptable Condition Gross hemolysis; serum separator tube (gels) Limitations Specimen must arrive within 10 days of draw. Reference Laboratory Mayo Reference Lab Test Code BTITH CPT Codes 86886 Test Schedule Mon-Sun Turnaround Time 3-4 days Method Hemagglutination Test Includes Isoagglutinin Titer, Anti-B, Titer Notes Decreased isoagglutinin titers may be seen in normal elderly individuals and in children < or =12 months. This test is not useful for individuals with blood type B or AB.

Useful For: Evaluation of individuals with possible hypogammaglobulinemia. Investigation of suspected roundworm infections.

Dilutions > 1:2048 are reported as > 2048. Supply Item Number 1372

Billing Code Test Code [sunquest] ISOHEMAGGLUTININ TITER ISOHTS ISOHTS Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Store and transport refrigerated. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 2 months Reference Laboratory Specialty-now Quest Valencia Reference Lab Test Code 3356 CPT Codes 86886 x 3 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Hemagglutination Test Includes Isohemagglutinin Titer A1, Titer; Isohemagglutinin Titer A2, Titer; Isohemagglutinin Titer B, Titer. Supply Item Number 1467

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Billing Code Test Code [sunquest] ISOPROPYL ALCOHOL IALC IALC Synonyms Isopropanol Container Type 2 mL oxalated whole blood (grey top tube) or 2 mL serum (red top tube) Specimen Type Blood/Serum Preferred Volume 2 mL Minimum Volume 1 mL Alternate Specimens Heparinized whole blood (green top tube), urine or vitreous humor

Limitations Container must be keep sealed. Limit of Detection 10 mg/dl Department PAML Toxicology CPT Codes 84600 Test Schedule Mon-Fri and STAT Turnaround Time 1-2 days Method Gas Chromatography (GC/FID) Notes Draw blood using non-alcoholic disinfectant. Store and transport at room temperature. Supply Item Number 1396

Billing Code Test Code [sunquest] ITRACONAZOLE, ANTIFUNGAL LEVEL ITRAC ITRAC This workpar is for either a peak or trough level only. If both specimens are ordered, this workpar must be ordered twice, once for the peak and once for the trough. Synonyms Antifungal Level, Itraconazole; Sporanox Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Indicate if peak or trough specimen. If both specimens are ordered and received this workpar must be ordered twice, once for the peak and once for the trough. Store and transport frozen. Required Patient Info Indicate if peak or trough specimen. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) indefinitely Reference Laboratory Focus Reference Lab Test Code 51523 CPT Codes 82492 Test Schedule Tue, Thu Turnaround Time 7 days Method HPLC Test Includes Itraconazole, ug/mL; Hydroxyitraconazole, ug/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] JAK2 (V617F) JAK2M JAK2M Container Type Lavendar top (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL whole blood or 1.0 mL bone marrow Minimum Volume 3 mL whole blood or 0.5 mL bone marrow Specimen Processing Submit original unopened tube only. Indicate source Required Patient Info Source and clinical indication Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Whole blood in sodium heparin, serum/plasma, grossly hemolyzed, frozen whole blood or bone marrow, specimens in leaky containers or over 5 days old and samples not received in the original unopened collection tubes. Alternate Specimens ACD or sodium citrate whole blood (lavender, yellow or blue top tube) or 1 mL bone marrow. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81270 Test Schedule Tue, Fri Turnaround Time 4-10 days Method PCR Test Includes Source; JAK2 (V617F) Mutation Result Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] JC VIRUS BY PCR JCVPCR JCVPCR Separate samples must be submitted when multiple tests are ordered. Synonyms John Cunningham Virus Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and transfer to a sterile PAML aliquot tube. Specimen source required. Required Patient Info Specimen source Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Heparinized specimens Alternate Specimens Lavender (EDTA), pink (K2EDTA), CSF, or urine Reference Laboratory ARUP Reference Lab Test Code 0099169 CPT Codes 87798 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Qualitative Polymerase Chain Reaction Test Includes JC Virus by PCR Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1468 and 1766

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Billing Code Test Code [sunquest] JO-1 AUTOANTIBODY, IGG JO1MP JO1MP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.05 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens; avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex Luminex Test Includes JO-1 Autoantibody, IgG, AI Supply Item Number 1467

Billing Code Test Code [sunquest] KAPPA/LAMBDA FREE LIGHT CHAINS WITH RATIO, SERUM FLCR FLCR Synonyms Kappa/Lambda Free Light Chains, Quantitative, Serum; FREELITE Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 1 month Unacceptable Condition Plasma; repeated freeze/thaw cycles should be avoided. Contaminated samples, samples containing particulate matter, and lipemic or hemolyzed serum samples. Department PAML Immunology CPT Codes 83883 x 2 Test Schedule Tue-Sat Turnaround Time 1-4 days Method Nephelometry Test Includes Kappa FLC, mg/dL; Lambda FLC, mg/dL; Kappa/Lambda FLC Ratio Supply Item Number 1467

Billing Code Test Code [sunquest] KAPPA/LAMBDA LIGHT CHAIN RATIO, SERUM KAPPA.LAMBDA KLR Synonyms K/L Ratio Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Plasma or lipemic specimens Department PAML Immunology CPT Codes 83883 x 2 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes Kappa Light Chain, mg/dL; Lambda Light Chain, mg/dL; Kappa/Lambda Ratio, Ratio Supply Item Number 1467

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Billing Code Test Code [sunquest] KELL ANTIGEN KELL.AG KELLAG Container Type Red top tube (plain) AND Lavender top tube (EDTA). Specimen Type Whole blood Red top tube AND Whole blood EDTA lavender top tube. Preferred Volume 5 mL of each Specimen Processing Store and transport refrigerated or at room temperature. Unacceptable Condition SST and other gel-type tubes. Reference Laboratory INBC CPT Codes 86905 Test Schedule Varies Turnaround Time 2-3 days Method Tube Agglutination Test Includes Kell Antigen. Supply Item Number 1518

Billing Code Test Code [sunquest] KEPPRA (LEVETIRACETAM) KEP KEP Synonyms Levetiracetam Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 6 weeks Refrigerated 6 weeks Frozen (-20°C) 6 weeks Alternate Specimens EDTA, K2EDTA, or sodium heparin plasma (lavender, pink or green top tube) Department PAML Toxicology CPT Codes 80299 Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA Test Includes Keppra, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] KETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCKET TLCKET SUR. Synonyms Ketalar; Ketaject; Cat killer; Cat Valium; Honey Oil; Jet; Ket; Kit Kat; Purple; Special K; Special La Coke; Vitamin K; Super C Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Ketamine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] KETAMINE AND METABOLITE SCREEN, SERUM/PLASMA KETACO KETACO (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Ketalar; Ketaject®; Ketalar®; Ketamine Metabolite Ketaset®; Special K Container Type Red top tube (plain) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 4 mL Minimum Volume 2.4 mL Specimen Processing Separate serum from cells immediately and place in separate plastic tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or gel-type tubes Alternate Specimens Plasma, lavendar top tube (EDTA) Reference Laboratory NMS Reference Lab Test Code 9188SP CPT Codes 80100 Test Schedule Tue, Thu Turnaround Time 9-13 days Method GC/MS Test Includes Ketamine, ng/mL; Norketamine, ng/mL; Ketamine, Confirmation, ng/mL; Norketamine, Confirmation, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Ketamine is positive Ketamine Confirmation by GC/MS 82543

Billing Code Test Code [sunquest] KETAMINE CONFIRMATION BY GC/MS KETAMS KETAMS Synonyms Ketalar; Ketaject; Cat killer; Cat Valium; Honey Oil; Jet; Ket; Kit Kat; Purple; Special K; Special La Coke; Vitamin K; Super C Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 25 ng/mL Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography/ Mass Spectrometry Test Includes Ketamine Notes Test is also included in Drug Facilitated Sexual Assault panel, DFSA1 Supply Item Number 1388

Billing Code Test Code [sunquest] KETONES, URINE KTN KETUD Synonyms Acetone, Urine Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Alternate Specimens Frozen specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81005 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Ketones, Urine, mg/dL. Supply Item Number 1388

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Billing Code Test Code [sunquest] KIDNEY STONE RISK PANEL II, URINE 24HR KSRPU2 KSRPU2 Container Type Clean leakproof plastic urine container Store and Transport Frozen Specimen Type Frozen urine Preferred Volume 16 mL (4-4 mL aliquots) Collection Procedure Collect a 24 hour urine. Refrigerate during collection. Specimen Processing Requires 4 aliquots of 4 mL each. Freeze immediately after aliquoting as below. Use Kidney Stone/Supersaturation Urine Collection Kits (ARUP# 46007) available from Supply Department. 1) 4 mL in sulfamic acid tube mix and freeze. 2) 4 mL in sodium carbonate tube, mix and freeze. 3rd and 4th aliquots-4 mL in plain plastic tubes and freeze. Room Temp Unacceptable Refrigerated 12 hours (after collection is complete) Frozen (-20°C) 3 weeks Unacceptable Condition Room temperature samples Reference Laboratory ARUP Reference Lab Test Code 0020805 CPT Codes 82340, 82436, 82507, 82131, 83735, 83945, 84105, 84133, 84300, 84560 Test Schedule Mon-Fri Turnaround Time 2-7 days Method Spectrophotometry, Enzymatic, ISE/Titration, Ion Exchange Test Includes Collection time, hrs; Total Volume, mLs; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Citric Acid, Urine, mg/L; Citric Acid, Urine, mg/d; Calcium, Urine, mg/dL; Calcium, Urine, mg/d; Oxalate, Urine, mg/L; Oxalate, Urine, mg/d; Uric Acid, Urine, mg/dL; Uric Acid, Urine, mg/d; Cystine, Urine, uM/gCR; Magnesium, Urine, mg/dL; Magnesium, Urine, mg/d; Phosphorus, Urine, mg/dL; Phosphorus, Urine, mg/d; Potassium, Urine, mmol/L; Potassium, Urine, mmol/d; Chloride, Urine, mmol/L; Chloride, Urine, mmol/d; Sodium, Urine, mmol/L; Sodium, Urine, mmol/d Supply Item Number 1388

Billing Code Test Code [sunquest] KIDNEY STONE RISK PANEL, URINE 24HR KSRPU KSRPU Container Type Clean leakproof plastic urine container Store and Transport Frozen Specimen Type Frozen urine Preferred Volume 16 mL (4-4 mL aliquots) Collection Procedure Collect a 24 hour urine specimen, refrigerate during collection. Specimen Processing Requires 4 aliquots of 4 mL each. Freeze immediately after aliquoting as below. Use Kidney Stone/Supersaturation Urine Collection Kits (ARUP# 46007) available from Supply Department. 1) 4 mL in sulfamic acid tube mix and freeze. 2) 4 mL in sodium carbonate tube, mix and freeze. 3rd and 4th aliquots-4 mL in plain plastic tubes and freeze. Room Temp Unacceptable Refrigerated 12 hours (after collection is complete) Frozen (-20°C) 3 weeks Unacceptable Condition Room temperature samples Reference Laboratory ARUP Reference Lab Test Code 0020843 CPT Codes 82507, 83945, 84560, 82340 Test Schedule Mon-Fri Turnaround Time 2-7 days Method Spectrophotometry, Enzymatic Test Includes Collection time; Total Volume; Creatinine, urine mg/dL; Creatinine, urine mg/d; Citric Acid, urine mg/L; Citric Acid, urine mg/d; Calcium, urine mg/dL; Calcium, urine mg/d; Oxalate, urine mg/L; Oxalate, urine mg/d; Uric Acid, urine mg/dL; Uric Acid, urine mg/d Supply Item Number 1388

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Billing Code Test Code [sunquest] KLEIHAUER BETKE (STAT ONLY) KB KBS This test can only be used to order a stat Kleihauer Betke. The correct workpar for all others is FETALF which is done by flow cytometry. Synonyms Fetal Hemoglobin; K-B Container Type Lavender top tube (EDTA) Specimen Type Whole blood and blood smears. Preferred Volume 5 mL Minimum Volume 1.5 mL Collection Procedure Maternal samples should be collected as soon after delivery as possible. Specimen Processing Store and transport refrigerated. Required Patient Info Specimen source. Refrigerated 2 weeks Unacceptable Condition Frozen specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85460 Test Schedule Daily & STAT Turnaround Time 24 hours Method Acid Elution Test Includes Source; Fetal Cells, %. Notes Useful in determining the presence of fetal red blood cells in the maternal circulation. Supply Item Number 1222

Billing Code Test Code [sunquest] KOH WET MOUNT KOH KOHPRP If testing is performed at PSC use the workpar KOH or Flexi ordercode KOHPRP. If testing is done at SHMC use the workpar MISCDE. Container Type See below Store and Transport Ambient (room temperature) Specimen Type See below Preferred Volume See below Collection Procedure Specify source of specimen and include any pertinent clinical information. Nail and Skin: Nail and skin scrapings should be from subsurface portion of the infected nail. Skin should be taken from active border of the lesion. Hair for dermatophytes: Place hair, including base of shaft, in sterile plastic container. Other specimens: submit in screw-capped leakproof plastic container or swab in culturette. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87220 Test Schedule Daily Turnaround Time 1-2 days Method Microscopic Test Includes Source; KOH Preparation Supply Item Number Multiple varies

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Billing Code Test Code [sunquest] KRAS MUTATION DETECTION BY SEQUENCE ANALYSIS, KRASSQ KRASSQ CODONS 12 AND 13 Container Type Paraffin embedded tissue and/or slides Store and Transport Transport paraffin embedded, formalin fixed tissue block or slides at 20-25C. Protect paraffin block from excessive heat. Ship in a cooled container during summer months. Include surgical pathology report. Specimen Type Formalin Fixed Paraffin Embedded Tissue Preferred Volume Paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells. Minimum Volume 1 paraffin embedded tissue block or 4 unstained 7-micron slides with 1 H&E stained slide containing at least 20% tumor cells. Collection Procedure Collect tumor tissue Required Patient Info Surgical pathology report Room Temp Indefinitely Refrigerated Indefinitely Unacceptable Condition No tumor in tissue. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81275 Test Schedule Tue-Wed Turnaround Time 4-11 days Method PCR and sequence analysis Test Includes Detection and identification of specific mutations in codons 12 and/or 13 of the KRAS gene. Clinical Significance KRAS mutation status in patients with metastatic colorectal cancer (mCRC) is pivotal to response to EGFR antibody therapy. About 40% of mCRC patients carry a KRAS activating mutation in codon 12 or 13 of the oncogene, a strong predictor of resistance to EGFR-directed therapy. Although the absence of mutations in the KRAS oncogene does not guarantee that EGFR antibody therapy will be successful, studies have shown that patients with KRAS mutations do not respond to therapy. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number Parafin block in 1388 plus slides

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Billing Code Test Code [sunquest] KRAS MUTATION DETECTION BY SEQUENCE ANALYSIS, KRASRF KRASRF CODONS 12 AND 13 WITH REFLEX TO BRAF IF INDICATED This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Paraffin embedded tissue and/or slides Store and Transport Transport paraffin embedded, formalin-fixed tissue block, or slides at 20-25C. Protect paraffin block from excessive heat. Ship in cooled container during summer months. Include surgical pathology report. Specimen Type Formalin Fixed Paraffin Embedded Tissue Preferred Volume Paraffin embedded tissue block or 6 unstained 7-micron slides with an addtional H&E stained slide containing at least 50% tumor cells. Minimum Volume 1 paraffin embedded tissue block or 4 unstained 7-micron slides with 1 H&E stained slide containing at least 20% tumor cells. Collection Procedure Collect tumor tissue Required Patient Info Surgical pathology report Room Temp Indefinitely Refrigerated Indefinitely Unacceptable Condition No tumor in tissue. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81275 Test Schedule Mon-Tue Turnaround Time 8-11 days (if reflexed to BRAF, 3-7 days additional) Method PCR and sequence analysis Test Includes Detection and identification of specific mutations in codons 12 and/or 13 of the KRAS gene. If indicated, will also include detection and identification of BRAF V600E Mutation. Clinical Significance KRAS mutation status in patients with metastatic colorectal cancer (mCRC) is pivotal to response to EGFR antibody therapy. About 40% of mCRC patients carry a KRAS activating mutation in codon 12 or 13 of the oncogene, a strong predictor of resistance to EGFR-directed therapy. Although the absence of mutations in the KRAS oncogene does not guarantee that EGFR antibody therapy will be successful, studies have shown that patients with KRAS mutations do not respond to therapy. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If KRAS is negative BRAF 81210 BRAFRF

Billing Code Test Code [sunquest] LACOSAMIDE, SERUM/PLASMA LACOS LACOS Synonyms Vimpat Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Promptly separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 15 days Refrigerated 15 days Frozen (-20°C) 7 months Unacceptable Condition Polymer gel separation tubes (PST or SST) Alternate Specimens Lavender (EDTA) , pink (K2EDTA) Reference Laboratory NMS Reference Lab Test Code 2527SP CPT Codes 83789 Test Schedule Mon Turnaround Time 5-8 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry (LC-MS/MS) Test Includes Lacosamide Supply Item Number 1372

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Billing Code Test Code [sunquest] LACTATE DEHYDROGENASE LDH LD Synonyms LDH; LD Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 3 days Refrigerated 3 days Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube), EDTA (lavender top tube), or hemolyzed specimens Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83615 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes LD, U/L Notes Frozen samples show decreased activity of isoenzymes LD4 and LD5 and thus a total LD activity that is decreased. Supply Item Number 1467

Billing Code Test Code [sunquest] LACTATE DEHYDROGENASE TOTAL, CSF LDFLA LDFLA Synonyms LD (Lactate Dehydrogenase Total, CSF) Container Type CSF plastic tube Store and Transport Store and transport refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Centrifuge to remove cellular material. Transfer 1 mL CSF to a leakproof plastic container. Room Temp 7 days Refrigerated 4 days Frozen (-20°C) 6 weeks Reference Laboratory ARUP Reference Lab Test Code 20505 CPT Codes 83615 Test Schedule Sun-Sat Turnaround Time 48 hours Method Quantitative Enzymatic Notes Body fluids other than CSF, order LD, Fluid. Test Code LDFL.

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Billing Code Test Code [sunquest] LACTATE DEHYDROGENASE, ISOENZYMES LDISO LDISO Synonyms Isoenzymes, LD; LD Isoenzymes; LDH Isoenzyme Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Do not refrigerate or freeze. Allow serum to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Specimens collected with EDTA, potassium oxalate, or sodium fluoride anticoagulants. Frozen, refrigerated, or hemolyzed specimens. Alternate Specimens Red top tube (plain) Reference Laboratory ARUP Reference Lab Test Code 20413 CPT Codes 83615, 83625 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Enzymatic/Electrophoresis Test Includes LD, Total, U/L; LD1, %; LD2, %; LD3, %; LD4, %; LD5, %. Notes LD-1 and LD-2 are elevated in hemolyzed specimens and serum which has not been separated from cells. LD-3, LD-4, and LD-5 are labile at low temperatures, and are erroneously low in specimens that have been refrigerated or frozen.

Ordering Recommendation: Do not use to detect myocardial injury. Cardiac troponins (troponin I or troponin T) are the recommended tests for diagnosis and management of acute coronary syndrome. In rare cases, this test may be used to evaluate elevated lactate dehydrogenase associated with non- cardiac muscle injury. Supply Item Number 1467

Billing Code Test Code [sunquest] LACTIC ACID, ARTERIAL LACT.A LAART Use this order code for arterial specimens only. Synonyms L-Lactate, Arterial; Lactate, Arterial Container Type Grey top tube (fluoride/oxalate) Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.1 mL Patient Prep Patient should be at complete rest. Collection Procedure Draw arterial specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Specimen Processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated. Refrigerated 14 days after separation Frozen (-20°C) 4 weeks after separation Unacceptable Condition Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes Limitations Values may elevate 20-50% after meals. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83605 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Enzymatic Test Includes Lactic Acid, Arterial, mmol/L. Supply Item Number 7357

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Billing Code Test Code [sunquest] LACTIC ACID, CSF LACT.CSF LASF Synonyms L-Lactate, CSF; Lactate, CSF Container Type CSF sterile plastic tube. Specimen Type CSF Preferred Volume 0.2 mL Minimum Volume 0.1 mL Specimen Processing Not stable at room temperature. Deliver to lab ASAP. Promptly separate from cells if present. Promptly refrigerate or freeze. Room Temp Unacceptable Refrigerated 1 day if separated from cells Frozen (-20°C) 1 month if separated from cells Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83605 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Enzymatic Test Includes Lactic Acid, CSF, mmol/L. Supply Item Number 7211

Billing Code Test Code [sunquest] LACTIC ACID, VENOUS LACT LA Use this order code for venous samples only. Synonyms L-Lactate, Venous; Lactate, Venous Container Type Grey top tube (fluoride/oxalate) Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.1 mL Patient Prep Patient should be at complete rest . Collection Procedure Do not use stasis (tourniquet) or have patient pump their fist while drawing blood specimen. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Specimen Processing Separate plasma from cells within 15 minutes and place in separate plastic tube. If blood is drawn on chilled tubes and left on ice, specimen is good for up to 2 hours before centrifugation. Store and transport on ice or refrigerated. Refrigerated 14 days after separation Frozen (-20°C) 4 weeks after separation Unacceptable Condition Hemolyzed or serum specimen or specimen not separated from cells within 30 minutes. Limitations Values may elevate 20-50% after meals. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83605 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Enzymatic Test Includes Lactic Acid, Venous, mmol/L. Supply Item Number 7357

Billing Code Test Code [sunquest] LACTOFERRIN, FECAL BY ELISA LACST LACST Synonyms Fecal Leukocytes; Fecal Lactoferrin; Inflammatory Bowel; Irritable Bowel; Diarrhea; Stool WBC Container Type Feces Store and Transport Refrigerated or ambient (room temperature) Specimen Type Feces Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Transfer stool to a clean, airtight, leak-proof container Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Stool sample submitted in fixative, preservative, or transport media Department PAML Virology CPT Codes 83630 Test Schedule Daily Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Lactoferrin EIA result, comment Notes A positive result is indicative of the presence of lactoferrin, a marker for fecal leukocytes. A negative result does not exclude the presence of intestinal inflammation. Supply Item Number 1387 or 1388 2.1 www.paml.com 4/16/2013 page 637 L 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory L

Billing Code Test Code [sunquest] LACTOSE TOLERANCE LACTOSE LACTOL Container Type Grey top tube (fluoride/oxalate) Store and Transport Refrigerated Specimen Type Plasma Preferred Volume 2 mL for each timed specimen Patient Prep Mix 50 grams lactose (two 25 gram packages of LacTest) in 8 oz (250 mL) cool water. For infants and children (under 50 lbs) follow directions on the LacTest package. Collection Procedure Draw fasting, 30, 45, 60, and 90 minute samples for glucose levels. Note times of drawing. Specimen Processing Separate serum from cells within 30 minutes of collection and transfer to a standard PAML aliquot tube. Clearly label specimens. Gray top tube whole blood is stable for 1 day. Alternate Specimens Serum (red top tube) Department PAML Chemistry CPT Codes 82951, 82952 x 2 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hexokinase Test Includes Dose, gms; Lactose Tolerance, Fasting, mg/dL; 30 minute, mg/dL; 45 minute, mg/dL; 60 minute, mg/dL; 90 minute, mg/dL Notes Lac-Test is available from PAML Supply Department. Supply Item Number 7357

Billing Code Test Code [sunquest] LAMELLAR BODY COUNTS (REFLEXIVE) LBCR LBCR This test reflexes to an RDS Risk Panel if the result is transitional. This test may reflex to additional tests depending upon the results of this test. Additional fees will be added. Synonyms LBC; RDS; and Fetal Lung Maturity Container Type Sterile, leakproof container Specimen Type Amniotic fluid Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Collect amniotic fluid and put in a sterile, leakproof container. Specimen Processing Collect amniotic fluid and put in a sterile leakproof container. Do not centrifuge. Store and transport refrigerated. Refrigerated 1 week Unacceptable Condition Amniotic fluid from vaginal pools containing meconium or grossly bloody samples. Frozen and/or centrifuged samples. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83664 Test Schedule Mon-Fri days & STAT Turnaround Time 1-3 days Method Automated Cell Count. TLC, Enzymatic (IDMS Traceable) Test Includes Lamellar Body Counts, Lamellar bodies/uL; L/S Ratio; Phosphatidylglycerol; Creatinine, AF, mg/dL; Appearance; Color; RBC; Risk Comment. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1387

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Billing Code Test Code [sunquest] LAMOTRIGINE LAMI LAMI Synonyms Lamictal Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 4 weeks Unacceptable Condition Unseparated samples and repeat freeze/thaw cycles. Alternate Specimens EDTA, heparinized, sodium fluoride/potassium oxalate plasma (lavender, green or grey top tube). Department PAML Toxicology CPT Codes 80299 Test Schedule Mon-Sat Turnaround Time 1-2 days Method PETIA Test Includes Lamotrigine, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] LC-MS/MS COMPLIANCE CONFIRMATION OF OPIATE 6 DRUGS CPOP6 CPOP6 Synonyms Morphine; Oxymorphone; Hydromorphone; Codeine; Oxycodone; Hydrocodone; Opana; Numorphan; Oxymorphone hydrochloride;Roxanol; Duramorph; MS Contin; Oramorph; MSIR; Kadian; Astramorph; AvinzaTylenol 3; empirin with codeine; Fiorinal with codeine; Robitussin Container Type Random Urine Plastic Container Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 75 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS) Test Includes Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, and Hydrocodone Supply Item Number 1388

Billing Code Test Code [sunquest] LC-MS/MS CONFIRMATION OF OPIATE 6 DRUGS LCOP6 LCOP6 Synonyms Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Oxycodone; Codeine; Morphine; Oxymorphone; Hydrocodone; Hydromorphone; Opana; Numorphan; Oxymorphone Hydrochloride; Roxanol; Duramorph; MS Contin; Oramorph; MSIR; Kadian; Astramor Container Type Random urine plastic container Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tandem Mass Spectrometry (LC-MS/MS) Test Includes Morphine, Oxymorphone, Hydromorphone, Codeine, Oxycodone, Hydrocodone

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Billing Code Test Code [sunquest] LD, FLUID LDH.FLD LDFL Synonyms LDH; Body Fluid; Lactate Dehydrogenase Container Type Green top tube (lithium heparin) Store and Transport Store and transport at room temperature Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Required Patient Info Type of fluid Room Temp 1 week Refrigerated 4 days Frozen (-20°C) 6 weeks Unacceptable Condition Any hemolysis, Sputum, CSF Alternate Specimens Specimens collected in plain red top tube or sterile container Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83615 Test Schedule Daily Turnaround Time 24-48 hours Method Enzymatic Test Includes LD, Fluid, U/L Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] LDL CHOLESTEROL, DIRECT DLDL DLDL Synonyms Direct LDL Cholesterol Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition Grossly hemolyzed, icteric, frozen specimen, EDTA Plasma Alternate Specimens lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83721 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Elimination/Enzymatic Test Includes LDL Cholesterol, Direct, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] LDL PARTICLE SIZE LDLPS LDLPS Separate samples must be submitted when multiple tests are ordered. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 1.5 mL Minimum Volume 1.0 mL (does not allow for repeat testing) Patient Prep Patient must be fasting 12-16 hours. Nothing by mouth except water Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. Refrigerated 1 week Reference Laboratory NWLRL CPT Codes 83704, 82465, 83883 Test Schedule Varies Turnaround Time 2-3 weeks Test Includes LDL Particle Size Supply Item Number 1222

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Billing Code Test Code [sunquest] LEAD AND ZPP OSHA PROFILE OSHAPR OSHAPR Container Type Royal blue top tube (metal free EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Refrigerated 1 week Unacceptable Condition Frozen, hemolyzed or clotted samples and samples collected in citrate. Alternate Specimens Lavender top tube (EDTA) Department PSHMC Chemistry, PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83655, 84203 Test Schedule 2x/week Turnaround Time 2-7 days Method AAS/Hematofluorometric Test Includes Lead, Blood, Industrial, ug/dL; Zinc Protoporphyrin, umol/mol; ZPP-OSHA Calculation, ug/dL; Note Supply Item Number 9734

Billing Code Test Code [sunquest] LEAD, SERUM LEAD.S PBSNMS Container Type Royal blue top tube (metal free plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Reference Laboratory NMS Reference Lab Test Code 2492SP CPT Codes 83655 Test Schedule Tue, Fri Turnaround Time 3-4 days Method GFAAS Test Includes Lead, Serum, mcg/dL. Notes Whole blood is the preferred specimen for monitoring the uptake of inorganic lead. Supply Item Number 1052

Billing Code Test Code [sunquest] LEAD, URINE (RANDOM) LEAD-RU PBUR Container Type Trace Element Free Tubes Specimen Type Urine, random Preferred Volume 5mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine specimen into a leakproof Trace Element Free Tube. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimen contaminated with blood or fecal material. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83655 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Electrothermal (Flameless) AAS Test Includes Lead, Urine, ug/L. Supply Item Number 1796 or 9771

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Billing Code Test Code [sunquest] LEAD, URINE 24HR LEAD-U PBUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms Pb, Urine Container Type Trace Element Free Tubes Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection. Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen Processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof Trace Element Free Tube. Record collection time and total volume. Adjust pH to 2 with 6N nitric acid. Required Patient Info pH, collection period and total volume. Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal materials. Alternate Specimens May add 20mL 6N HNO3 at end of collection. Shake well and let stand for 2 hours shaking every 15 minutes. Adjust pH to 2. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83655 Test Schedule Tue, Thu,Sat Turnaround Time 2-4 days Method Electrothermal (Flameless) AAS Test Includes Collection Period, h; Volume, mL; Lead, Urine, ug/L; Lead, Urine, ug/24h. Supply Item Number 1796 or 9771

Billing Code Test Code [sunquest] LEAD, WHOLE BLOOD LEAD PB Synonyms Pb, Whole Blood Container Type Royal blue top tube (K2 EDTA metal free) or tan top tube (Lead free) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated. Required Patient Info Birthdate Room Temp 48 hours Refrigerated 2 weeks Unacceptable Condition Clotted specimens, frozen specimens, specimens collected in oxalate anticoagulant, specimens separated from cells, samples collected in royal blue top tubes with no additive, and samples in or from gel separator tubes. Alternate Specimens EDTA whole blood (lavender top tube), sodium heparin whole blood (green top tubes) or 2 EDTA microtainers (well-mixed). Limitations For specimens collected in microtainers contamination is possible. If value is elevated result will be reported with comment suggesting redraw in 5 mL EDTA vacutainer. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83655 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electrothermal (Flameless) AAS Test Includes Lead, Blood, ug/dL. Supply Item Number 9734 1256

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Billing Code Test Code [sunquest] LEFLUNOMIDE AS METABOLITE, SERUM/PLASMA LEF LEF Synonyms Arava®; Leflunomide Metabolite Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 17 days Frozen (-20°C) 17 days Unacceptable Condition SST or PST (gel separator tubes) Alternate Specimens Lavender (EDTA) or pink (K2EDTA) Reference Laboratory NMS Reference Lab Test Code 2526SP CPT Codes 83789 Test Schedule Mon-Sun Turnaround Time 6-8 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry Test Includes Teriflunomide, ng/mL Notes NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test. Supply Item Number 1372

Billing Code Test Code [sunquest] LEGIONELLA ANTIBODY, IGG/IGM/IGA LEG LEGAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw acute sample within 1 week of onset and convalescent sample 4-6 weeks after onset. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Plasma, lipemic icteric, hemolyzed, heat inactivated sera, or repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86713 Test Schedule Tue, Thu Turnaround Time 2-6 days Method EIA Test Includes Legionella Antibody, IgG/IgM/IgA, ODR Notes Serological detection of IgG/IgM/IgA antibodies to Legionella pneumophilia serogroups 1-6. Supply Item Number 1467

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Billing Code Test Code [sunquest] LEGIONELLA DNA, QUALITATIVE REAL-TIME PCR LEGDNA LEGDNA Container Type See below Store and Transport Refrigerated Specimen Type See below Preferred Volume 1 mL bronchial lavage/wash or sputum; 3 mL throat swab or nasopharyngeal swab Minimum Volume 0.3 mL bronchial lavage/wash or sputum; 0.35 mL throat swab or nasopharyngeal swab Collection Procedure If using swabs, use only sterile Dacron or rayon swabs or rayon swabs. Do NOT use calcium alginate swabs, as they may contain substances that inhibit PCR testing. Break applicator sticks off near the tip to permit tightening of the cap. Sputum: Collect in a sputum collection kit or a sterile, plastic container in a sputum collection kit or a sterile, plastic container with a leak-proof cap. Bronchial Lavage: Collect in a sterile container with a leak-proof cap. Room Temp 48 hours Refrigerated 14 days Frozen (-20°C) 30 days Unacceptable Condition Thawed bronchial lavage/wash or sputum, specimen containing heparin Reference Laboratory Quest Diagnostics (Focus) Reference Lab Test Code 47500 CPT Codes 87541, 87798 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Real-Time Polymerase Chain Reaction Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of the test. This test is performed pursuant to a license agreement with Roche Molecular Systems, Inc. Notes Bronchial lavage/wash or Sputum: Sterile leak-proof container Throat swab or Nasopharyngeal swab Multi Microbe Media (M4) (preferred), V-C-M medium (green- cap) tube, or equivalent (UTM) (preferred)

This assay detects and differentiates Legionella pneumophila and non-pneumophila Legionella species in patient respiratory specimens.

Billing Code Test Code [sunquest] LEGIONELLA FA STAIN LEGION.FA LEGSM Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Lung tissue (fresh or frozen), lower respiratory sectretions (sputum, aspirates, bronchial washings, etc.), pleural fluid, cerebral spinal fluid Preferred Volume 5 mL (lower respiratory and fluid samples) Minimum Volume 1 mL (lower respiratory and fluid samples) Required Patient Info Specimen source Room Temp 12 hours Refrigerated 2 days Frozen (-20°C) 1 week Frozen (-70°C) 1 week Unacceptable Condition Specimens in preservatives or viral transport media. Alternate Specimens Two smears made from the specimen as you would prepare a gram stain, air dried and transported in a slide transport pack. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87278 Test Schedule Daily Turnaround Time 1-2 days Method Indirect Fluorescent Antibody Test Includes Source; Legionella FA Stain; Legionella FA Stain, Status Supply Item Number 1387

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Billing Code Test Code [sunquest] LEGIONELLA PNEUMOPHILA ANTIGEN, URINE LEGUAG LEGUAG Synonyms Legionella pneumophila; Legionellosis; Legionnaires' Disease; Soft-LAGU Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 1 month Department PAML Special Immunology CPT Codes 87449 Test Schedule Mon-Fri Turnaround Time 1-3 days Method ELISA Test Includes Legionella Antigen, Urine Supply Item Number 1388

Billing Code Test Code [sunquest] LEGIONELLA PNEUMOPHILA ANTIBODY 1-6, IGM LEGABM LEGABM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from the cells ASAP and put in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of acute samples. Mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles). Unacceptable Condition Severely lipemic, contaminated, hemolyzed, heat-inactivated sera. Reference Laboratory ARUP Reference Lab Test Code 50274 CPT Codes 86713 Test Schedule Mon-Fri Turnaround Time 2-5 days Method IFA Test Includes Legionella pneumophila Antibody1-6, IgM. Supply Item Number 1467

Billing Code Test Code [sunquest] LEGIONELLA SPECIES BY PCR LEGPCR LEGPCA Container Type See below Store and Transport Store and transport all specimens frozen Specimen Type See below Preferred Volume See below Minimum Volume 1 mL Collection Procedure 2 mL frozen respiratory specimen: sputum, lung washes, tracheal aspirates, nasopharyngeal swab, bronchoalveloar lavage (BAL), pleural fluid, or bronchial brushings in a sterile leakproof container or in viral transport media (M4) or Universal Transport Media (UTM). Required Patient Info Specimen source Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 6 months Unacceptable Condition Unsterile or leaking containers and dry swabs. Respiratory aspirates in collection containers with tubing because of leaking. Reference Laboratory ARUP Reference Lab Test Code 56105 CPT Codes 87541 Test Schedule Sun-Sat Turnaround Time 2-3 days Method PCR Test Includes Source; Legionella Species by PCR Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number Multiple varies 2.1 www.paml.com 4/16/2013 page 645 L 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory L

Billing Code Test Code [sunquest] LEISHMANIA PANEL LEISIB LEISIB Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40610 CPT Codes 86717 x 8 Test Schedule Mon-Fri Turnaround Time 2-6 days Method IFA Test Includes Leishmania donovani Antibody, IgG; Leishmania donovani Antibody, IgM; Interpretation; Leishmania braziliensis Antibody, IgG; Leishmania braziliensis Antibody, IgM; Interpretation; Leishmania mexicana Antibody, IgG; Leishmania mexicana Antibody, IgM; Interpretation; Leishmania tropicalis Antibody, IgG; Leishmania tropicalis Antibody, IgM; Interpretation. Compliance Remarks FDA in house. Supply Item Number 1467

Billing Code Test Code [sunquest] LEPTIN LEPTNA LEPTNA This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Patient must be fasting Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Room Temp 1 day Refrigerated 2 days Frozen (-20°C) 2 months Unacceptable Condition Icteric or nonfasting specimens Reference Laboratory ARUP Reference Lab Test Code 70263 CPT Codes 83520 Test Schedule Mon Turnaround Time 2-9 days Method ELISA Test Includes Leptin, ng/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] LEPTOSPIROSIS ANTIBODY LEPTOSPIROSI LEPT S Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.05 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50786 CPT Codes 86720 Test Schedule Mon-Fri Turnaround Time 2-4 days Method Semi-Quantitative Indirect Hemagglutination Test Includes Leptospira Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] LEUCINE AMINOPEPTIDASE LEUCINE LEUCIN Synonyms LAP Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Allow to clot completely at room temperate. Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 4 days Refrigerated 1 week Frozen (-20°C) 3 weeks Alternate Specimens Frozen sodium heparinized, fluoride/oxalate, citrate or EDTA plasma (green, grey, blue or lavender top tube). Reference Laboratory ARUP Reference Lab Test Code 80301 CPT Codes 83670 Test Schedule Fri Turnaround Time 2-9 days Method Spectrophotometric Test Includes Leucine Aminopeptidase, U/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] LEUKOCYTE ALKALINE PHOSPHATASE STAIN SS.LAP LAP Synonyms Cytochem Stain, Leukocyte Alkaline Phosphatase Score; Cytochem Stain, LAP; LAP stain; LAP Score; LAP Container Type See below. Specimen Type See below. Preferred Volume See below. Collection Procedure One sodium heparin whole blood (green top tube) & 3 well-made, non-fixed, non-EDTA blood smears. An additional EDTA tube or CBC results are optional, but preferred. Protect from light and store and transport at room temperature. Specimen Processing Protect slides from light, store and transport at room temperature. Required Patient Info Source Unacceptable Condition EDTA tube only. Slides made from EDTA tube (lavender top tube) or PST tube (lime green tube). Lithium heparin. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85540 Test Schedule Mon-Sat days Turnaround Time 72 hours Method Cytochemical Stain Test Includes Source; Leukocyte Alkaline Phosphatase Stain; Interpretation; Reviewed by. Supply Item Number 1397

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Billing Code Test Code [sunquest] LIBRIUM (CHLORDIAZAPOXIDE) AND NORDIAZEPAM LIB LIB Synonyms Chlordiazepoxide Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 4 hours Refrigerated 1 day Frozen (-20°C) 5 days Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Protect from light. Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90148 CPT Codes 80154 Test Schedule Mon, Thu Turnaround Time 2-5 days Method HPLC Test Includes Librium, ug/mL; Nordiazepam, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] LIDOCAINE LIDOCN LIDOCN Synonyms Xylocaine Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Draw 12 hours after initial dose and just prior to subsequent doses. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 1 month Unacceptable Condition Plasma specimens. Alternate Specimens SST tubes. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80176 Test Schedule Sun-Sat Turnaround Time 1-2 days Method EIA Test Includes Lidocaine, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] LIDOCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCLID TLCLID SUR. Synonyms Xylocaine; Blow Up Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Lidocaine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] LIPASE LIPASE LIPA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 3 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83690 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Lipase, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] LIPASE, FLUID LIPAFL LIPAFL Container Type Green top tube (lithium heparin) Store and Transport Store and transport refrigerated Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from the cells and put in a separate plastic tube. Note type of fluid Required Patient Info Note type of fluid Room Temp 1 week Refrigerated 1 week Unacceptable Condition Clotted or viscous fluids Alternate Specimens Specimens collected in plain red top tubes or sterile container Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83690 Test Schedule Daily Turnaround Time 2-3 days Method Enzymatic Test Includes Lipase, fluid Clinical Significance Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] LIPASE, URINE LIPAU LIPAU Container Type Leakproof sterile plastic urine container. Specimen Type Urine, random Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 2 mL of a random urine specimen. Store and transport refrigerated. Room Temp 1 week Refrigerated 1 month Frozen (-20°C) 4 days Unacceptable Condition Urines containing preservatives. Reference Laboratory Quest Reference Lab Test Code 108886P CPT Codes 83690 Test Schedule Tue, Thu Turnaround Time 3-5 days Method Enzymatic/Colorimetric Test Includes Lipase, Urine, U/L. Supply Item Number 1387

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Billing Code Test Code [sunquest] LIPID ASSOCIATED SIALIC ACID LASA LASA Synonyms LASA Container Type SST tube Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp unstable Refrigerated unstable Frozen (-20°C) 1 month Unacceptable Condition Non-frozen samples. Limitations Samples lose up to 25% LASA in 24 hours if left at room temperature. Reference Laboratory ARUP Reference Lab Test Code 80467 CPT Codes 84275 Test Schedule Sat Turnaround Time 3-7 days Method Spectrophotometric Test Includes LASA, mg/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] LIPID PANEL WITH REFLEX TO DIRECT LDL LIPREF LIPREF This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Coronary Risk Profile; Lipid Screen; LDL (Calculated); HDL/Lipid Profile Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should be fasting 12-14 hours prior to collection. Specimen Processing Separate serum from cells and place in separate plastic tube. Refrigerated 14 days Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 80061 Test Schedule Daily Turnaround Time 24-48 hours Method Enzymatic, Elimination/Enzymatic Test Includes Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL; LDL Cholesterol, Direct, mg/dL (Reflex) Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Triglyceride > 400 mg/dL LDL Cholesterol, Direct 83721

Billing Code Test Code [sunquest] LIPID PROFILE LIPID LIPID Synonyms Coronary Risk Profile; Lipid Screen; LDL (Calculated); HDL/Lipid Profile Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient should be fasting 12-14 hours prior to collection. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 80061 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Cholesterol, mg/dL; Triglyceride, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] LIPID PROFILE & LP-PLA2 (PLAC) LIPID2 LIPID2 Container Type Serum separator tube (gold, brick, SST, or corvac) or PST tubes Store and Transport Refrigerted Specimen Type Refrigerated serum Preferred Volume 3 mL Minimum Volume 1.5 mL Patient Prep Patient should be fasting for 12-14 hours prior to collection. Specimen Processing Separate serum or plasma from cells within 4 hours of collection and transfer to 2 standard PAML aliquot tubes. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 1 day Frozen (-70°C) 3 months Unacceptable Condition Ambient or unprocessed blood samples Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Special Immunology, PAML Chemistry CPT Codes 80061, 83698 Test Schedule Lipid Mon-Sat; LP-PLA2 (PLAC) Tue, Thu Turnaround Time 3-6 days Method Enzymatic, ELISA Test Includes Cholesterol, mg/dL; Triglycerides, mg/dL; HDL, mg/dL; LDL (Calculated), mg/dL; LP-PLA2 (PLAC), ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] LIPOPROTEIN (a) LPA LPA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Patient should be fasting Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Frozen samples should be thawed only once. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Alternate Specimens EDTA, sodium or lithium heparin plasma (lavender or green top tube) Department PAML Immunology CPT Codes 83695 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Rate Nephelometry Test Includes Lipoprotein (a), mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] LIPOPROTEIN ELECTROPHORESIS LIPELP LIPELP Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 72 hours Refrigerated 7 days Frozen (-20°C) Unacceptable Unacceptable Condition Frozen specimens Reference Laboratory Specialty Reference Lab Test Code 3445 CPT Codes 83700, 82465, 84478 Test Schedule Wed Turnaround Time 3-8 days Method Electrophoresis, Spectrometry Test Includes Cholesterol, mg/dL; Triglyceride, mg/dL; Chylomicrons; Beta Lipoproteins, %; Pre Beta Lipoproteins, %; Alpha Lipoproteins, %; Appearance; Intrepretation Supply Item Number 1467

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Billing Code Test Code [sunquest] LIQUID-BASED PAP AND HPV PAPHPV PAPHPV This test must be ordered on a paper requisition that accompanies the specimen. Room temperature Synonyms Pap Smear; Pap Test; Liquid-based Pap Test; Liquid-based Pap Smear Container Type Thin Prep or Sure Path vial Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on specimen container. Do not place or label the lid of the container. Obtain cervical/vaginal material. Run the collection device along the inside of the vial then, break off the tip of the collection device, into the vial. Place the container lid on tightly and shake vigorously. Required Patient Info Patients first and last name, DOB, specimen source, date of collection, ordering physician, ABN (if Medicare) Room Temp 4 weeks Unacceptable Condition Unlabeled container Alternate Specimens Liquid-based collection (SurePath; ThinPrep) Department PSHMC Cytology and PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes Dependent on diagnosis, 87621 Test Schedule Mon-Sat Turnaround Time 2-3 days Method Liquid-based vial

Billing Code Test Code [sunquest] LIQUID-BASED PAP AND HPV; REFLEX TO 16/18 GENOTYPE IF PAP30 PAP30 PAP NEG AND HPV POS This test must be ordered on a paper requisition that accompanies the specimen. Test is intended for patients age 30-65. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Ambient (room temperature) Synonyms Pap Smear; Pap Test; Liquid-based Pap Test; Liquid-based Pap Smear Container Type Thin Prep or Sure Path vial Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on specimen container. Do not place or label the lid of the container. Obtain cervical/vaginal material. Run the collection device along the inside of the vial then, break off the tip of the collection device, into the vial. Place the container lid on tightly and shake vigorously. Required Patient Info Patients first and last name, DOB, specimen source, date of collection, ordering physician, ABN (if Medicare) Room Temp 4 weeks Unacceptable Condition Unlabeled container Alternate Specimens Liquid-based collection (SurePath; ThinPrep) Department PSHMC Cytology and PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes Dependent on diagnosis, 87621 Test Schedule Mon-Sat Turnaround Time 2-3 days Method Liquid-based vial Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes HPV HR positive/PAP negative Human Papilloma Virus, Genotype 87621 x 2 BHPVGT 16/18

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Billing Code Test Code [sunquest] LIQUID-BASED PAP ONLY PAPLQ PAPLQ This test must be ordered on a paper requisition that accompanies the specimen. Room temperature Synonyms Pap Smear; Pap Test; Liquid-based Pap Test; Liquid-based Pap Smear Container Type Thin Prep or Sure Path vial Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on specimen container. Do not place or label the lid of the container. Obtain cervical/vaginal material. Run the collection device along the inside of the vial then, break off the tip of the collection device, into the vial. Place the container lid on tightly and shake vigorously. Required Patient Info Patients first and last name, DOB, specimen source, date of collection, ordering physician, ABN (if Medicare) Room Temp 4 weeks Unacceptable Condition Unlabeled container Alternate Specimens Liquid-based collection (SurePath; ThinPrep) Department PSHMC Cytology Reference Laboratory PSHMC CPT Codes Dependent on diagnosis Test Schedule Mon-Sat Turnaround Time 2-3 days Method Liquid-based vial

Billing Code Test Code [sunquest] LIQUID-BASED PAP; REFLEX HPV IF ASCUS PAPAC PAPAC This test must be ordered on a paper requisition that accompanies the specimen. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Room temperature Synonyms Pap Smear; Pap Test; Liquid-based Pap Test; Liquid-based Pap Smear Container Type Thin Prep or Sure Path vial Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on specimen container. Do not place or label the lid of the container. Obtain cervical/vaginal material. Run the collection device along the inside of the vial then, break off the tip of the collection device, into the vial. Place the container lid on tightly and shake vigorously. Room Temp 4 weeks Unacceptable Condition Unlabeled container Alternate Specimens Liquid-based collection (SurePath; ThinPrep) Department PSHMC Cytology and PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes Dependent on diagnosis Test Schedule Mon-Sat Turnaround Time 2-3 days Method Liquid-based vial Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes ASCUS Human Papilloma Virus, High Risk 87621 BHPVHR

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Billing Code Test Code [sunquest] LIQUID-BASED PAP; REFLEX HPV IF ASCUS AND REFLEX TO PAPACR PAPACR 16/18 GENOTYPE IF HPV POS This test must be ordered on a paper requisition that accompanies the specimen. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Room temperature Synonyms Pap Smear; Pap Test; Liquid-based Pap Test; Liquid-based Pap Smear Container Type Thin Prep or Sure Path vial Store and Transport Ambient (room temperature) Specimen Type Cervical, endocervical, vaginal Patient Prep Do not use vaginal lubricants, vaginal medications, vaginal contraceptives or douches within 48 hours prior to the exam. Avoid in sexual activity 24 hours prior to test. Collection Procedure Print the first and last name of the patient on specimen container. Do not place or label the lid of the container. Obtain cervical/vaginal material. Run the collection device along the inside of the vial then, break off the tip of the collection device, into the vial. Place the container lid on tightly and shake vigorously. Required Patient Info Patients first and last name, DOB, specimen source, date of collection, ordering physician, ABN (if Medicare) Room Temp 4 weeks Unacceptable Condition Unlabeled container Alternate Specimens Liquid-based collection (SurePath; ThinPrep) Department PSHMC Cytology and PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes Dependent on diagnosis Test Schedule Mon-Sat Turnaround Time 2-3 days Method Liquid-based vial Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes ASCUS Human Papilloma Virus, High Risk 87621 BHPVHR Human Papilloma Virus, High Risk Human Papilloma Virus, Genotype 87621 x 2 BHPVGT positive 16/18

Billing Code Test Code [sunquest] LISTERIA ANTIBODY LISAB LISAB Container Type SST Tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 10022 CPT Codes 86609 Test Schedule Mon-Fri Turnaround Time 3-6 days Method CF Test Includes Listeria Antibody. Supply Item Number 1467

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Billing Code Test Code [sunquest] LISTERIA ANTIBODY, CF (CSF) LSTCSF LSTCSF Container Type Sterile plastic screw-cap container Store and Transport Refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.5 mL Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 60022 CPT Codes 86609 Test Schedule Mon-Fri Turnaround Time 3-6 days Method Complement Fixation Compliance Remarks This assay was developed and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] LITHIUM LI LI Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Specimen should be drawn 12 hours post dose, normally just prior to next dose. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Lithium heparin plasma. Do not ship on Suresep. Alternate Specimens Serum separator tube (gold, brick, SST, or corvac) or lavendar top tube (EDTA) Department PAML Chemistry CPT Codes 80178 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Spectrophotometric Test Includes Lithium, mmol/L Supply Item Number 1372

Billing Code Test Code [sunquest] LIVER CYTOSOL AUTOANTIBODIES (LC-1) LIVCYT LIVCYT Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 48 hours Refrigerated 7 days Frozen (-20°C) 2 months Alternate Specimens EDTA, heparin, or ACD plasma (lavender, green or yellow top tube). Reference Laboratory Specialty Reference Lab Test Code 5922 CPT Codes 86376 Test Schedule Fri Turnaround Time 3-10 days Method EIA Test Includes Liver Cytosol Autoantibodies (LC-1), U/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] LORAZEPAM LOR LOR Synonyms Ativan Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 12 hours Refrigerated 5 days Frozen (-20°C) 2 weeks Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90181 CPT Codes 80154 Test Schedule Mon, Thu Turnaround Time 3-5 days Method HPLC Test Includes Lorazepam, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] LOW MOLECULAR WEIGHT HEPARIN LMW.HEPARIN HEPLMW This is not the same test as Chromogenic Factor X. Separate samples must be submitted when multiple tests are ordered Synonyms Anti-Xa; LMWH Assay; Anti-Factor XA Assay; Anti Xa; Lovenox; Enoxaparin; Fragmin; Dalteparin Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Draw specimen 3-4 hours post LMWH dose. Blood/anticoagulant volume is critical Specimen Processing Separate plasma from cells within 2 hour of collection and put in separate plastic tube and cap. Respin plasma for 10 minutes. Separate respun plasma into 2 plastic tubes, cap and freeze at -20C or lower. Room Temp 2 hours Refrigerated 2 hours Frozen (-20°C) 1 month Unacceptable Condition Specimens that are not double-spun, clotted or short sample (proper volume is 9 parts blood to 1 part anticoagulant) Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85520 Test Schedule Daily Turnaround Time 1-3 days Method Chromogenic Test Includes Anti Xa, IU/mL. Notes Inappropriate sample collection or handling may lead to the release of platelet factor 4 (PF4), which is a potent inhibitor of heparin. Supply Item Number 1050

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Billing Code Test Code [sunquest] LOXAPINE LOXA LOXA Synonyms Loxitane; Daxoline Container Type Red top tube (plain) Store and Transport Protect from light. Store and transport refrigerated or at room temperature. Specimen Type Serum Preferred Volume 3 mL Collection Procedure Draw peak levels 1-2 hours post dose Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Protect from light. Required Patient Info Note times of dose and drawing. Alternate Specimens EDTA plasma (lavender top tube) Limitations No SST tubes and protect from light Reference Laboratory NMS Reference Lab Test Code 2538SP CPT Codes 82492 Test Schedule Tue, Thu Turnaround Time 7-10 days Method HPLC Test Includes Loxapine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] LP-PLA2 (PLAC) PLACA2 PLACA2 Synonyms LP-PLA2; PLAC; Lipoprotein-Associated Phospholipase A2; Stroke Marker Container Type Serum separator tube (gold, brick, SST, or corvac) or PST tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from the cells within 4 hours of collection and transfer to a standard PAML aliquot tube. Refrigerate immediately. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 1 day Frozen (-70°C) 3 months Unacceptable Condition Ambient or unprocessed blood samples Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Department PAML Special Immunology CPT Codes 83698 Test Schedule Tue, Thu Turnaround Time 3-6 days Method EIA Test Includes LP-PLA2 (PLAC), ng/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] LSD SCREEN, SERUM/PLASMA (REFLEXIVE) LSDSCO LSDSCO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Acid LSD-25 Lysergic Acid Diethylamide Lysergide Container Type Red top tube (plain) Store and Transport Refrigerated. Protect from light. Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.1 mL Specimen Processing Promptly centrifuge and separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Protect from light. Room Temp 2 weeks Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition Not received light protected, glass container, polymer gel separation tube (SST or PST) Alternate Specimens Plasma: lavender top tube (EDTA) or pink top tube Reference Laboratory NMS Reference Lab Test Code 2541SP (5811SP Confirmation) CPT Codes 80101 Test Schedule Thu Turnaround Time 3-8 days Method ELISA Test Includes LSD, ng/mL; LSD Confirmation, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If LSD screen is positive LSD Confirmation by LC-MS/MS 83789

Billing Code Test Code [sunquest] LSD SCREEN, URINE (REFLEXIVE) LSDUCO LSDUCO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Acid LSD-25 Lysergic Acid Diethylamide Lysergide Container Type Leakproof, plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 2 mL Minimum Volume 0.8 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 2 mL of a random urine specimen in a leakproof plastic urine container. Protect from light. Room Temp 30 days Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition Samples not protected from light or in glass containers Reference Laboratory NMS Reference Lab Test Code 2541U (5811U Confirmation) CPT Codes 80101 Test Schedule Mon Turnaround Time 3-8 days Method ELISA Test Includes LSD, Urine, ng/mL; LSD, Urine, Confirmation, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If LSD screen is positive LSD Confirmation by LC-MS/MS 83789

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Billing Code Test Code [sunquest] LUPUS ANTICOAGULANT SCREEN (REFLEXIVE) ACTLP ACTLP Separate samples must be submitted when multiple tests are ordered. Lupus Anticoagulant testing is used to help determine the cause of abnormal thrombosis, recurrent fetal loss or abnormal PTT. DO NOT order this test for determination of an autoimmune disease. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85670, 85730, 85613 Test Schedule Sun-Fri Turnaround Time 1-2 days Method Electromechanical (clot based) Test Includes Protime, Patient; PT, PT/Control Mix, sec; Thrombin Time, PT, sec; Thrombin Time, PT/PS Mix, sec; aPTT, Patient, sec; aPTT, Control Plasma, sec; aPTT, PT/Control Mix, sec; HPNT, sec; dRVTT, sec; dRVTT Mix Ratio; dRVTT Confirm Ratio Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes PT > 15.0 PT, Patient/Control Mix 85611 BPTMX TCT > 20.0 TT, Patient/PSO4 Mix 85675 BPSO4 APTT > 36 aPTT, Patient/Control Mix 85732 BPTTMX APTT mix > 5 HPNT (Hexagonal Phospholipid 85598 BHPNT Neutralization) DRVVT > 45.7 dRVVT Mix Ratio 85613 BDRVVM DRVVT Ratio > 1.2 dRVVT Confirm Ratio 85613 BPCON

Billing Code Test Code [sunquest] LUTEINIZING HORMONE LH LH Synonyms Lutropin; LH Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed, or grossly lipemic samples Department PAML Immunochemistry CPT Codes 83002 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes LH, mIU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] LUTEINIZING HORMONE & FOLICLE STIMULATING HORMONE LH/FSH LHFSH Synonyms Lutropin and Follitropin, Serum; LH and FSH; LH/FSH Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed, or grossly lipemic samples Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 83002, 83001 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes LH, mIU/mL; FSH, mIU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] LYME (B. BURGDORFERI ) ANTIBODY, IGG/IGM (REFLEXIVE) LYMER LYMER This is a screening test for Lyme Antibody by EIA that will reflex to confirmatory Western Blot testing if positive. An additional fee will be added if confirmatory testing is necessary. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Borrelia Burgdoferi; Lyme Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Specimen Processing Separate serum from cells and place in separate polyporpylene tube and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Department PAML Special Immunology, PAML Virology CPT Codes 86618 Test Schedule EIA: Tue, Thu; Western Blot: Sun, Thu Turnaround Time 3-7 days Method EIA/WB Test Includes Lyme (B. burgdorferi) Antibody, IgG/IgM Clinical Significance Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive EIA Lyme Antibody IgG and IgM by Western Blot 86617 x 2

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Billing Code Test Code [sunquest] LYME (B. BURGDORFERI) ANTIBODY, CSF LYMECF LYMECF Synonyms Lyme Antibodies, Total; Lyme Disease Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 3 mL Minimum Volume 0.5 mL Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated or heat-inactivated samples. Limitations Avoid repeat freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 99483 CPT Codes 86618 Test Schedule Sun, Tue-Sat Turnaround Time 2-3 days Method ELISA Test Includes Lyme (B. burgdorferi) Anitbody, CSF, LIV Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories. Notes Once this test is performed, if: a) Negative - no further testing is done. b) Positive or equivocal - Western blot testing will be performed on the original sample upon receiving a request. Sample will be held for 30 days only Supply Item Number 7211

Billing Code Test Code [sunquest] LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY WESTERN LYMCON LYMEWB BLOT Includes IgG and IgM. This is a confirmation test for patient samples previously positive for Lyme Antibody by EIA. If previous EIA antibody screen has not been done, refer to LYMER. Synonyms Borrelia Burgdoferi Container Type Serum separator tube (gold, brick, SST, or corvac) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard polyproplyene tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 6 months Department PAML Virology CPT Codes 86617 x 2 Test Schedule ELISA Mon, Wed evenings; Western Blot Sun Turnaround Time 1 week Method Western Blot Test Includes B.Burgdorferi Antibody by WB, IgG, B.burgdorferi Antibody by WB, IgM; Interpretation for Lyme IgG by WB; Interpretation for Lyme IgM by WB Supply Item Number 1467

Billing Code Test Code [sunquest] LYME CSF & SERUM LYME.CSF&SER. IDXSB SB Container Type Red top tube and sterile CSF tube Store and Transport Refrigerated or ambient (room temperature) Specimen Type Serum and CSF Preferred Volume 1 mL serum and 1 mL CSF Minimum Volume 0.5 mL serum and 0.8 mL CSF Limitations THIS WORKPAR IS FOR THE ELISA METHOD ONLY. Confirmation by Western blot is available. Reference Laboratory University of Stony Brook Immunology Laboratory CPT Codes 86618 x 2, 82784 x 2 Test Schedule Variable Turnaround Time 4-8 days Method ELISA Test Includes Lyme Serum and CSF Notes Confirmation by Western blot requires additional 0.5 mL serum and 2 mL CSF.

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Billing Code Test Code [sunquest] LYMPHOCYTE ANTIGEN & MITOGEN PROLIFERATION PANEL LAMA LAMA Synonyms Antigen & Mitogen Proliferation Panel; Lymphocytes (Lymphocyte Antigen & Mitogen Proliferation Panel); Lymphocyte Blastogensis (Lymphocyte Antigen & Mitogen Prolifertion Panel) Container Type Green top tube (sodium heparin) Store and Transport Send in original collection tubes at room temperature Specimen Type Whole blood Preferred Volume 10 mL Minimum Volume 7 ml for adults, 3 mL for infants Collection Procedure 10 mL ACD A whole blood (yellow top tube) from the patient and 10 mL ACD A whole blood (yellow top tube) from a healthy unrelated individual. Specimen Processing LYPHOCYTES REQUIRED. CRITICAL AMBIENT. Do not refrigerate or freeze. Room Temp 48 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Yellow ACD solution B; Refrigerated or frozen specimens; Specimens in transport longer than 48 hours Alternate Specimens Yellow ACD solution A Limitations Collect control specimen from a healthy individual unrelated to patient at approximately the same time and under similar conditions to the patient. Patient and control samples must be collected within 48 hours of test performance. Interpretation comparing the patient results to the client normal control and laboratory control will be provided by the medical director. Monday through Friday collections ONLY. Reference Laboratory ARUP Reference Lab Test Code 0096056 CPT Codes 86353 x 5 Test Schedule Tue-Fri Turnaround Time 11-12 days Method Cell Culture Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.

Billing Code Test Code [sunquest] LYMPHOCYTE SUBSETS TBNK TBNK Container Type Yellow top tube (ACD type A or B) and lavender top tube (EDTA) Store and Transport Room temperature Specimen Type Whole blood Preferred Volume 7 mL ACD and 5 mL EDTA Minimum Volume 5 mL ACD and 2.5 mL EDTA Required Patient Info In accordance with CDC guidelines please provide the following patient infromation: WBC count and percent lymphocytes on the day of collection if sample will arrive after 24 hours. Room Temp 3 days Unacceptable Condition EDTA tube is only for WBC and % lymph counts. Cannot be sent by itself for antibody testing. Samples cannot be refrigerated. Limitations Samples must be processed within 72 hours of collection Department PSHMC Flow Cytometry Reference Laboratory PSHMC CPT Codes 86360, 86355, 86359, 86357 Test Schedule Mon-Sat by 11 am Turnaround Time 48 hours Method Flow Cytometry Test Includes Source, WBC K/uL; Lymphocytes, %; Lymph Abs, K/uL; CD3, %; CD3 Abs, /uL; CD4, %; CD4 Abs, /uL; CD8, %; CD8 Abs, /uL; CD19, %; CD19 Abs, /uL; CD56+16, %; CD56+16 Abs; CD4/CD8 Ratio; Note; Note

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Billing Code Test Code [sunquest] LYSOZYME MUR LYSOZ This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Muramidase Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 3 months Alternate Specimens CSF, tears, and other body fluids with the exception of urine; Refrigerated specimens are acceptable. Reference Laboratory ARUP Reference Lab Test Code 50367 CPT Codes 85549 Test Schedule Mon-Fri Turnaround Time 2-6 days Method RID Test Includes Lysozyme, ug/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] MACROPROLACTIN MAPRLA MAPRLA Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow serum specimen to clot completely at room temperature before centrifuging. Separate serum from cells and put in separate plastic tube and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition EDTA plasma Alternate Specimens PST tube or sodium or lithium heparin plasma (green top tube) Reference Laboratory ARUP Reference Lab Test Code 0020765 CPT Codes 84146 x 2 Test Schedule Sun Turnaround Time 2-9 days Method ICMA Test Includes Prolactin, pg/mL; Prolactin, Monomeric, ng/mL; Prolactin % Monomeric

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Billing Code Test Code [sunquest] MAGNESIUM MAG MG Synonyms Mg Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition EDTA or sodium fluoride-potassium oxlate plasma (lavender or grey top tube), and hemolyzed, icteric, or lipemic samples Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83735 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric Test Includes Magnesium, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] MAGNESIUM - TOTAL, RBCS MGRBC MGRBC Container Type Green top tube (sodium heparin) Store and Transport Refrigerated Specimen Type Red blood cells ONLY Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Centrifuge and separate RBCs into an acid washed plastic screw capped vial within two hours of collection. Room Temp Unacceptable Refrigerated 30 days Frozen (-20°C) 30 days Unacceptable Condition Received Room Temperature. Light Blue top tube (Sodium Citrate). Gray top tube (Sodium Fluoride / Potassium Oxalate). Yellow top tube (ACD - Acid Citrate Dextrose). Reference Laboratory NMS Reference Lab Test Code 2551R CPT Codes 83735 Test Schedule Tue, Thu Turnaround Time 4-7 days Method Inductively Coupled Plasma/Optical Emission Spectrometry (ICP/OES) Test Includes Magnesium, RBC, mg/dL Supply Item Number 1398

Billing Code Test Code [sunquest] MAGNESIUM, FECAL MGFEC MGFEC Synonyms Mg, Stool Container Type Clean, leakproof plastic container Specimen Type 24-hour stool collection Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect a 24-hour stool. Specimen Processing Aliquot 5 grams of a well-mixed 24-hour stool in a clean, leakproof plastic container. Store and transport refrigerated. Stool must be liquid. Do not add saline or water to liquefy specimen. Required Patient Info Fecal Weight, Collection time Room Temp 1 hour Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Formed or viscous stools. Alternate Specimens Random stool collection Limitations Stool must be liquid. Do not add saline or water to liquefy specimen. Reference Laboratory ARUP Reference Lab Test Code 0020105 CPT Codes 83735 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Spectrophotometry Test Includes Fecal Weight, g; Collection Time-Fecal Specimen, hr; Fecal Magnesium, mg/dL; Fecal Magnesium, mg/d; Fecal Total Weight, g; Collection Time-Fecal Specimen, hr. Supply Item Number 1388 2.1 www.paml.com 4/16/2013 page 664 M 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory M

Billing Code Test Code [sunquest] MAGNESIUM, FLUID MAG.FLD MGFL Synonyms Mg, Fld Container Type Sodium heparin (green top tube) Specimen Type Body Fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated. Required Patient Info Type of fluid Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Clotted or viscous samples. Any more than slight hemolysis. Alternate Specimens Specimens collected in plain red top tube. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83735 Test Schedule Daily Turnaround Time 24-48 hours Method Colorimetric Test Includes Magnesium, Fluid, mg/dL. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] MAGNESIUM, URINE (RANDOM) MAG-R MGUR Synonyms Mg, Urine, Random Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 25 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 25 mL of a random urine collection. Adjust pH to 1 with 6 N HCL. Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 83735 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Magnesium, Urine, mg/dL Supply Item Number 1388

Billing Code Test Code [sunquest] MAGNESIUM, URINE 24HR MAG-U MGUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms Mg, Urine Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 25 mL Minimum Volume 1 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 25 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Adjust pH to 1 with 6N HCl. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 83735 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Collection Period, h; Volume, mL; Magnesium, Urine, mg/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] MALARIA ANTIBODY IGG MALIGG MALIGG Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from the cells and place in a separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated, lipemic, contaminated, hemolyzed, icteric, or turbid samples. Reference Laboratory ARUP Reference Lab Test Code 0051356 CPT Codes 86750 Test Schedule Tue Turnaround Time 2-9 days Method ELISA Test Includes Malaria Antibody, Total, IV. Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food & Dug Administgration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved or cleared by the U.S. Food & Drug Administration. This test should not be regarded as investigational or for research use. This test is performed pursuant to an agreement with Roche Molecular Systems, Inc. Supply Item Number 1467

Billing Code Test Code [sunquest] MALARIA EVALUATION MALEVL MALEVL Synonyms Blood Parasites Container Type Lavendar Top [EDTA] and slides Store and Transport Store and transport at room temperature. Specimen Type EDTA Whole blood and unstained peripheral blood smears Preferred Volume 5 mL EDTA whole blood and 6 unstained peripheral blood smears Minimum Volume 2 mL EDTA whole blood and 3 unstained smears Collection Procedure The best time to obtain specimen is shortly after paroxysm. Another sample 10 hours later will assist in speciation. Limitations Ideally specimens should be received within 12 hours. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 87207, 87015 Test Schedule Sun-Sat days for parasites and STAT; Mon-Fri days for ID Turnaround Time 24-48 hours Method Microscopic (thick and thin smears) Test Includes Malaria; Number of RBC's Scanned; Number of Parasitized Cells, Percent Parasitemia, %; Speciation; Reviewed By. Notes If symptoms persist or the clinical suspicion of malaria is high, the physician should be encouraged to repeat the test. In cases where fever follows classical paroxysms, another smear about 10 hours later when enough young asexual parasites have matured to the trophozoite stage make it easier to identify the species. The normal clearance time after treatment has begun is 48-72 hours. Positives will be forwarded to the Washington State DOH for confirmation of species identification.

Billing Code Test Code [sunquest] MALE DONOR FDAMAO FDAMAO Container Type See below Store and Transport Refrigerated Specimen Type 2-6 mL Red top tubes and 3-6 mL EDTA Lavender top tubes Preferred Volume 12 mL whole blood and 18 mL EDTA whole blood Refrigerated 3 days Limitations Samples must be received within 3 days of collection. Reference Laboratory OBI CPT Codes 84999 Test Includes ABRH; CHAG; CRIP; CVM; CMVM; HBC; AHBS; HBS; HBSN; HCV; HCVC; HIV; IFHI; H12C; HTLV; HTIL; ULTR; DHIV; DHCV; DHBV; STS; SYPG; WNV; WNVA

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Billing Code Test Code [sunquest] MANGANESE MAN.S MANG Synonyms Mn Container Type Royal blue top tube (metal free plain) Store and Transport Store and transport at room temperature Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells and place in separate trace element-free transport tube within 6 hours. Unacceptable Condition Serum separator tubes or gels. Specimens in which the serum was not separated from cells or clot within 6 hours. Limitations Avoid the use of glass Reference Laboratory ARUP Reference Lab Test Code 99265 CPT Codes 83785 Test Schedule Sun, Wed Turnaround Time 3-7 days Method ICP/MS Test Includes Manganese, ug/L Supply Item Number 1052

Billing Code Test Code [sunquest] MANGANESE, BLOOD MAN.BLD MANBLD Synonyms Mn, Blood Container Type Royal blue top tube (metal free NA2EDTA) Store and Transport Store and transport refrigerated or at room temperature Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 0.5 mL Unacceptable Condition Heparin anticoagulant or frozen specimens Alternate Specimens K2EDTA whole blood (K2EDTA royal blue top tube) Reference Laboratory ARUP Reference Lab Test Code 99272 CPT Codes 83785 Test Schedule Tue, Fri Turnaround Time 2-6 days Method ICP/MS Test Includes Manganese, Blood, ug/L Notes If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Supply Item Number 9734

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Billing Code Test Code [sunquest] MANGANESE, URINE 24HR MAN-U MANUQ Synonyms Mn, Urine Container Type 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine collection or random urine collection Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medications & supplements may interfere. Patients should be encourage to discontinue nonessential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to colleciton. Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container or random urine collection. Refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116). Required Patient Info Record total volume and collection period interval on transport tube and request form. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 0025070 CPT Codes 83785 Test Schedule Wed, Sat Turnaround Time 3-7 days Method ICP/MS Test Includes Collection Period, hr; Volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Manganese, Urine, ug/L; Manganese, Urine, ug/d; Manganese, Urine, ug/gCr Supply Item Number 1108

Billing Code Test Code [sunquest] MAPROTILINE LUD LUD Synonyms Ludiomil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 2573SP CPT Codes 82491 Test Schedule Mon-Fri Turnaround Time 3-7 days Method GC/NPD Test Includes Maprotiline, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] MATERNAL CELL CONTAMINATION, MOLECULAR ANALYSIS MCCMA MCCMA Synonyms MCC, Amniocyte Chorionic Villi Contamination Container Type See below Store and Transport Store and transport all but CVS at RT. CVS transport refrigerated. Samples from mother and fetus may arrive at different times and from different sources. Preferred Volume See below Minimum Volume Blood: 3 mL, DNA: 10 uL, Amniotic Fluid: 10 mL, CVS: 5 mg, or 1 T-25 flask Collection Procedure Blood: 5 mL EDTA (lavender top tube). Do not split or aliquot sample. Fetal Cells: 2 T-25 or 1 T-75 flask(s). Amniotic Fluid: 20 mL vacutainer or centrifuge tube. Unspun, discard the first 3 mL. CVS: 10 mg in tissue transport media or PBS. DNA: 20 uL. If prenatal DNA is performed by a reference lab that does not offer MCC testing, sample requirement: at least 10 uL of DNA purified from fetal cells - same sample used for testing.

Maternal blood in EDTA must accompany Fetal DNA, Fetal cells, Amniotic Fluid, CVS, or cord blood. Specimen Processing Room Temp Blood-3 days, Fetal Cells-2 days, Amniotic Fluid-2 days, DNA-3 days Refrigerated Blood-5 days, Fetal Cells-1 week, Amniotic Fluid-5 days, CVS-5days, DNA-3 weeks Frozen (-20°C) DNA-6 mos Unacceptable Condition Hemolysis, lipemia, frozen, or split sample Limitations This assay does not rule out the presence of maternal cell contamin below 5%. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81265 Test Schedule Wed Turnaround Time 8-12 days Method Microsatellite PCR and Fragment Analysis Test Includes Maternal Cell Contamination Result/Interpretation Compliance Remarks This test uses a reagent or kit designated by the manufacturer as ï¿½for research or investigational use.ï¿½ The performance characteristics of this test were validated by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number Multiple varies

Billing Code Test Code [sunquest] MATERNAL SCREEN, FIRST TRIMESTER MSSFT MSSFT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info This study requires a nuchal translucency measurement. Include Crown Rump Length, Ultrasonographer name and certification number, date of ultrasound, patient date of birth, weight, due date, number of fetuses, race, previous pregnancies, chromosome abnormalities, Dr name and phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SEND WITH REQUISITION. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Repeat freeze thaw/cycles, hemolyzed specimens, heparin, EDTA or citrated plasma, and crown rump length GT 8.5 cm. Limitations Must be drawn in first trimester between 11 weeks, 0 days and 13 weeks and 6 days. Crown rump length must be between 4.2-8.5 cm. Reference Laboratory ARUP Reference Lab Test Code 0081150 CPT Codes 84702, 84163 Test Schedule Sun-Sat Turnaround Time 3-5 days Method ICMA/ELISA Compliance Remarks The PAPP-A test used a kit designated by the maufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Notes This test does not screen for ONTD. This test is used to screen for fetal risk of Down syndrome and Trisomy 18. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 669 M 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory M

Billing Code Test Code [sunquest] MATERNAL SCREEN, INTEGRATED, SPECIMEN # 2 MSSIS2 MSSIS2 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info Include crown rump length, ultrasonographer name and certification number, date of ultrasound, DOB, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, any previous pregnancy chromosome abnormality, doctor name and phone number; and for in vitro fertilization age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma, and no crown rump length Limitations Must be drawn between 15 weeks, 0 days, and 22 weeks, 6 days Reference Laboratory ARUP Reference Lab Test Code 81064 CPT Codes 82105, 84702, 82677, 86336 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Chemiluminescent Immunoassay Test Includes Maternal age at Delivery, yrs; Estimated Due Date; Gestational Age (Exact), wks; Insulin Required Maternal Diabetes; Family Hx Neural Tube Defect; Maternal Race; Number of Fetuses; Crown Rump Length, cm; Sonographer Certification Number; Sonographer Name; Ultrasound Date; Maternal Weight, lb; Patient AFP, ng/ml; MoM for AFP; Patient hCG, IU/L; MoM for hCG; Patient uE3, ng; MoM for uE3; Dimeric Inhibin A, pg/mL; MoM for DIA; Patient PAPPA-A, mIU/L; MoM for PAPP-A; Nuchal Translucency, mm; MoM for Nuchal Translucency; Interp Compliance Remarks The PAPP-A test used a kit designated by the maufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] MATERNAL SCREEN, INTEGRATED, SPECIMEN #1 MSINT1 MSINT1 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info Include crown rump length, ultrasonographer name and certification number, date of ultrasound, patient date of birth, weight, due date, number of fetuses, race, does patient need insulin, family history of Neural Tube Defect, is patient taking Valproic acid or Carbamazepine, previous pregnancy chromosome abnormalities, Dr name and phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Room Temp 8 hrs Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Repeat freeze/thaw cycles, heparin, EDTA or citrated plasma, and hemolyzed specimens. Limitations Must be drawn between 10 weeks, 3 days and 13 weeks, 6 days. Crown rump length must be between 3.6-8.5 cm. Reference Laboratory ARUP Reference Lab Test Code 0081062 CPT Codes 84163 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Quantitative Chemiluminescent Immunoassay Compliance Remarks The PAPP-A test used a kit designated by the maufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 1 MSSEQ1 MSSEQ1 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Plain red top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. This study requires a nuchal translucency measurement. Include crown rump length, ultrasonographer name and certification number, date of ultrasound, DOB, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, previous pregnancy with chromosome abnormality, doctor name and phone number; and for in vitro fertilization age of egg donor. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma and crown rump length GT 8.5 cm Limitations Must be drawn in first trimester between 11 weeks, 0 days, and 13 weeks and 6 days. Crown rump length must be between 4.2-8.5 cm. Reference Laboratory ARUP Reference Lab Test Code 0081293 CPT Codes 84702, 84163 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Chemiluminescent Immunoassay Compliance Remarks The PAPP-A test used a kit designated by the maufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1373

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Billing Code Test Code [sunquest] MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 2 MSSS2 MSSS2 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info This study requires a nuchal translucency measurement. Include crown rump length, ultrasonographers name and certification number, date of ultrasound, date of birth, weight, due date, number of fetuses, race, does patient need insulin, family history of neural tube defect, is patient taking Valproic Acid or Carbamazepine, previous pregnancy with chromosome abnormality, doctor name and phone number; for in vitro fertilization need age of egg donor. THIS IS REQUIRED INFORMATION, SUBMIT WITH REQUISITION. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Repeat freeze/thaw cycles, hemolyzed specimens, heparin, EDTA or citrated plasma Limitations Must be drawn between 15 weeks, 0 days, and 22 weeks, 6 days Reference Laboratory ARUP Reference Lab Test Code 81294 CPT Codes 82105, 84702, 82677, 86336 Test Schedule Sun-Sat Turnaround Time 3-5 days Method Chemiluminescent Immunoassay Test Includes Maternal age at Delivery, yrs; Estimated Due Date; Gestational Age (Exact), wks; Insulin Required Maternal Diabetes; Family Hx Neural Tube Defect; Maternal Race; Number of Fetuses; Crown Rump Length, cm; Sonographer Certification Number; Sonographer Name; Ultrasound Date; Maternal Weight, lb; Patient AFP, ng/ml; MoM for AFP; Patient hCG, IU/L; MoM for hCG; Patient uE3, ng; MoM for uE3; Dimeric Inhibin A, pg/mL; MoM for DIA; Patient PAPPA-A, mIU/L; MoM for PAPP-A; Nuchal Translucency, mm; MoM for Nuchal Translucency; Interp Compliance Remarks The PAPP-A test used a kit designated by the maufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] MDA (METHYLENEDIOXYAMPHETAMINE) (URINE ONLY) TEST TLCMDA TLCMDA ALSO INCLUDED IN DRUG-SUR. Synonyms Love Pill; Love Drug; Mellow Drug of America Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Methylenedioxyamphetamine (MDA) Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] MEASLES (RUBEOLA) ANTIBODY, IGM RUBEOLA.IGM RUBEOM Acute and convalescent samples advised. Mark specimens plainly as 'acute' or 'convalescent.' Synonyms Rubeola, Measles Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat-inactivated, hemolyzed, icteric, or severely lipemic specimens Reference Laboratory ARUP Reference Lab Test Code 99597 CPT Codes 86765 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Semi-Quantitative Enzyme-linked immunosorbent assay Test Includes Rubeola, IgM, AU. Notes No established reference range for CSF. Rubeola IgG should be used to test for immunity. Supply Item Number 1467

Billing Code Test Code [sunquest] MECONIUM 12 DRUG SCREEN MEC12 MEC12 Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen on dry ice. Protect from light. Specimen Type Frozen meconium Preferred Volume 3 grams Minimum Volume 2 grams Collection Procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML. Specimen Processing Protect from light Room Temp 2 weeks Refrigerated 3 months Frozen (-20°C) 1 year Limitations Protect from light Reference Laboratory USDTL Reference Lab Test Code MECSTAT12 CPT Codes 80101 x 12 Test Schedule Mon-Fri Turnaround Time 3-6 days Method EIA Test Includes Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g: Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; PCP, ng/g; Phencyclidine, GC/MS, ng/g; , GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g; Barbiturates, ng/g; Butalbital, GC/MS, ng/g; Amobarb, ng/g; Pentobarb, GC/MS, ng/g; Secobarb, GC/MS, ng/g; Phenobarb, GC/MS, ng/g; Metadones, ng/g; EDDP, GC/MS, ng/g; Methadone, GC/MS, ng/g; Benzodiazepines, ng/g; Oxamzepam, BC/MS, ng/g; Propoxyhphene, ng/g; Nor-PPX, GC/MS, ng/g; Meperidine, ng/g; Normeperidine, GC/MS, ng/g; Oxycodone, ng/g: Oxycodone, GC/MS, ng/g; Tramadol, ng/g; Tramadol, GC/MS, ng/g Notes Positive results will automatically be confirmed by GC/MS. Supply Item Number 1387

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Billing Code Test Code [sunquest] MECONIUM 12 DRUG SCREEN PLUS ALCOHOL MEC12A MEC12A Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen on dry ice. Protect from light. Specimen Type Frozen meconium Preferred Volume 3 grams Minimum Volume 2 grams Collection Procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML. Specimen Processing Protect from light Room Temp 2 weeks Refrigerated 3 months Frozen (-20°C) 1 year Limitations Protect from light Reference Laboratory USDTL CPT Codes 80101 x 12, 80100 x 7 Test Schedule Mon-Fri Turnaround Time 3-6 days Method EIA.GC/MS Test Includes Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g; Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; PCP, ng/g; Phencyclidine, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g; Barbiturates, ng/g; Butalbital, GC/MS, ng/g; Amobarb, ng/g; Pentobarb, GC/MS, ng/g; Secobarb, GC/MS, ng/g; Phenobarb, GC/MS, ng/g; Metadones, ng/g; EDDP, GC/MS, ng/g; Methadone, GC/MS, ng/g; Benzodiazepines, ng/g; Oxamzepam, BC/MS, ng/g; Propoxyhphene, ng/g; Nor-PPX, GC/MS, ng/g; Meperidine, ng/g; Normeperidine, GC/MS, ng/g; Oxycodone, ng/g; Oxycodone, GC/MS, ng/g; Tramadol, ng/g; Tramadol, GC/MS, ng/g; Fatty Acid Ethyl Ester, ng/g; Fatty Acid ETH Esters, GC/MS, ng/g Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1387

Billing Code Test Code [sunquest] MECONIUM 5 DRUG + ALCOHOL SCREEN MEC5A MEC5A Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen. Protect from light. Specimen Type Meconium Preferred Volume 3 grams Minimum Volume 3 grams Collection Procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML. Specimen Processing Protect from light Room Temp 2 weeks Refrigerated 3 months Frozen (-20°C) 1 year Limitations Protect from light Reference Laboratory USDTL CPT Codes 80100 x 7, 80101 x 5 Test Schedule Mon-Fri Turnaround Time 3-6 days Method EIA,GC/MS Test Includes Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g; Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; PCP, ng/g; Phencyclidine, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g; Fatty Acid ETH Esters, GC/MS, ng/g Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1387

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Billing Code Test Code [sunquest] MECONIUM 5 DRUG SCREEN MEC5 MEC5 Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen. Protect from light. Specimen Type Meconium Preferred Volume 2 grams Minimum Volume 2 grams Collection Procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML. Specimen Processing Protect from light Room Temp 2 weeks Refrigerated 3 months Frozen (-20°C) 1 year Limitations Protect from light Reference Laboratory USDTL CPT Codes 80101 x 5 Test Schedule Mon-Fri Turnaround Time 3-6 days Method EIA Test Includes Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g; Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; PCP, ng/g; Phencyclidine, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1387

Billing Code Test Code [sunquest] MECONIUM 9 DRUG SCREEN MEC9SC MEC9SC Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen. Protect from light. Specimen Type Meconium Preferred Volume 2 grams Minimum Volume 2 grams Collection Procedure Collect all meconium passages until milk stool appears. Put in sterile plastic container and freeze. Complete United States Drug Testing Laboratories, Inc/MecStat Laboratories requisition form including Chain of Custody Information per instructions on the form. Proper test forms are available from PAML. Specimen Processing Protect from light Room Temp 2 weeks Refrigerated 3 months Frozen (-20°C) 1 year Limitations Protect from light Reference Laboratory USDTL CPT Codes 80101 x 9 Test Schedule Mon-Fri Turnaround Time 3-6 days Method EIA Test Includes Amphetamines, ng/g; Amphetamine, GC/MS, ng/g; Methamphetamine, GC/MS, ng/g; MDA, GC/MS, ng/g; MDMA, GC/MS, ng/g; Cocaines, ng/g; Cocaine, GC/MS, ng/g; Cocaethylene, GC/MS, ng/g; Benzoylecgonine, GC/MS, ng/g; Metahydrozy-bze, GC/MS, ng/g; Opiates, ng/g; Codeine, GC/MS, ng/g; Morphine, GC/MS, ng/g; Hydrocodone, GC/MS, ng/g; Hydromorphone, GC/MS, ng/g; PCP, ng/g; Phencyclidine, GC/MS, ng/g; Cannabinoids, ng/g; Carboxy-THC, GC/MS, ng/g; Barbiturates, ng/g; Amobarb, ng/g; Pentobarb, GC/MS, ng/g; Secobarb, GC/MS, ng/g; Phenobarb, GC/MS, ng/g; Metadones, ng/g; EDDP, GC/MS, ng/g; Methadone, GC/MS, ng/g; Benzodiazepines, ng/g; Oxamzepam, BC/MS, ng/g; Propoxyhphene, ng/g; Nor-PPX, GC/MS, ng/g Notes Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1387

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Billing Code Test Code [sunquest] MELANIN, URINE MELURS MELURS Container Type Leakproof plastic urine container Store and Transport Store and transport frozen. Specimen Type Frozen urine, random or 24-hour urine collection Preferred Volume 4 mL Minimum Volume 2.5 mL Collection Procedure Collect a random or 24-hour urine specimen. Refrigerate during collection. Protect from light. Specimen Processing 4.5 mL aliquot of a random or 24-hour urine specimen. Protect from light. CRITICAL FROZEN. Separate samples must be submitted when multiple tests are ordered. Unacceptable Condition Refrigerated or ambient samples and samples exposed to light Limitations Protect from light Reference Laboratory ARUP Reference Lab Test Code 20226 CPT Codes 81005 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Colorimetric Test Includes Melanin, Urine Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] MELANOCYTE STIMULATION HORMONE, ALPHA AMSH AMSH Separate samples must be submitted when multiple tests are ordered. Critical frozen Synonyms a-Melanocyte Stimulation Hormone Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 3 mL Minimum Volume 1 mL Patient Prep Patient should not be on any Steroid, ACTH, or hypertension medication, if possible, for at least 48 hours prior to collection of specimen. Morning, fasting specimens are preferred; non-fasting specimens are acceptable. Specimen Processing Separate plasma from cells ASAP and transfer to a standard PAML aliquot tube and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) Acceptable Unacceptable Condition Serum and specimens not received frozen Alternate Specimens Pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0098819 CPT Codes 83519 Test Schedule Mon-Fri Turnaround Time 8-11 days Method Quantitative Radioimmunoassay Test Includes Melanocyte Stimulation Hormone, Alpha, pg/mL Supply Item Number 1222

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Billing Code Test Code [sunquest] MENINGOENCEPHALITIS COMPREHENSIVE PANEL (SERUM) MECPAN MECPAN This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 6 mL Minimum Volume 4.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 91161 CPT Codes 86727 x 2, 86765 x 2, 86735 x 2, 86652 x 2, 86651 x 2, 86653 x 2, 86654 x 2, 86603, 86710 x 2, 86787, 86658 x 17, 86695, 86696, 86694, 86788, 86789, 86644, 86645 Test Schedule Mon-Fri Turnaround Time 2-6 days Method Immunofluorescence Assay/ELISA/Complement Fixation Test Includes Lymphocytic Choriomeningitis (LCM) Virus (IgG, IgM) Antibody, IFA; Measles (Rubeola) (IgG, IgM) Antibody Panel, IFA; Mumps (IgG, IgM) Antibody Panel, IFA; Eastern Equine Encephalitis Virus (IgG, IgM) Antibody, IFA; California Encephalitis Virus (IgG, IgM) Antibody Panel, IFA; St. Louis Encephalitis Virus (IgG, IgM) Antibody, IFA; Western Equine Encephalitis (IgG, IgM) Antibody Panel, IFA; Cytomegalovirus (CMV) (IgG, IgM) Antibody Panel, ELISA; Adenovirus Antibody; Influenza Type A and B Antibodies; Varicella-Zoster Virus Antibody; Coxsackie A Antibodies; Coxsackie B (1-6) Antibodies; Echovirus Antibodies; Herpes Simplex Virus (HSV) 1/2 IgM and Type-Specific IgG (HerpeSelect® ELISA; West Nile Virus (IgG, IgM) Antibody Panel, ELISA Clinical Significance This panel may assist in identifying infectious agents causing encephalitis or meningoencephalitis. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If results for HSV 1/2 IgM and Type Specific Herpes Simplex Virus (HSV) 1/2 IgM and 86694 IgG (HerpeSelect), ELISA are greater than or Type-Specific IgG (HerpeSelect®), ELISA equal to 0.90, then HSV 1/2 Confirmation IFA will be added

Billing Code Test Code [sunquest] MENORRHAGIA EVALUATION (REFLEXIVE) MENEVL MENEVL Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Liquid blue top tubes filled to capacity Specimen Processing Must be performed within 4 hours of specimen collection. If time interval between drawing and testing exceeds 4 hours; centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen. Avoid repeat freeze/thaw cycles Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85730, 85240, 85245, 85246, 85270 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Electromechanical, Immuno-turbidimetric, Platelet Aggregation Test Includes Protime, sec; Population Mean, sec; INR; PTT patient, sec; PTT, pop mean, sec; Pt 1/1 Mix, sec; Pt Control Plasma, sec; PTT1/1 Control Plasma, sec; PTT Control Plasma, sec; Von Willebrand Factor, % Activity; Von Willebrand Factor Antigen, %; Factor VIII Coagulant Activity, % Activity; Factor XI, %. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes PT prolonged PTT prolonged PT 1/1 Mix PTT 1/1 Mix 85611 85732

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Billing Code Test Code [sunquest] MEPERIDINE MER MEP Synonyms Demerol Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Alternate Specimens EDTA plasma (lavender top tube). Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 2610SP CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 5-7 days Method GC Test Includes Meperidine, mcg/mL; Normeperidine, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] MEPERIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCMPD TLCMPD SUR. Synonyms Demerol; Mepergan; Demies; Painkiller; Pain Reliever Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Meperidine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] MEPERIDINE BY GC/MS MSMEP MSMEP Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container Specimen Processing Store and transport at room temperature Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum or plasma samples Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method GC/MS Test Includes Meperidine, ng/mL; Normeperidine, ng/mL Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] MEPERIDINE SCREEN (REFLEXIVE) MEPU MEPU This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Meperidine, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCMPD 82489 automatically be run

Billing Code Test Code [sunquest] MEPHENYTOIN & METABOLITE MEPHE MEPHE Synonyms Mesantoin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable Condition Specimens drawn using serum separator tubes or gels. Reference Laboratory NMS Reference Lab Test Code 2620SP CPT Codes 82492 Test Schedule Mon-Fri Turnaround Time 3-5 days Method HPLC Test Includes Mephenytoin, mcg/mL; Normephenytoin, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] MEPHOBARBITAL MEBARAL MEPHOB Synonyms Mebaral Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Store and transport refrigerated. Room Temp 1 day Refrigerated 10 days Frozen (-20°C) 10 days Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0090231 CPT Codes 82205 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Quantitative Gas Chromatography-Mass Spectrometry Test Includes Mephobarbital, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] MEPROBAMATE (URINE ONLY) TEST ALSO INCLUDED IN TLCMPB TLCMPB DRUG-SUR. Synonyms Equanil; Miltown; SK-Bamate; Equagesic; Micrainin Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Meprobamate Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] MEPROBAMATE, URINE MEPROB MEPROB Container Type Sterile urine cup Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Specimen Processing Collect specimen in a leakproof plastic urine container. Store and transport at room temperature. Room Temp 10 days Refrigerated 30 days Frozen (-20°C) 6 months Unacceptable Condition Blood, serum or plasma. Department PAML Toxicology CPT Codes 83805 Test Schedule Mon-Fri Turnaround Time 2-3 days Method GC/MS Supply Item Number 1387

Billing Code Test Code [sunquest] MERCAPTOPURINE, SERUM MERCAP MERCAP Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 21 days Frozen (-20°C) 2 months Unacceptable Condition SST or gel-type tubes. Reference Laboratory NMS Reference Lab Test Code 2660SP CPT Codes 82491 Test Schedule Tue, Thu Turnaround Time 3-5 days Method HPLC Test Includes Mercaptopurine, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] MERCURY, SERUM/PLASMA HGQT HGQT Container Type Royal blue top tube (metal free EDTA) Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.4 mL Collection Procedure Collect specimens at end of shift at end of work week. Specimen Processing Separate plasma or serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or PST Tubes Alternate Specimens Serum (Plain Metal Free Blue top tube - No additive) Reference Laboratory NMS Reference Lab Test Code 2670SP CPT Codes 83825 Test Schedule Tue Turnaround Time 3-5 days Method ICP/MS Test Includes Mercury, Serum/ Plasma, Quantitative, mcg/mL. Supply Item Number 9734

Billing Code Test Code [sunquest] MERCURY, URINE (RANDOM) MERC-RU HGUR Synonyms Hg, Urine (Random) Container Type Trace Element Free Tubes. Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine specimen into a Trace Element Free tube. Adjust pH to 2 with 6N nitric acid. Store and transport refrigerated. Required Patient Info pH Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal material. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 83825 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Mercury Hydride AAS Test Includes Mercury, Urine, ug/L. Supply Item Number 1796 or 9771

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Billing Code Test Code [sunquest] MERCURY, URINE 24HR MERC-U HGUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms Hg, Urine Container Type Trace Element Free Tube. Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection. Preferred Volume 5 mL Minimum Volume 5 mL Collection Procedure Add 20 mL 6N nitric acid to a 24-hour dark plastic urine container at the start of collection. Collect a 24-hour urine specimen. Use only SAGE, GUARD, P-Splitter or HEDWIN jugs. Pretest other jugs. Do not use VOLLRATH jugs. Refrigerate during collection. Specimen Processing Aliquot 5 mL of a well-mixed 24-hour urine collection into a leakproof Trace Element Free tubes. Record collection time and total volume. Adjust pH to 2 with 6N nitric acid. Required Patient Info pH, collection period and total volume. Room Temp 72 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens contaminated with blood or fecal materials. Alternate Specimens May add 20 mL 6N nitric acid at end of collection. Adjust pH to 2. This procedure may be done after the specimen has been received at PAML, however, it must be shipped in the original collection container & performed before it is aliquoted. Entire collection should be kept refrigerated and acid added to entire collection within 20 hours. Limitations Urine volume increases with Dimercaprol and penicilliame when used to treat poisoning. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83825 Test Schedule Tue, Thu, Sat Turnaround Time 2-5 days Method Mercury Hydride AAS Test Includes Collection Period, h; Volume, mL; Mercury, Urine, ug/L; Mercury, Urine, ug/24h. Supply Item Number 1796 or 9771

Billing Code Test Code [sunquest] MERCURY, URINE 24HR HGUQT HGUQT Synonyms Hg; HGU Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Urine, 24 hour Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over- the-counter medications (upon the advice of their physician). High concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is recommended. Collection Procedure 24-hour urine collection. Specimen must be collected in a plastic container. Refrigerate during and after collection Specimen Processing Aliquot 8 mL of a well-mixed 24 hour urine collection into a trace-metal free leakproof plastic urine container and refrigerate. Record total volume and collection period Required Patient Info Collection period and total volume Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with MRI studies). Acid preserved urine Alternate Specimens Random urine Reference Laboratory ARUP Reference Lab Test Code 25050 CPT Codes 83825 Test Schedule Mon-Sat Turnaround Time 2-4 days Method Quantitative Inductively Coupled Plasma-Mass Spectrometry Test Includes Time, hr; Volume, mL; Creatinine, mg/dL; Creatinine, mg/d; Mercury, Urine ug/L; Mercury, Urine ug/day; Mercury, Urine ug/gCR Notes ARUP studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection. Supply Item Number 1108

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Billing Code Test Code [sunquest] MERCURY, WHOLE BLOOD MERC MERC Synonyms Hg ;HGB Container Type Royal blue (K2EDTA) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 7 mL Minimum Volume 0.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over- the-counter medications (upon the advice of their physician), and avoid shellfish and seafood for 48 to 72 hours. Specimen Processing Transport whole blood in the original collection tube Unacceptable Condition Heparin anticoagulant. Frozen specimens. Alternate Specimens Royal blue (Na2EDTA). Also acceptable: Refrigerated. Reference Laboratory ARUP Reference Lab Test Code 99305 CPT Codes 83825 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Atomic Absorption/Quantitative Inductively Coupled Plasma-Mass Spectrometry Test Includes Mercury, ug/L Notes Mercury is volatile; concentration may reduce after seven or more days of storage.

Elevated results from noncertified trace element-free collection tubes may be due to contamination. Elevated concentrations of trace elements in blood should be confirmed with a second specimen collected in a tube designed for trace element determinations, such as a royal blue (Na2EDTA) tube.

Supply Item Number 9734

Billing Code Test Code [sunquest] METANEPHRINES FRACTIONATED, URINE 24HR MET.FRAC METUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport frozen. Specimen Type Frozen 24-hour urine collection Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Add 25 mL 6N HCl to a 24-hour dark plastic urine container at the start of the collection. Refrigerate during collection. Specimen Processing Aliquot 30 mL of a well-mixed preserved 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-3 and freeze. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated Acidified: 7 days. Frozen (-20°C) Acidified: 1 month. Alternate Specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-3 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-3 with 6N HCl upon receipt. Limitations A pH less than 1 can cause assay interference. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83835 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method HPLC/Electrochemical Detection Test Includes Collection Period, h; Volume, mL; Metanephrines, mg/24h; Normetanephrine, mg/24h; Metanephrines, Total, mg/24h. Supply Item Number 1108

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Billing Code Test Code [sunquest] METANEPHRINES TOTAL, URINE 24HR MET METTUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport frozen. Specimen Type Frozen 24-hour urine collection Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Add 25 mL 6N HCl to 24-hour dark plastic urine container. Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 30 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-3 with 6N HCl and freeze. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated Acidified: 7 days. Frozen (-20°C) Acidified: 1 month. Alternate Specimens 24-hour urine collected with 10 grams of boric acid, or 25 mL of 50% acetic acid and then pH to 1-3 with 6N HCl. Specimens may also be refrigerated during collection without a preservative and then pH adjusted to 1-3 with 6N HCl upon receipt. Limitations A pH less than 1 can cause assay interference. False positives can be seen with stress. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83835 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method HPLC/Electrochemical Detection Test Includes Collection Period, h; Volume, mL; Metanephrines, Total Urine, mg/24h. Supply Item Number 1108

Billing Code Test Code [sunquest] METANEPHRINES, FRACTIONATED, FREE, LC/MS/MS, PLASMA METFRP METFRP Container Type Lavender top tube (EDTA) Store and Transport Transport refrigerated Specimen Type Plasma Preferred Volume 2.5 mL Minimum Volume 1.5 mL Patient Prep Patients should be relaxed in either a supine or upright position before blood is drawn. Patient should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Overnight fasting is preferred. Collection Procedure Draw specimen in a pre-chilled EDTA lavender-top vacutainer. Specimen Processing The whole blood sample should be kept on wet ice until centrifuge (preferably at 4 degrees C) to separate the plasma within 2 hours of venipuncture. After centrifugation, the plasma should be transferred to a plastic, leak-proof vial and immediately refrigerated. Room Temp 4 hours Refrigerated 14 days Frozen (-20°C) 14 days Unacceptable Condition Heparinized plasma, Serum, CSF, Urine Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 19548 CPT Codes 83835 Test Schedule Sun-Thu Turnaround Time 5-8 days Method Liquid Chromatography Tandem Mass Spectrometry

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Billing Code Test Code [sunquest] METANEPHRINES, URINE (RANDOM) METAUR METAUR Container Type Leakproof plastic urine container. Specimen Type Frozen urine, random Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container. Specimen Processing Aliquot 30 mL of a random urine specimen and adjust pH to 1-3 with 6N HCl and freeze. Store and transport frozen. Refrigerated Acidified: 1 week. Frozen (-20°C) Acidified: 1 month. Limitations False positives can be seen with stress. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83835, 82570 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method HPLC/Electro Det/Enzymatic (IDMS traceable) Test Includes Creatinine, Urine Random, mg/dL; Metanephrine, Urine, Random, mg/L; Metanephrine (Calculation), Normetanephrine, mg/L; Normetanephrine (Calculation),ug/gCr, Total Metanephrines, mg/L. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] METHADONE & METABOLITE, SERUM/PLASMA METMBN METMBN Synonyms Dolophine®; Methadone Metabolite Methadose® Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic screw capped vial. Room Temp Undetermined Refrigerated Undetermined Frozen (-20°C) Undetermined Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Plasma. Separate plasma from cells ASAP and put into separate plastic screw capped vial. Reference Laboratory NMS Reference Lab Test Code 8722SP CPT Codes 83840 Test Schedule Tue, Thu Turnaround Time 4-6 days Method GC/MS Test Includes EDDP [GC/MS], Methadone [GC/MS] Notes NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test.

Billing Code Test Code [sunquest] METHADONE (EDDP) PAIN MANAGEMENT CONFIRMATION PMETC PMETC TESTING BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for this test. Container Type Urine, leakproof plastic urine container Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 83840 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Methadone Metab (EDDP)

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Billing Code Test Code [sunquest] METHADONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCMET TLCMET SUR. Synonyms Dolophine; Dollies; Meth; Fizzies; Amidone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Methadone and Methadone Metabolite Notes Test is also included in Comprehensive Drug Survey Supply Item Number 1388

Billing Code Test Code [sunquest] METHADONE CONFIRMATION BY GC/MS MSMET MSMET Synonyms Dolophine; Dollies; Meth; Fizzies; Amidone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 300 ng/mL Department PAML Toxicology CPT Codes 83840 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Supply Item Number 1388

Billing Code Test Code [sunquest] METHADONE CONFIRMATION BY TLC. TEST IS ALSO TLCMET TLCMET INCLUDED IN DRUG-SUR. Synonyms Dolophine; Dollies Meth; Fizzies; Amidone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Modified Thin Layer Chromatography Test Includes Methadone and metabolite Notes Test is also included in Comprehensive Drug Survey

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Billing Code Test Code [sunquest] METHADONE SCREEN (REFLEXIVE) METH METD This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Dolophine; Dollies; Meth; Fizzies; Amidone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff 300 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Methadone and Methadone metabolite Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCMET 82489 automatically be run

Billing Code Test Code [sunquest] METHAMPHETAMINE (URINE ONLY) TEST ASLO INCLUDED IN TLCAMP TLCAMP DRUG-SUR. Synonyms Desoxyn; Speed; Crystal; Uppers; Whites; Cartwheels; White Crosses; Bennies; Black Beauties; Black Cadillacs; Chalk; Crank; Fire; Glass; Go; Fast; Ice; Meth Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 day Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Amphetamine and Methamphetamine Notes Test is also included in Comprehensive Drug Survey Supply Item Number 1388

Billing Code Test Code [sunquest] METHAMPHETAMINE D & L ISOMERS METDL METD+L Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes D-Methamphetamine,L-Methamphetamine Supply Item Number 1388

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Billing Code Test Code [sunquest] METHAQUALONE METHA METHA Synonyms Quaalude Container Type Red top tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition SST or PST (gel separators tubes). Alternate Specimens Plasma. Reference Laboratory NMS Reference Lab Test Code 2849SP CPT Codes 82542 Test Schedule Tue, Fri Turnaround Time 4-7 days Method GC/MS Test Includes Methaqualone, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] METHAQUALONE CONFIRMATION BY TLC TLCQUA TLCQUA Synonyms Quaaludes; Ludes; Sopor; Parest; Mandrex; Quad; Quay; 714s; Karachi; Sporos; Qualudes Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Modified Thin Layer Chromatography Supply Item Number 1388

Billing Code Test Code [sunquest] METHAQUALONE SCREEN (REFLEXIVE) QUAL MEQ This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Quaaludes; Ludes; Sopor; Parest; Mandrex; Quad; Quay; 714s; Karachi; Sporos; Qualudes Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 300 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Notes Positive Results will automatically be confirmed by TLC Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCQUA 82489 automatically be run

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Billing Code Test Code [sunquest] METHEMOGLOBIN (QUANTITATIVE) METHGB QUAN CMHGB Synonyms MetHb Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 0.5 mL Collection Procedure Fill EDTA lavender top tube completely. Specimen Processing Do not remove stopper. Put tube on wet ice immediatley and transport without delay. Room Temp 30 minutes; Wet ice-4 hours. Refrigerated 7 days Unacceptable Condition Tube that has been opened or tube left at room temperature longer than 30 minutes or longer than 4 hours on ice. Alternate Specimens Sodium heparinized whole blood (green top tube). Department PSHMC Respiratory Therapy Reference Laboratory PSHMC CPT Codes 83050 Test Schedule Sun-Sat Turnaround Time 24-48 hours Method Colorimetric/Co-oximeter Test Includes Hemoglobin, g/dL; CO, %; Methemoglobin, %. Supply Item Number 1222

Billing Code Test Code [sunquest] METHOCARBAMOL (URINE ONLY) TEST ALSO INCLUDED IN TLCMCB TLCMCB DRUG-SUR. Synonyms Robaxin; Robaxisal Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Methocarbamol Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] METHOTREXATE MTX MTX Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Protect from light. Store and transport frozen. Specimens from patients who have received preparations of mouse monoclonal antibodies or carboxypeptidase G2 as a high dose methotrexate rescue therapy should not be tested by this method. Room Temp 4 hours Refrigerated 2 days Frozen (-20°C) 6 months Unacceptable Condition Specimens collected in serum separator or other gel type tubes. Alternate Specimens Heparinized, EDTA, sodium fluoride/potassium oxalate plasma (green, lavender or grey top tube) Limitations Protect from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80299 Test Schedule Sun-Sat & STAT on days and evenings Turnaround Time 1-2 days Method FPIA Test Includes Methotrexate, umol/L. Supply Item Number 1372

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Billing Code Test Code [sunquest] METHSUXIMIDE (CELONTIN) AND NORMETHSUXIMIDE CELONTIN MSUX Synonyms Celontin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate the serum or plasma from the cells within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Whole blood, Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 90146 CPT Codes 83858, 80299 Test Schedule Mon, Thu Turnaround Time 2-5 days Method GC Test Includes Methsuximide, ug/mL; Normethsuximide, ug/mL; Total, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] METHYL ALCOHOL MALC MALC Synonyms Methanol Container Type Oxalated whole blood (grey top tube) or serum (red top tube) Specimen Type Blood/serum Preferred Volume 2 mL Minimum Volume 1 mL Alternate Specimens Heparinized whole blood(green top tube), urine or vitreous humor Limitations 10 mg/dl Department PAML Toxicology CPT Codes 84600 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Gas Chromatography (GC) Notes Draw blood using non-alcoholic disinfectant. Store and transport ambient (room temperature) Supply Item Number 1396

Billing Code Test Code [sunquest] METHYLENEDIOXYMETHAMPHETAMINE (MDMA) (URINE ONLY) TLCMDM TLCMDM TEST ALSO INCLUDED IN DRUG-SUR. Synonyms Ecstasy; XTC; Adam; Clarity; Eve; Lovers Speed; Peace; STP; X Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Methylenedioxymethamphetamine(MDM) Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] METHYLMALONIC ACID (MMA) QUANTITATION, URINE URMMA URMMA When ordering a 24 hour urine sample you must also order a 1TV. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time, & total volume. There is no charge for this test. This test is a lab developed test. For further information, see the Compliance Remarks section below. Synonyms MMA Urine Container Type Leak-proof plastic urine container (1387) or 24 hour dark plastic urine container (1108) Store and Transport Frozen Specimen Type Urine, random or 24 hour collection (with no preservatives) Preferred Volume 4 mL Minimum Volume 1 mL Collection Procedure Collect a random urine in a leakproof plastic urine container or a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 4 mL of a well-mixed urine collection into a leak-proof plastic container. Record total volume and collection period for 24 hour specimens. Required Patient Info Collection period and volume for 24 hour specimens Room Temp 7 days Refrigerated 1 month Unacceptable Condition Urine samples that have been treated with preservatives or pH adjusted with an acid or base Department PAML Bioanalytics, PAML Chemistry CPT Codes 83921, 82570 Test Schedule Mon-Sat Turnaround Time 2-3 days Method Tandem Mass Spectrometry, Enzymatic (IDMS Traceable) Clinical Significance Elevated urinary methylmalonic acid is an early and sensitive indicator of vitamin B12 (cobalamin) deficiency. This test can also be used to monitor patients with methylmalonic aciduria. This test should not be used to diagnose inborn errors of metabolism. Compliance Remarks PAML // PSHMC B: Laboratory Developed/Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1387 or 1108

Billing Code Test Code [sunquest] METHYLMALONIC ACID, QUANTITATIVE, SERUM MMAMS MMAMS Synonyms MMA Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed or lipemic specimens. Alternate Specimens Frozen EDTA or K2EDTA plasma (lavender or pink top tube), or SST tube. Department PAML Bioanalytics CPT Codes 83921 Test Schedule Mon-Fri Turnaround Time 2-3 days Method LC/MS/MS Test Includes Methylmalonic Acid, umol/L. Supply Item Number 1372

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Billing Code Test Code [sunquest] METHYLPHENIDATE AND METABOLITE, SERUM/PLASMA RIT RITA Separate samples must be submitted when multiple tests are ordered Critical frozen Synonyms Concerta, Methidate, Methylphenidate Metabolite Ritalin Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Collection Procedure Collect 1-6 hours post dose. Specimen Processing Separate serum or plasma from cells ASAP and transfer to a standard PAML aliquot tube and freeze. CRITICAL FROZEN Room Temp Not acceptable Refrigerated Not acceptable Frozen (-20°C) 5 months Unacceptable Condition Polymer gel separator tube (SST or PST); Ambient (room temperature) or refrigerated sample Alternate Specimens Lavender (EDTA) or Pink (K2 EDTA) Limitations No SST tubes Reference Laboratory NMS Reference Lab Test Code 3020SP CPT Codes 83789 Test Schedule Mon, Fri Turnaround Time 5-8 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry Test Includes Methylphenidate, ng/mL; Methylphenidate Metabolite, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] METHYLPHENIDATE AND METABOLITE, URINE RIT-U RITAUR Separate samples must be submitted when multiple tests are ordered Critical Frozen Synonyms Concerta, Methidate, Methylphenidate Metabolite Ritalin Container Type Leakproof plastic urine container (preservative-free) Store and Transport Frozen Specimen Type Frozen urine, timed Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Collect a urine specimen 1-6 hours post dose Specimen Processing Aliquot 1 mL of the urine specimen and freeze. CRITICAL FROZEN Room Temp Not acceptable Refrigerated Not acceptable Frozen (-20°C) 5 months Unacceptable Condition Ambient (room temperature) or refrigerated sample Reference Laboratory NMS Reference Lab Test Code 3020U CPT Codes 83789 Test Schedule Mon, Fri Turnaround Time 5-8 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry Test Includes Methylphenidate, Urine, ng/mL; Methylphenidate Metabolite, Urine, ng/mL. Notes NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] METOPROLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCMPL TLCMPL SUR. Synonyms Lopressor; Betaloc; Toprol-XL Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Metoprolol Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] MEXILETINE MEXI MEXI Synonyms Mexitil Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 5 days Frozen (-20°C) 2 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0090276 CPT Codes 80299 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Mexiletine, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] MICROALBUMIN, URINE 24HR M.ALB MALBUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container with no preservative. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated 2 weeks Unacceptable Condition Blood or other body fluids Alternate Specimens Urines preserved in the boric acid tubes (BD C&S tubes) Department PAML Chemistry CPT Codes 82043 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Immunoturbidimetric Test Includes Collection Period, h; Volume, mL; Microalbumin, Urine, mg/L; Microalbumin, Excretion Rate, ug/min; Microalbumin, 24 h Excretion, mg/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] MICROALBUMIN-CREATININE RATIO MALBCR MCUC Synonyms Microalbumin/Creatinine Ratio, Urine Container Type Leakproof plastic urine container or 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Random, first morning or 24 hour urine collection Preferred Volume 40 mL Minimum Volume 3 mL Collection Procedure 40 mL aliqout of random, first morning or 24 hour urine collection in a leakproof plastic urine container for random specimens or a 24 hour dark plastic urine container for 24 hour collections. Refrigerate during collection. Refrigerated 2 weeks Alternate Specimens Urines preserved in the boric acid tubes (BD C&S tubes) Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 82043, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Immunoturbidimetric, Enzymatic (IDMS Traceable), Calculation Test Includes Microalbumin, Random Urine, mg/L; Creatinine, Random Urine, mg/dL; Microalbumin/Creatinine Ratio, mg/g Supply Item Number 1388 or 1108

Billing Code Test Code [sunquest] MICROSOMAL ANTIBODY LIVER/KIDNEY MICROLK LKM Synonyms Anti-Microsomal; LKMA; Liver/Kidney Microsomal Ab; Kidney Microsomal Ab; Anti-Liver/Kidney Microsomal Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 3 months Department PAML Chemistry CPT Codes 86376 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes Microsomal Antibody Liver/Kidney Supply Item Number 1467

Billing Code Test Code [sunquest] MICROSPORIDIA STAIN BY MODIFIED TRICHROME MICROSPORIDI MCSPR A

Container Type Leakproof container containing 10% formalin Store and Transport Send promptly at room temperature. Ship Category B Specimen Type Stool Preferred Volume 5 grams or 5 mL Minimum Volume 1 gram Specimen Processing Preserve stool in 10% formalin Required Patient Info Pertinent patient history, specimen source Room Temp 9 months preserved Refrigerated 9 months preserved Frozen (-20°C) Unacceptable Unacceptable Condition Unpreserved specimens or samples submitted in preservative other than 10% formalin. Reference Laboratory ARUP Reference Lab Test Code 60050 CPT Codes 87015, 87207 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Microsporidia Stain by Modified Trichrome Test Includes Microsporidia Source; Microsporidia Stain Supply Item Number 1614

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Billing Code Test Code [sunquest] MIRTAZAPINE (QUANTITATIVE) MIRTQ MIRTQ Synonyms Remeron Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Specimen Processing Separate serum from cells and place in a separate plastic tube. Store and transport at room temperature. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 14 days Limitations Do not use SST or gel-type tubes. Reference Laboratory NMS Reference Lab Test Code 3075SP CPT Codes 82491 Test Schedule Mon-Thu Turnaround Time 4-7 days Method GC Test Includes Mirtazapine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] MIRTAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCMIR TLCMIR SUR. Synonyms Remeron Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Mirtazepine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] MITOCHONDRIAL ANTIBODIES MA MA Synonyms Anti-Mitochondrial Antibody; AMA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 3 days Frozen (-20°C) 3 months Limitations Interfering substances include turbidity, hemolysis, visible bacterial growth, and fluorescing drugs Department PAML Chemistry CPT Codes 86255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes Mitochondrial Antibodies Supply Item Number 1467

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Billing Code Test Code [sunquest] MITOCHONDRIAL M2 ANTIBODY, IGG MM2AB MM2AB Synonyms Anti-Mitochondrial Antibody; M2 Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Plasma & severely lipemic, contaminated, or hemolyzed or grossly icteric samples. Reference Laboratory ARUP Reference Lab Test Code 50065 CPT Codes 83516 Test Schedule Sun-Sat Turnaround Time 2-3 days Method ELISA Test Includes Mitochondrial M2 Antibody, IgG, Units Supply Item Number 1467

Billing Code Test Code [sunquest] MOBAN MOB MOB Synonyms Molindone Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 3082SP CPT Codes 82542 Test Schedule Varies Turnaround Time 10-15 days Method LC/MS/MS Test Includes Moban, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] MOLYBDENUM MOBD MOBD Container Type Royal blue top tube (metal free plain) Specimen Type Serum Preferred Volume 4 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 14 days Reference Laboratory NMS Reference Lab Test Code 3090SP CPT Codes 83018 Test Schedule Tue Turnaround Time 2-9 days Method GFAAS Test Includes Molybdenum, mcg/mL. Supply Item Number 1052

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Billing Code Test Code [sunquest] MONOCLONAL PROTEIN STUDY, SERUM MPSMAY MPSMAY Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Patient Prep Fasting Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 3 days Refrigerated 1 week Frozen (-20°C) 1 week Frozen (-70°C) 2 weeks Unacceptable Condition Icterus: Mild; OK, Gross; Reject Alternate Specimens Serum separator tube (gold, brick, SST, or corvac) Reference Laboratory MAYO Reference Lab Test Code 81756 CPT Codes 84155, 84165, 86334 Test Schedule Mon-Sat Turnaround Time 3-4 days Method Biuret/Agarose Gel Electrophoresis/Immunofixation Test Includes Total Protein; Albumin; Alpha-1 globulin; Alpha-2 globulin; Beta-globulin; Gamma-globulin; A/G Ratio; M Spike; Impression; Immunofixation; Supply Item Number 1372

Billing Code Test Code [sunquest] MONONUCLEOSIS TEST MON MONO Synonyms Mono Test; Heterophile Antibodies Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Plasma collected with any other anticoagulant Alternate Specimens EDTA or heparin plasma (lavender or green top tube) Limitations Avoid repeat (more than 5 times) freeze-thaw cycles Department PAML Immunology CPT Codes 86308 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method HA Test Includes Mononucleosis Test Supply Item Number 1467

Billing Code Test Code [sunquest] MORICIZINE MOR MOR Synonyms Ethmozine Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1.2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Alternate Specimens EDTA plasma (lavender top tube). Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 3092SP CPT Codes 82491 Test Schedule Tue, Thu Turnaround Time 3-7 days Method HPLC Test Includes Moricizine, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] MORPHINE CONFIRMATION BY LC-MS/MS LCOP6 LCOP6 Synonyms Morphine; MS-Contin; Apomorphine; Morphine Sulfate; Paregoric; Apokyn; Avinza; DepoDur Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Mass Spectrometry (LC/MS) Test Includes Morphine Notes Test is also included in Comprehensive Drug Survey; replaces TLCOPA

Billing Code Test Code [sunquest] MRSA NASAL SCREEN BY PCR (REFLEXIVE) MRSPCA MRSPCR If the MRSA by PCR is uninterpretable it will reflex to a culture. This test may reflex to additional tests depending upon the results of this test. Additional fees will be added. Synonyms MRSA Container Type See below Specimen Type Nasal swab on BD Culturette Plus swab Collection Procedure Obtain nasal swab using BD Culturette Plus swab. Insert swab into the nares. Rotate swab in each nares two to five times clockwise and counter clockwise, about three-fourths of an inch into the nasal passage (adult) so that squamous epithelial cells from the inside of the nose are obtained. Place swab into culturette. Specimen Processing Store and transport refrigerated. Required Patient Info Source Room Temp 36 hours Refrigerated 5 days Unacceptable Condition Samples that have been frozen or exposed to excessive heat. Only nares specimens are acceptable for the PCR assay. Limitations Protect from freezing or exposure to excessive heat. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87641 Test Schedule Sun-Sat Turnaround Time 1-2 days Method PCR with reflex to culture Test Includes MRSA PCR Result; MRSA PCR Status. Supply Item Number 6271

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Billing Code Test Code [sunquest] MTHFR C677T AND A1298C MTINV MTINV Synonyms Methylenetetrahydrofolate Reductase Mutation Detection (Thermolabile Form) (C677T and A1298C); MTHFR; Molecular tests Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Do not freeze Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Heparinized whole blood, serum, grossly hemolyzed or frozen samples, samples not in original collection tubes, over 5 days old, or in leaking containers. Alternate Specimens ACD or sodium citrate whole blood (yellow or light blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81291 Test Schedule Sun, Wed, Fri Turnaround Time 2-7 days Method PCR-eSensor Test Includes MTHFR Result; MTHFR Comment; MTHFR Comment Clinical Significance The enzyme MTHFR functions in the regulation of methylenetetrahydrofolate (MTHF), the primary form of circulatory folate. Indirectly MTHFR also down regulates the circulatory concentration of homocysteine. When mutations decrease MTHFR's activity, it produces a chronic folate deficit by the inability of the body to correctly process folate's circulatory form. Decreased activity of the enzyme also leads to inappropriately high concentrations of homocysteine (hyperhomocystenemia) as the re- methylation of homocysteine into methionine is hampered. The faulty mechanism or its resultant effects on MTHFR and homocysteine circulatory concentrations when linked with insufficient folate intake has been tied in with various neural and vascular disease states. In the most severe forms of enzyme inhibition, disease states such as neural tube defects, mental retardation, delayed development, seizures, thromboses, motor and gait disorders are possible. Compliance Remarks This test is FDA approved and is intended for in vitro diagnostic use. This test is performed pursuant to an agreement with Roche Molecular Systems, Inc Supply Item Number 1222

Billing Code Test Code [sunquest] MUCOPOLYSACCHARIDES, QUANTITATIVE, URINE MPQTUA MPQTUA Synonyms MPS; GAG; glycosaminoglycans; GAGS; Hurler; Scheie; Hunter; Sanfilippo; Morquio; Maroteaux- Lamy; Sly; GAGs; Glycosaminoglycans, Total Urine Container Type Leakproof plastic urine container Specimen Type Frozen urine Preferred Volume 20 mL Minimum Volume 10 mL Collection Procedure Collect urine in a leakproof plastic urine container. Prefer morning void. Specimen Processing Aliquot 20 mL into a leakproof plastic urine container and freeze immediately. Store and transport frozen. Required Patient Info Complete a patient history form for mucopolysaccharidosis (mps) testing available at www.aruplab.com for test code 0081357 and send it with specimen. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Contaminated specimens and specimens containing preservatives. Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0081357 CPT Codes 83864 Test Schedule Tue Turnaround Time 5-11 days Method Spectrophotometry Test Includes Mucopolysaccharides, Urine, mg/mmolCRT.

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Billing Code Test Code [sunquest] MUMPS VIRUS ANTIBODY, IGG MUMPSG MUMPSG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition No anticoagulant or preservatives, hemolyzed, lipemic, or bacterially contaminated serum Department PAML Special Immunology CPT Codes 86735 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Mumps Virus Antibody, IgG, OD Supply Item Number 1467

Billing Code Test Code [sunquest] MUMPS VIRUS ANTIBODY, IGM MUMPSM MUMPSM Acute and convalescent samples advised. Synonyms MMR; Parotitis Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube. Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as 'acute' or 'convalescent.' Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, hemolyzed, heat-inactivated, or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 99589 CPT Codes 86735 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Mumps Virus Antibody, IgM, IV. Supply Item Number 1467

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Billing Code Test Code [sunquest] MYASTHENIA GRAVIS PANEL 3 MYGPA MYGPA This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 4 days Refrigerated 14 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 10211N CPT Codes 86255, 83519 x 3 Test Schedule Mon, Thu Turnaround Time 4-6 days Method Radioimmunoassay, Immunofluorescence Assay Test Includes Acetylcholine Receptor Binding Antibody, Acetylcholine Receptor Blocking Antibody, Acetylcholine Receptor Modulating Antibody, Anti-Striated Muscle Ab Screen, Anti-Straited Muscle Ab Titer Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Anti-Striated Muscle Ab Screen is positive Anti-Striated Muscle Ab Titer 86256

Billing Code Test Code [sunquest] MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR, NON- MTCPCR MTCPCR RESPIRATORY This test should not be used as a substitute for culture. It should be used as an adjunct to culture. The method used in this test is RT-PCR of the IS 6110 locus of the M. tuberculosis complex. Synonyms MTB Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type CSF or Urine Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Urine: first void clean catch or urine with no preservative Required Patient Info Specimen source Room Temp unacceptable Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens received at room temperature. Alternate Specimens Random urine, catherterized urine, gastric fluid, pericardial fluid, peritoneal fluid, pleural fluid, ammniotic fluid, cyst fluid, synovial fluid or vitreous fluid, 2 grams fresh (unfixed) tissue or tissue biopsy, whole blood. Reference Laboratory Focus Reference Lab Test Code 47277 CPT Codes 87556 Test Schedule Mon-Sun Turnaround Time 2-3 days Method Real-Time PCR Test Includes Non-Respiratory Source; MTB Complex, PCR. Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food & Drug Administration. Performance characteristics refer to the analytical performance of the test. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1387 or 7211

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Billing Code Test Code [sunquest] MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR, MTPCRR MTPCRR RESPIRATORY This test should not be used as a substitute for culture. It should be used as an adjunct to culture. The method used in this test is RT-PCR of the IS 6110 locus of the M. tuberculosis complex. Synonyms MTB Container Type Sterile plastic leakproof container Store and Transport Refrigerated Specimen Type Bronchial lavage/wash or tracheal lavage/wash or sputum Preferred Volume 7 mL Minimum Volume 2 mL Collection Procedure Collect a bronchial lavage/wash or tracheal lavage/wash or sputum in a sterile leakproof plastic container. Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Specimens received at room temperature Alternate Specimens 7 mL nasopharynx lavage/wash Reference Laboratory Focus Reference Lab Test Code 47298 CPT Codes 87556 Test Schedule Mon-Sun Turnaround Time 3-5 days Method RT-PCR Test Includes Respiratory Source; MTB Complex, PCR Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food & Drug Administration. Performance characteristics refer to the analytical performance of the test. This test should not be used for diagnosis without confirmation by other medically established means. Supply Item Number 1387

Billing Code Test Code [sunquest] MYCOBACTERIUM TUBERCULOSIS SUSCEPTIBILITY TBSUSC TBSUSC Synonyms AFB Susceptibility; TB Susceptibility Specimen Type Isolate of Mycobacterium tuberculosis in a biohazard container meeting CDC requirements. Specimen Processing Submit isolate of Mycobacterium tuberculosis packaged in a biohazard container meeting CDC requirements. Department PSHMC Microbiology Reference Laboratory PSHMC Test Schedule Daily Turnaround Time 1-3 weeks Method Bactec MGIT Broth dilution Test Includes Mycobacterium tuberculosis Susceptibility; Mycobacterium tuberculosis Susceptibility Status.

Billing Code Test Code [sunquest] MYCOPHENOLIC ACID MCPA MCPA Synonyms MPA Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure For peak concentration, draw specimen within 1 hour after the administration of the last dose; for trough levels, draw specimen just before the administration of the next dose. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 6 weeks Refrigerated 6 weeks Frozen (-20°C) 11 months Unacceptable Condition Samples in gel, SST tubes, or whole blood specimens Alternate Specimens Serum (red top tube) or K2EDTA plasma (pink top tube) Department PAML Toxicology CPT Codes 80299 Test Schedule Mon-Sat Turnaround Time 1-2 days Method HPLC Test Includes Mycophenolic Acid, ug/mL Supply Item Number 1222

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Billing Code Test Code [sunquest] MYCOPLASMA PNEUMONIAE ANTIBODY, IGG MPABG MPABG Synonyms Atypical Pneumonia; Walking Pneumonia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum; lipemic, hemolyzed, and icteric specimens Department PAML Special Immunology CPT Codes 86738 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method EIA Test Includes Mycoplasma Pneumoniae IgG Antibody EIA, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] MYCOPLASMA PNEUMONIAE ANTIBODY, IGG & IGM MPABGM MPABGM Synonyms Atypical Pneumonia; Walking Pneumonia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum; lipemic, hemolyzed, and icteric specimens Department PAML Special Immunology CPT Codes 86738 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method EIA Test Includes Mycoplasma Pneumoniae IgG Antibody EIA, U/L; Mycoplasma Pneumoniae IgM Antibody EIA, U/L Supply Item Number 1467

Billing Code Test Code [sunquest] MYCOPLASMA PNEUMONIAE ANTIBODY, IGM MPABM MPABM Synonyms Atypical Pneumonia; Walking Pneumonia Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum; lipemic, hemolyzed, and icteric specimens Department PAML Special Immunology CPT Codes 86738 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method EIA Test Includes Mycoplasma Pneumoniae IgM Antibody EIA, U/L Supply Item Number 1467

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Billing Code Test Code [sunquest] MYCOPLASMA PNEUMONIAE DNA BY PCR MPPCR MPPCR Critical Frozen Synonyms Pneumonia; pneumoniae; bacterial; viral; walking pneumonia; atypical pneumonia; molecular; respiratory Container Type Respiratory specimen: sputum, nasopharyngeal swab, throat swab, sinus lavage, bronchoalveloar lavage (BAL), or bronchial brushings Store and Transport Frozen Specimen Type Respiratory specimen Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure 2 mL frozen respiratory specimen: sputum, nasopharyngeal swab, throat swab, sinus lavage, bronchoalveloar lavage (BAL), or bronchial brushings in a sterile leakproof container or in viral transport media (M4, M4RT, M5, M6, UTM). Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 1 month Frozen (-70°C) 1 month Unacceptable Condition Unsterile or leaking containers Limitations Avoid multiple freeze-thaw cycles Department PAML Virology CPT Codes 87581 Test Schedule Mon, Thu (night shift) Turnaround Time 1-4 days Method Real-Time PCR Clinical Significance PAML // PSHMC A: ASR Compliance Statement [ASR]: Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1387 (sterile cup) and 1785 (M6 viral transport media)

Billing Code Test Code [sunquest] MYELIN ASSOC. GLYCOPROTEIN (MAG) ANTIBODY W/REFLEX MYAGAB MYAGAB TO MAG-SGPG & MAG, EIA This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.6 mL Patient Prep Overnight fasting is preferred Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 24 hours Refrigerated 7 days Frozen (-20°C) 30 days Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 10063 CPT Codes 84181 Test Schedule Mon, Wed Turnaround Time 7-12 days Method Western Blot/Enzyme Immunoassay Clinical Significance This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If MAG Ab (IgM), Western Blot is positive MAG-SGPG Ab (IgM), EIA 83520 If MAG Ab (IgM), Western Blot is positive MAG Ab (IgM), EIA 83520

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Billing Code Test Code [sunquest] MYELIN BASIC PROTEIN MBP MBPROT This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type CSF sterile plastic tube Store and Transport Store and transport frozen Specimen Type Frozen CSF Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing If CSF is bloody, centrifuge sample and separate supernatant from cells prior to freezing. Freeze in separate plastic tube. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Limitations Avoid hemolysis Reference Laboratory ARUP Reference Lab Test Code 80515 CPT Codes 83873 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method ELISA Test Includes Myelin Basic Protein, ng/mL Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Notes Hemolysis is associated with falsely elevated levels of MBP in the CSF. CSF should be free from contamination with blood. Supply Item Number 7211

Billing Code Test Code [sunquest] MYELIN IGG ANTIBODY MYEGF MYEGF Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and put in separate plasic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 20545 CPT Codes 86255 Test Schedule Mon-Fri Turnaround Time 2-5 days Method IFA Test Includes Myelin IgG Antibody. Compliance Remarks This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Focus Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

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Billing Code Test Code [sunquest] MYELOPEROXIDASE ANTIBODY MPO MPO Synonyms MPO Antibody; MPO; PR3; ANCA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, contaminated samples, other body fluids or repeat freeze/thaw cycles. Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Myeloperoxidase Antibody, Units Notes It is recommended that patients first be screened for ANCA type using ANCASR(IFA), then test positively-screened patients to determine the precise specificity of the autoantibody present. P-ANCA positive samples are most closely associated with MPO, and C-ANCA positive samples with PR3 antibodies, respectively. These antibodies can act as markers for disease as well as activity, rising during the most active phase of the disease. Supply Item Number 1467

Billing Code Test Code [sunquest] MYOGLOBIN MYOGLOBIN MYO Synonyms Mb Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 8 hours and place in separate plastic tube. Refrigerated 3 days Frozen (-20°C) 1 month Unacceptable Condition Marked hemolysis. Urine or fluid samples and any freeze/thaw cycles. Alternate Specimens Heparin plasma-same sample type should be used for serial samples. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83874 Test Schedule Daily & STAT Turnaround Time 1-3 days Method Chemiluminescence Assay Test Includes Myoglobin, ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] MYOGLOBIN, URINE MYOGLOBIN-U MGNPUR Container Type Leakproof plastic urine container or 24-hour dark plastic urine container Store and Transport Refrigerated Specimen Type Urine, random or 24-hour collection Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Random or 24-hour urine. Refrigerate during collection. Specimen Processing Mix well and adjust pH to 8-9 by adding 10% Na2CO3 immediately after collection. (Myoglobin is unstable in urine, unless the pH is 8.0-9.0) Transfer aliquot from a random or 24-hour collection to an standard PAML aliquot tube. Room Temp 1 hour Refrigerated 3 days Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 20223 CPT Codes 83874 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Electrochemiluminescent Immunoassay Test Includes Myoglobin, Urine, mg/L Supply Item Number 1387 or 1108 2.1 www.paml.com 4/16/2013 page 706 M 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory M

Billing Code Test Code [sunquest] MYOSITIS ASSESSOR, JO-1 AUTOANTIBODIES MYAJO1 MYAJO1 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 6 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells within 4 hours of collection and place in two separate plastic tubes. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 2 months Reference Laboratory Specialty Reference Lab Test Code 3242 CPT Codes 83516 x 5, 86235 x 3 Test Schedule Tue Turnaround Time 10-17 days Method RIPA, EIA Test Includes PL-7 Autoantibodies; PL-12 Autoantibodies; Mi-2 Autoantibodies; Ku Autoantibodies; EJ Autoantibodies; OJ Autoantibodies; SRP Autoantibodies; Jo-1 Autoantibodies, Index. Compliance Remarks JO-1 Autoabs: This test(s) was performed using a kit that has not been cleared or approved by the FDA. The analytical performance of this test has been determined by Specialty Laboratories and should not be used for diagnosis without confirmation by an established means. Supply Item Number 1467

Billing Code Test Code [sunquest] N-TELOPEPTIDES, CROSS-LINKED, SERUM NTXSER NTXSER Synonyms NTX, Serum Container Type SST tube Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 5 hours Refrigerated 24 hours Frozen (-20°C) 6 months Unacceptable Condition Severely hemolyzed samples. Reference Laboratory ARUP Reference Lab Test Code 70500 CPT Codes 82523 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method ELISA Test Includes N-Telopeptide, Cross-Linked, Serum, nM BCE. Supply Item Number 1467

Billing Code Test Code [sunquest] N-TELOPEPTIDES, CROSS-LINKED, URINE NTX NTX Synonyms NTX; Collagen Cross-Linked N-Telopeptides Type 1; N-Telopeptides of Type 1 Collagen Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Patient Prep Prefer second morning void specimen Collection Procedure Collect a random or spot urine specimen. Prefer second morning void. Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 3 days Frozen (-20°C) Indefinitely Unacceptable Condition Blood specimens Alternate Specimens 24 hour urine collection Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Special Immunology, PAML Chemistry CPT Codes 82523, 82570 Test Schedule Wed, Fri Turnaround Time 3-6 days Method EIA Test Includes NTX, nmoL BCE/mmoL Creatinine Supply Item Number 1387 or 1388 2.1 www.paml.com 4/16/2013 page 707 N 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory N

Billing Code Test Code [sunquest] NAPROXEN NAP NAP Synonyms Naprosyn Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or room temperature. Room Temp 7 days Refrigerated 14 days Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 3130SP CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 4-6 days Method HPLC Test Includes Naproxen, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] NARCOLEPSY (HLA-DQB1*06:02) GENOTYPING NARC NARC If patient is 0-4 years of age, call before drawing the specimen. Synonyms DQ1 (Narcolepsy (HLA-DQB1*06:02) Genotyping) ; DR15 (Narcolepsy (HLA-DQB1*06:02) Genotyping); HLA-DQB1*06:02 (Narcolepsy (HLA-DQB1*06:02) Genotyping); Narcolepsy (Narcolepsy (HLA-DQB1*06:02) Genotyping); Narcolepsy Evaluation Container Type Lavender top tube (EDTA) Store and Transport Transport whole blood. Store and transport at room temperature or refrigerated. Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Transport whole blood Room Temp 1 week Refrigerated 1 week Unacceptable Condition Frozen Alternate Specimens Pink (K2EDTA), or yellow (ACD Solution A or B) Limitations Heparin inhibits PCR Reference Laboratory ARUP Reference Lab Test Code 2005023 CPT Codes 81383 Test Schedule Varies Turnaround Time Up to 12 days Method PCR Test Includes Narcolepsy Panel Compliance Remarks The performance characteristics of this test were validated by ARUP Lab, Inc. The FDA has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com. Notes Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders. Supply Item Number 1222

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Billing Code Test Code [sunquest] NARDIL NAR NARDIL Synonyms Phenelyzine Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 5 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Protect from light. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 1 week Unacceptable Condition Specimens not received light protected, at room temperature or refrigerated. Alternate Specimens Frozen plasma. Limitations No SST tubes. Reference Laboratory NMS Reference Lab Test Code 3550SP CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method GC Test Includes Nardil, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] NEFAZODONE, QUANTITATIVE NEFAZQ NEFAZQ Synonyms Serzone Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum or plasma Preferred Volume 2 mL Collection Procedure Serum: Collect sample in red top tube; Plasma: Collect sample in lavender top tube (EDTA) or pink top tube; Specimen Processing Promptly centrifuge and separate serum or plasma into a standard PAML aliquot tube. Room Temp 14 days Refrigerated 14 days Frozen (-20°C) 13 months Limitations Do not use SST or gel-type tubes Reference Laboratory NMS Reference Lab Test Code 3145SP CPT Codes 82491 Test Schedule Mon-Thu Turnaround Time 3-5 days Method HPLC Test Includes Nefazodone, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] NEISSERIA GONORRHOEAE ANTIBODY GON-AB GONAB Synonyms Gonococcal Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40200 CPT Codes 86609 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Complement Fixation Test Includes Neisseria gonorrhoeae Antibody, CF, Titer Supply Item Number 1467

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Billing Code Test Code [sunquest] NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (TMA) APTNG APTNG This test is not recommended for use in prepubescent children or medicolegal cases. Aptima collection kits required. For conjunctival specimens, order APTCT only (not approved for gonorrhea testing). Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (TMA)Trichomonas Vaginalis by Amplified Detection (TMA); CT; GC; TV; Trich; APTIMA; Neisseria; Gonorrhea Container Type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit Specimen Type See below Preferred Volume See below Minimum Volume 2 mL for urine, not to exceed 30 mL Collection Procedure Female endocervical or male urethral swab, oral or rectal swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube. Specimen Processing Transport all samples collected in the kits at room temperature, refrigerated or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Required Patient Info Source Room Temp Swabs-2 months, urine in media-1 month, urine not in media-not stable Refrigerated Swabs-2 months, urine in media-1 month, urine not in media-24 hours Frozen (-20°C) Swabs-3 months, urine in media-3 months Unacceptable Condition Eye or respiratory swabs; endocervical, urethral, oral and rectal swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable. Alternate Specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit. Department PAML Virology CPT Codes 87591 Test Schedule Daily Turnaround Time 1-3 days Turnaround time will be extended if a single Thin-Prep specimen is submitted for CT/GC and PAP testing. Method TMA by Gen-Probe APTIMA Test Includes Source; Neisseria gonorrhoeae by Amplified RNA Supply Item Number 1295 or 1296

Billing Code Test Code [sunquest] NEISSERIA MENINGITIDIS ANTIGEN DETECTION (A/Y & NMAYCW NMAYCW C/W135) Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube and freeze. Store & transport frozen. Required Patient Info Source Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) 1 week Unacceptable Condition Samples received at room temperature. Alternate Specimens CSF or urine in plastic tube or leakproof plastic urine container. Reference Laboratory Focus Reference Lab Test Code 40175 CPT Codes 86403 x 2 Test Schedule Daily Turnaround Time 3-4 days Method LA Test Includes Source; N. meningitidis Group C/W135; N. meningitidis Group A/Y. Supply Item Number 1467

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Billing Code Test Code [sunquest] NEISSERIA MENINGITIDIS ANTIGEN DETECTION (B 7 ECOLI NMAD NMAD K1) Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube and freeze. Store & transport frozen. Required Patient Info Source Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) 1 week Unacceptable Condition Samples received at room temperature. Alternate Specimens CSF or urine. Reference Laboratory Focus Reference Lab Test Code 40177 CPT Codes 86403 Test Schedule Daily Turnaround Time 3-4 days Method LA Test Includes Source; Group B/E.Coli K1 AG Detection. Supply Item Number 1467

Billing Code Test Code [sunquest] NEUROMYELITIS OPTICA IGG, CSF NMOCSF NMOCSF Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 2 mL Minimum Volume 1 mL Room Temp 72 hours Refrigerated 14 days Frozen (-20°C) 12 months Reference Laboratory Quest Diagnostics Valencia (VAL) Reference Lab Test Code S51106 CPT Codes 86255 Test Schedule Tue, Wed, Fri Turnaround Time 5-12 days Method Indirect Immunofluorescence Assay (IFA)

Billing Code Test Code [sunquest] NEURON SPECIFIC ENOLASE NSEN NSEN Separate samples must be submitted when multiple tests are ordered Synonyms NSE Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot completely at room temperature. Separate serum from cells immediately to avoid release of NSE from blood cells. Transfer serum to a standard PAML aliquot tube and freeze Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Plasma or hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 98198 CPT Codes 86316 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Neuron Specific Enolase, ug/L Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1372

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Billing Code Test Code [sunquest] NEURON SPECIFIC ENOLASE, CSF NSECA NSECA

This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Sterile plastic tube Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen CSF Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Submit specimen in a sterile plastic tube Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Avoid repeat freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0081226 CPT Codes 86316 Test Schedule Mon Turnaround Time 3-11 days Method ELISA Test Includes Neuron Specific Enolase, CSF, ug/L. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Lab. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 7211

Billing Code Test Code [sunquest] NEUTROPHIL ANTIBODY, FLOW CYTOMETRY NEUTAB NEUTAB Container Type Red top tube (plain) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition SST (serum separator tube) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 1606X CPT Codes 86021 Test Schedule Tue, Thu Turnaround Time 4-6 days Method Flow Cytometry Compliance Remarks This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1372

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Billing Code Test Code [sunquest] NEUTROPHIL OXIDATIVE BURST ASSAY NEUOXB NEUOXB Container Type Green top tube (sodium heparin) Specimen Type Whole blood Preferred Volume 3 mL Collection Procedure A control tube, drawn at the same time from a normal individual unrelated to the patient, must be submitted with the patient's sample to control for collection, processing, and transportation effects on the neutrophils. Specimen Processing Store and transport at room temperature. Samples must be collected within 48 hours of test performance at ARUP and all samples must be submitted in the original collection tubes. Critical ambient. Do not refrigerate or freeze. Room Temp 48 hours Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Clotted, contaminated, refrigerated, or frozen samples. Reference Laboratory ARUP Reference Lab Test Code 96657 CPT Codes 86352 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Flow Cytometry Test Includes Neutrophil Oxidative Burst Assay. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes If patient is neutropenic, send 10 mL whole blood. Supply Item Number 1398

Billing Code Test Code [sunquest] NEWBORN SCREENING (WASHINGTON) PKUNSR PKUNSR Recommend collection 7-10 days after leaving hospital. FOR WASHINGTON STATE RESIDENTS ONLY. Synonyms PKU Container Type See below Specimen Type See below Collection Procedure Contact Supply Department for special filter paper collection kit. Follow collection instructions carefully. Do not package in airtight, leakproof plastic bags because the lack of air exchange in the inner environment of a sealed plastic bag causes heat buildup and moisture accumulation that can damage the dried blood spot test substances. Ship in a high quality bond envelope. Reference Laboratory State of Washington CPT Codes 99001 Turnaround Time 13-20 days Method MS/MS, Fluoroimmunoassay, Colorimetric, IEF, Fluorametric Assay Test Includes CAH, ng/mL; Hemoglobinopathy; Biotinidase; Galactosemia; Homocystinuria; MCAD Deficiency; Maple Syrup Urine Disease; PKU; CH(TSH); Cystic Fibrosis. Supply Item Number 1412

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Billing Code Test Code [sunquest] NIACIN (VITAMIN B3) NIACI NIACI Synonyms Niacin; Nicotinic Acid; Vit B3; B3 Container Type Lavender top tube Store and Transport Store and transport frozen. Specimen Type Frozen EDTA plasma Preferred Volume 4 mL Minimum Volume 1 mL Specimen Processing Separate plasma from the cells within 15 minutes of collection and put in separate plastic tube and freeze. Protect from light.

Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Thawed specimens or specimens not protected from light. Grossly hemolyzed or lipemic specimens. Reference Laboratory ARUP Reference Lab Test Code 0092168 CPT Codes 84591 Test Schedule Varies Turnaround Time 6-12 days Method High Performance Liquid Chromatography Test Includes Niacin, ug/mL. Compliance Remarks The performance characteristics of the listed assay was validated by Cambridge Biomedical Inc. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results of this assay can be used for clinical diagnosis without FDA approval. Cambridge Biomedical is a CLIA certified, CAP accredited laboratory for performing high-complexity assays such as this one. Supply Item Number 1222

Billing Code Test Code [sunquest] NICKEL NISER NISER Container Type Royal blue top tube (metal free plain) Store and Transport Store and transport room temperature Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and put in separate trace element-free transport tube. Room Temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time. Unacceptable Condition Serum separator tubes and gels. Specimens that are not separated from cells or clot within 6 hours. Alternate Specimens Also acceptable: Refrigerated or frozen Reference Laboratory ARUP Reference Lab Test Code 99452 CPT Codes 83885 Test Schedule Sun Turnaround Time 3-10 days Method ICP-MS Test Includes Nickel, ug/L Supply Item Number 1052

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Billing Code Test Code [sunquest] NICKEL, URINE 24HR NICUQ NICUQ Synonyms Ni, Urine Container Type 24-hour plastic urine container Store and Transport Refrigerated Specimen Type Urine, random or 24-hour collection Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medications & supplements may interfere. Patients should be encouraged to discontinue nonessential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection. Collection Procedure Collect a 24-hour or random urine in a 24-hour plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116). Required Patient Info Record total volume and collection time interval on transport tube and request form. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administation of gadolinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 0025045 CPT Codes 83885 Test Schedule Sun Turnaround Time 3-10 days Method ICP/MS Test Includes Collection period, hrs; Total Volume, mLs; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d; Nickel, Urine, ug/L; Nickel, Urine, ug/d; Nickel, Urine, ug/gCR Supply Item Number 1108

Billing Code Test Code [sunquest] NICOTINE & METABOLITE, SERUM/PLASMA NICMSP NICMSP Synonyms 3-Hydroxycotinine; Cotinine; Nicotine; Nicotine and Cotinine Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 1 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 3 years Unacceptable Condition Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated freeze/thaw cycles Alternate Specimens Green (sodium heparin), lavender (EDTA), pink (K2EDTA), or gold, brick, SST, or corvac (serum separator tube) Reference Laboratory ARUP Reference Lab Test Code 0092361 CPT Codes 83887 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Nicotine, ng/mL; Cotinine, ng/mL; 3-OH-Cotinine, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] NICOTINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. TLCNIC TLCNIC Synonyms Nicorette; Nicotrol; Cigarettes; Cigars; Smokeless Tobacco; Bidis; Snuff; Chew Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Collection Procedure Transport at room temperature Room Temp 2 days Refrigerated 10 days Frozen (-20°C) 8 months Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Nicotine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] NMP 22 NMP22 NMP22 Supplies available from PAML Supply Department. Specimen Type Frozen urine Preferred Volume 5 mL Patient Prep Testing with the Matritech NMP22® should not be performed on patients who have had a total cystectomy or an invasive procedure, such as cystoscopy or catheterization of the urethra, within five days. Collection Procedure Collect a single void of urine between midnight and noon. Immediately following collection, add urine to NMP22 urine stabilizer vial and freeze. Specimen Processing Stabilized urine should be blue-green. Store and transport frozen. Room Temp 48 hours Refrigerated 72 hours Frozen (-20°C) 1 month Unacceptable Condition Nonstabilized urine. Reference Laboratory ARUP Reference Lab Test Code 80281 CPT Codes 86316 Test Schedule Mon, Thu Turnaround Time 2-8 days Method EIA Test Includes NMP22, U/mL. Notes Values obtained with different assay methods should not be used interchangeably. ARUP uses the Matritech NMP22 Test Kit, which is an EIA method. Urine stabilization kit is available from the PAML Supply Department. Supply Item Number tube from ARUP

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Billing Code Test Code [sunquest] NMR LIPOPROFILE TEST NMR600 NMR600 Container Type NMR Lipotube (black/yellow) Store and Transport Refrigerated Preferred Volume 2 mL Minimum Volume 1.1 mL (ABSOLUTE MINIMUM; any specimens received with less than 1 mL volume will be rejected as QNS) Patient Prep Patient should be fasting for 12 hours Specimen Processing NMR Lipotube (black/yellow NMR LipoProfile tube). Invert tube to mix contents and allow to clot at room temperature for 30 minutes. Centrifuge for 15 minutes at 3,000 rpm within 4 hours of collection. Do not pour off the original NMR Lipotube once it has been centrifuged. Room Temp 6 hours Refrigerated 10 days Frozen (-20°C) Unacceptable Unacceptable Condition Frozen samples or serum or plasma specimens drawn in gel barrier collection tubes other than the NMR LipoTube are unsuitable for analysis and should not be used. Alternate Specimens Freshly drawn serum collected in plain red top blood collection tubes and EDTA plasma are also acceptable specimens. Reference Laboratory Liposcience Reference Lab Test Code 600 CPT Codes 83704, 80061 Turnaround Time Within 7 days Method NMR Spectroscopy/Olympus AU System and Beckman Coulter reagent Test Includes Particle concentrations and sizes performed by NMR Spectroscopy (LDL-P nmol/L, HDL-P umol/L, Small LDL-P nmol/L, LDL size nm, LP-IR Score umol/L) Chemical Lipids performed by standard automated chemistry methodology using Olympus AU System and Beckman Coulter reagent Total Cholesterol mg/dL, Triglyceride mg/dL, HDL mg/dL, LDL-C mg/dL (calculated value) Notes Collect and send to PAML Monday through Friday due to stability Supply Item Number 9754

Billing Code Test Code [sunquest] NMR LIPOPROFILE TEST (LDL-P ONLY) NMR630 NMR630 Container Type NMR Lipotube (black/yellow) Store and Transport Refrigerated Preferred Volume 2 mL Minimum Volume 1.1 mL (ABSOLUTE MINIMUM; any specimens received with less than 1 mL volume will be rejected as QNS) Patient Prep Patient should be fasting for 12 hours Specimen Processing NMR Lipotube (black/yellow NMR LipoProfile tube). Invert tube to mix contents and allow to clot at room temperature for 30 minutes. Centrifuge for 15 minutes at 3,000 rpm within 4 hours of collection. Do not pour off the original NMR Lipotube once it has been centrifuged. Room Temp 6 hours Refrigerated 10 days Frozen (-20°C) Unacceptable Unacceptable Condition Frozen samples or serum or plasma specimens drawn in gel barrier collection tubes other than the NMR LipoTube are unsuitable for analysis and should not be used. Alternate Specimens Freshly drawn serum collected in plain red-top blood collection tubes and EDTA plasma are also acceptable specimens. Reference Laboratory Liposcience Reference Lab Test Code 630 CPT Codes 83704 Turnaround Time Within 7 days Method Spectrophotometric Test Includes LDL-P, umol/L; HDL-P, umol/L; Small LDL-P, nmol/L; LDL Size, nm; LP-IR Score Notes Collect and send to PAML Monday through Friday due to stability Supply Item Number 9754

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Billing Code Test Code [sunquest] NMR LIPOPROFILE TEST (WITH LP-IR VALUES) NMRLP NMRLP Synonyms NMR620 Container Type NMR Lipotube (black/yellow) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1.1 mL - ABSOLUTE MINIMUM. Any specimens received with less than 1 mL volume will be rejected as QNS. Patient Prep Patient should be fasting for 12 hours. Specimen Processing NMR Lipotube (black/yellow NMR LipoProfile tube). Invert tube to mix contents and allow to clot at room temperature for 30 minutes. Centrifuge for 15 minutes at 3,000 rpm within 4 hours of collection. Do not pour off the original NMR Lipotube once it has been centrifuged. Room Temp 6 hours Refrigerated 10 days Frozen (-20°C) Unacceptable Unacceptable Condition Frozen samples or serum or plasma specimens drawn in gel barrier collection tubes other than the NMR LipoTube are unsuitable for analysis and should not be used. Alternate Specimens Freshly drawn serum collected in plain red top blood collection tubes and EDTA plasma are also acceptable specimens. Reference Laboratory Liposcience Reference Lab Test Code 620 CPT Codes 83704, 80061 Turnaround Time Within 7 days Method NMR Spectroscopy/Olympus AU System and Beckman Coulter Reagent Test Includes LDL-P (LDL Particle Number), LDL-C (Calculated), HDL, Triglycerides, Cholesterol, HDL-P (total), Small LDL-P, LDL Size, Large VLDL-P, Large HDL-P, VLDL Size, HDL Size, LP-IR Score. Notes Collect and send to PAML Monday through Friday due to stability. Supply Item Number 9754

Billing Code Test Code [sunquest] NOROVIRUS GROUP 1 & 2 RT-PCR NOROPC NOROPC Synonyms Norwalk Virus; Norwalk Agent; Calicivirus Container Type See below Store and Transport Frozen Specimen Type Frozen random stool Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing 1 mL frozen random stool in a clean, leakproof container Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 1 month Frozen (-70°C) Indefinitely Unacceptable Condition Swab specimens or samples received in fixative Department PAML Virology CPT Codes 87798 x 2 Test Schedule Tue, Fri Turnaround Time 1-4 days Method RT-PCR Test Includes Norovirus 1 by RT-PCR; Norovirus 2 by RT-PCR Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1387

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Billing Code Test Code [sunquest] NORTRIPTYLINE NOR NORT Synonyms Aventyl; Pamelor Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3.5 mL Minimum Volume 2.5 mL Collection Procedure Draw 10-14 hours post dose. If a divided dose is given draw before morning dose. Specimen Processing Separate serum from cells within 4 hours and place in separate 4 or 10 mL polypropylene (not polystyrene) plastic tube with screw on cap. Store and transport refrigerated. Required Patient Info Date and time of dose and draw. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations SST and gel-type tubes are not recommended because they may artifactually, randomly lower results. Disopyramide (Norpace) interferes with nortriptyline.. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80182 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method HPLC Test Includes Nortriptyline, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] NORTRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN TLCNOR TLCNOR DRUG-SUR. Synonyms Aventyl; Pamelor Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Nortriptyline Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

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Billing Code Test Code [sunquest] NUCLEOPHOSMIN (NPM1) MUTATION ANALYSIS BY PCR AND NPMMUT NPMMUT FRAGMENT ANALYSIS Container Type Lavendar top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole Blood, Bone Marrow, Formalin Fixed Paraffin Embedded (FFPE) Tissue Preferred Volume 3 mL whole blood or bone marrow Minimum Volume 1 mL whole blood or bone marrow Specimen Processing Submit in the original and unopened collection tube. Do not freeze Unacceptable Condition Serum, heparinized whole blood, severely hemolyzed samples, specimens in leaky container or over 5 days old. Also specimens not received in the original collection tube. Do not freeze. Alternate Specimens ACD A or B whole blood or sodium citrated whole blood (yellow or blue top tube). Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81310 Test Schedule Wed Turnaround Time 5-9 days Method PCR / Fragment Analysis Test Includes NPM1 Clinical Significance A. Mutations in NPM1 have been reported in approximately one-third of all AML cases and approximately half of cytogenetically normal AML cases. Mutations in this gene are a favorable prognostic indicator, especially in the absence of FLT3 mutations. The mutations are located in exon 12 of NPM1 and were originally discovered because of mislocalization of the protein to the cytoplasm when a mutation is present. Normally, nucleophosmin has multiple functions, including regulating tumor suppressor proteins and regulating centrosome duplication during the cell cycle. The majority of mutations in NPM1 are classified as type A (75-80%) mutations and consists of c.947_950dupTCTG (Genbank M28699.1). Type B (c.950_951insCATG) and type D (c.950_951insCCTG) mutations account for an additional 10% and 5% of mutations, respectively. The remaining cases have insertions of different tetranucleotides at the same position or insertion/deletion mutations at other locations in exon 12. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

Billing Code Test Code [sunquest] OBSTETRIC PANEL (REFLEXIVE) NO CBC OBPAN2 OBPAN2 RPR, RPR Titer and Treponema by TPPA will only be reported if the reflex is indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms OB Panel; Prenatal Profile Container Type Lavender top tube (EDTA) and Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum, EDTA whole blood Preferred Volume 6 mL serum, 7 mL EDTA whole blood (2 lavender top tubes) Unacceptable Condition Frozen cells Department PAML Immunology, PAML Immunochemistry, PAML Special Immunology CPT Codes 86900, 86901, 86850, 87340, 86780, 86762 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination, ICMA, EIA, Solid Phase Test Includes ABO, RH, Antibody Screen, Hepatitis B Surface Antigen, Hepatitis B Surface Antigen Confirmation, Treponemal pallidum Ab by EIA, RPR, RPR Titer, Treponema pallidum Ab by TP-PA, Rubella, IgG, IU/mL Notes Rubella Ab, IgG: Result flagging will be based on presumed immune status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Antibody screen Antibody Identification 86870 Significant Antibody identified Antibody Titer 86886 Positive T.Pallidium Antibody by EIA RPR Screen 86592 Reactive RPR Screen Reactive RPR Screen 86593 Non-reactive RPR Screen T.Pallidium Antibody by TP-PA 86780

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Billing Code Test Code [sunquest] OBSTETRIC PANEL (REFLEXIVE) WITH CBC OBPAN1 OBPAN1 RPR, RPR Titer and Treponema by TPPA will only be reported if the reflex is indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms OB Panel; Prenatal Profile Container Type Lavender top tube (EDTA) and Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport all specimens except smears refrigerated. Specimen Type Serum, EDTA whole blood and peripheral blood smears Preferred Volume 6 mL serum, 7 mL EDTA whole blood (2 lavender top tubes) and slides Specimen Processing Prefer to receive specimen for CBC (lavender top tube) within 12 hours of collection. Unacceptable Condition Frozen cells Department PSHMC Hematology, PAML Immunology, PAML Immunochemistry, PAML Special Immunology CPT Codes 85025,86900, 86901, 86850, 87340, 86780, 86762 Test Schedule Mon-Sat (CBC, Sun) Turnaround Time 1-2 days Method Hemagglutination, ICMA, Automated Hematology, EIA, Solid Phase Test Includes CBC, ABO, RH, Antibody Screen, Hepatitis B Surface Antigen, Hepatitis B Surface Antigen Confirmation, Treponemal pallidum Ab by EIA, RPR, RPR Titer, Treponema pallidum Ab by TP-PA, Rubella, IgG, IU/mL Notes Rubella Ab, IgG: Result flagging will be based on presumed immune status. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Antibody screen Antibody Identification 86870 Significant Antibody identified Antibody Titer 86886 Positive T.Pallidium Antibody by EIA RPR Screen 86592 Reactive RPR Screen Reactive RPR Screen 86593 Non-reactive RPR Screen T.Pallidium Antibody by TP-PA 86780

Billing Code Test Code [sunquest] OBSTETRIC PANEL 3 (REFLEXIVE) OBPAN3 OBPAN3 RPR, RPR Titer and Treponema by TPPA will only be reported if the reflex is indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms OB Panel; Prenatal Profile Container Type Lavender top tube (EDTA) and Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum, EDTA whole blood Preferred Volume 6 mL serum, 7 mL EDTA whole blood (2 lavender top tubes) Unacceptable Condition Frozen cells Department PAML Immunology, PAML Special Immunology CPT Codes 86900, 86901, 86850, 86780 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Hemagglutination, EIA, Solid Phase Test Includes ABO, RH, Antibody Screen, Treponemal pallidum Ab by EIA, RPR, RPR Titer, Treponema pallidum Ab by TP-PA Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Antibody screen Antibody Identification 86870 Significant Antibody identified Antibody Titer 86886 Positive T.Pallidium Antibody by EIA RPR Screen 86592 Reactive RPR Screen RPR Titer 86593 Non-reactive RPR Screen T.Pallidium Antibody by TP-PA 86780

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Billing Code Test Code [sunquest] OCCULT BLOOD, GASTRIC OBGA OBGA Container Type Leakproof plastic container Store and Transport Store and transport refrigerated Specimen Type Gastric fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Limit ingestion of raw fruits and vegetables and incompletely cooked meat. Specimen Processing Transfer 1 mL of gastric fluid to a leakproof transport tube Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Frozen specimens and specimens in preservatives, stool specimens Reference Laboratory ARUP Reference Lab Test Code 0060310 CPT Codes 82271, 83986 Test Schedule Sun-Sat Turnaround Time Within 2 days Method Qualitative Colorimetry Test Includes Occult Blood, Gastric Fluid; pH Gastric Fluid

Billing Code Test Code [sunquest] OCCULT BLOOD, URINE BLD BLDUD Synonyms Hgb, Urine Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Department PSHMC Hematology, Urinalysis Reference Laboratory PSHMC CPT Codes 81003 Test Schedule Mon-Sat days, Mon-Fri evenings and STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Hgb, Urine. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] OLANZAPINE OLANZ OLANZ Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube and freeze. CRITICAL FROZEN. Separate samples must be submitted when multiple tests are ordered. Store and transport frozen. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0098833 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 2-6 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Olanzapine, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] OLANZAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCOLA TLCOLA SUR. Synonyms Zyprexa Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Olanzapine Notes Test is also included in Drug-Sur as part of panel Supply Item Number 1388

Billing Code Test Code [sunquest] OLIGOCLONAL BAND PROFILE OLIBND OLIBND Synonyms MS Panel (Oligoclonal Band Profile); MS Profile (Oligoclonal Band Profile); Multiple Sclerosis Panel (Oligoclonal Band Profile); Multiple Sclerosis Panel without Myelin Basic Protein (Oligoclonal Band Profile); Multiple Sclerosis Profile (Oligoclonal Band Profile) Container Type SST tube and CSF sterile plastic tube Store and Transport Store and transport refrigerated Specimen Type Serum and CSF Preferred Volume 1 mL serum and 1.5 mL CSF Minimum Volume 0.5 mL serum and 0.7 mL CSF Collection Procedure Serum should be drawn within 48 hours of CSF collection. Specimen Processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Specimens to be assayed together for interpretation. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 80440 CPT Codes 83916, 82040, 82784 x 2, 82042 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Isoelectric Focusing/ Nephelometry/IF Test Includes IgG, Serum, mg/dL; IgG, CSF, mg/dL; Albumin, CSF, mg/dL; Albumin Index, Ratio; IgG Index; CSF IgG/Albumin Ratio, Ratio; CSF Oligoclonal Bands, Interpretation; CSF IgG Synthesis Rate, mg/d; Albumin, Serum, mg/dL Supply Item Number 1467 7211

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Billing Code Test Code [sunquest] OLIGOCLONAL BANDS (IGG), CSF OLBDG OLBDG Container Type Red top tube (plain), CSF sterile screw cap container Store and Transport Transport refrigerated Specimen Type Serum and CSF Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure It is preferred that the collection date and time be the same for both CSF and serum; however, it is acceptable for them to be drawn within 48 hours of each other. CSF must be crystalline and clear. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 14 days Unacceptable Condition Received room temperature Alternate Specimens SST (red-top/plastic), SST (red-top/glass) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 674X CPT Codes 83916 Test Schedule Sun-Fri Turnaround Time 5-7 days Method Isoelectric Focusing Test Includes Olicoclonal Bands, CSF Notes Both serum and CSF must be sent for calculation of synthesis rate by nephelometry.

Client must be contacted when no serum is supplied to confirm the order. It is acceptable to send through CSF without Serum when client has indicated to run with serum control.

Billing Code Test Code [sunquest] ONCOFISH CERVICAL FONCOI FONCOI Container Type ThinPrep or SurePath collections; Prepared Slide-ThinPrep Store and Transport Ambient (room temperature) Preferred Volume 5 mL of ThinPrep. For Surepath, submit total remnant in tube and vial. Minimum Volume 2 mL of ThinPrep. For Surepath, submit total remnant in tube and vial. Patient Prep Specimen type submitted Collection Procedure Cervical or vaginal source. ThinPrep-Submit minimum 5 mL of liquid-based Pap specimen collected in Preservcyt. SurePath-Submit total remnant in tube and vial. Prepared Slide: Process slide according to your ThinPrep procedure. Fix in Carnoy's Solution (1 part acetic acid to 3 parts methanol) for 15 minutes. Air dry. Required Patient Info The reason for referral is required with specimen submission. Room Temp Expiration date on the ThinPrep or SurePath vial Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Frozen samples; exposure to acids; strong bases or extreme heat Reference Laboratory Ikonisys, Inc Reference Lab Test Code 1003 CPT Codes 88367 x 2 Test Schedule Mon-Sat Turnaround Time 8-12 days Compliance Remarks This test was developed and its performance characteristics determined by Ikonisys, Inc. It has not been approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1900 (CLIA-88) as qualified to perform high complexity testing.

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Billing Code Test Code [sunquest] ONCOFISH CERVICAL REFLEX FONCOR FONCOR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms TERC Container Type ThinPrep or SurePath collections; Prepared Slide-ThinPrep Store and Transport Ambient (room temperature) Preferred Volume 5 mL of ThinPrep. For Surepath, submit total remnant in tube and vial. Minimum Volume 2 mL of ThinPrep. For Surepath, submit total remnant in tube and vial. Patient Prep Specimen type submitted Collection Procedure Cervical or vaginal source. ThinPrep-Submit minimum 5 mL of liquid-based Pap specimen collected in Preservcyt. SurePath-Submit total remnant in tube and vial. Prepared Slide: Process slide according to your ThinPrep procedure. Fix in Carnoy's Solution (1 part acetic acid to 3 parts methanol) for 15 minutes. Air dry. Required Patient Info The reason for referral is required with specimen submission. Room Temp Expiration date on the ThinPrep or SurePath vial Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Frozen samples; exposure to acids; strong bases or extreme heat Reference Laboratory Ikonisys, Inc Reference Lab Test Code 1003 CPT Codes 88367 x 2 Test Schedule Mon-Sat Turnaround Time 8-12 days Compliance Remarks This test was developed and its performance characteristics determined by Ikonisys, Inc. It has not been approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This test is used for clinical purposes. It should not be regarded as investigational or for research. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1900 (CLIA-88) as qualified to perform high complexity testing. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If Pap result yields a diagnosis of oncoFISH Cervical 88367 x 2 BONCOI LSIL

Billing Code Test Code [sunquest] OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES MSALOP MSALOP OXYCODONE, HYDROCODONE, HYDROMORPHONE Synonyms Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Anexsia; Lorcet; Lortab; Norco; Panacet; Zydone; Citraforte; Vicodin; Codimal; Dicodid; Hycodan; Norcet; Rondec; Tussionex; Dilaudid; Palla Container Type Leakproof plastic urine container Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Limitations Cutoff 300 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Hydrocodone, Hydromorphone, Oxycodone

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Billing Code Test Code [sunquest] OPIATE COMPLIANCE PANEL 7 CPOP7 CPOP7 Container Type Clean leakproof plastic urine container. Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot specimen in a clean leakproof plastic urine container. Store and transport at room temperature. Required Patient Info Indicate date and time of last dose. Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum or plasma. Department PAML Toxicology CPT Codes 83925 x 7 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Tandem Mass Spectrometry Test Includes Codeine, ng/mL; Morphine, ng/mL; Hydrocodone, ng/mL; Hydromorphone, ng/mL; Oxycodone, ng/mL; Oxymorphone, ng/mL; 6 MAM (Heroin metabolite), ng/mL. Supply Item Number 1387 or 1678

Billing Code Test Code [sunquest] OPIATE CONFIRMATION BY GC/MS MSOPI MSOPI Synonyms codeine, morphine, Roxanol, Duramorph, MS Contin, Oramorph, MSIR, Kadian, Astramor,Tylenol 3, Avinza, Robitussin A-CSyrup, rabo, schoolboy, captain cody, cody, doors & fours, loads, pancakes and syrup, M, Miss Emma, monkey, white stuff, Container Type Random Urine Specimen Type Urine Preferred Volume 30 mls Minimum Volume 5 mls Limitations Cutoff at 1000 ng/ml Department PAML Toxicology CPT Codes 80102 Test Schedule Mon - Fri Turnaround Time 24 - 48 hours Method Gas Chromatography Mass Spectrometry Test Includes Codeine, Morphine Supply Item Number 1388

Billing Code Test Code [sunquest] OPIATE CONFIRMATION BY LC/MS LCOP LCOP6 Synonyms Morphine; Codeine; Oxycodone; Hydrocodone; Hydromorphone; Roxanol; Duramorph; MS Contin; Oramorph; MSIR; Kadian; Astramorph; Avinza; Tylenol 3; Robitussin A-C; Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Anexsia; Lorcet Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 80102 Test Schedule Mon-Fri Turnaround Time 24-48 hours Method Liquid Chromatography Mass Spectrometry (LC/MS) Test Includes Hydrocodone,Hydromorphone,Morphine,Codeine,Oxycodone,Oxymorphone Notes Test is also included in Comprehensive Drug Survey. Replaces TLCOPA. Supply Item Number 1388

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Billing Code Test Code [sunquest] OPIATE SCREEN (REFLEXIVE) OPIATE OPI This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Codeine; Morphine; Oxycodone; Hydrocodone; Hydromorphone; Narcotic Analgesic; Roxanol; Duramorph; MS Contin; Oramorph; MSIR; Kadian; Astramorph; Avinza; Tylenol 3; Robitussin A-C; Oxycontin; Dilaudid; Percodan; Oxyir; Roxicodone; Lorcet; Lortab; Anexsia Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 20 mL Limitations General Cutoff 300 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Codeine, Morphine, Hydrocodone, Hydromorphone, Oxycodone Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Screen is positive, a confirmation test will LCOP6 83925 automatically be run

Billing Code Test Code [sunquest] OPIATES - FREE (UNCONJUGATED) SERUM/PLASMA OPIFUS OPIFUS Synonyms 6-MAM Dicodid®; Dilaudid®; Heroin Metabolite Hydrocodone Metabolite Numorphan®; Opana®; OxyContin®; Oxycodone Metabolite Roxicodone® Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 10 days Frozen (-20°C) 30 days Unacceptable Condition The use of serum separator tubes is not acceptable. Submission of a serum separator tube will result in cancellation. Alternate Specimens EDTA plasma Reference Laboratory NMS Reference Lab Test Code 8660SP CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 4-6 days Method GC/MS Test Includes 6-Monoacetylmorphine - Free [GC/MS], Codeine - Free [GC/MS], Dihydrocodeine / Hydrocodol - Free [GC/MS], Hydrocodone - Free [GC/MS], Hydromorphone - Free [GC/MS], Morphine - Free [GC/MS], Oxycodone - Free [GC/MS], Oxymorphone - Free [GC/MS]

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Billing Code Test Code [sunquest] OPIATES - TOTAL (CONJUGATED/UNCONJUGATED) OPITSP OPITSP SERUM/PLASMA Synonyms Dicodid®; Dilaudid®; Hydrocodone Metabolite Numorphan®; Opana®; OxyContin®; Oxycodone Metabolite Roxicodone® Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Promptly centrifuge and separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 10 days Frozen (-20°C) 30 days Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens EDTA plasma Reference Laboratory NMS Reference Lab Test Code 8670SP CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 4-6 days Method GC/MS Test Includes Codeine - Total [GC/MS], Dihydrocodeine / Hydrocodol - Total [GC/MS], Hydrocodone - Total [GC/MS], Hydromorphone - Total [GC/MS], Morphine - Total [GC/MS], Oxycodone - Total [GC/MS], Oxymorphone - Total [GC/MS]

Billing Code Test Code [sunquest] OPIATES SCREEN, SERUM/PLASMA (REFLEXIVE) OPISCO OPISCO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 1.6 mL Specimen Processing Separate serum from cells immediately and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 10 days Frozen (-20°C) 1 month Unacceptable Condition SST or gel-type tubes Alternate Specimens Plasma, lavender top tube (EDTA) Reference Laboratory NMS Reference Lab Test Code 3236SP CPT Codes 80101 Test Schedule Mon-Sat Turnaround Time 2-5 days Method ELISA Test Includes Opiates, ng/mL; 6-Monacetylorphine, Free, ng/mL; Codeine, Free, ng/mL; Dihydrocodeine/Hydrocodone, Free, ng/mL; Hydrocodone,Free, ng/mL; Hydromorphone, Free, ng/mL; Morphine, Free, ng/mL; Oxycodone, Free, ng/mL, Oxymorphone, Free, ng/mL. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Opiates is positive Opiates - Free (Unconjugated) Confirmation 83925 Serum/Plasma by GC/MS

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Billing Code Test Code [sunquest] OPIATES, FREE & TOTAL OPIFRT OPIFRT Container Type Red top tube (plain), Lavendar top tube (EDTA), Pink top tube Store and Transport Store and transport refrigerated Specimen Type Serum or Plasma Preferred Volume 4 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Unacceptable Condition SST or gel-type tubes. Reference Laboratory NMS Reference Lab Test Code 8671SP CPT Codes 83925 x 2 Test Schedule varies Turnaround Time varies Method GC/MS Test Includes 6-Monoacetylmorphine, Free, ng/mL; Codeine, Free, ng/mL; Dihydrocodeine/Hydrocodol, Free, ng/mL; Hydrocodone, Free, ng/mL; Hydromorphone, Free, ng/mL; Morphine, Free, ng/mL; Oxycodone, Free, ng/mL; Oxymorphone, Free, ng/mL; Dihydro-codeine/Hydrocodol, Total, ng/mL; Oxycodone, Free, ng/mL; Codeine, Total, ng/mL; Hydrocodone, Total, ng/mL; Hydromorphone, Total, ng/mL; Morphine, Total, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ORAL FLUID STAT 10 ORAL10 ORAL10 Container Type Oral Fluid Collection Kit Store and Transport Ambient (room temperature). Send specimens using 1-2 day delivery. Specimen Type Oral fluid Preferred Volume 2 mL Minimum Volume 2 mL Patient Prep Have donor rinse mouth with water and wait 10 minutes. Ensure that donor has had nothing in their mouth for at least 10 minutes before collection. Collection Procedure Use Oral Sample Collection kit. Follow collection and submission directions in kit. Directly observe the donor during sample collection. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) 1 year Reference Laboratory United States Drug Testing Laboratory Reference Lab Test Code OralStat10 CPT Codes 80101 x 10 Test Schedule Mon-Sat Turnaround Time 3-6 days Method EIA or ELISA. Confirmatory Test: GC/MS or LC/MS/MS Test Includes Amphetamines: amphetamine, MDA, MDEA, MDMA, methamphetamine; Cannabinoids: native-THC; Cocaine: benzoylecgonine, cocaine; Opiates: 6-MAM, codeine, hydrocodone, hydromorphone, morphine: Phencyclidine: phencyclidine (PCP); Benzodiazepines: alprazolam, diazepam, nordiazepam, oxazepam, temazepam; Barbiturates: amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital; Methadone: EDDP, methadone; Propoxyphene: norpropoxyphene, propoxyphene; Oxycodone: oxycodone. Notes Collection kits available from PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

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Billing Code Test Code [sunquest] ORAL FLUID STAT 12 ORAL12 ORAL12 Container Type Oral Fluid Collection Kit Store and Transport Ambient (room temperature). Send specimens using 1-2 day delivery. Specimen Type Oral fluid Preferred Volume 2 mL Minimum Volume 2 mL Patient Prep Have donor rinse mouth with water and wait 10 minutes. Ensure that donor has had nothing in their mouth for at least 10 minutes before collection. Collection Procedure Use Oral Sample Collection kit. Follow collection and submission directions in kit. Directly observe the donor during sample collection. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) 1 year Reference Laboratory United States Drug Testing Laboratory Reference Lab Test Code OralStat12 CPT Codes 80101 x 12 Test Schedule Mon-Sat Turnaround Time 3-6 days Method EIA or ELISA. Confirmatory Test: GC/MS or LC/MS/MS Test Includes Amphetamines: amphetamine, MDA, MDEA, MDMA, methamphetamine; Cannabinoids: native-THC; Cocaine: benzoylecgonine, cocaine; Opiates: 6-MAM, codeine, hydrocodone, hydromorphone, morphine: Phencyclidine: phencyclidine (PCP); Benzodiazepines: alprazolam, diazepam, nordiazepam, oxazepam, temazepam; Barbiturates: amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital; Methadone: EDDP, methadone; Propoxyphene: norpropoxyphene, propoxyphene; Meperidine; meperidine, normeperidine; Tramadol; tramadol; Oxycodone: oxycodone. Notes Collection kits available from PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS.

Billing Code Test Code [sunquest] ORAL FLUID STAT 5 ORAL5 ORAL5 Container Type Oral Fluid Collection Kit Store and Transport Ambient (room temperature). Send specimens using 1-2 day delivery. Specimen Type Oral fluid Preferred Volume 2 mL Minimum Volume 2 mL Patient Prep Have donor rinse mouth with water and wait 10 minutes. Ensure that donor has had nothing in their mouth for at least 10 minutes before collection. Collection Procedure Use Oral Sample Collection kit. Follow collection and submission directions in kit. Directly observe the donor during sample collection. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) 1 year Limitations Send specimens using 1-2 day delivery Reference Laboratory United States Drug Testing Laboratory CPT Codes 80101 x 5 Test Schedule Mon-Sat Turnaround Time 3-6 days Method EIA or ELISA. Confirmatory Test: GC/MS or LC/MS/MS Test Includes Amphetamines: amphetamine, MDA, MDEA, MDMA, methamphetamine; Cannabinoids: native-THC; Cocaine: benzoylecgonine, cocaine; Opiates: 6-MAM, codeine, hydrocodone, hydromorphone, morphine: Phencyclidine: phencyclidine (PCP) Compliance Remarks This test was developed and its performance characteristics determined by United States Drug Testing Laboratories. Notes Collection kits available from PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1764

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Billing Code Test Code [sunquest] ORAL FLUID STAT 7 ORAL7 ORAL7 Container Type Oral Fluid Collection Kit Store and Transport Ambient (room temperature). Send specimens using 1-2 day delivery. Specimen Type Oral fluid Preferred Volume 2 mL Minimum Volume 2 mL Patient Prep Have donor rinse mouth with water and wait 10 minutes. Ensure that donor has had nothing in their mouth for at least 10 minutes before collection. Collection Procedure Use Oral Sample Collection kit. Follow collection and submission directions in kit. Directly observe the donor during sample collection. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) 1 year Reference Laboratory United States Drug Testing Laboratory Reference Lab Test Code OralStat7 CPT Codes 80101 x 7 Test Schedule Mon-Sat Turnaround Time 3-6 days Method EIA or ELISA. Confirmatory Test: GC/MS or LC/MS/MS Test Includes Amphetamines: amphetamine, MDA, MDEA, MDMA, methamphetamine; Cannabinoids: native-THC; Cocaine: benzoylecgonine, cocaine; Opiates: 6-MAM, codeine, hydrocodone, hydromorphone, morphine: Phencyclidine: phencyclidine (PCP); Benzodiazepines: alprazolam, diazepam, nordiazepam, oxazepam, temazepam; Barbiturates: amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital. Notes Collection kits available from PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1764

Billing Code Test Code [sunquest] ORAL FLUID STAT 9 ORAL9 ORAL9 Container Type Oral Fluid Collection Kit Store and Transport Ambient (room temperature). Send specimens using 1-2 day delivery. Specimen Type Oral fluid Preferred Volume 2 mL Minimum Volume 2 mL Patient Prep Have donor rinse mouth with water and wait 10 minutes. Ensure that donor has had nothing in their mouth for at least 10 minutes before collection. Collection Procedure Use Oral Sample Collection kit. Follow collection and submission directions in kit. Directly observe the donor during sample collection. Encourage donor to pucker their mouth to accumulate oral fluid prior to expressing oral fluid into collection vial. Repeat 3-5 times until at least 2 mL are collected. Complete chain or custody forms and label vials. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) 1 year Reference Laboratory United States Drug Testing Laboratory CPT Codes 80101 x 9 Test Schedule Mon-Sat Turnaround Time 3-6 days Method EIA or ELISA. Confirmatory Test: GC/MS or LC/MS/MS Test Includes Amphetamines: amphetamine, MDA, MDEA, MDMA, methamphetamine; Cannabinoids: native-THC; Cocaine: benzoylecgonine, cocaine; Opiates: 6-MAM, codeine, hydrocodone, hydromorphone, morphine: Phencyclidine: phencyclidine (PCP); Benzodiazepines: alprazolam, diazepam, nordiazepam, oxazepam, temazepam; Barbiturates: amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital; Methadone: EDDP, methadone; Propoxyphene: norpropoxyphene, propoxyphene. Compliance Remarks This test was developed and its performance characteristics determined by United States Drug Testing Laboratories. Notes Collection kits available from PAML Supply Department. Positive results will automatically be confirmed by GC/MS or LC/MS-MS. Supply Item Number 1764

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Billing Code Test Code [sunquest] ORGANIC ACIDS, URINE ORAU ORAU Container Type 24-hour dark plastic urine container Store and Transport Store and transport frozen Specimen Type Frozen aliquot of a 24-hour or random urine collection Preferred Volume 10 mL aliquot Collection Procedure Collect a 24-hour or random urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 10 mL of a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume. Required Patient Info Collection period and total volume Reference Laboratory Child Ortho Hosp CPT Codes 83918 Test Schedule Mon, Thu Turnaround Time 5-10 days Method GC/MS Test Includes Lactic, mg/gC; Pyruvic, mg/gC; 3-OH-Butyric, mg/gC; Acetoacetic, mg/gC; Ethylmalonic, mg/gC; Fumaric, mg/gC; Glutaric, mg/gC; 3-Methylglutaric, mg/gC; 3-Methylglutaconic, mg/gC; Adipic, mg/gC; 2-Ketoglutaric, mg/gC; Suberic, mg/gC; Sebacic, mg/gC; Interpretation Supply Item Number 1108

Billing Code Test Code [sunquest] ORGANIC ACIDS, URINE ORAURA ORAURA Certain analytes will be reported only if present at clinically significant concentrations (elevated). Client may request special reporting of an analyte of interest. Biochemical Genetics Patient History Form available at www.aruplab.com and is needed for appropriate interpretation.Separate samples must be submitted when multiple tests are ordered Critical frozen Synonyms 5-oxoproline, Urine; Succinylacetone Container Type Leakproof plastic urine container Store and Transport Frozen Specimen Type Random urine; avoid dilute urine when possible Preferred Volume 10 mL Minimum Volume 3 mL Collection Procedure Collect random urine specimen in a leakproof plastic urine container. Specimen Processing Freeze specimen immediately after collection. CRITICAL FROZEN Required Patient Info See note Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 0098389 CPT Codes 83918 Test Schedule Mon-Fri Turnaround Time 4-7 days Method GC/MS Test Includes Creatinine, Urine, mg/dL; Organic Acids, Urine Interpretation, Organic Acids, mmol/molCRT

Billing Code Test Code [sunquest] ORGANISM IDENTIFICATION (REFLEXIVE) ORG.ID CORG

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Store and Transport Ambient (room temperature). Ship Category A Collection Procedure Freshly isolated colonies on appropriate type of media slant. Indicate source of isolate. Please send pure culture. Mixed cultures containing more than one microbial species will incur additional charges. Required Patient Info Indicate source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87077 Test Schedule Daily Turnaround Time 3-10 days Test Includes Source; Organism, ID; Organism, Status Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If additional tests are needed for Isolate will be sent to reference Varies Varies identification lab

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Billing Code Test Code [sunquest] ORGANISM SENSITIVITY, EACH ORGANISM SUSC SUSC The actual type of susceptibility done will vary. The fee will be dependent upon which particular susceptibility was performed. Synonyms Organism Susceptibility Test Specimen Type Significant culture isolate Required Patient Info Specimen source. Limitations Performed on significant culture isolates only. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes This workpar uses billing only codes. Charges and coding will be dependent upon the specific type of susceptibility test done. Test Schedule Sun-Sat Turnaround Time 2-3 days Test Includes Source; Organism Sensitivity; Organism Sensitivity, Status. Notes Reported as sensitive, intermediate or resistant to antibiotic. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If antimicrobial susceptibility testing is Disk Diffusion, MIC 87184, 87186, 87181 appropriate

Billing Code Test Code [sunquest] OSMOLALITY OSMOLAL OSM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.6 mL Specimen Processing Separate serum from cells and put in separate plastic tube. If drawn in a red top must spin and separate and then spin and separate again before submission. Store and transport refrigerated or frozen. Room Temp 3 hours Refrigerated 3 days Frozen (-20°C) 1 week Alternate Specimens Lithium heparin plasma (lithium heparin green top tube). Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83930 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Freezing Point Depression Test Includes Osmolality, mOsm/kg. Supply Item Number 1467

Billing Code Test Code [sunquest] OSMOLALITY, FECAL FECOSA FECOSA Separate samples must be submitted when multiple tests are ordered. Critical Frozen Synonyms Fecal Osmolality Container Type Leakproof plastic container Store and Transport Frozen Specimen Type Liquid stool Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Transfer 5 mL liquid stool to an unpreserved transport vial. Do not add saline or water to liquefy sample. CRITICAL FROZEN. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Formed stool or specimens in media or preservatives Reference Laboratory ARUP Reference Lab Test Code 0098122 CPT Codes 84999 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Freezing Point Test Includes Osmolality, Fecal, mOsm/kg Supply Item Number 1388

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Billing Code Test Code [sunquest] OSMOLALITY, URINE (RANDOM) OSMOLAL-R OSMUR Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 1 mL Minimum Volume 0.6 mL Collection Procedure Collect a random urine specimen. Specimen Processing 1 mL aliquot of a random urine specimen. Store and transport frozen. Do not allow to sit at room temperature. Room Temp unacceptable Refrigerated 1 day Frozen (-20°C) 1 week Unacceptable Condition Room temperature. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83935 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Freezing Point Depression Test Includes Osmolality, Urine, mOsm/kg. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] OSMOLALITY, URINE 24HR OSMOLAL-U OSMUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport frozen. Specimen Type 24-hour urine collection Preferred Volume 1 mL Minimum Volume 0.6 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Do not allow to sit at room temperature. Refrigerate during collection. Specimen Processing Aliquot 1 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 7 days Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83935 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Freezing Point Depression Test Includes Collection Period, h; Volume, mL; Osmolality, Urine, mOsm/kg. Supply Item Number 1108

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Billing Code Test Code [sunquest] OSTEOCALCIN OSTEOCALCIN OSTEO Separate samples must be submitted when multiple tests are ordered Synonyms Bone GLA Protein Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Allow serum tube to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer to a standard PAML aliquot tube and freeze. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens. Alternate Specimens Lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 20728 CPT Codes 83937 Test Schedule Tues-Sat Turnaround Time 2-4 days Method Quantitative Electrochemiluminescent Immunoassay Test Includes Osteocalcin, ng/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] OVA 1 OVA1 OVA1 Container Type SST tube Specimen Type Serum Preferred Volume 2.2 mL Minimum Volume 1.1 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp Unacceptable Refrigerated 5 days Frozen (-20°C) 63 days Unacceptable Condition Samples received at room temperature. Alternate Specimens Serum (plain red top tube). Reference Laboratory Quest Reference Lab Test Code 16991 CPT Codes 84999 Test Schedule Mon-Sat Turnaround Time 4-6 days Method Fixed Rate Time Neph/Electrochemiluminescence Test Includes OVA 1 Test Value. Supply Item Number 1467

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Billing Code Test Code [sunquest] OVA AND PARASITES O/P OP Synonyms O&P Container Type Clean, sterile leakproof container or preserved in unifix transport/fixative vial Store and Transport Ambient (room temperature) in unifix preservative. Samples should not be submitted unpreserved unless transport time will be less than 30 minutes. Specimen Type Fresh stool Preferred Volume Walnut-sized portion stool to the unifix vial line Collection Procedure Recommended routine examination includes 3 specimens collected at least 1 day apart. Stool should be passed into a clean, dry wide mouthes container. Contamination with urine should be avoided. Immediately transfer sample to Unifix preservative. Add enough sample to bring the contents up to the red 'fill line' marked on the vial. Mix the stool with the fixative. Label each vial with patient information and date of collection.

Three specimens are also recommended for post-therapy examinations, and they should be collected as outlined above. A patient treated for a protozoan infection should be checked 3 to 4 weeks after therapy, and patients treated for Taenia infections should be checked 5 to 6 weeks after therapy. Specimen Processing Each specimen submitted requires a separate test order. Required Patient Info Specimen source Room Temp 2 weeks (preserved) Refrigerated 2 weeks (preserved) Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Specimens not placed into preservative within 30 minutes. Specimens containing barium. Specimens contaminated with urine or water. Samples submitted in diapers or collected with swabs. Alternate Specimens Urine for Schistosoma: Peak egg excretion occurs between noon and 3 p.m. Samples collected during this time or during a 24-h urine collection without preservatives, may be used for examination. Store and transport at room temperature.

Sputum, bronchoalveolar lavage, transtracheal aspirates for Ascaris lumbricoides larvae, Strongyloides filariform larvae, hookworm larvae, Paragonimus westermani ova, and Echinococcus granulosus hooklets, Entamoeba histolytica and Cryptosporidium spp. Submit specimens in sterile, leakproof plastic container. Store and transport refrigerated.

Liver or lung abscess aspirates for E. histolytica. Collect material from the margin of the abscess rather than the necrotic center. Submit specimen immediately in a sterile, leakproof plastic container at room temperature. For Pinworm examination, see test code PIN. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87177, 87209 Test Schedule Daily Turnaround Time 1-3 days Method Microscopy (Concentrate & Permanent Stained Smear) Test Includes Source; Ova & Parasites; Ova & Parasites, Status Notes Testing should not be performed on inpatients after the fourth hospital day without prior consultation. Supply Item Number 7271

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Billing Code Test Code [sunquest] OVARIAN ANTIBODY SCREEN WITH REFLEX TO TITER OVAB OVAB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Ovarian Ab Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 30 days Unacceptable Condition Gross hemolysis, Gross lipemia Reference Laboratory Quest Diagnostics Nichols Institute Reference Lab Test Code 10328X CPT Codes 86255 Test Schedule Wed Turnaround Time 2-8 days, reflex testing 10-15 days Method IFA Test Includes Anti-Ovary Antibody; Anti-Ovary Antibody Titer, Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Ovarian Antibody Screen is positive Ovarian Antibody Titer 86256

Billing Code Test Code [sunquest] OXALATE, SERUM OXASER OXASER Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 7 days Frozen (-20°C) 7 days Unacceptable Condition Fluoride oxalate (grey top tube) or SST tubes. Reference Laboratory NMS Reference Lab Test Code 3250SP CPT Codes 83945 Test Schedule Tue, Thu Turnaround Time 2-6 days Method Enzymatic Test Includes Oxalate, Serum, mol/L. Supply Item Number 1372

Billing Code Test Code [sunquest] OXALATE, URINE (RANDOM) OXALATE.R OXUR Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 25 mL Minimum Volume 5 mL Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to collection. Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 25 mL of a random urine specimen. Within 24 hours of collection, adjust pH to 1-2 with 6N HCl. Preferable, do not pH less than 1. Note time and date pH is adjusted. Store and transport refrigerated or frozen. Room Temp 1 week, Acidified Refrigerated 1 week, Acidified Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83945 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Enzymatic Test Includes Oxalate, Urine, mg/L. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] OXALATE, URINE 24HR OXALATE-UR OXUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection Preferred Volume 25 mL Minimum Volume 5 mL Patient Prep Patient should refrain from excessive Vitamin C intake at least 48 hours prior to the start of collection. Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 25 ml of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Adjust pH to 1-2 with 6N HCL within 24 hours of the end of the collection period. Note date and time pH is adjusted. Record total volume and collection period. Required Patient Info Collection period and total volume. Refrigerated Acidified: 7 days. Frozen (-20°C) Acidified: 7 days. Unacceptable Condition Specimens received not pH adjusted within 24 hours of end of collection. Limitations A pH less than 1 can cause assay interference. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83945 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Enzymatic Test Includes Collection Period, h; Volume, mL; Oxalate, Urine, mg/24h. Supply Item Number 1108

Billing Code Test Code [sunquest] OXCARBAZEPINE METABOLITE OXCAR OXCAR Synonyms TRILEPTAL Container Type One 5 mL plain red. Also acceptable: lavender (EDTA), pink (K2EDTA), green (sodium heparin), gray (sodium fluoride/potassium oxalate) Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Refrigerated 2-8 C Unacceptable Condition Avoid use of separator tubes and gels and repeated freeze/thaw cycles Alternate Specimens None Department PAML Toxicology CPT Codes 82491 Test Schedule Mon, Wed, Fri Turnaround Time 24-72 hours Method HPLC/DAD Test Includes OXCARBAZEPINE METABOLITE Notes Therapeutic range is 15-35 ug/mL. Assayed as the monohydroxy metabolite(MHD). NO critical range has been established. Supply Item Number 1372 1222 or 1398

Billing Code Test Code [sunquest] OXYCODONE BY LC-MS/MS LCOP6 LCOP6 Synonyms Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Perkies; 40; 40-Bar; 80; Kicker; OCs; Os; Ox; Osy; Oxycotton; Pills Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tadem Mass Spectrometry (LC-MS/MS) Test Includes Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone Notes Test is also included in Comprehensive Drug Survey; replaces TLCOPA Supply Item Number 1388

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Billing Code Test Code [sunquest] OXYCODONE SCREEN (REFLEXIVE) OXYS OXYS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Oxycontin; Percodan; Oxyir; Roxicodone; Percolone; Roxicet; Percocet; Tylox; Perkies; 40; 40-Bar; 80; Kicker; OCs; Os; Ox; Oxy; Oxycotton; Pills Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Oxycodone Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive, a confirmation test will LCOP6 83925 automatically be run

Billing Code Test Code [sunquest] OXYMORPHONE BY LC-MS/MS LCOP6 LCOP6 Synonyms Numorphan; Opana Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 150 ng/mL Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Liquid Chromatography Tadem Mass Spectrometry (LC-MS/MS) Test Includes Hydrocodone,Hydromorphone,Codeine,Morphine,Oxycodone,Oxymorphone Notes Test is also included in Comprehensive Drug Survey; replaces TLCOPA

Billing Code Test Code [sunquest] P0 ANTIBODIES BY WESTERN BLOT P0WBIM P0WBIM Synonyms Protein Zero Antibodies Container Type SST tube Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 1 year Reference Laboratory IMMCO Reference Lab Test Code 350 CPT Codes 84182 Test Schedule Once weekly, varies Turnaround Time 8-10 days Method Western Blot Test Includes P0 (Protein Zero). Compliance Remarks This test was developed and its performance determined by IMMCO. It has not been cleared or approved by the U.S. Food and Drug Administration.

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Billing Code Test Code [sunquest] PAIN MANAGEMENT CANNABINOIDS (THC) (REFLEXIVE) PMTHC PMTHC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Cannabinoids Screen (20), ng/mL; Carboxy-THC by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Cannabinoids (THC) positive Cannabinoid (THC) confirmation by GC/MS

Billing Code Test Code [sunquest] PAIN MANAGEMENT COCAINE (REFLEXIVE) PMCOC PMCOC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Cocaine Screen, ng/mL; Benzoylecgonine by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Cocaine positive Cocaine Metabolite (Benzoylecgonine) Confirmation is built into the testcode and confirmation by GC/MS does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT MEPERIDINE SCREEN (REFLEXIVE) PMMEP PMMEP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Meperidine Screen, ng/mL; Meperidine by GC/MS, ng/mL; Nor-Meperidine by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Meperidine positive Meperidine/Normeperidine confirmation by Confirmation is built into the testcode and GC/MS does not require additional reflex test code or cpt code

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Billing Code Test Code [sunquest] PAIN MANAGEMENT OPIATES PMOPI PMOPI Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen. Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Fri Turnaround Time 1-2 days Method LC-MS/MS Test Includes Morphine by LC-MS/MS, ng/mL; Oxymorphone by LC-MS/MS, ng/mL; Hydromorphone by LC-MS/MS, ng/mL; Nor-Oxycodone by LC-MS/MS, ng/mL; Nor-Hydrocodone by LC-MS/MS, ng/mL; Oxycodone by LC-MS/MS, ng/mL; Codeine by LC-MS/MS, ng/mL; Heroin Metabolite (6AM) by LC-MS/MS, ng/mL; Hydrocodone by LC-MS/MS, ng/mL.

Billing Code Test Code [sunquest] PAIN MANAGEMENT PROPOXYPHENE (REFLEXIVE) PMPROP PMPROP This test may reflex to additional tests depending upon results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Propoxyphene Screen, ng/mL; Norpropoxyphene by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Propoxyphene positive Norpropoxyphene confirmation by GC/MS

Billing Code Test Code [sunquest] PAIN MANAGEMENT ACETAMINOPHEN SCREEN (REFLEXIVE) PMACET PMACET This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Acetaminophen Screen, ug/mL; Acetaminophen by GC/MS, ug/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Acetaminophen positive Acetaminophene confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT ALCOHOL (REFLEXIVE) PMALC PMALC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/FID. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 82055 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/FID Test Includes Alcohol Screen, mg/dL; Alcohol by GC/FID, mg/dL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Alcohol positive Alcohol confirmation by GC/FID Confirmation is built into the testcode and does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT ALTERNATE AMPHETAMINES (REFLEXIVE) PMAAMP PMAAMP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Alternate Amphetamines Screen, ng/mL; MDMA by GC/MS, ng/mL; MDA by GC/MS, ng/mL; MDEA by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Alternate Amphetamines positive MDMA, MDA, MDEA confirmation by GC/MS

Billing Code Test Code [sunquest] PAIN MANAGEMENT AMPHETAMINE/METHAMPHETAMINE PMAMP PMAMP (REFLEXIVE) This test may reflex to additional tests depending upon results of this test. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Amphetamine/Methamphetamine Screen, ng/mL; Amphetamines by GC/MS, ng/mL; Methamphetamine by GC/MS, ng/mL; D-Methamphetamine, %; L-Methamphetamine, % Reflex Testing Reflex Condition Reflex Test Name If screen for Amphetamines positive Amphetamine/Methamphetamine confirmation by GC/MS If Methamphetamine confirmation positive D & L Issomer confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT BARBITURATES (REFLEXIVE) PMBARB PMBARB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Barbiturates Screen, ng/mL; Amobarbital by GC/MS, ng/mL; Butalbital by GC/MS, ng/mL; Pentobarbital by GC/MS, ng/mL; Phenobarbital by GC/MS, ng/mL; Secobarbital by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Barbiturates positive Barbiturate confirmation by GC/MS Confirmation is built into the testcode and does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT BENZODIAZEPINES (REFLEXIVE) PMBENZ PMBENZ This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Benzodiazepines Screeen, ng/mL; Oxazepam by GC/MS, ng/mL; Temazepam by GC/MS, ng/mL; Lorazepam by GC/MS, ng/mL; Alprazolam by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Benzodiqazepines positive Benzodiazepine confirmation by GC/MS

Billing Code Test Code [sunquest] PAIN MANAGEMENT BUPRENORPHINE SCREEN (REFLEXIVE) PMBUP PMBUP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen. Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Buprenorphine Screen, ng/mL; Buprenorphine by GC/MS, ng/mL; Nor-Buprenorphine by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Buprenorphine positive Buprenorphine/Norbuprenorphine confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT CARISOPRODOL/MEPROBAMATE PMCARI PMCARI (REFLEXIVE) This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Carisoprodol Screen, ng/mL; Carisoprodol by GC/MS, ng/mL; Meprobamate by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Carisoprodol/Meporbamate positive Carisoprodol/Meprobamate confirmation by GC/MS

Billing Code Test Code [sunquest] PAIN MANAGEMENT CLONAZEPAM PMCLON PMCLON Synonyms Klonopin; Rivotril; Clonazepam Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 5 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80154 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Liquid Chromatography - Tandom Mass Spectrometry Test Includes 7 Amino-Clonazepam Notes This test identifies the 7 amino-clonazepam metabolite.

Billing Code Test Code [sunquest] PAIN MANAGEMENT ETG/ETS (REFLEXIVE) PMETGS PMETGS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by LC-MS/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by LC-MS/MS Test Includes Ethyl Glucuronide/Ethyl Sulfate Screen, ng/mL; Ethyl Glucuronide by LC-MS/MS, ng/mL; Ethyl Sulfate by LC-MS/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for ETG/ETS positive ETG/ETS confirmation by LC-MS/MS Confirmation is built into the testcode and does not require additional reflex test code or cpt code

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Billing Code Test Code [sunquest] PAIN MANAGEMENT FENTANYL (REFLEXIVE) PMFEN PMFEN This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by LC-MS/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by LC-MS/MS Test Includes Fentanyl Screen, ng/mL; Fentanyl by LC-MS/MS, ng/mL; Norfentanyl by LC-MS/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Fentanyl positive Fentanyl/Norfentanyl confirmation by LC- Confirmation is built into the testcode and MS/MS does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT METHADONE & METABOLITE (REFLEXIVE) PMMETH PMMETH This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 30 days Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Methadone & Metabolite Screen, ng/mL; Methadone Metabolite (EDDP) by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name If screen for Methadone or metabolite positive Methadone metabolite confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT PANEL 1 (REFLEXIVE) PM1 PM1 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically relex to confirmation testing. Confirmation by GC/MS, LC-MS/MS, or GC/FID. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Required Patient Info List last 5 days of prescription medicine taken by the patient Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 x 7 (HCPCS G0431), 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmations by GC/MS, LC/MS/MS, or GC/FID Test Includes Alcohol Screen, mg/dL; Alcohol by GC/FID, mg/dL; Amp/Methamphetamine Screen, ng/mL; Amphetamines by GC/MS, ng/mL; Methamphetamine by GC/MS, mg/mL; D-Methamphetamine by GC/MS, %; L-Methamphetamine, %; Alternate Amphetamines Screen, ng/mL; MDMA by GC/MS, ng/mL; MDA by GC/MS, ng/mL; MDEA by GC/MS, ng/mL; Cannabinoids Screen (20), ng/mL; Carboxy-THC by GC/MS, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine by GC/MS, ng/mL; Morphine by LC-MS/MS, ng/mL; Oxymorphone by LC-MS/MS, ng/mL; Hydromorphone by LC-MS/MS, ng/mL; Nor-Oxycodone by LC-MS/MS, ng/mL; Nor-Hydrocodone by LC-MS/MS, ng/mL; Oxycodone by LC-MS/MS, ng/mL; Codeine by LC-MS/MS, ng/mL; Heroin Metab (6AM) by LC-MS/MS, ng/mL; Hydrocodone by LC-MS/MS, ng/mL; Phencyclidine Screen, ng/mL; Phencyclidine by GC/MS, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene by GC/MS, ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity Reflex Testing Reflex Condition Reflex Test Name If any Analyte in panel positive If screen for Alcohol is positive Alcohol confirmation by GC/FID If screen for Amphetamines is positive Amphetamine/Methamphetamine confirmation by GC/MS If screen for Alternate Amphetmaines is positive MDMA, MDA, MDEA confirmation by GC/MS If screen for Cannabinoids (THC) is positive Cannabinoid (THC) confirmation by GC/MS If screen for Cocaine is positive Cocaine Metabolite (Benzoylecgonine) confirmation by GC/MS If screen for Propoxyphene is positive Norpropoxyphene confirmation by GC/MS If screen for Phencyclidine is positive Phencyclidine confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT PANEL 2 (REFLEXIVE) PM2 PM2 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically relex to confirmation testing. Confirmation by GC/MS, LC-MS/MS, or GC/FID. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Required Patient Info List last 5 days of prescription medicine taken by the patient Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 x 10 (HCPCS G0431), 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/EIA/LC-MS/MS Confirmations by GC/MS, LC-MS/MS, or GC/FID Test Includes Alcohol Screen, mg/dL; Alcohol by GC/FID, mg/dL; Amp/Methamphetamine Screen, ng/mL; Amphetamines by GC/MS, ng/mL; Methamphetamine by GC/MS, mg/mL; D-Methamphetamine by GC/MS, %; L-Methamphetamine, %; Alternate Amphetamines Screen, ng/mL; MDMA by GC/MS, ng/mL; MDA by GC/MS, ng/mL; MDEA by GC/MS, ng/mL; Cannabinoids Screen (20), ng/mL; Carboxy-THC by GC/MS, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine by GC/MS, ng/mL; Morphine by LC-MS/MS, ng/mL; Oxymorphone by LC-MS/MS, ng/mL; Hydromorphone by LC-MS/MS, ng/mL; Nor-Oxycodone by LC-MS/MS, ng/mL; Nor-Hydrocodone by LC-MS/MS, ng/mL; Oxycodone by LC-MS/MS, ng/mL; Codeine by LC-MS/MS, ng/mL; Heroin Metab (6AM) by LC-MS/MS, ng/mL; Hydrocodone by LC-MS/MS, ng/mL; Phencyclidine Screen, ng/mL; Phencyclidine by GC/MS, ng/mL; Propoxyphene Screen, ng/mL; Norpropoxyphene by GC/MS, ng/mL; Barbiturates Screen, ng/mL; Amobarbital by GC/MS, ng/mL; Butalbital by GC/MS, ng/mL; Phentobarbital by GC/MS, ng/mL; Phenobarbital by GC/MS, ng/mL; Secobarbital by GC/MS, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam by GC/MS, ng/mL; Temazepam by GC/MS, ng/mL; Lorazepam by GC/MS, ng/mL; Alpha- OH Alprazolam by GC/MS, ng/mL; Methadone & Metabolite Screen, ng/mL; Methadone Metabolite (EDDP) by GC/MS, ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity. Reflex Testing Reflex Condition Reflex Test Name If any Analyte in panel positive If screen for Alcohol is positive Alcohol confirmation by GC/FID If screen for Amphetamines is positive Amphetamine/Methamphetamine confirmation by GC/MS If screen for Alternate Amphetmaines is positive MDMA, MDA, MDEA confirmation by GC/MS If screen for Cannabinoids (THC) is positive Cannabinoid (THC) confirmation by GC/MS If screen for Cocaine is positive Cocaine Metabolite (Benzoylecgonine) confirmation by GC/MS If screen for Propoxyphene is positive Norpropoxyphene confirmation by GC/MS If screen for Phencyclidine is positive Phencyclidine confirmation by GC/MS If screen for Barbiturates is positive Barbiturates confirmation by GC/MS If screen for Benzodiazepines is positive Benzodiazepines confirmation by GC/MS If screen for Methadone is positive Methadone metabolite confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT PANEL 3 (REFLEXIVE) PM3 PM3 This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically relex to confirmation testing. Confirmation by GC/MS, LC-MS/MS, or GC/FID. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Required Patient Info List last 5 days of prescription medicine taken by the patient Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 x 13 (HCPCS G0431), 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/EIA/LC-MS/MS Confirmations by GC/MS, LC-MS/MS, or GC/FID Test Includes Alcohol Screen, mg/dL; Alcohol by GC/FID, mg/dL; Amp/Methamphetamine Screen, ng/mL; Amphetamines by GC/MS, ng/mL; Methamphetamine by GC/MS, mg/mL; D-Methamphetamine by GC/MS, %; L-Methamphetamine, %; Alternate Amphetamines Screen, ng/mL; MDMA by GC/MS, ng/mL; MDA by GC/MS, ng/mL; MDEA by GC/MS, ng/mL; Cannabinoids Screen (20), ng/mL; Carboxy-THC by GC/MS, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine by GC/MS, ng/mL; Morphine by LC-MS/MS, ng/mL; Oxymorphone by LC-MS/MS, ng/mL; Hydromorphone by LC-MS/MS, ng/mL; Nor-Oxycodone by LC-MS/MS, ng/mL; Nor-Hydrocodone by LC-MS/MS, ng/mL; Oxycodone by LC-MS/MS, ng/mL; Codeine by LC-MS/MS, ng/mL; Heroin Metab (6AM) by LC-MS/MS, ng/mL; Hydrocodone by LC-MS/MS, ng/mL; Phencyclidine Screen, ng/mL; Phencyclidine by GC/MS, ng/mL; Propoxyphene Screen,ng/mL; Norpropoxyphene by GC/MS, ng/mL; Barbiturates Screen,ng/mL; Amobarbital by GC/MS, ng/mL; Butalbital by GC/MS, ng/mL; Pentobarbital by GC/MS, ng/mL; Phenobarbital by GC/MS, ng/mL; Secobarbital by GC/MS, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam by GC/MS, ng/mL; Temazepam by GC/MS, ng/mL; Lorazepam by GC/MS, ng/mL; Alpha- OH Alprazolam by GC/MS, ng/mL; Methadone & Metabolite Screen, ng/mL; Methadone Metabolite (EDDP) by GC/MS, ng/mL; Meperidine Screen, ng/mL; Meperidine by GC/MS, ng/mL; Nor-Meperidine by GC/MS, ng/mL; Tramadol Screen, ng/mL; Tramadol by GC/MS, ng/mL; Acetaminophen Screen, ug/mL; Acetaminophen by GC/MS, ug/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity Reflex Testing Reflex Condition Reflex Test Name If any Analyte in panel positive If screen for Alcohol is positive Alcohol confirmation by GC/FID If screen for Amphetamines is positive Amphetamine/Methamphetamine confirmation by GC/MS If screen for Alternate Amphetmaines is positive MDMA, MDA, MDEA confirmation by GC/MS If screen for Cannabinoids (THC) is positive Cannabinoid (THC) confirmation by GC/MS If screen for Cocaine is positive Cocaine Metabolite (Benzoylecgonine) confirmation by GC/MS If screen for Propoxyphene is positive Norpropoxyphene confirmation by GC/MS If screen for Phencyclidine is positive Phencyclidine confirmation by GC/MS If screen for Barbiturates is positive Barbiturates confirmation by GC/MS If screen for Benzodiazepines is positive Benzodiazepines confirmation by GC/MS If screen for Methadone is positive Methadone metabolite confirmation by GC/MS If screen for Meperidine is positive Meperidine/Normeperidine confirmation by GC/MS If screen for Tramadol is positive Tramadol confirmation by GC/MS If screen for Acetaminophen is positive Acetaminophene confirmation by GC/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT PANEL 4 (REFLEXIVE) PM4 PM4 This test may reflex to additional tests depending upon the results of these tests. An additional fee will be added if the reflex test is necessary. Positive results will automatically relex to confirmation testing. Confirmation by GC/MS, LC-MS/MS, or GC/FID. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Required Patient Info List last 5 days of prescription medicine taken by the patient Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 x 17 (HCPCS G0431), 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/EIA/LC-MS/MS Confirmations by GC/MS, LC-MS/MS, or GC/FID Test Includes Alcohol Screen, mg/dL; Alcohol by GC/FID, mg/dL; Amp/Methamphetamine Screen, ng/mL; Amphetamines by GC/MS, ng/mL; Methamphetamine by GC/MS, mg/mL; D-Methamphetamine by GC/MS, %; L-Methamphetamine, %; Alternate Amphetamines Screen, ng/mL; MDMA by GC/MS, ng/mL; MDA by GC/MS, ng/mL; MDEA by GC/MS, ng/mL; Cannabinoids Screen (20), ng/mL; Carboxy-THC by GC/MS, ng/mL; Cocaine Screen, ng/mL; Benzoylecgonine by GC/MS, ng/mL; Morphine by LC-MS/MS, ng/mL; Oxymorphone by LC-MS/MS, ng/mL; Hydromorphone by LC-MS/MS, ng/mL; Nor-Oxycodone by LC-MS/MS, ng/mL; Nor-Hydrocodone by LC-MS/MS, ng/mL; Oxycodone by LC-MS/MS, ng/mL; Codeine by LC-MS/MS, ng/mL; Heroin Metab (6AM) by LC-MS/MS, ng/mL; Hydrocodone by LC-MS/MS, ng/mL; Phencyclidine Screen, ng/mL; Phencyclidine by GC/MS, ng/mL; Propoxyphene Screen,ng/mL; Norpropoxyphene by GC/MS, ng/mL; Barbiturates Screen,ng/mL; Amobarbital by GC/MS, ng/mL; Butalbital by GC/MS, ng/mL; Pentobarbital by GC/MS, ng/mL; Phenobarbital by GC/MS, ng/mL; Secobarbital by GC/MS, ng/mL; Benzodiazepines Screen, ng/mL; Oxazepam by GC/MS, ng/mL; Temazepam by GC/MS, ng/mL; Lorazepam by GC/MS, ng/mL; Alpha- OH Alprazolam by GC/MS, ng/mL; Methadone & Metabolite Screen, ng/mL; Methadone Metabolite (EDDP) by GC/MS, ng/mL; Meperidine Screen, ng/mL; Meperidine by GC/MS, ng/mL; Nor-Meperidine by GC/MS, ng/mL; Tramadol Screen, ng/mL; Tramadol by GC/MS, ng/mL; Acetaminophen Screen, ug/mL; Acetaminophen by GC/MS, ug/mL; Fentanyl Screen, ng/mL; Fentanyl by LC-MS/MS, ng/mL; Norfentanyl by LC-MS/MS, ng/mL; Carisoprodol Screen, ug/mL; Carisoprodol by GC/MS, ug/mL; Meprobamate by GC/MS, ug/mL; Buprenorphine Screen, ng/mL; Buprenorphine by GC/MS, ng/mL; Nor-Buprenorphine by GC/MS, ng/mL; Ethyl Glucuronide/Ethyl Sulfate Screen, ng/mL; Ethyl Glucuroide by LC-MS/MS, ng/mL; Ethyl Sulfate by LC-MS/MS, ng/mL; Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity Reflex Testing Reflex Condition Reflex Test Name If any Analyte in panel positive If screen for Alcohol is positive Alcohol confirmation by GC/FID If screen for Amphetamines is positive Amphetamine/Methamphetamine confirmation by GC/MS If screen for Alternate Amphetmaines is positive MDMA, MDA, MDEA confirmation by GC/MS If screen for Cannabinoids (THC) is positive Cannabinoid (THC) confirmation by GC/MS If screen for Cocaine is positive Cocaine Metabolite (Benzoylecgonine) confirmation by GC/MS If screen for Propoxyphene is positive Norpropoxyphene confirmation by GC/MS If screen for Phencyclidine is positive Phencyclidine confirmation by GC/MS If screen for Barbiturates is positive Barbiturates confirmation by GC/MS If screen for Benzodiazepines is positive Benzodiazepines confirmation by GC/MS If screen for Methadone is positive Methadone metabolite confirmation by GC/MS If screen for Meperidine is positive Meperidine/Normeperidine confirmation by GC/MS If screen for Tramadol is positive Tramadol confirmation by GC/MS If screen for Acetaminophen is positive Acetaminophene confirmation by GC/MS If screen for Fentanyl is positive Fentanyl/Norfentanyl confirmation by LC-MS/MS If screen for Carisoprodol/Meprobamate is positive Carisoprodol/Meprobamate confirmation by GC/MS If screen for Buprenorphine is positive Buprenorphine/Norbuprenorphine confirmation by GC/MS If screen for ETG/ETS is positive ETG/ETS confirmation by LC-MS/MS

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Billing Code Test Code [sunquest] PAIN MANAGEMENT PHENCYCLIDINE (REFLEXIVE) PMPCP PMPCP This test may reflex to additional tests depending upon results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method Emit/Confirmation by GC/MS Test Includes Phencyclidine Screen, ng/mL; Phencyclidine by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Phencyclidine positive Phencyclidine confirmation by GC/MS Confirmation is built into the testcode and does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT PROMPT FOR PRESCRIBED DRUGS PMM1 PMM1 Use this workpar when ordering any of the individual pain management drugs to indicate the prescribed drug(s) the patient has taken within the last 5 days. Test Includes Prescribed Drug 1; Prescribed Drug 2; Prescribed Drug 3; Prescribed Drug 4; Prescribed Drug 5; Prescribed Drug 6; Prescribed Drug 7; Prescribed Drug 8; Prescribed Drug 9; Prescribed Drug 10.

Billing Code Test Code [sunquest] PAIN MANAGEMENT TRAMADOL (REFLEXIVE) PMTRAM PMTRAM This test may reflex to additional tests depending upon results of this test. An additional fee will be added if the reflex test is necessary. Positive results will automatically reflex to confirmation testing. Confirmation by GC/MS. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 50 mL Minimum Volume 30 mL Collection Procedure Collect a random urine specimen Room Temp 10 days Refrigerated 1 month Department PAML Toxicology CPT Codes 80101 Test Schedule Mon-Fri Turnaround Time 1-2 days Method EIlA/Confirmation by GC/MS Test Includes Tramadol Screen, ng/mL; Tramadol by GC/MS, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen for Tramadol positive Tramadol confirmation by GC/MS Confirmation is built into the testcode and does not require additional reflex test code or cpt code

Billing Code Test Code [sunquest] PAIN MANAGEMENT VALIDITY TESTING PMV1 PMV1 This workpar is used to result the validity testing done for pain management urine specimens. Test Includes Oxidants, ug/mL; pH; Creatinine, mg/dL; Specific Gravity.

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Billing Code Test Code [sunquest] PANCREASTATIN PCRESA PCRESA Container Type GI preservative tube Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Patient Prep Patient must be fasting 10-12 hours prior to collection. Patient should not be on any medications that may influence insulin levels, if possible, for at leaset 48 hours prior to collection. Specimen Processing Separate serum from cells within 1 hour of draw and place in separate plastic tube immediately and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 months Unacceptable Condition Specimens not collected in GI preservative tube. Reference Laboratory ARUP-then sent to Cambridge Biomedical Research Group in MA. Reference Lab Test Code 2004232 CPT Codes 83519 Test Schedule Varies Turnaround Time Varies Method RIA Test Includes Pancreastatin, pg/mL. Compliance Remarks The performance characteristics of this assay were validated by Cambridge Biomedical Inc. The U.S. FDA has not approved or cleared this test. The results of this assay can be used for clinical diagnosis without FDA approval. Cambridge Biomedical Inc. is a CLIA certified, CAP accredited laboratory for performing high complexity assays such as this one. Notes Tubes available from PAML Supply Department.

Billing Code Test Code [sunquest] PANCREATIC ELASTASE, FECAL PANEF PANEF Container Type Leakproof plastic container Specimen Type Frozen stool Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect a random stool specimen. Specimen Processing Put stool in a leakproof plastic container and freeze. Store and transport frozen. Room Temp 4 hours Refrigerated 3 days Frozen (-20°C) 1 year Unacceptable Condition Stool in media or preservative. Reference Laboratory ARUP Reference Lab Test Code 80526 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method ELISA Test Includes Pancreatic Elastase, Fecal, ug/g. Supply Item Number 1388

Billing Code Test Code [sunquest] PANCREATIC POLYPEPTIDE PAN POLY PANPEP Container Type Lavender top tube (EDTA) Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.6 mL Patient Prep Prefer patient fast overnight. Specimen Processing Separate plasma from cells and place in separate plastic tube . Store and transport refrigerated. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Reference Laboratory Quest Reference Lab Test Code 27219P CPT Codes 83519 Test Schedule Tue Turnaround Time 5-10 days Method RIA/Extraction Test Includes Pancreatic Polypeptide, pg/mL. Supply Item Number 1222

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Billing Code Test Code [sunquest] PANCREATITIS, IDIOPATHIC (CFTR, PRSS1, SPINK1) PANCIS PANCIS SEQUENCING Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 2 mL Required Patient Info Patient History Pancreatitis. Counseling and informed consent are recommended for genetic testing. Consent forms are available online at www.aruplab.com. Room Temp 3 days Refrigerated 7 days Frozen (-20°C) Unacceptable Alternate Specimens Pink (K2EDTA), or yellow (ACD solution A or B) Reference Laboratory ARUP Reference Lab Test Code 2002005 CPT Codes 81223, 81404, 81479 Test Schedule Varies Turnaround Time Within 36 days Method Polymerase Chain Reaction/Sequencing Compliance Remarks Genetic Compliance Statement: The performance characteristics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Counseling and informed consent are recommended for genetic testing. Consent forms are available online. Notes Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

Billing Code Test Code [sunquest] PARAINFLUENZA ANTIBODY 1, 2, 3, IGG & IGM PAR123 PAR123 Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples. Alternate Specimens Ambient temperature and frozen samples. Reference Laboratory ARUP Reference Lab Test Code 51084 CPT Codes 86790 x 6 Test Schedule Tue Turnaround Time 2-9 days Method ELISA Test Includes Parainfluenza Virus 1 Antibody, IgG, IV; Parainfluenza Virus 1 Antibody, IgM, IV; Parinfluenza Virus 2 Antibody, IgG, IV; Parainfluenza Virus 2 Antibody, IgM, IV; Parainfluenza Virus 3 Antibody, IgG, IV; Parainfluenza Virus 3 Antibody, IgM, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

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Billing Code Test Code [sunquest] PARASITE IDENTIFICATION, MACROSCOPIC PARID PARID Synonyms Scabies; Arthropod; Bot Fly; Bedbug; Bug; Crabs; Flea; Fly Larvae (Maggot); Louse; Maggots; Mites; Nit; Tick; Worm Container Type See below Store and Transport Ambient (room temperature) Collection Procedure Suspected parasites may be collected and submitted in a sterile container with a tight fitting lid. Worms should be submitted in formalin or Unifix to prevent dessication. For scabies collection, see notes below or call Microbiology department. Room Temp Stable Refrigerated Stable Frozen (-20°C) Unacceptable Unacceptable Condition Frozen or dried specimens Limitations Worms and arthropods will be identified if they are human parasites. Environmental, non-parasitic organisms will be generically identified as 'Not a human parasite.' Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87169 Test Schedule Daily Turnaround Time 1-3 days Method Macroscopic Inspection Test Includes Source; Parasite ID; Parasite ID, Status Notes SPECIMEN COLLECTION FOR SCABIES: In the normal (immunocompetent) host, there are usually no more than 5-10 adult mites present. Most are located on the hands, wrists, and arms. Skin samples are obtained by scraping the superficial layers of skin over a burrow or papule (bump) using a scalpel. COLLECTION PROTOCOL: The following materials are needed: gloves, mineral oil, a No. 15 scalpel, a glass slide, a 24 X 30 or a 24 X 40 mm glass cover slip, and an empty petri plate for slide transport. After donning appropriate personal protection equipment (gown or lab coat and gloves), identify the area(s) to be scraped. Place one drop of mineral oil on a sterile No. 15 scalpel. Mites and skin scales will adhere to the oil. Allow some of the mineral oil to flow onto the site (papule-aka bump) to be scraped. Scrape vigorously 6-7 times to remove the top of the papule. The objective is to remove the superficial layers of the skin over a burrow or papule to a depth at which pinpoint bleeding occurs - remembering that the goal is to 'coax' the happy adult mite and any eggs from their warm, comfortable home at the terminal end of a burrow or papule. There should be tiny flecks of blood in the oil. Be sure to retract the scalpel blade when not in use to avoid puncturing yourself. FOR INPATIENTS ONLY: Making sure the etched portion of the glass slide is facing up, transfer the oil and scraped material onto a labeled glass slide. Add 1 drop of mineral oil to the transferred material on the slide, and stir the mixture. Any large clumps can be crushed to expose hidden mites. Place a coverslip on the slide. Place the prepared slide into a plastic petri plate for transport to Microbiology. FOR OUTPATIENTS: Place the skin scrapings in a red-top vacutainer tube for transport to the testing laboratory. REFERENCES: Principles and Practice of Infectious Diseases, 5th edition, 2000, pg. 2974-2976. Diagnostic Medical Parasitology, 3rd edition, 1997, pg. 549-553. Manual of Clinical Microbiology, 7th edition, 1999, pg. 1463. Supply Item Number Varied

Billing Code Test Code [sunquest] PAROXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCPAR TLCPAR SUR. Synonyms Paxil; Asimia Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Paroxetine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] PAROXETINE, SERUM/PLASMA PAROXETINE PAROX Synonyms Paxil Container Type Red top tube (plain) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Promptly centrifuge and separate serum or plasma into a standard PAML aliquot tube. Room Temp 14 days Refrigerated 1 month Frozen (-20°C) 1 month Alternate Specimens Plasma, lavender top tube (EDTA) or pink top tube Limitations No polymer gel separation tube (SST or PST) Reference Laboratory NMS Reference Lab Test Code 3360SP CPT Codes 83789 Test Schedule Tue, Fri Turnaround Time 5-9 days Method LC-MS/MS Test Includes Paroxetine, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PAROXYSMAL NOCTURNAL HEMOGLOBINURIA PANEL (PNH PNHPAN PNHPAN PANEL) Synonyms FLAER; CD59; GPI-linked Protein Deficiency; PNH Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 2 mL Collection Procedure Draw 5 mL EDTA whole blood (lavender top tube). Specimen Processing Store and transport at room temperature. Unacceptable Condition Hemolyzed or clotted samples. Department PSHMC Hematology Cellular Immunology Reference Laboratory PSHMC CPT Codes 88184, 88185 x 5 Test Schedule Mon-Sat days Turnaround Time 3 days Method Flow Cytometry Test Includes PNH Panel Result. Notes RBC's tested with CD59 and WBC's tested with FLAER, CD14, CD24, CD33, CD45. Supply Item Number 1222

Billing Code Test Code [sunquest] PARVOVIRUS B19 ANTIBODY PANEL, ELISA/PCR B19ABP B19ABP Synonyms Fifth disease Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and place 2 mL in one plastic tube and 1 mL in another plastic tube and freeze. Reference Laboratory Focus Reference Lab Test Code 4130 CPT Codes 86747 x 2, 87798 Test Schedule Mon, Thu ELISA, Mon-Sun PCR Turnaround Time 3-8 days Method ELISA & RT-PCR Test Includes Parvovirus B19 Antibody, IgG; Parvovirus B19 Antibody,IgM; Interpretation; Parvovirus B19 DNA Qualitative PCR Compliance Remarks These assays were developed and their performance characteristics have been determined by Focus Diagnostics. They have not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1467

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Billing Code Test Code [sunquest] PARVOVIRUS B19 ANTIBODY, IGG PARVOG PARVOG Synonyms Fifth's Disease Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen or refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Heat inactivated, hyperlipemic or contaminated serum samples, CSF or plasma Department PAML Special Immunology CPT Codes 86747 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Parvovirus B19 Antibody, IgG, IV Supply Item Number 1467

Billing Code Test Code [sunquest] PARVOVIRUS B19 ANTIBODY, IGG & IGM PRVOGM PRVOGM Synonyms Fifth's Disease Container Type SST tube Store and Transport Frozen or refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Heat-inactivated, hyperlipemic or contaminated samples, CSF or plasma Department PAML Special Immunology CPT Codes 86747 x 2 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Parvovirus B19 Antibody, IgG, IV; Parvovirus B19 Antibody, IgM IV Supply Item Number 1467

Billing Code Test Code [sunquest] PARVOVIRUS B19 ANTIBODY, IGM PARVOM PARVOM Synonyms Fifth's Disease Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen or refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Heat inactivated, hyperlipemic or contaminated samples, CSF or plasma. Department PAML Special Immunology CPT Codes 86747 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Parvovirus B19 Antibody, IgM, IV Supply Item Number 1467

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Billing Code Test Code [sunquest] PARVOVIRUS B19 BY PCR HPVPCR HPVPCR

Container Type SST tube Store and Transport Store and transport frozen. Ship Category B Specimen Type Frozen serum or plasma Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum, plasma, synovial or amniotic fluid from cells and place in separate plastic tube and freeze. Required Patient Info Source Room Temp 8 hours (not tissue) Refrigerated 3 days (not tissue) Frozen (-20°C) 6 months Unacceptable Condition Nonsterile or leaking containers if tissue specimen. Heparinized, hemolyzed, or frozen whole blood. Tissues in formalin or other preservatives. Bone marrow. Alternate Specimens Frozen CSF, vesicle, synovial or amniotic fluid, EDTA or K2 EDTA plasma (lavender or pink top tube). Tissue biopsy-fresh tissue, snap frozen on dry ice. Formalin fixed and/or paraffin embedded tissue at ambient temperature. Sterile technique is required for handling samples. Reference Laboratory ARUP Reference Lab Test Code 60043 CPT Codes 87798 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method PCR Test Includes Parvovirus, B19 by PCR. Compliance Remarks The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] PATHOLOGIST DIFFERENTIAL INTERPRETATION-REQUEST PATHDI PATHDI ONLY Use only to order Pathologist Differential Interpretation when requested by physician. Container Type See below Specimen Type See below Preferred Volume See below Collection Procedure See below Specimen Processing Two peripheral blood smears; prefer one stained and one unstained. If CBC results are not available, include EDTA whole blood (lavender top tube). Lavender top tube must be received within 12 hours of collection. Required Patient Info CBC results Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85060 Test Schedule Mon-Fri days only Turnaround Time 3 days Method Microscopic Test Includes Pathologist Differential Interpretation.

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Billing Code Test Code [sunquest] PEMPHIGOID PANEL - EPITHELIAL BASEMENT MEMBRANE PGOIDP PGOIDP ZONE IGG & IGA, BP180 & BP230 IGG ANTIBODIES Synonyms Bullous Pemphigoid (Pemphigoid Panel - Epithelial Basement Membrane Zone IgG & IgA, BP180 & BP230 IgG Antibodies) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Refrigerated 3 months Frozen (-20°C) Indefinitely Unacceptable Condition Hemolyzed or lipemic specimens Alternate Specimens Red top tube (plain) Reference Laboratory ARUP Reference Lab Test Code 92001 CPT Codes 88347 x 3, 83516 x 2 Test Schedule Varies Turnaround Time 5-9 days Method Enzyme-Linked Immunosorbent Assay/Indirect Fluorescent Antibody Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] PEMPHIGUS PANEL-IGG EPITHELIAL CELL SURFACE PEMP PEMP ANTIBODIES & LEVELS OF IGG DESMOGLEIN 1 & DESMOGLEIN 3 Container Type SST tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 4 days Refrigerated 3 months Frozen (-20°C) Indefinitely Unacceptable Condition Hemolyzed or lipemic samples. Reference Laboratory ARUP Reference Lab Test Code 0090650 CPT Codes 88347 x 2, 83516 x 2 Test Schedule Varies Turnaround Time 6-11 days Method ELISA & Indirect Immunofluorescence Test Includes Pemphigus Ab Panel Supply Item Number 1467

Billing Code Test Code [sunquest] PENTAZOCINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCPTZ TLCPTZ SUR. Synonyms Talwin; Talwin Compound; Ts Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Pentazocine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] PENTOBARBITAL PENTO PENTO Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Transfer to a standard PAML aliquot tube. Room Temp 3 months Refrigerated 3 months Frozen (-20°C) 1 year Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0090225 CPT Codes 82205 Test Schedule Mon-Sun Turnaround Time 2-3 days Method Quantitative Gas Chromatography-Mass Spectrometry Test Includes Pentobarbital, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PEROXIDASE STAIN SS.PER CSMPO Synonyms Cytochem Stain, Peroxidase Container Type See below Store and Transport Ambient (room temperature) Specimen Type See below Collection Procedure 3 blood smears, tissue touch preps, or bone marrow coverslips or slides and 3 mL EDTA (lavender top tube) . The slides should be air-dried, unstained and unfixed. EDTA and heparin slides are acceptable. Protect from light and maintain at room temperature. Required Patient Info Source Limitations Protect from light Department PSHMC Cytochemical Hematology Reference Laboratory PSHMC CPT Codes 88319 Test Schedule Mon-Sat Turnaround Time 3 days Method Cytochemical Stain Test Includes Myeloperoxidase Source; Myeloperoxidase Stain; Myeloperoxidase Interpretation;, Myeloperoxidase Reviewed By Supply Item Number 1222 and 5212

Billing Code Test Code [sunquest] PERPHENAZINE PER PERPH Synonyms Tinlafar; Trilaxon Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Measure at least 2 weeks after initating treatment. Collect 8-12 hours after oral dose. Specimen Processing Separate serum or plasma from cells within 6 hours of collection and place in separate plastic tube. Protect from light within 8 hours of collection. Store and transport refrigerated. Room Temp 2 days Refrigerated 7 days Frozen (-20°C) 1 month (avoid repeat freeze/thaw cycles) Unacceptable Condition Citrated plasma. Tubes that contain liquid anticoagulant. Alternate Specimens Lithium or sodium heparin, EDTA, K2EDTA, K3EDTA or sodium fluoride /potassium oxalate plasma (green, lavender, pink or grey top tube). SST or PST: Serum or plasma in a gel separator tube stored at room temperature is acceptable if separated from the gel within 6 hours. Serum or plasma in a gel separator tube stored refrigerated is acceptable if separated from the gel within 2 hours. Reference Laboratory ARUP Reference Lab Test Code 0099985 CPT Codes 84022 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Perphenazine, ng/mL. Supply Item Number 1372 2.1 www.paml.com 4/16/2013 page 758 P 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory P

Billing Code Test Code [sunquest] PH, FLUID PHFLD PHFL Container Type Red top tube (plain) or leakproof plastic container. Specimen Type Frozen fluid Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Specimen container should be tightly capped with minimal free air space. Limit exposure of sample to air. Promptly and carefully separate fluid from cells and place in separate plastic tube. Fill tube almost completely but allow room for expansion of fluid with freezing. Store and transport frozen. Room Temp 1 hr tightly capped. Refrigerated 24 hrs but not preferred. Frozen (-20°C) 6 months-the perferred method but must be separated from the cells. Unacceptable Condition Highly viscous samples. Limitations Ideally specimen should be analyzed or frozen without delay. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 83986 Test Schedule Daily Turnaround Time 24-48 hours Method pH meter or dipstick Test Includes pH, Fluid. Supply Item Number 1518

Billing Code Test Code [sunquest] PH, STOOL STL.PH STPH Container Type Sterile leakproof plastic container Store and Transport Refrigerated or frozen. If transport time will exceed 24 hours from time of collection, specimen should be frozen. Specimen Type Random stool Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect random stool in sterile leakproof plastic container. Room Temp 1 hour Refrigerated 3 days Frozen (-20°C) 1 week Unacceptable Condition Specimens collected following a barium enema, formed stool, stool in preservatives or transport media Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 83986 Test Schedule Daily Turnaround Time 1-2 days Method pH Indicator Test Includes Source; pH, Stool; pH, Stool, Status Supply Item Number 1387

Billing Code Test Code [sunquest] PH, URINE UPH PHUD Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Store and transport refrigerated. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81003 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Colormetric Test Includes pH, Urine. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] PHENCYCLIDINE PAIN MANAGEMENT CONFIRMATION PPCP PPCP TESTING BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for this test. Container Type Urine, leakproof plastic urine container Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 83992 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Phencyclidine

Billing Code Test Code [sunquest] PHENCYCLIDINE CONFIRMATION BY GC/MS MSPCP MSPCP Synonyms PCP; Angel Dust; Hog; Love Boat; Boat Hog; Peace Pill; Angel Hair; Angel Mist; Angel Poke; Amoeba; Ad; Black Dust; Black Whack; Blue Madman Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Limitations Cutoff 25 ng/ml Department PAML Toxicology CPT Codes 83992 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Supply Item Number 1388

Billing Code Test Code [sunquest] PHENCYCLIDINE CONFIRMATION BY TLC. TEST IS ALSO TLCPCP TLCPCP INCLUDED IN DRUG-SUR. Synonyms PCP; Angel Dust; Hog; Boat; Peace Pill; Angel Hair; Angel Mist; Angel Poke; Amoeba; Ad; Black Dust; Black Whack; Blue Madman Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Modified Thin Layer Chromatography Notes Test is also included in Comprehensive Drug Survey. Supply Item Number 1388

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Billing Code Test Code [sunquest] PHENCYCLIDINE SCREEN (REFLEXIVE) PCP PCP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PCP; Angel Dust; Hog; Boat; Love Boat; Peace Pill; Angel Hair; Angel Mist; Angel Poke; Amoeba; Ad; Black Dust; Black Whack; Blue Madman Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations Cutoff at 25 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Notes Positive results will automatically be confirmed. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCPCP 82489 automatically be run

Billing Code Test Code [sunquest] PHENCYLIDINE (PCP) (URINE ONLY) TEST ALSO INCLUDED IN TLCPCP TLCPCP DRUG-SUR. Synonyms Angel Dust; PCP; Crystal Log; Peace Pill; Sherms; Boat Hog; Love Boat; anget hair; Angel Mist; Angel Poke; Amoeba; Ad; Black Dust; Black Whack; Blue Madman Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Phencyclidine Notes Test is also included in Comprehensive Drug Survey.

Billing Code Test Code [sunquest] PHENOBARBITAL PHB PHB Synonyms Luminal Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw just prior to next dose. Note times of dose and drawing. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens Alternate Specimens SST and other gel-type tubes; however, they may artifactually, randomly lower results if they are not promptly centrifuged and separated and lithium heparin plasma (green top tubes). Department PAML Chemistry CPT Codes 80184 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method LA Test Includes Phenobarbital, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] PHENOBARBITAL (URINE ONLY) TEST ALSO INCLUDED IN TLCBAR TLCBAR DRUG-SUR. Synonyms Luminol; Barbs; Downers; Goofballs; Phennies; Phenos; Sleepers; Stumblers Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations Phenobarbital equals 1000 ng/mL. Barbiturates other than Phenobarbital equal 500-1500 ng/mL. Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Phenobarbital and barbiturates other than phenobarbital as a group. Notes Test is also included in Comprehensive Drug Survey.

Billing Code Test Code [sunquest] PHENOL EXPOSURE, (QUANTITATIVE) PHEXPU PHEXPU DO NOT order PHEXPU for accidental phenol exposure requiring 72 hours turnaround time per OSHA guidelines. RNMS 0543U must be ordered for such cases. Synonyms Carbolic Acid Container Type Leakproof plastic urine container Store and Transport Store and transport refrigerated Specimen Type Urine, end of shift Preferred Volume 4 mL Collection Procedure Collect a urine specimen at the end of shift in a leakproof plastic urine container containing no preservative. Room Temp 4 days Refrigerated 7 days Frozen (-20°C) 30 days Unacceptable Condition Urine samples preserved with benzoic acid or room temperature Reference Laboratory NMS Reference Lab Test Code 3621U CPT Codes 82570, 84600 Test Schedule Mon-Fri Turnaround Time 7-14 days Method GC, Colorimetry Test Includes Creatinine, Urine, mg/L; Phenol, Urine, mg/L; Phenol, Urine, mg/gCr. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] PHENOLPHTHALEIN (URINE ONLY) TEST ALSO INCLUDED IN TLCPLT TLCPLT DRUG-SUR. Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Phenolphthalein Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] PHENOLPHTHALEIN, FECAL PHENST PHENST Transport frozen ASAP Container Type Sterile leakproof plastic container Store and Transport Store and transport frozen Specimen Type Frozen stool Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect random stool Specimen Processing Aliquot 5 grams of a random fecal collection into a clean, unpreserved leakproof plastic container and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 days Unacceptable Condition Ambient, refrigerated and specimens in preservative. Limitations This is a critical frozen sample. Separate samples must be submitted when multiple tests are ordered. Nonfrozen samples may produce false-negative results. Reference Laboratory ARUP Reference Lab Test Code 20391 CPT Codes 84311 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Colorimetric Test Includes Phenolphthalein, Feces. Supply Item Number 1387

Billing Code Test Code [sunquest] PHENOTHIAZINES (URINE ONLY) TEST ALSO INCLUDED IN TLCPHT TLCPHT DRUG-SUR. Synonyms Chlorpromazine; Thorazine; Triflupromazine; Vesprin; Trimeprazine; Temaril; Trifluoperazine; Stelazine; Promethazine; Phenergan; Prochlorperazine; Compazine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 20 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Phenothiazine metabolites Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] PHENTERMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCPTM TLCPTM SUR. Synonyms Ionamin; Fastin; Teramine; Adipex-P Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Phentermine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] PHENYLALANINE (QUANTITATIVE) PHEN-Q PHEN Container Type Green top tube (sodium heparin) Specimen Type Frozen plasma Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate plasma from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 24 hours Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed samples. Reference Laboratory ARUP Reference Lab Test Code 80315 CPT Codes 82131 Test Schedule Mon-Fri Turnaround Time 3-6 days Method Ion Exchange Chromatography Test Includes Phenylalanine, umol/L. Supply Item Number 1398

Billing Code Test Code [sunquest] PHENYLPROPANOLAMINE (URINE ONLY) TEST ALSO INCLUDED TLCPPA TLCPPA IN DRUG-SUR. Synonyms Diet Pills; PPA Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Phenylpropanolamine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] PHENYTOIN DIL DIL Synonyms Dilantin Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw just prior to next oral dose or 2-4 hours after IV loading dose. Note times of dose and drawing. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 2 weeks Unacceptable Condition Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens Alternate Specimens Lithium heparin plasma (green top tubes); SST and other gel-type tubes, however, they may artificially, randomly lower results if they are not promptly centrifuged and separated. Department PAML Chemistry CPT Codes 80185 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method LA Test Includes Phenytoin, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] PHENYTOIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCPHY TLCPHY SUR. Synonyms Dilantin; Epilepsy Medicine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Phenytoin Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] PHENYTOIN, TOTAL, WITH REFLEX TO FREE DIL.FREE DILFR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Dilantin; Free and Total Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Draw prior to next dose. Note times of dose and drawing. Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Required Patient Info Note times of dose and drawing Refrigerated 7 days Frozen (-20°C) Longer Unacceptable Condition Avoid gross hemolysis (GT 500 mg/dL) Alternate Specimens Lithium heparinized plasma (green top tube) Department PSHMC Chemistry and Special Chemistry Reference Laboratory PSHMC CPT Codes 80185 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method FPIA Test Includes Phenytoin, Free, ug/mL; Phenytoin, Total, ug/mL; % Free, % Notes 1) Total Phenytoin is assayed first. If result is > 0.5 ug/mL the Free Phenytoin will be done and fee added. 2) Uremic samples may exhibit a positive bias with the Free Phenytoin assay. 3) Samples from patients receiving fosphenytoin should be drawn at least 2 hours following IV administration and 4 hours following IM administration. 4) Free Phenytoin is the physiologically active, unbound, portion of the drug. It better reflects clinical effect than total drug levels, particularly when administered with valproic acid or in uremic patients. When a patient's clinical response does not agree with the total phenytoin concentration or the protein binding of the patient is believed to be abnormal, the free phenytoin level may better reflect the effectiveness or toxicity of the drug. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If phenytoin is GT 0.5 ug/mL then Phenytoin, Free 80186 DILFB the free phenytoin will be performed

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Billing Code Test Code [sunquest] PHOSPHATIDYLSERINE, ANTIBODIES, IGA, IGG, IGM APSAGM APSAGM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Heat-inactivated samples may give false positie result; avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 86148 x 3 Test Schedule Tue-Sat Turnaround Time 2-4 days Method EIA Test Includes Antiphosphatidylserine, IgA, APS U/mL; Antiphosphatidylserine, IgG, GPS U/mL; Antiphosphatidylserine, IgM, MPS U/mL Supply Item Number 1467

Billing Code Test Code [sunquest] PHOSPHOLIPIDS, SERUM/PLASMA PHOSPHO PHOSPH This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow to clot completely at room temperature before centrifuging. Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 1 month Frozen (-20°C) 1 month Alternate Specimens EDTA, K2EDTA, sodium or lithium plasma (lavender, pink or green top tubes) Reference Laboratory ARUP Reference Lab Test Code 20042 CPT Codes 84311 Test Schedule Mon, Wed, Fri Turnaround Time 2-6 days Method Spectrophotometric Test Includes Phospholipids, mg/dL. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characterisitics of this test were validated by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole mens for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high- complexity testing. Supply Item Number 1372

Billing Code Test Code [sunquest] PHOSPHORUS PHO PHOS Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition EDTA, sodium fluoride-potassium oxlate, or citrate plasma Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84100 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Phosphorus, mg/dL Notes Prolonged contact with the cell clot may results in elevated values Supply Item Number 1467

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Billing Code Test Code [sunquest] PHOSPHORUS, URINE (RANDOM) PHO-R PHOSUR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 40 mL of a random urine collection. Adjust pH to less than 3 with 6 N HCl. Refrigerated 2 days Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84105 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Phosphorus, Urine, mg/dL Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] PHOSPHORUS, URINE 24HR PHO-U PHOSUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine collection. Adjust pH to less than 3 with 6N HCl. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 days Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84105 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Collection Period, h; Volume, mL; Phosphorus, Urine, mg/24h Supply Item Number 1108

Billing Code Test Code [sunquest] PINWORM PREPARATION PINW PIN Container Type Commercial pinworm collection paddle or clear (non-frosted) scotch tape Store and Transport Ambient (room temperature) or refrigerated Specimen Type Perianal material Collection Procedure Collect sample by pressing the adhesive side of the collection device firmly against the left and right periannal folds. Optimal collection should be performed early in the morning before patient bathes or goes to the bathroom. Following therapy, at least 4-6 negative slides should be observed before the patient is considered free of infection. Required Patient Info Specimen source Room Temp 2 days Refrigerated 2 days Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Specimens collected using frosted tape Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87172 Test Schedule Daily Turnaround Time 1-2 days Method Microscopy Test Includes Source; Pinworm Prep; Pinworm Prep, Status Notes Special kits are available from the PAML Supply Department for use at patient's home. Supply Item Number 1125

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Billing Code Test Code [sunquest] PLASMINOGEN ACIVATOR INHIBITOR-1 (PAI-1) 4G/5G PLAI1G PLAI1G Container Type Lavendar top tube (EDTA) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 3 mL Room Temp 8 days Refrigerated 8 days Frozen (-20°C) Unacceptable Unacceptable Condition Call laboratory if blood samples received frozen Alternate Specimens Whole blood collected in ACD solution B (yellow-top), EDTA (royal blue-top), sodium heparin (green- top), lithium heparin (green-top) or ACD solution A (yellow-top) tube. 100 ng Extracted DNA (Reference ranges do not apply). Bone marrow or Fresh (unfixed) tissue or Tissue biopsy (Reference ranges do not apply). Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 11368 CPT Codes 81400 Test Schedule Wed, Sat Turnaround Time 7-11 days Method Polymerase Chain Reaction Test Includes PAI-1 4G/5G Polymorphism Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] PLASMINOGEN ACTIVATOR INHIBITOR 1 PAI1 PAI1 Container Type Blue top tube (buffered sodium citrate) Store and Transport Store and transport frozen Specimen Type Frozen plasma Preferred Volume 1.5 mL Minimum Volume 1 mL Collection Procedure Collect sample between 8 am and 12 pm. Specimen Processing Separate plasma from the cells within 1 hour of collection and place in separate plastic tube and freeze. This is a critical frozen specimen. Room Temp 1 hour Refrigerated Unacceptable Frozen (-20°C) 2 months Unacceptable Condition Hemolyzed samples, serum, and samples that have been thawed and refrozen. Reference Laboratory ARUP Reference Lab Test Code 0098781 CPT Codes 85415 Test Schedule Mon, Thu Turnaround Time 2-9 days Method Bioimmunoassay Test Includes Plasminogen Activator Inhibitor 1 Supply Item Number 1050

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Billing Code Test Code [sunquest] PLASMINOGEN ACTIVITY PLASA PLASA Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen buffered sodium citrate plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Collect liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If the time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hrs old that have not been separated and frozen at -20C or less. Plasma from sodium fluoride, EDTA or heparin tubes and serum. Limitations Aprotinin in the plasma to be tested results in an underestimation of plasminogen activity Department PSHMC Coagulation Department Reference Laboratory PSHMC CPT Codes 85420 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Chromogenic Test Includes Plasminogen Activity, %;

Billing Code Test Code [sunquest] PLATELET AGGREGATION, WHOLE BLOOD (REFLEXIVE) WBPAGG WBPAGG Testing must be scheduled with SHMC Coagulation Department. The samples must be received within 1 hour of drawing. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Lavender top tube (EDTA), blue top tubes (buffered sodium citrate), and 2 smears Store and Transport Ambient (room temperature) Specimen Type EDTA whole blood, buffered sodium citrate whole blood and blood smears Preferred Volume 5 mL EDTA whole, blood, 10 mL buffered sodium citrate whole blood and 2 blood smears Minimum Volume 1 EDTA mircotainer, 5 mL citrated whole blood and 2 smears Patient Prep Patient should be aspirin-free for 8-10 days prior to drawing Collection Procedure With a plastic 30-mL syringe and a 19-20 gauge needle, make a clean venipuncture. During blood withdrawal, release the tourniquet and draw back on the plunger slowly. Remove needle and fill tubes after removing stoppers. (DO NOT USE VACUUM) and mix gently. Specimen Processing Specimen must be received at SHMC Coagulation Department within 1 hour of drawing. Unacceptable Condition Grossly hemolyzed, short samples less than 90% proper fill, centrifuged or refrigerated specimens, or specimens not received within 1 hour of draw. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85576 x 7, 85049 Test Schedule Mon-Fri (must be scheduled) Turnaround Time 1-3 days Method Lumi-Aggregation, Whole Blood Test Includes ADP Aggregation, Patient, Ohms; ADP Aggregation, Control, Ohms; ADP Secretion, Patient, nM; ADP Secretion, Control, nM; Collagen Low Aggregation, Patient, Ohms; Collagen Low Aggregation, Control, Ohms; Collagen Low Secretion, Patient, nM; Collagen Low Secretion, Control, nM; Thrombin Secretion, Patient, nM; Thrombin Secretion, Control, nM; Ristocetin High Aggregation, Patient, Ohms; Ristocetin High Aggregation, Control, Ohms; Ristocetin Low Aggregation, Patient, Ohms; Ristocetin Low Aggregation, Control, Ohms; Type 1 VWD Mixing Study, Ristocentin High, Ohms; Type 2 VWD Mixing Study, Ristocentin Low, Ohms; Collagen High Aggregation, Patient, Ohms; Collagen High Aggregation, Control, Ohms; Collagen High Secretion, Patient, nM; Collagen High Secretion, Control, nM; Arachidonic Acid Aggregation, Patient, Ohms; Arachidonic Acid Aggregation, Control, Ohms; Arachidonic Acid Secretion, Patient, nM; Arachidonic Acid Secretion, Control, nM; Platelet Count, Patient, k/uL; Reviewed by; Intrepretation; Note. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Abnormal Collagen Low and/or Arachidonic Collagen High Aggregation and Secretion 85576 x2 Acid reponses Abnormal Ristocetin High Aggregation Type 1 VWD Mixing Study 85576 Abnormal Ristocetin Low Aggregation Type 2 VWD Mixing Study 85576

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Billing Code Test Code [sunquest] PLATELET ANTIBODY DETECTION, INDIRECT PLTABI PLTABI Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze Room Temp Unacceptable Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Microbially contaminated, hemolyzed, lipemic or heat inactivated specimens. Alternate Specimens EDTA or ACD plasma (lavender or yellow top tube). Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 86022 x 5 Test Schedule Tue, Thu Turnaround Time 1-3 days Method ELISA Test Includes HPA1a/1a, HPA3a/3a, HPA4a; HPA1b/1b, HPA3b/3b, HPA4a; HPA 5b/5b; HPA 5a/5a; GPIb/IX; GPIV; HLA; Comment.

Billing Code Test Code [sunquest] PLATELET ANTIGEN GENOTYPING (HPA-1) PLTAGT PLTAGT Synonyms HPA-1 Container Type Lavender top tube (EDTA) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 10 mL Minimum Volume 5 mL Room Temp 7 days Alternate Specimens ACD whole blood (yellow top tube) or 7-15 mL amniotic fluid or 5 x 106 cultured amniotic cells. Reference Laboratory Blood Center of SE Wisconsin CPT Codes 81400 Test Schedule Mon-Fri Turnaround Time 7-9 days Method PCR Test Includes Platelet Antigen Genotyping (HPA-1); Platelet Antigen Genotyping (HPA-1) Interpretation Supply Item Number 1657

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Billing Code Test Code [sunquest] PLATELET ASPIRIN TEST PLTASA PLTASA Stability 4 hours at room temperature. Do not centrifuge, refrigerate, or freeze Synonyms VerifyNow Aspirin Test; Aspirin Resistance; ASA Resistance Container Type Special collection kit required Store and Transport Ambient (room temperature), unspun Specimen Type Whole blood-sodium citrate whole blood (blue top tube). Must use a special collection kit. Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Draw using a special collection kit containing Greiner partial fill blue top tubes. Draw using a 21 gauge or larger needle. Collect a plain red top tube, discard tube (at least 2 mL) or if drawing from a line-draw 5 mL. Then draw blue top tube with 2 mL to the black line. Do NOT underfill. Gently invert 5 times. Fill the second blue top tube with 2 mL to the black line and gently invert 5 times. If drawing for other tests draw these samples last. Specimen Processing Do not centrifuge, refrigerate, or freeze Room Temp 4 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Refrigerated, frozen, clotted, centrifuged, EDTA (lavender top tubes), heparin (green top tubes) and samples GT 4 hours old. Limitations Specimen must be assayed between 30 minutes and 4 hours. Results can be affected by NSAID interference, P2Y12 inhibitors, IIa/IIIb Inhibitors, inherited platelet disorders, low HCT and/or low PLT counts. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85576 Test Schedule Daily Turnaround Time Less than 4 hours Method VerifyNow Aspirin Test Test Includes ARU (Aspirin Reaction Units) Clinical Significance Aspirin Reaction Units (ARU) indicate the amount of thromboxane A2-mediated activation of GP IIb/IIIa receptors involved in platelet aggregation. ARU is calculated as a function of the rate and extent of platelet aggregation. Supply Item Number Available PSHMC Hematology/Special Coagulation 509-474-4997

Billing Code Test Code [sunquest] PLATELET COUNT PLT PLTCNT Container Type Lavender top tube (EDTA) and Slides. Specimen Type Whole blood and peripheral blood smears Preferred Volume 5 mL Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours. Store and transport whole blood specimen refrigerated. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85049 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes Platelet Count, K/uL. Supply Item Number 1222 1217

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Billing Code Test Code [sunquest] PLATELET FUNCTION SCREEN PFSCN PFSCN Order only if sample can be received at PSHMC Coagulation Department within 10 hours of collection. Preferred within 3 hours.(If sample age is GT 4 hours only normal results will be reported) Container Type Blue top tube (buffered sodium citrate) Store and Transport Ambient (room temperature), unspun Specimen Type Whole blood Preferred Volume 6 mL Minimum Volume Two 3 mL tubes Collection Procedure Collect two 3-mL tubes. Sample must be received at performing laboratory within 10 hours of collection. Preferred within 3 hours. Specimen Processing Do not refrigerate or centrifuge Room Temp 4 hours Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Refrigerated, centrifuged, EDTA (lavender top tube), heparin (green top tube) and samples GT 10 hours old Limitations Order only if sample can be received at coagulation department within 10 hours of collection (If sample age is GT 4 hours only normal values will be reported). Abnormal results require confirmation by repeat testing with sample age LT 4 hours. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85576 Test Schedule Daily Turnaround Time 1 day Method PFA-100 Test Includes Collagen/Epinephrine, sec; Collagen/ADP, sec Supply Item Number 1090

Billing Code Test Code [sunquest] PLATELET NEUTRALIZATION PROCEDURE PLTNP PLTNP Synonyms PNP Container Type Blue top (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85730, 85732, 85597 Test Schedule Sun-Fri Turnaround Time 1-2 days Method Electromechanical (clot based) Test Includes PPTT (aPTT, Patient) PPTTCT (aPTT, Control Plasma) PPTTMX (aPTT, Patient/Control Mix), LPNP (PNP) Clinical Significance A Lupus Inhibitor is diagnosed when prolongation of a phospholipid dependent coagulation test is due to the presence of an inhibitor and excess phospholipid can overcome the inhibition.

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Billing Code Test Code [sunquest] PLATELET P2Y12 FUNCTION P2Y12 P2Y12 The sample must be received within 4 hours of drawing Synonyms VerifyNowPlavix; P2Y12; Plavix (clopidogrel) Inhibition; ADP Platelet Inhibition Container Type Special collection kit required Store and Transport Ambient(room temperature), unspun Specimen Type Sodium citrate whole blood( Blue top tube). Must use a special collection kit. Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Draw using a special collection kit. Draw using a 21 gauge or larger needle. Collect blue top or a plain red top tube, discard tube (at least 2 mL) or if drawing from a line-draw 5 mL. Then draw blue top tube with 2 mL to the black line. Do NOT underfill. Gently invert 5 times. Fill the second blue top tube with 2 mL to the black line and gently invert 5 times. If drawing for other tests draw these samples last. Specimen Processing Do not refrigerate or centrifuge Room Temp 4 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Unacceptable Condition Refrigerated, centrifuged, EDTA (lavender top tubes), heparin (green top tubes) & samples GT 4 hours old. Limitations Specimen must be assayed between 30 minutes and 4 hours. Results can be affected by IIa/IIIb Inhibitors, inherited platelet disorders, low HCT and/or low PLT counts Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85576 Test Schedule Daily Turnaround Time Less than 4 hours Method VerifyNow Platelet Aggregation for P2Y12 Test Includes Platelet Function P2Y12

Billing Code Test Code [sunquest] PML/RARA T (15;17) BY RT-PCR, QUANT PMLR PMLR Container Type EDTA (lavender top tube) Store and Transport Refrigerated Specimen Type Whole blood OR bone marrow Preferred Volume 5 mL whole blood OR 3 mL bone marrow Minimum Volume 1 mL Room Temp 1 hour Refrigerated 2 days Frozen (-20°C) Unacceptable Unacceptable Condition Specimens older than 48 hours from collection Limitations Samples must be received at ARUP within 48 hours of collection due to lability of RNA. Reference Laboratory ARUP Reference Lab Test Code 2002871 CPT Codes 81315 Test Schedule Sun-Sat Turnaround Time 3-8 days Method RT-PCR Test Includes PML result, PML quantitative result Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were determined by ARUP Laboratories. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1222

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Billing Code Test Code [sunquest] PNEUMOCYSTIS FA STAIN PNEUMO.FA PNESM Synonyms Pneumocystis Jirovecii; (Pneumocystis Carinii) Container Type Sterile leakproof plastic container Store and Transport Ambient (room temperature). If transportation time to the laboratory will exceed 2 hours from time of collection, specimen should be refrigerated. Specimen Type Sputum, bronchial washings, or BAL Preferred Volume 5 mL Minimum Volume 0.5 mL Collection Procedure Transfer respiratory specimen to a sterile container. Required Patient Info Specimen source Room Temp 2 hours Refrigerated 1 week Frozen (-20°C) Unacceptable Frozen (-70°C) Unacceptable Unacceptable Condition Specimens submitted in formalin. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87281 Test Schedule Daily Turnaround Time 1-2 days Method Indirect Fluorescent Antibody Test Includes Source; Pneumocystis FA Stain; Pneumocystis FA, Status Supply Item Number 1387

Billing Code Test Code [sunquest] PNEUMOCYSTIS JIROVECII, QUALITATIVE REAL-TIME PCR PJPCR PJPCR Container Type Sterile leakproof container Store and Transport Refrigerated Specimen Type Bronchoalveolar lavage, bronchial wash or sputum Preferred Volume 0.7 mL Minimum Volume 0.3 mL Room Temp 48 hours Refrigerated 7 days Frozen (-20°C) 30 days Reference Laboratory Focus Reference Lab Test Code 48835 CPT Codes 87798 Test Schedule Daily Turnaround Time 2-3 days Method Real-Time Polymerase Chain Reaction Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] POLIOVIRUS ANTIBODY, NEUTRALIZATION POLAN POLAN Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Diagnostics, Inc. Reference Lab Test Code 81110 CPT Codes 86382 x 3 Test Schedule Mon, Thu Turnaround Time 2-5 days Method Culture/Neutralization Test Includes Poliovirus Types 1, 2, and 3

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Billing Code Test Code [sunquest] POLYCHLORINATED BIPHENYLS PCBS PCBS Synonyms PCB Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 4 mL Minimum Volume 1.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 4 months Frozen (-20°C) 4 months Unacceptable Condition SST or gel-type tubes. Alternate Specimens EDTA plasma (lavender top tube) (Not preferred). Reference Laboratory NMS Reference Lab Test Code 3370SP CPT Codes 82441 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method GC Test Includes PCB, ppb. Supply Item Number 1372

Billing Code Test Code [sunquest] POLYMYOSITIS (PM-SCL) ANTIBODY POLYMY POLYMY Synonyms PM-Scl Antibody; Anti-PM; Anti-SCL-PM; PM1 Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 20255 CPT Codes 86235 Test Schedule Mon-Fri Turnaround Time 4-6 days Method Immunodiffusion Test Includes Polymyositis (PM-SCL) Antibody Supply Item Number 1467

Billing Code Test Code [sunquest] PORPHOBILINOGEN DEAMINASE, RBC URO-1-SYN PBGD Synonyms Uroporphyrinogen-1-Synthetase Container Type Lavender top tube (EDTA) Specimen Type Frozen whole blood Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Store and transport frozen. Room Temp 4 hours Refrigerated 7 days Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 99550 CPT Codes 82657 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Fluorometric/Enzymatic Test Includes Porphobilinogen Deaminase, RBC, mU/g Hgb. Supply Item Number 1222

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Billing Code Test Code [sunquest] PORPHOBILINOGEN, URINE (RANDOM) PBGNUR PBGNUR Container Type Leakproof plastic urine container. Specimen Type Frozen urine, random Preferred Volume 20 mL Minimum Volume 10 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 20 mL of a random refrigerated urine specimen into a leakproof plastic urine container. Upon receipt, adjust pH to 8-9. If pH greater than 9 use 6N HCl, if pH less than 8, use 5% NaOH. Protect from light. Store and transport frozen. Required Patient Info Protect from light. Room Temp unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimen not protected from light. Alternate Specimens Random urine preserved with sodium carbonate (0.5 g per 100 mL urine) and then pH to 8-9. If pH greater than 9 use 6N HCl, if pH less than 8, use 5% NaOH. Limitations Protect from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84110, 82570 Test Schedule Tue, Thu, or Fri sample must be received by 0900 AM. Turnaround Time 2-6 days Method Column Chromatography/Spectrophotometry Test Includes Creatinine, Urine, Random, mg/dL; Porphobilinogen, Urine, Random, mg/L; Porphobilinogen, Urine, Random, mg/gCr.

Billing Code Test Code [sunquest] PORPHOBILINOGEN, URINE 24HR PBG PBGUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated or frozen. Specimen Type 24-hour urine collection. Preferred Volume 100 mL Minimum Volume 10 mL Patient Prep 24-hour urine should be collected during a symptomatic episode of abdominal pain. Collection Procedure Collect 24-hour urine in a dark plastic urine container. Protect from light. Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24 hour urine collection in a leakproof dark plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record collection time and total volume. Required Patient Info Collection period and total volume. Room Temp Unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimen not protected from light. Alternate Specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection. Adjust pH to 8-9. If pH less than 8, use 5% NaOH. Limitations Protect from light. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84110 Test Schedule Mon and Thu or Fri sample must be received by 0900 AM Turnaround Time 2-6 days Method Column Chromatography/Spectrophotometry Test Includes Collection Period, h; Volume, mL; Porphobilinogen, mg/24h. Supply Item Number 1108

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Billing Code Test Code [sunquest] PORPHYRIN AND PORPHOBILINOGEN, URINE 24HR POR.PBG PPBGUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated or frozen. Specimen Type 24-hour urine collection. Preferred Volume 100 mL Minimum Volume 10 mL Collection Procedure Collect a 24-hour urine specimen. Collect in brown urine bottle. Protect from light. Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Record collection time and total volume. Protect from light. Required Patient Info Collection period and total volume. Room Temp Unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimens not protected from light. Alternate Specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection and then adjusted to pH 8-9. If pH is greater than 9 use 6N HCl. If pH is less than 8 use 5% NaOH. Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84120, 84110 Test Schedule Tue, Thu or Fri, sample must be received by 0900 am Turnaround Time 2-6 days Method HPLC/Column Chromatography/Spectrophotography Test Includes Time, h; Volume, mL; Uroporphyrin, ug/24h; Coproporphyrin, ug/24h; Porphobilinogen, mg/24h. Supply Item Number 1108

Billing Code Test Code [sunquest] PORPHYRINS, COMPREHENSIVE + PBG, URINE 24HR PQNU PQNU The pH will generally fall between 7 and 10 if the proper preservative (5 g sodium carbonate) was added to the container before the collection was started. Critical Frozen Container Type Urine, 24-hr dark plastic urine container Store and Transport Frozen Specimen Type Frozen urine Preferred Volume 20-50 mL aliquot Minimum Volume 15 mL aliquot Patient Prep 24-Hour urine volume is required. Patient should abstain from alcohol for 24 hours prior to, as well as during, collection. Collection Procedure Collect a 24-hour urine specimen in a brown bottle. Add 5 grams of sodium carbonate as preservative at start of collection to achieve a pH of >7. Do not substitute sodium bicarbonate for sodium carbonate. The preservative must be added before the start of the collection. The container should be refrigerated during collection. Protect from light. Specimen Processing Aliquot 20-50 mL of a well-mixed 24-hour urine collection which has been preserved with 5 grams of sodium carbonate at the start of the collection into a amber leakproof plastic urine container and freeze. Protect from light. Critical Frozen. Record collection time and total volume. Required Patient Info Total volume and collection period. Include a list of medications the patient is currently taking. Room Temp Unacceptable Refrigerated Only During Collection Frozen (-20°C) 72 hrs Unacceptable Condition Specimen not protected from light, pH < 5.0 and not received frozen. Reference Laboratory Mayo Reference Lab Test Code 8562 (PQNU) CPT Codes 84110, 84120 Test Schedule Mon-Fri (Specimen must be received within 72 hrs) Turnaround Time 3-4 days Method HPLC with Fluorometric Detection/LC-MS/MS Test Includes HPLC with Fluorometric Detection: Quantitation of coproporphyrins, uroporphyrins, and intermediate porphyrins (heptacarboxyl, hexacarboxyl, and pentacarboxyl). LC-MS/MS:Determination of porphobilinogen Supply Item Number 1108

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Billing Code Test Code [sunquest] PORPHYRINS, FECAL PORPST PORPST Container Type Leakproof plastic container Specimen Type Stool, random Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Collect a random stool specimen. Critical protect from light. Specimen Processing Aliquot 5 grams of the well-mixed specimen into a leakproof plastic container and freeze immediately. Wrap in foil ASAP to protect from light. Critical protect from light. Store and transport frozen. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 3 weeks Unacceptable Condition Specimens not protected from light, complete timed collections (24-72 hours) and liquid specimens. Reference Laboratory ARUP Reference Lab Test Code 99824 CPT Codes 84126 Test Schedule Tue, Sat Turnaround Time 3-8 days Method HPLC Test Includes Coproporphyrin, Feces, nmol/g; Protoporphyrins, Feces, nmol/g, Interpretation. Notes Bacterial modification of fecal porphyrins is extensive. The recommended specimen for uroporphyrin and coproporphyrin is urine (random or 24-hour). The recommended specimen for protoporphyrin is serum. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] PORPHYRINS, FRACTIONATED, PLASMA PORFR PORFR Container Type Green top tube (sodium heparin) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 0.4 mL Collection Procedure Collect blood sample with foil-wrapped green top tube. Avoid hemolysis. Specimen Processing Separate plasma by centrifugation. Remove plasma to a light-protected tube. Freeze immediately after separation. Room Temp 8 hours Refrigerated 8 hours Frozen (-20°C) 3 months Unacceptable Condition Hemolysis, not light-protected, serum separator tube (SST) Alternate Specimens Lavender (EDTA), red top, plain (no gel) Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 5519 CPT Codes 82492 Test Schedule Tue, Thu Turnaround Time 4-5 days Method High Performance Liquid Chromatography Test Includes Uroporphyrin; Heptacarboxyporphyrin; Hexacarboxyporphyrin; Pentacarboxyporphyrin; Coproporphyrin; Protoporphyrin; Total Porphyrins Supply Item Number 1398

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Billing Code Test Code [sunquest] PORPHYRINS, SERUM TOTAL PORS PORS Container Type Plain red top tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Critical-protect from light during collection, storage and transport. Specimen Processing Separate serum from cells and place in separate amber plastic tube. CRITICAL - protect from light during collection, storage and shipment. Store and transport frozen. Room Temp unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed and frozen whole blood samples. Reference Laboratory ARUP Reference Lab Test Code 80429 CPT Codes 84311 Test Schedule Tue, Thu Turnaround Time 2-6 days Method Scanning Fluorometry Test Includes Porphyrins, Serum Total, nmol/L; Interpretation. Supply Item Number 1372

Billing Code Test Code [sunquest] PORPHYRINS, URINE (RANDOM) POR.R PORUR Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 50 mL Minimum Volume 10 mL Collection Procedure Collect a random urine specimen in a brown bottle (specimen must be protected from light). Specimen Processing Aliquot 50 mL of a random refrigerated urine specimen into a leakproof plastic urine container. Upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record pH. Store and transport refrigerated or frozen. Room Temp unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimens not protected from light. Alternate Specimens Random urine preserved with sodium carbonate (0.5 grams per 100 mL urine) and then pH to 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH. Record pH. Limitations Drugs like dipyridamole can interfere with this assay. Protect from light. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84120 Test Schedule Tue, Thu or Fri sample must be received by 0900 AM. Turnaround Time 2-6 days Method HPLC Test Includes Uroporphyrin, ug/dL; Coproporphyrin, ug/dL. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] PORPHYRINS, URINE (RANDOM) +PBG POR.PBG.R PPBGUR Container Type Leakproof plastic urine container Specimen Type Urine, random Preferred Volume 50 mL Minimum Volume 10 mL Collection Procedure Collect a random urine specimen in a brown bottle (specimen must be protected from light). Specimen Processing Aliquot 50 mL of random refrigerated urine in a leakproof plastic urine container. Upon reciept adjust pH to 8-9 with 5% NaOH. Protect from light. Store and transport refrigerated or frozen. Room Temp unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimens not protected from light. Alternate Specimens Random urine collection preserved with sodium carbonate (0.5 grams per 100 mL urine) at the start of collection, then pH to 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH. Limitations Drugs like depyridamole can interfere with the porphyrin. Protect from light. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84120, 84110 Test Schedule Mon, Thu, Fri sample must be received by 0900 am Turnaround Time 3-5 days Method HPLC/Column Chromatography/Spectrophotography Test Includes Porphobilinogen, mg/L; Uroporphyrin, ug/dL; Coproporphyrin, ug/dL. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] PORPHYRINS, URINE 24HR POR PORUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 100 mL Minimum Volume 10 mL Collection Procedure Collect a 24 hour urine specimen in a brown bottle (specimen must be protected from light). Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container, upon receipt adjust pH to 8-9 with 5% NaOH. Protect from light. Record collection time and total volume. Required Patient Info Collection period and total volume Room Temp Unacceptable Refrigerated 4 days Frozen (-20°C) 1 month Unacceptable Condition Specimens not protected from light Alternate Specimens 24 hour urine preserved with 7.5 grams sodium carbonate at the start of the collection and then adjusted to pH 8-9. If pH is greater than 9, then use 6N HCl. If pH is less than 8, use 5% NaOH. Limitations Drugs like dipyridamole can interfere with the porphyrin assay. Protect from light. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84120 Test Schedule Tue, Thu; Fri sample must be received by 9:00 AM Turnaround Time 2-6 days Method Column chromatography/Spectrophotography Test Includes Collection Period, h; Volume, mL; Uroporphyrin, ug/24h; Coproporphyrin, ug/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] POTASSIUM POT K Hemolysis falsely elevates potassium values. Synonyms K Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Unacceptable Condition Hemolyzed samples; lavendar top tube (EDTA) Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84132 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ISE Test Includes Potassium, mmol/L Supply Item Number 1467

Billing Code Test Code [sunquest] POTASSIUM, FECAL STLK STLK Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Feces (stool) Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Random or 24 hour LIQUID stool in clean, unpreserved leakproof plastic container. If timed indicate hours of collection Specimen Processing Mix 24-hour collection well. Do not add saline or water to liquefy specimen Room Temp 1 hour Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Formed or viscous stool Reference Laboratory ARUP Reference Lab Test Code 20380 CPT Codes 84999 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Ion-Selective Electrode Test Includes Potassium, Stool, mmol/L. Supply Item Number 1387

Billing Code Test Code [sunquest] POTASSIUM, FLUID POTFLD KFL Container Type Sodium heparin (green top tube) Specimen Type Body fluid Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated. Required Patient Info Type of fluid Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Clotted or viscous specimens. Avoid hemolysis. Alternate Specimens Plain red top tube or leakproof plastic container Limitations Extremely high levels of protein may interfere with testing. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84132 Test Schedule Daily Turnaround Time 24-48 hours Method ISE Test Includes Potassium, Fluid, mmol/L. Supply Item Number 1398 or 1397

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Billing Code Test Code [sunquest] POTASSIUM, URINE (RANDOM) POT-R KUR Synonyms K, Urine, Random Container Type Leakproof plastic urine container Store and Transport Refrigerated or ambient (room temperature) Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 2 weeks Department PAML Chemistry CPT Codes 84133 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ISE Test Includes Potassium, Urine, mmol/L Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] POTASSIUM, URINE 24HR POT-U KUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms K, Urine Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24-hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 weeks Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84133 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ISE Test Includes Collection Period, h; Volume, mL; Potassium, Urine, mmol/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] PRADER-WILLI SYNDROME & ANGELMAN SYNDROME PWASMA PWASMA METHYLATION ANALYSIS Synonyms PWS; Prader-Labhart-Willi Syndrome; AS Container Type Lavender top tube Store and Transport Refrigerated or ambient (room temperature) Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Submit in original and unopened tube only. Do not transfer from original draw tube Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparin, frozen whole blood, severely hemolyzed specimens, samples in leaking containers, or over 5 days old and specimens not received in the original collection tubes. Alternate Specimens Sodium citrate or ACD whole blood Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81331 Test Schedule Wed Turnaround Time 7-10 days Method PCR and melting curve analysis Test Includes PW/AS Methylation Analysis Result Clinical Significance Prader-Willi and Angelman syndromes are two neurogenetic disorders that are caused by the loss of expression of paternally or maternally imprinted genes on the long arm of chromosome 15. These disorders are found in between 1:15,000 and 1:25,000 live births. The clinical features of Prader- Willi syndrome include low birth weight, severe hypotonia and feeding difficultires in early infancy, followed by hyperphagia and obesity starting in early childhood. The clinical features of Angelman Syndrome characterized by microcephaly, gait ataxia, severe mental retardation, and absent or severely limited speech. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing.

Billing Code Test Code [sunquest] PRE-ALBUMIN PRE-ALB PAB Synonyms Transthyretin Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.3 mL Patient Prep Fasting sample is preferred to avoid lipemia Specimen Processing Separate serum from cells within 2 hours and place in separate plastic tube Room Temp 8 hours Refrigerated 2 months Frozen (-20°C) 2 months Unacceptable Condition Gross lipemia or gross hemolysis and samples that have been ultrafuged. Frozen samples should be thawed only once. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84134 Test Schedule Daily & STAT day and evenings Turnaround Time 1-2 days Method Immunoturbidimetric Test Includes Pre-Albumin, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] PREGABALIN, SERUM/PLASMA PREGAS PREGAS Container Type Red top tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate the serum from the cells and put in a separate plastic tube. Store and transport refrigerated. Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition SST or PST tubes. Alternate Specimens Plasma. Reference Laboratory NMS Reference Lab Test Code 3795SP CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 3 days Method HPLC Test Includes Pregabalin, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] PREGNENOLONE PRGNEN PRGNEN Container Type Frozen serum Store and Transport Store and transport frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 6 months Unacceptable Condition Non-frozen specimens Alternate Specimens EDTA, K2EDTA or sodium or lithium heparin plasma (lavender, pink or green top tube). Red top tube. Reference Laboratory ARUP Reference Lab Test Code 0092334 CPT Codes 84140 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry Test Includes Pregnenolone, ng/dL Supply Item Number 1467

Billing Code Test Code [sunquest] PREKALLIKREIN (FLETECHER FACTOR) PREKAL PREKAL Synonyms Fletcher Factor Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Specimen Processing Separate plasma from cells and place in 2 separate plastic tubes and freeze. Reference Laboratory Esoterix Coagulation Reference Lab Test Code 500194 CPT Codes 85292 Test Schedule Once a week Turnaround Time 2-10 days Method Clot Test Includes Prekallikrein (Fletcher Factor), % Supply Item Number 1050

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Billing Code Test Code [sunquest] PRENATAL RISK QUAD SCREEN QDSCR QDSCR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure The optimal gestational age for prenatal screening is 16 weeks. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Required Patient Info Gestational Age (wks), Gestational Age (0-6 days), Gestational Method, Ultrasound Date, Diabetic Status, Maternal Weight (lbs), Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n), Initial Screen (y/n). Refrigerated 4 days Frozen (-20°C) 30 days Unacceptable Condition Grossly hemolyzed or lipemic specimens Alternate Specimens 2 mL frozen serum drawn at 14-22 weeks gestation Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82105, 84702, 82677, 86336 Test Schedule Daily Turnaround Time 2-5 days Method ICMA Test Includes Alpha-feto Protein; Human Chorionic Gonadotropin Beta Subunit; Unconjugated Estriol, Dimeric Inhibin-A Supply Item Number 1467

Billing Code Test Code [sunquest] PRENATAL RISK TRIPLE SCREEN PRASCR PRASCR Synonyms Triple Screen; Prenatal Risk Screen (Triple); Prenatal Risk Assessment Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure The optimum gestational age for prenatal screening is 16 weeks. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Required Patient Info Gestational Age (wks), Gestational Age (days), Gestational Method, Ultrasound Date, Diabetic (y/n), Maternal Weight (lbs), Race, Date of LMP, Previous Downs (y/n), Previous NTD (y/n), Multiple Gestation (y/n), Initial Screen (y/n) Refrigerated 4 days Frozen (-20°C) 30 days Unacceptable Condition Grossly hemolyzed or lipemic specimens Alternate Specimens 2 mL frozen serum drawn at 14 thru 22 weeks gestation Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82105, 84702, 82677 Test Schedule Daily Turnaround Time 2-5 days Method ICMA Test Includes Alpha-Feto Protein; Human Chorionic Gonadotropin Beta Subunit; Unconjugated Estriol Supply Item Number 1467

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Billing Code Test Code [sunquest] PRIMIDONE PRM PRPH Synonyms Mysoline Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw just prior to next dose. Notes times of dose and drawing. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 2 weeks Unacceptable Condition Plasma samples other than lithium heparin plasma and grossly hemolyzed specimens Alternate Specimens Lithium heparin plasma (green top tube). SST and other gel type tubes, however, they may artifactually randomly lower results if they are not promptly centrifuged and separated. Department PAML Chemistry CPT Codes 80184, 80188 Test Schedule Mon-Sat Turnaround Time 1-2 days Method LA & Enzymatic Test Includes Phenobarbital, ug/mL; Primidone, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PROBRAIN NATRIURETIC PEPTIDE, NT PBNPAR PBNPAR Container Type Red top tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 1 year Unacceptable Condition No repeat freeze/thaw cycles, EDTA plasma or any other containers other than those specified above. Alternate Specimens SST, ammonium or lithium heparin or K2EDTA plasma (green or pink top tube). Reference Laboratory ARUP Reference Lab Test Code 50083 CPT Codes 83880 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Electrochemiluminescent Immunoassay Test Includes NT-ProBNP Natriuretic Peptide, pg/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PROCAINAMIDE & NAPA PROCNA PROCNA Container Type Plain red top tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL. Specimen Processing Separate serum from cells within 2 hours of collection and put in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition EDTA, sodium fluoride/potassium oxalate plasma (lavender or grey top tube) or SST or gels. Alternate Specimens Sodium heparin (green top tube). Reference Laboratory ARUP Reference Lab Test Code 0090151 CPT Codes 80192 Test Schedule Sun-Sat Turnaround Time 2-3 days Method FPI Test Includes N-acetyl-Procainamide (NAPA), ug/mL; Procainamide, ug/mL.

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Billing Code Test Code [sunquest] PROCALCITONIN PCALTA PCALTA

Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated. Ship Category B Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Allow serum to sit for 15-20 minutes for proper clot formation and to ensure the absence of fibrin in the serum which can interfere with this assay. Separate from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Indicate source Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Samples collected with citrate anticoagulants Alternate Specimens Plasma (PPT) separator tube Limitations The same sample type (serum or plasma) should be used throughout the patient's clinical course. Reference Laboratory ARUP Reference Lab Test Code 0020763 CPT Codes 84145 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Immunofluorescent Test Includes Procalcitonin, ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] PROGESTERONE PROGES PROGES Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition SST/gel tube specimes not handled as outlined. All plasma samples are unacceptable. Alternate Specimens Samples drawn on SST or other gel tubes with serum separated within 2 hours of collection. Department PAML Immunochemistry CPT Codes 84144 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Progesterone, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PROINSULIN PRONA PRONA Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Patient Prep Patient must be fasting 12-15 hours before collection. Specimen Processing Separate serum from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 3 months Alternate Specimens EDTA, K2EDTA plasma (lavender or pink top tube). Reference Laboratory ARUP Reference Lab Test Code 0070112 CPT Codes 84206 Test Schedule Tue, Thu Turnaround Time 2-7 days Method Two-site EIA Test Includes Proinsulin, pmol/L.

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Billing Code Test Code [sunquest] PROLACTIN PROLAC PRL Synonyms PRL Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 3 months Unacceptable Condition Plasma, grossly hemolyzed, or grossly lipemic samples Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 84146 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Prolactin, ng/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] PROLONGED APTT EVALUATION (REFLEXIVE) PRLPTT PRLPTT Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 15 mL (5-3 mL aliquots) Minimum Volume 12 mL (4-3 mL aliquots) Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-70°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Limitations May not be able to interpret testing in the presence of heparin, LMWH, direct thrombin inhibitors or oral anticoagulants Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85730 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Electromechanical Clot Detection Test Includes aPTT, Patient, sec; Heparinase aPTT, sec; aPTT, Control, sec; aPTT, Pt/Clt Mix, sec; Pt, Patient, sec; PT, Pt/Clt Mix, sec; TT, Patient, sec; TT, Pt/PSO4 Mix, sec; HPNT, sec; dRVVT, sec; dRVVT Mix, sec; dRVVT Confirm Ratio, sec; ; Factor VIII, %; Factor VIII Inhibitor Quantitative; von Willebrand Factor Antigen, %; von Willebrand Factor Acitivity, %; Factor IX, %; Factor XI, %; Factor XII, %; Interpretation; Reviewed By Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Abnormal High PTT Heparinase aPTT 85525 BHEP Heparinase > 38 PT, Patient 85610 BPT Abnormal High PT PT, Patient/Control Mix 85611 BPTMX aPTT Abnormal High Heparinase aPTT, Patient/Control Mix 85732 BPTTMX > 38 Heparinase > 38 TT, Patient 85670 BTTPT TT Abnormal High TT, Patient/PSO4 Mix 85675 BPS04 Heparinase > 38 dRVVT 85613 BDRVVT dRVVT Prolonged High dRVVT Mix Ratio 85613 BDRVVM dRVVT Mix Ratio > 1:2 dRVVT Confirm Ratio 85613 BPCON aPTT Mix > 5 HexPhospholipid Neutralization 85598 BHPNT HPNT < 9.2 (Negative) F VIII 85240 BF08CA Heparinase > 38 aPTT Mix > 5 If dRVVT Negative and HPNT Factor VIII Inhibitor, Quant 85335 BF08IH Negative aPTT Mix < or = 5 FVIII 85240 BF08RA F VIII Decreased von Willebrand Factor Activity 85245 BF8RCO F VIII Decreased von Willebrand Factor Antigen 85246 BF08RA F VIII Normal F IX 85250 BF9 F VIII and F IX Normal F XI 85270 BF11 F VIII, F IX, AND F XI Normal F XII 85280 BF12

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Billing Code Test Code [sunquest] PROPAFENONE PROPAFENONE PROPAF Synonyms Arythmol; Rythmo; Rytmonorm Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Transfer to a standard PAML aliquot tube. Room Temp 4 hours Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0090186 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 2-4 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Propafenone, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] PROPOXYPHENE & METABOLITE - SERUM OR PLASMA PROOXY PROOXY Container Type Gray top tube (potassium oxalate/sodium fluoride) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 2 mL Specimen Processing Separate plasma (or serum) from cells ASAP or within 2 hours of collection and place in separate plastic tube. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 3 years Unacceptable Condition Separator tubes. Plasma or whole blood collected in blue top tubes (sodium citrate). Specimens exposed to repeated freeze/thaw cycles. Alternate Specimens Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 91363 CPT Codes 80299 Test Schedule Mon Turnaround Time 2-8 days Method Liquid Chromatography-Tandem Mass Test Includes Propoxyphene and Metabolite (norpropoxyphene - qualitative only)

Billing Code Test Code [sunquest] PROPOXYPHENE (URINE ONLY) TEST ALSO INCLUDED IN TLCPRO TLCPRO DRUG-SUR. Synonyms Norpropoxyphene; Dolene; Darvon; Darvon-N; Darvocet-N; Darvocet; Darvon Compound; Wygesic; Black Beauties Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Modified Thin Layer Chromatography Test Includes Propoxyphene and Norpropoxyphene Notes Test is also included in Comprehensive Drug Survey. Supply Item Number 1388

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Billing Code Test Code [sunquest] PROPOXYPHENE CONFIRMATION BY GC/MS MSPRO MSPRO Synonyms Norpropoxyphene; Dolene; Darvon; Darvon-N; Darvocet; Darvocet-N; Darvon Compound; Wygesic; Black Beauties Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff 500 ng/mL Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Norpropoxyphene Supply Item Number 1388

Billing Code Test Code [sunquest] PROPOXYPHENE PAIN MANAGEMENT CONFIRMATION TESTING PPROC PPROC BY GC/MS Order the workpar 'PMM1' with this test. Enter the last 5 days of prescription medicine taken by the patient. There is no charge for this test. Container Type Urine, leakproof plastic urine container Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine in a leakproof plastic urine container Required Patient Info Last five days of prescription medicine taken Room Temp 10 days Refrigerated 30 days Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 83925 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gas Chromatography Mass Spectrometry Test Includes Norpropoxyphen

Billing Code Test Code [sunquest] PROPOXYPHENE SCREEN (REFLEXIVE) PROPOX PROP This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Norpropoxyphene; Dolene; Darvon-N; Darvocet-N; Darvon Compound; Wygesic; Black Beauties; Darvon; Darvocet; Propacet Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations Cutoff at 300 ng/mL Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EMIT Test Includes Propoxyphene, Norpropoxyphene Notes Positive results will automatically be confirmed by TLC. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will TLCPRO 82489 automatically be run

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Billing Code Test Code [sunquest] PROPRANOLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCPPL TLCPPL SUR. Synonyms Inderal Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Propranolol Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] PROSTATE SPECIFIC ANTIGEN PSA PSA Synonyms PSA; Ultrasensitive PSA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 84153 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Prostate Specific Antigen, ng/mL Notes TAT longer if dilutions required. Minimum detectable concentration is 0.01 ng/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] PROSTATE SPECIFIC ANTIGEN (REFLEXIVE) PSAR PSAR This test reflexes to a free PSA if the total PSA is between 4.0-10.0 ng/mL. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms PSA with Reflex Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 3 hours Refrigerated 8 days Frozen (-20°C) 3 months Frozen (-70°C) 3 months Unacceptable Condition Heat-inactivated samples, and samples stabilized with azide Alternate Specimens Serum (red top tube-plain) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84153 and 84154 if Free PSA is required Test Schedule Mon-Fri days Turnaround Time 1-3 days Method ICMA Test Includes Total Prostate Specific Antigen, ng/mL; Free Prostate Specific Antigen, ng/mL and Free/Total Prostate Specific Antigen Ratio, % if the PSA is between 4.0-10.0 ng.mL. Notes Minimum detectable concentration for Total PSA is 0.01 ng/mL and for Free PSA is 0.01 ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Total PSA result is between 4-10 ng/mL PSA, Free and Total 84154 84153

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Billing Code Test Code [sunquest] PROSTATE SPECIFIC ANTIGEN, FREE & TOTAL FPSA RATPSA Synonyms Free PSA Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 3 hours Refrigerated 8 days Frozen (-20°C) 3 months Frozen (-70°C) 3 months Unacceptable Condition Heat-inactivated samples, and samples stabilized with azide. Alternate Specimens Serum (red top tube-plain) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84154, 84153 Test Schedule Mon-Fri Days Turnaround Time 1-3 days Method ICMA Test Includes Total PSA, ng/mL; Free PSA, ng/mL; Free/Total PSA Ratio, %. Notes Minimum detectable concentration for Total PSA is 0.01 ng/mL and for Free PSA is 0.01 ng/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] PROSTATE SPECIFIC ANTIGEN, POST PROSTATECTOMY PSAPR PSAPR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Limitations Serum is the only acceptable specimen Department PAML Immunochemistry CPT Codes 84153 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Prostate Specific Antigen, Post Prostatectomy, ng/mL Notes Minimum detectable concentration is 0.01 ng/mL. This test is only to be used in this situation. The interpretive comments are related only to post- prostatectomy patients. Supply Item Number 1467

Billing Code Test Code [sunquest] PROSTATIC ACID PHOSPHATASE PROSPA PROSPA Separate samples must be submitted when multiple tests are ordered. Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells and put in separate plastic tube and freeze. Store and transport frozen. Room Temp 3 hours Refrigerated 24 hours Frozen (-20°C) 6 months Unacceptable Condition Samples at room temperature more than 3 hours old or refrigerated at more than 24 hours old. Reference Laboratory ARUP Reference Lab Test Code 70120 CPT Codes 84066 Test Schedule Sun-Sat Turnaround Time 2-4 days Method ICMA Test Includes Prostatic Acid Phosphatase, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] PROTEIN C + S ACTIVITY PROT.C+S.FUN ACTPCS C Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85303, 85306 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Clotting Assay Test Includes Protein C, Activity, %; Protein S, Activity, %. Supply Item Number 1050

Billing Code Test Code [sunquest] PROTEIN C, ACTIVITY PROCF ACTPC Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85303 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Clotting Assay Test Includes Protein C, Activity, %. Supply Item Number 1050

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Billing Code Test Code [sunquest] PROTEIN C, ANTIGEN PROT.C AGPC Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85302 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method ELISA Test Includes Protein C Antigen, % concentration. Supply Item Number 1050

Billing Code Test Code [sunquest] PROTEIN ELECTROPHORESIS, CSF ELPC ELPC Synonyms Electrophoresis, Protein Container Type CSF plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.5 mL Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 50590 CPT Codes 84157, 84166 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Quantitative Electrophoresis Test Includes Total Protein, CSF, mg/dL; Pre-albumin, mg/dL; Albumin, mg/dL; Alpha-1, mg/dL; Alpha-2, mg/dL; Beta, mg/dL; Gamma, mg/dL Supply Item Number 1766 or 1326

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Billing Code Test Code [sunquest] PROTEIN ELECTROPHORESIS, URINE 24HR ELP-U PELPUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms ELP; UPEP; Monoclonal Peak; M-Spike Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 100 mL Minimum Volume 5 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 100 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Acidified urine. Optimal samples should be free of contaminants including stool or gross RBCs. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84166 Test Schedule Mon-Fri days Turnaround Time 1-4 days Method Agarose Gel ELP (High resolution) Test Includes Collection Period, h; Volume, mL; Protein, Urine, Quant, mg/24h; Interpretation Supply Item Number 1108

Billing Code Test Code [sunquest] PROTEIN S, ACTIVITY PROSF ACTPS Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85306 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Clotting Assay Test Includes Protein S, Activity, % Supply Item Number 1050

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Billing Code Test Code [sunquest] PROTEIN S, ANTIGEN PRO.S AGPS Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Limitations Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85305, 85306 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Immuno-turbidimetric Test Includes Protein S Antigen Total, %; Protein S Antigen Free, % Supply Item Number 1050

Billing Code Test Code [sunquest] PROTEIN S, ANTIGEN FREE PSFREE PSFREE Separate samples must be submitted when multiple tests are ordered. Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85306 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Immuno-turbidimetric Test Includes Protein S Antigen Free, % Supply Item Number 1050

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Billing Code Test Code [sunquest] PROTEIN S, ANTIGEN TOTAL PSTOT PSTOT Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85305 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Immuno-turbidimetric Test Includes Protein S Antigen, Total, % Supply Item Number 1050

Billing Code Test Code [sunquest] PROTEIN, CSF PRO-C TPSF Container Type CSF leakproof sterile tube. Store and Transport Store and transport refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Patient Prep Samples should be collected before fluorescein is given, or at least 24 hours later. Specimen Processing Separate promptly from cells Room Temp 1 day if separated from cells Refrigerated 3 days Frozen (-20°C) 1 year if separated from cells Unacceptable Condition Specimen with cells or hemolyzed Limitations Results may be falsely elevated if specimen has cells or is hemolyzed Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84157 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Protein, CSF, mg/dL. Supply Item Number 7211

Billing Code Test Code [sunquest] PROTEIN, FLUID PRO-FLD TPFL Container Type Sodium heparin (green top tube) Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Promptly separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated. Required Patient Info Type of fluid. Room Temp 4 hours Refrigerated 3 days Frozen (-20°C) 6 months Unacceptable Condition Clotted or viscous samples. Samples stored with cells present. Hemolysis at 2.5 g/L or greater. Alternate Specimens Specimens collected in plain red top tubes or sterile container. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84157 Test Schedule Daily Turnaround Time 24-48 hours Method Colorimetric Test Includes Protein, Fluid, g/dL. Supply Item Number 1398 or 1397 2.1 www.paml.com 4/16/2013 page 798 P 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory P

Billing Code Test Code [sunquest] PROTEIN, TOTAL PRO TP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 6 months Limitations Plasma is not recommended as fibrinogen will add to the protein being measured. If plasma must be used, lithium heparin plasma is the recommendation. Department PAML Chemistry CPT Codes 84155 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric (Biuret) Test Includes Protein, Total, g/dL Supply Item Number 1467

Billing Code Test Code [sunquest] PROTEIN, URINE (RANDOM) PRO-R PROUR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 2 weeks Frozen (-20°C) 2 months Alternate Specimens Specimen can be frozen; however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles Department PAML Chemistry CPT Codes 84156 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Protein, Urine, mg/dL Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] PROTEIN, URINE 12HR PRO-U.12 PROUQ1 Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 12 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 12 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 12 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 weeks Limitations Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 84156, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Collection Period, h; Volume, mL; Protein, Urine, mg/12hr; Protein/Creatinine Ratio, Ratio Supply Item Number 1108

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Billing Code Test Code [sunquest] PROTEIN, URINE 24HR PRO-U PROUQP Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24-hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Refrigerated 2 weeks Frozen (-20°C) 2 months Alternate Specimens Specimen can be frozen, however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles. Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 84156, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Collection Period, h; Volume, mL; Protein, Urine, mg/24h; Protein/Creatinine Ratio, Ratio Supply Item Number 1108

Billing Code Test Code [sunquest] PROTEIN/CREATININE, URINE (RANDOM) PRO-RU PRCR Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen Refrigerated 2 weeks Frozen (-20°C) 2 months Alternate Specimens Specimen can be frozen, however, do not allow to thaw and refreeze. Limitations Avoid freeze/thaw cycles. Optimal urine sample should be free of contaminants including red blood cell contamination. Department PAML Chemistry CPT Codes 84156, 82570 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric, Enzymatic (IDMS Traceable),Calculation Test Includes Creatinine, Urine mg/dL; Protein, Urine, mg/dL; Protein/Creatinine Ratio, Ratio Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] PROTEINASE 3 ANTIBODY PR3AB PR3AB Synonyms PR3 Antibody; PR3; MPO; ANCA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, contaminated samples, other body fluids; repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Proteinase 3 Antibody, Units Notes It is recommended that patients first be screened for ANCA type using ANCASR(IFA), then test positively-screened patients to determine the precise specificity of the autoantibody present. P-ANCA positive samples are most closely associated with MPO, and C-ANCA positive samples with PR3 antibodies, respectively. These antibodies can act as markers for disease as well as activity, rising during the most active phase of the disease. Differentiates P-ANCA from C-ANCA if positive. Supply Item Number 1467

Billing Code Test Code [sunquest] PROTHROMBIN 20210 MUTATION PRMUT PROMUT Due to the sensitivity of this test, submit the entire specimen in the original collection tube. Synonyms Thrombophila; Molecular Testing; Factor II Mutation by PCR Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood (must be in original collection tube) Preferred Volume 5 mL Minimum Volume 1 mL or a full EDTA microtainer Room Temp 3 days Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaky containers or over 5 days old; specimens not received in the original collection tubes. Alternate Specimens ACD whole blood or sodium citrated whole blood (yellow or blue top tube) Limitations Do not freeze Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81240 Test Schedule Mon-Sat Turnaround Time 2-5 days Method PCR Test Includes Prothrombin 20210, Method; Prothrombin 20210, Result; Prothrombin 20210, Interpretation; Prothrombin 20210, Comment; Prothrombin 20210, Comment Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

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Billing Code Test Code [sunquest] PROTHROMBIN FRAGMENT 1+2, MONOCLONAL PTF12M PTF12M Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 2 months Reference Laboratory Esoterix Reference Lab Test Code 300718 CPT Codes 83520 Test Schedule Mon, Thu Turnaround Time 4-8 days Method Enzyme-Linked Immunosorbent Assay Test Includes Prothrombin Frgment 1+2, Monoclonal, pmol/L Supply Item Number 1050 or 1072

Billing Code Test Code [sunquest] PROTIME PT PT Synonyms Prothrombin Time; PT Container Type Blue top tube (buffered sodium citrate) Store and Transport Ambient (room temperature) up to 1 day; greater than 1 day, frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL citrated plasma Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 24 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 1 day Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 24 hours old that have not been separated and frozen at -20C or less. Avoid repeat freeze/thaw cycles. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes PT, patient, sec; PT, INR. Notes This test may be used to monitor therapeutic anticoagulation. Recommendations for appropriate use with different agents may be obtained by contacting your pharmacy or the Hematology Technical Director (509-755-8999, Toll free: 800-349-8586). Supply Item Number 1090

Billing Code Test Code [sunquest] PROTIME MIXING STUDY PTMXS PTMXS Synonyms Prothrombin Time Mixing Study; PT, 1/1 Mix Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL citrated plasma Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 24 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 24 hours, centrifuge specimen, separate plasma, recentrifuge, separate into plastic tube and freeze at -20C or less. Avoid repeat freeze/thaw cycles Room Temp 1 day Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 24 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85610, 85611 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes Protime, Patient, sec; Protime Patient/Control Mix, sec; Protime, Control plasma, sec Supply Item Number 1090 2.1 www.paml.com 4/16/2013 page 802 P 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory P

Billing Code Test Code [sunquest] PROTRIPTYLINE PROT PROTRI Synonyms Vivactil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 5 days Frozen (-20°C) 6 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. If gel separator is used separate serum/plasma from gel within 2 hours of collection at room temperature. See note under unacceptable conditions. Reference Laboratory ARUP Reference Lab Test Code 90106 CPT Codes 80299 Test Schedule Sun-Sat Turnaround Time 2-4 days Method LC-MS Test Includes Protriptyline, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] PSEUDOCHOLINESTERASE, DIBUCAINE INHIBITION PSEU PSEU Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Collection Procedure Specimen must be drawn prior to surgery or two days post. Specimen Processing Allow serum to clot completely at room temperature before centrifuging. Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Required Patient Info Clinical information. Room Temp 4 hours Refrigerated 7 days Frozen (-20°C) 3 months Unacceptable Condition Citrated, oxalated or fluoride preserved plasma samples, hemolyzed samples, whole blood samples unseparated and samples drawn during surgery or in the recovery room. Alternate Specimens EDTA or heparinized plasma (lavender or grren top tubes). Reference Laboratory ARUP Reference Lab Test Code 20159 CPT Codes 82638, 82480 Test Schedule Mon-Fri Turnaround Time 2-6 days Method Enzymatic Test Includes Pseudocholinesterase, U/L; Dibucaine, %; Phenotype. Supply Item Number 1467

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Billing Code Test Code [sunquest] PSEUDOCHOLINESTERASE, TOTAL CHEP CHEP Synonyms Cholinesterase, Pseudo, Total Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Patient Prep Sample must be drawn prior to surgery or two days post surgery. Do not draw in recovery room. Specimen Processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Whole blood on clot. Hemolyzed specimens. Alternate Specimens Lavender (EDTA) or pink (K2EDTA) top tubes. Plasma values are slightly lower than serum. Reference Laboratory ARUP Reference Lab Test Code 20167 CPT Codes 82480 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Enzymatic Test Includes Pseudocholinesterase, Total, U/L. Supply Item Number 1467

Billing Code Test Code [sunquest] PSEUDOEPHEDRINE/EPHEDRINE (URINE ONLY) TEST ALSO TLCPSE TLCPSE INCLUDED IN DRUG-SUR. Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 3000 ng/mL Department PAML Toxicology CPT Codes 80100 Test Schedule Mon - Fri Turnaround Time 24 - 48 hours Method Thin Layer Chromatography Test Includes Pseudoephedrine and Ephedrine. (indistinguishable from one another). Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] PSILOCIN (OD ONLY) (URINE ONLY) TEST ALSO INCLUDED IN TLCPSI TLCPSI DRUG-SUR. Synonyms Magic Mushrooms; Shrooms; Flower; Flipping; Hippieflip; Sacred Mushroom; Sherm Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Psilocin Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] PTH, INTACT, WHOLE MOLECULE INTACT.PTH PTHI Test of choice for evaluation of calcium and parathyroid disorders. This assay is for the whole molecule (intact) PTH. Synonyms Whole Molecule Parathyroid Hormone; Intact, PTH; PTH, Intact; Parathyroid Hormone, Intact (Whole Molecule) Container Type Green top tube (lithium heparin) Store and Transport Store and transport frozen. Specimen Type Frozen lithium heparin plasma Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate plasma promptly from cells and place in separate plastic tube and freeze. Room Temp 4 hours Refrigerated 48 hours Frozen (-20°C) 6 months Alternate Specimens Serum Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83970, 82310 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes PTH, Intact, pg/mL; Calcium, mg/dL. Supply Item Number 7350 (3 mL) 1411 (4.5 mL) 1370 (4 mL)

Billing Code Test Code [sunquest] PTH, INTACT, WHOLE MOLECULE, NO CALCIUM PTHINT PTHINT This assay is for the whole molecule (intact) PTH and no calcium is reported. Synonyms Whole Molecule Parathyroid Hormone, No Calcium; Intact, PTH, No Calcium; PTH, Intact , No Calcium; Parathyroid Hormone, Intact (Whole Molecule), No Calcium. Container Type Green top (lithium heparin) tube Specimen Type Frozen lithium heparin plasma Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate plasma from cells promptly and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 4 hours Refrigerated 48 hours Frozen (-20°C) 6 months Alternate Specimens Serum Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 83970 Test Schedule Sun-Fri eve Turnaround Time 1-3 days Method ICMA Test Includes Intact PTH, Whole Molecule, pg/mL. Supply Item Number 1222

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Billing Code Test Code [sunquest] PTH-RELATED PROTEIN (PTH-RP) PTHRPT PTHRPT Synonyms Parathyroid Hormone Related Protein (Parathyroid Hormone-Related Peptide (PTHrP)), PTH Related Peptide (Parathyroid Hormone-Related Peptide (PTHrP)), PTH Related Protein (Parathyroid Hormone- Related Peptide (PTHrP) Container Type Green top tube (sodium heparin) Store and Transport Transport at room temperature Specimen Type Plasma Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Centrifuge the specimen as soon as possible. Transfer the plasma to a plastic screw capped vial. Mark the specimen type as plasma on the transport tube. DO NOT submit unspun tubes. Room Temp 7 days Refrigerated 7 days Frozen (-20°C) 28 days Unacceptable Condition Whole blood Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 34478Z CPT Codes 83519 Test Schedule Mon-Thu Turnaround Time 5-9 days Method Immunoassay Test Includes PTH Related Protein, pg/mL Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test.

Billing Code Test Code [sunquest] PTT PTT PTT Synonyms Partial Thromboplastin Time; APTT Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Assays on nonheparinized patients must be performed within 4 hours of collection. Assays on specimens suspected to contain unfractionated heparin therapy should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into plastic tube, and freeze at -20C or less Unacceptable Condition Severely hemolyzed; clotted samples; inappropriately filled liquid blue top tubes; specimens more than 4 hours old that have not been separated; frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85730 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Electromechanical Test Includes PTT patient, sec; PTT, pop mean, sec Notes This test may be used to monitor therapeutic anticoagulation. Recommendations for appropriate use with different agents may be obtained by contacting your pharmacy or the Hematology Technical Director (509-755-8999, toll free: 800-349-8586) Supply Item Number 1090

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Billing Code Test Code [sunquest] PTT MIXING STUDY PTTMXS PTTMXS Synonyms Partial Thromboplastin Time Mixing Study Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL citrated plasma Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing Assays on nonheparinized patients must be performed within 4 hours of collection. Assays on specimens suspected to contain unfractionated heparin therapy should be centrifuged and the plasma removed from the cells within 1 hour of collection and tested within 4 hours of collection. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into plastic tube, and freeze at -20C or less. Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85732 x 2, 85730 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes PTT Patient, sec; PTT Patient/Control Mix, sec; PTT, Control Plasma, sec; Ptt Patient, Post Incubate, sec Supply Item Number 1090

Billing Code Test Code [sunquest] PYRUVATE KINASE PKIN PKIN Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Store and transport refrigerated. Room Temp unacceptable Refrigerated 20 days Frozen (-20°C) unacceptable Alternate Specimens Heparinized or ACD whole blood (green or yellow top tube). Reference Laboratory ARUP Reference Lab Test Code 80290 CPT Codes 84220 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Enzymatic Test Includes Pyruvate Kinase, U/gHgb. Notes Patient's who have recently received transfusions have normal donor cells that may mask PK deficient erythrocytes. Supply Item Number 1222

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Billing Code Test Code [sunquest] PYRUVIC ACID PYRUVIC ACID PYRACD Synonyms Pyruvate Container Type See below. Specimen Type Frozen supernatant from whole blood Preferred Volume 1 mL Minimum Volume 1 mL Collection Procedure Draw whole blood in green or lavender top tube, immediately add 1 ml of whole blood to a chilled tube containing 2 mL of 8% (w/v) perchloric acid. Mix well for 30 seconds and place in ice bath for 10 minutes. To prepare 8% perchloric acid: dilute 11.4 mL of 70% perchloric acid to 100 mL H2O. Collection tubes are available form PAML Supply Department. Specimen Processing Centrifuge 10 minutes at 1500g. Separate supernatant and freeze in separate plastic tube. Store and transport frozen. This is a critical frozen. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 6 months Unacceptable Condition If LT 1 mL of blood is added to collection tube, pH of the supernatant will be too low for testing to be done. Reference Laboratory ARUP Reference Lab Test Code 80310 CPT Codes 84210 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Enzymatic Test Includes Pyruvic Acid, mmol/L. Notes Collection tubes are available from PAML Supply Department. Supply Item Number Multiple varies

Billing Code Test Code [sunquest] PYRUVIC ACID, CSF PYACFA PYACFA Container Type Pyruvate collection tube. Specimen Type Frozen CSF Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Requires special handling. Specimen Processing Immediately after collection, add 1 mL CSF to a chilled pyruvate collection tube containing 2 mL 8% (w/v) perchloric acid. Mix well for 30 seconds and place in ice bath for 10 minutes. Centrifuge for 10 minutes at 1500 x g. Decant supernatant into a plastic tube and freeze immediately. Store and transport frozen.

Room Temp unacceptable Refrigerated 1 month Frozen (-20°C) 6 months Unacceptable Condition CSF not collected per protocol. Reference Laboratory ARUP Reference Lab Test Code 0080312 CPT Codes 84210 Test Schedule Sun-Sat Turnaround Time 3-4 days Method Enzymatic Test Includes Pyruvic Acid, CSF, mmol/L. Notes Collection tubes are available from the PAML Supply Department. Supply Item Number 9704

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Billing Code Test Code [sunquest] QUANTIFERON TB GOLD IN-TUBE QFTTB QFTTB Synonyms QuantiFERON; QuantiFERON-TB; QuantiFERON-TB Gold; Latent Tuberculosis Infection (LTBI) Container Type QFT-IN tube kit (gray, red and purple top tubes) Store and Transport If no incubator is available the 3 tubes must reach performing lab within 16 hours of collection, transported at room temperature. Specimen Type Blood Preferred Volume 1 mL in each of the 3 QFT-In tubes Minimum Volume 0.8 mL in each tube Collection Procedure Collect 1 mL of blood into each of the 3 QFT-In tubes (gray, red and purple top tubes). These are special tubes and specimens must be drawn into these tubes. Immediately after filling tubes, shake them 10 times just firmly enough to ensure the entire inner surface of the tube is coated with blood to solubilize antigens on tube walls. All tubes must be labeled with last name, first name, date and time drawn. Alternate Specimens Other submission options: a) If a 37C incubator is available, put the 3 tubes in the incubator for 16-24 hours. After incubation, centrifuge tubes for 15 minutes at 2000-3000 g. Plasma may be stored up to 28 days refrigerated (2-8C) in the tube as long as the gel plug is in place. Store and transport refrigerated (2-8C).

b)Samples may also be incubated only (not centrifuged), and transported at 4-27C but must be within 3 days of incubation. Limitations Submission method must be indicated if tubes are processed or intermediate processing steps have been performed by the client. Department PAML Virology, PAML Special Immunology CPT Codes 86480 Test Schedule Mon-Fri Turnaround Time 3-7 days Method EIA Test Includes QuantiFERON TB Gold In-Tube Results; Tuberculosis Antigen Value (Ag-Nil), IU/mL Clinical Significance Indirect test for Mycobacterium tuberculosis complex infection (latent tuberculosis infection and active disease). Notes The performance of the USA format of the QFT test has not been extensively evaluated with specimens from the following groups of individuals:

1. Individuals who have impaired or altered immune function such as those who have HIV infection or AIDS, those who have transplantation managed with immunosuppressive treatment or others who receive immunosuppressive drugs (e.g. cortocosteroids, methotrexate, azathioprine, cancer chemotherapy), and those who have other clinical conditions: diabetes, silicosis, chronic renal failure, hematological disorders (e.g. leukemia and lymphomas), and other specific malignancies (e.g. carcinoma of the head or neck and lung).

2. Individuals younger than 17 years.

3. Pregnant women.

Special collection kit may be requested from PAML Supply Department.

Billing Code Test Code [sunquest] QUETIAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCQUE TLCQUE SUR. Synonyms Seroquel Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Quetiapine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] QUETIAPINE, SERUM QUETQT QUETQT Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Unacceptable Condition SST or PST tubes. Alternate Specimens EDTA or K2EDTA plasma (lavender or pink top tubes). Reference Laboratory NMS Reference Lab Test Code 4051SP CPT Codes 83789 Test Schedule Mon-Fri Turnaround Time 5-7 days Method LC-MS/MS Test Includes Quetiapine, Serum, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] QUINIDINE QUINID QUINID Synonyms Cardioquin Container Type Red top tube (plain) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate transport tube. Ensure clot formation is complete before separation. Room Temp 8 hours Refrigerated 7 days Frozen (-20°C) 14 days Unacceptable Condition Hemolyzed samples. Specimens collected in separator tubes, lavender or gray top tubes. Alternate Specimens Frozen sodium heparin plasma (green top tube) Reference Laboratory ARUP Reference Lab Test Code 90245 CPT Codes 80194 Test Schedule Sun-Sat Turnaround Time 2-3 days Method FPI Test Includes Quinidine, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] QUININE/QUINIDINE (URINE ONLY) TEST ALSO INCLUDED IN TLCQUI TLCQUI DRUG-SUR. Synonyms Quinine; Quinamm; Quinidine; Cardioquin; Quinaglute; Duraquin; Cinquin; Quinidex; Quinora Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 100 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Quinine and/or Quinidine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] RABIES ANTIBODY, IGG (VACCINE RESPONSE) RABIGG RABIGG Container Type SST Tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, CSF, hemolyzed, icteric or lipemic specimens. Reference Laboratory ARUP Reference Lab Test Code 0099132 CPT Codes 86790 Test Schedule Tue Turnaround Time 2-9 days Method ELISA Test Includes Rabies Antibody IgG (Vaccine Response), EU/mL. Notes This test is only intended for vaccine response, not for diagnosis of infection. Supply Item Number 1467

Billing Code Test Code [sunquest] RAJI CELL ASSAY RAJI RAJI Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 3 mL Minimum Volume 0.5 mL Specimen Processing Allow specimen to clot for 2 hours, centrifuge, aliquot serum in 2 separate plastic tubes and freeze immediately. Store and transport frozen. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 30 days Unacceptable Condition Non-frozen specimens and specimens exposed to repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50302 CPT Codes 86332 Test Schedule Tue Turnaround Time 3-10 days Method FC Test Includes Raji Cell Assay, ugE/mL. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests neccessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1372

Billing Code Test Code [sunquest] RANITIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCRAN TLCRAN SUR. Synonyms Zantac Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 20 days Limitations 2000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Ranitidine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] RAPID PLASMA REAGIN (RPR) (REFLEXIVE) RPR RPR Effective August 17, 2010, PAML will transition to screening for Syphillis using a treponemal EIA. Positive EIA results will reflex to additional confirmatory tests. After this date, RPR requests will be converted to the treponemal EIA. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms RPR Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Department PAML Immunology CPT Codes 86592 Test Schedule Mon-Sat Turnaround Time 1-2 days Method FLOC Test Includes RPR Notes Positive samples are automatically confirmed by a State Public Health Laboratory. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reactive RPR Screen RPR Titer and T. Pallidium Antibody by TP-PA 86593 and 86780

Billing Code Test Code [sunquest] RAPID PLASMA REAGIN CONFIRMATION PROFILE RPRC RPRC Synonyms Syphilis Confirmation; RPR Confirmation Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia or hemolysis. CSF and other body fluids. Alternate Specimens EDTA plasma (lavender top tube)as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Immunology CPT Codes 86593, 86780 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Flocculation, EIA Test Includes RPR Titer; Treponema pallidum Antibody by EIA Supply Item Number 1467

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Billing Code Test Code [sunquest] RAPID PLASMA REAGIN TITER RPRTP RPRTP Synonyms VDRL; Rapid Plasma Reagin Test; RPR Titer Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia or hemolysis, CSF, and other body fluids Alternate Specimens EDTA plasma (lavender top tube)as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Immunology CPT Codes 86593 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Flocculation Test Includes RPR Titer Supply Item Number 1467

Billing Code Test Code [sunquest] RAPID STREP GROUP A SCREEN RSGA RSGA This is not a culture. Synonyms Strep Screen, Rapid Container Type Dry sterile test tube Store and Transport Refrigerated Specimen Type Throat swab collected on a dry sterile polyester/dacron tipped swab Specimen Processing Transport dry or in a liquid transport system containing modified Stuart's transport media. Refrigerated 3 days Unacceptable Condition Specimens collected on calcium alginate swabs, cotton tipped swabs, or swabs with wooden shafts. Do not transport swabs in a collection system containing charcoal or semisolid transport media. Our Copan swab system is also not acceptable. Department PAML Immunology CPT Codes 87430 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Rapid Immunoassay Test Includes Group A Strep Antigen Notes If the RSGA test is to be followed up by a culture a second swab using the Copan system should be obtained. Supply Item Number 1373 and 1547

Billing Code Test Code [sunquest] RBC MORPHOLOGY RMORPH RMORPH Specimen Type 2 peripheral blood smears Minimum Volume 2 peripheral blood smears Specimen Processing Transport at room temperature. Unacceptable Condition Slides made from EDTA blood that is more than 12 hours old. Alternate Specimens EDTA whole blood (lavender top tube) if less than 12 hours old. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85008 Test Schedule Daily Turnaround Time 24-48 hours Method Microscopy Test Includes RBC Morphology. Supply Item Number 5212

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Billing Code Test Code [sunquest] RDS BY LAMELLAR BODY COUNT LBC LBC Synonyms LBC; RDS; Fetal Lung Maturity Container Type Sterile, leakproof container Store and Transport Store and transport refrigerated Specimen Type Amniotic fluid Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Collect amniotic fluid and put in a sterile, leakproof container Specimen Processing Collect amniotic fluid and put in a sterile, leakproof container. Do not centrifuge. Refrigerated 1 week Unacceptable Condition Amniotic fluid from vaginal pools containing meconium or grossly bloody samples. Frozen and/or centrifuged samples. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83664 Test Schedule Mon-Fri days and STAT Turnaround Time 1-3 days Method Automated Cell Count Test Includes Lamellar Body Counts, Lamellar bodies/uL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1387

Billing Code Test Code [sunquest] RDS RISK PANEL RDS RDS If ordering STAT you must notify Client Services at 509-755-8999. When requesting Cytogenetic studies do not freeze specimen. If Cytogenetics ordered, store and transport specimens refrigerated. Synonyms Fetal Lung Maturity, L/S Ratio and PG (Phosphatidylglycerol). Specimen Type Refrigerated amniotic fluid Preferred Volume 5 mL Minimum Volume 2.5 mL Specimen Processing Refrigerate 5 mL amniotic fluid collected by amniocentesis. Do not centrifuge. Store and transport refrigerated. If Cytogenetic studies are ordered, store and transport entire specimen refrigerated. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Amniotic fluid from vaginal pools containing meconium or gross bloody samples. Alternate Specimens Amniotic fluid collected by vaginal pool. Frozen samples are acceptable for the RDS Panel. Frozen samples are NOT acceptable for Cytogenetic studies or the Lamellar Body Counts (LBC or LBCR). Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 83661, 84081, 82570 Test Schedule Mon-Fri days & STAT Turnaround Time 1-3 days Method TLC, Enzymatic (IMDS Traceable) Test Includes L/S Ratio; Phosphatidylglycerol; Creatinine, AF, mg/dL; Appearance; Color; RBC; Risk Comment; Comment.

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Billing Code Test Code [sunquest] RED BLOOD CELL OSMOTIC FRAGILITY, INCUBATED FRAGI FRAGI They must be transported immediately to PSHMC upon arrival at PAML. Notify client services when sending specimens. See notes below. Synonyms Osmotic Fragility; Osmotic Lysis Container Type Green top tube (sodium heparin) and Lavender top tube (EDTA). Specimen Type See below. Preferred Volume 5 mL sodium heparin whole blood , 5 mL EDTA whole blood and 2 slides from the patient and the same from a normal control (unrelated person). Collection Procedure One 5 mL tube heparinized whole blood (green top tube), one 5 mL EDTA whole blood (lavender top tube) and two slides from the patient and the same from a normal control (unrelated person). Label clearly as CONTROL and PATIENT. Specimen Processing Both the patient and contol samples must be received in the Hematology Department within 24 hours of collection time. Accompanying peripheral smear on the patient must also be present. Unacceptable Condition Frozen specimens. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85557 Test Schedule Mon-Thu Turnaround Time 3-5 days Method Spectrophotometric Test Includes RBC Osmotic Fragility, Incubated; Interp; RBC Osmotic Fragility, Incubated, Reviewed By. Supply Item Number 1398

Billing Code Test Code [sunquest] RED CELL COUNT RBC RBCCNT Synonyms RBC Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type EDTA whole blood Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85041 Test Schedule Mon-Sat days, Mon-Fri evenings Turnaround Time 24-48 hours Method Automated Test Includes RBC, M/uL. Supply Item Number 1222

Billing Code Test Code [sunquest] REDUCING SUBSTANCES, STOOL STL.SUGAR SRS Synonyms Stool for Sugar; Stool Reducing Substances Container Type Leakproof plastic container Store and Transport Refrigerated. If transportation time will exceed 24 hours from collection, specimen should be frozen. Specimen Type Random stool Preferred Volume 5 grams Minimum Volume 1 gram Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 1 week Unacceptable Condition Stools in preservatives or transport media Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 84376 Test Schedule Daily Turnaround Time 1-2 days Method Colorimetric Test Includes Source; Reducing Substances, Stool; Reducing Substances, Status Supply Item Number 1387

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Billing Code Test Code [sunquest] REDUCING SUBSTANCES, URINE URED URED False positives may result from large quantities of ascorbic acid, certain antibiotics and other drugs. Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Collect a random urine in a leakproof plastic urine container from a patient 3 years old or younger. Specimen Processing Store and transport refrigerated. Department PSHMC Urinalysis Reference Laboratory PSHMC CPT Codes 81005 Test Schedule Daily Turnaround Time 24-48 hours Method Clinitest tablets Test Includes Reducing Substances, Urine, mg/dL. Supply Item Number 1387

Billing Code Test Code [sunquest] REFERENCE TEST TO ARUP REF.ARUP RARUP This workpar is to be used when sending a reference test only. Reference Laboratory ARUP

Billing Code Test Code [sunquest] REFERENCE TEST TO CHILDRENS ORTHOPEDIC HOSPITAL REF.COH RCOH This workpar is to be used when sending a reference test only. Reference Laboratory COH

Billing Code Test Code [sunquest] REFERENCE TEST TO ESOTERIX REF.ES RESC This workpar is to be used when sending a reference test only. Reference Laboratory Esoterix Supply Item Number Depends on

Billing Code Test Code [sunquest] REFERENCE TEST TO FOCUS REF.FOCUS RFOCUS This workpar is to be used when sending a reference test only. Reference Laboratory FOCUS

Billing Code Test Code [sunquest] REFERENCE TEST TO GENZYME REF.GENZ RGENZ This workpar is to be used when sending a reference test only. Reference Laboratory Genzyme Supply Item Number Depends on

Billing Code Test Code [sunquest] REFERENCE TEST TO IBT REF.IBT RIBT This workpar is to be used when sending a reference test only. Reference Laboratory IBT

Billing Code Test Code [sunquest] REFERENCE TEST TO MAYO REF.MAYO RMAYO This workpar is to be used when sending a reference test only. Reference Laboratory MAYO

Billing Code Test Code [sunquest] REFERENCE TEST TO MISCELLANEOUS REF RMISC This workpar is to be used when sending a reference test only.

Billing Code Test Code [sunquest] REFERENCE TEST TO NMS REF.NMS RNMS This workpar is to be used when sending a reference test only. Reference Laboratory NMS Supply Item Number Depends on

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Billing Code Test Code [sunquest] REFERENCE TEST TO QUEST DIAGNOSTICS REF.QUEST1 RQUES1 This workpar is to be used when sending a reference test only. Reference Laboratory QUEST

Billing Code Test Code [sunquest] REFERENCE TEST TO RDL REF.RDL RRDL This workpar is to be used when sending a reference test only. Reference Laboratory RDL

Billing Code Test Code [sunquest] REFERENCE TEST TO SHMC FLOW REF.FLOW RFLOW This workpar is to be used when sending a reference test only. Reference Laboratory PSHMC

Billing Code Test Code [sunquest] REFERENCE TEST TO SHMC FOR CYTOLOGY REF.SHCYO RSHCYO This workpar is to be used when sending a reference test only. Department PSHMC Cytology Reference Laboratory PSHMC

Billing Code Test Code [sunquest] REFERENCE TEST TO SPECIALTY REF.SPECIALTY RSPEC This workpar is to be used when sending a reference test only. Reference Laboratory SPECIALTY

Billing Code Test Code [sunquest] REFERENCE TEST TO UNIVERSITY OF WASHINGTON REF.UW RUW This workpar is to be used when sending a reference test only. Reference Laboratory UW

Billing Code Test Code [sunquest] RENAL FUNCTION PANEL RENALA RENALA Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Centrifuge the specimen ASAP, keep the tube upright and leave the tube capped. Specimen can be collected using the following protocol: 2 mL serum (red top tube). Separate serum from the cells ASAP and handle anaerobically at all time to minimize exposure to air during collection, transfer and storage. Transfer to standard PAML aliquot tube and cap immediately. Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated. Unacceptable Condition Lavender top tube (EDTA) Alternate Specimens If plasma must be used, use lithium heparin (green top tube) Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80069 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; Calcium, mg/dL; Phosphorus, mg/dL; Albumin, g/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L Notes Hemolysis will cause elevated potassium values, prolonged contact with the cell clot may cause elevated phosphorus values and minimal volumes will concentrate. Supply Item Number 1467 or 1372

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Billing Code Test Code [sunquest] RENAL FUNCTION PANEL WITH GFR RENALD RENALD Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Centrifuge the specimen ASAP, keep the tube upright and leave the tube capped. Specimen can be collected using the following protocol: 2 mL serum (red top tube). Separate serum from the cells ASAP and handle anaerobically at all time to minimize exposure to air during collection, transfer and storage. Transfer to standard PAML aliquot tube and cap immediately. Refrigerated 1 day. Add-ons are acceptable without a CO2 within 14 days of collection, when refrigerated. Unacceptable Condition Lavender top tube (EDTA) Alternate Specimens If plasma must be used, use lithium heparin (green top tube). Limitations Avoid hemolysis Department PAML Chemistry CPT Codes 80069 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Colorimetric, Enzymatic, ISE, Enzymatic (IDMS Traceable) Test Includes Glucose, mg/dL; BUN, mg/dL; Creatinine, mg/dL; Calcium, mg/dL; Phosphorus, mg/dL; Albumin, g/dL; Sodium, mmol/L; Potassium, mmol/L; Chloride, mmol/L; CO2, mmol/L; Anion Gap, mmol/L; Estimated Glomerular Filtration Rate, mL/min/1.73m2 Notes Hemolysis will cause elevated potassium values, prolonged contact with the cell clot may cause elevated phosphorus values and minimal volumes will concentrate. Supply Item Number 1467 or 1372

Billing Code Test Code [sunquest] RENIN ACTIVITY RENARU RENARU Separate samples must be submitted when multiple tests are ordered. Crtical frozen Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1.2 mL Patient Prep Supine:

1. Specimen should be obtained between 8 a.m. and 10 a.m. (after at least two hours in supine position);

2. Normal sodium diet (100-200 mEq/day) for at least three days;

3. Take no medications known to affect renin-aldosterone system.

Upright:

1. Specimen should be obtained before noon (after at least two hours in upright position; seated or standing);

2. Normal sodium diet (100-200 mEq/day) for at least three days;

3. Take no medications known to affect renin-aldosterone system. Collection Procedure Do not collect in refrigerated tubes. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze immediately. Room Temp 6 hours Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Serum; specimens collected in citrate, heparin, or oxalate; hemolyzed or refrigerated specimens Alternate Specimens Pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0070105 CPT Codes 84244 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Radioimmunoassay Test Includes Renin, Normal Sodium Diet, ng/mL/hr Supply Item Number 1222

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Billing Code Test Code [sunquest] RENIN, PLASMA REN RENPER Use this workpar when A SINGLE RENIN TEST is ordered. Synonyms Renin, Activity Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plazma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic collection site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, ng/mL/h Supply Item Number 1222

Billing Code Test Code [sunquest] RENIN, SAMPLE 1 REN.S1 RN1 Use this workpar to order the first renin when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected & centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hrs before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic collection site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #1, ng/mL/h; Renin, Site 1 Supply Item Number 1222

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Billing Code Test Code [sunquest] RENIN, SAMPLE 2 REN.S2 RN2 Use this workpar to order the second renin specimen when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #2, ng/mL/h; Renin, Site 2 Supply Item Number 1222

Billing Code Test Code [sunquest] RENIN, SAMPLE 3 REN.S3 RN3 Use this workpar to order the third renin when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #3, ng/mL/h; Renin, Site 3 Supply Item Number 1222

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Billing Code Test Code [sunquest] RENIN, SAMPLE 4 REN.S4 RN4 Use this workpar to order the fourth renin when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #4, ng/mL/h; Renin, Site 4 Supply Item Number 1222

Billing Code Test Code [sunquest] RENIN, SAMPLE 5 REN.S5 RN5 Use this workpar to order the fifth renin when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #5, ng/mL/h; Renin, Site 5 Supply Item Number 1222

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Billing Code Test Code [sunquest] RENIN, SAMPLE 6 REN.S6 RN6 Use this workpar to order the sixth renin when multiple specimens are collected. Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 4 mL Minimum Volume 2.5 mL, pediatric 1.0 mL plasma Specimen Processing Sample may be collected and centrifuged at room temperature. Specimen is stable at room temperature for as long as 6 hours before centrifugation. Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. If collected during catheterization, indicate the anatomic site clearly on the label. Required Patient Info Note salt intake Room Temp 6 hours before centrifugation Frozen (-20°C) 1 month Unacceptable Condition Hemolyzed, lipemic, or icteric specimens Limitations Avoid repeat freeze/thaw cycles Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84244 Test Schedule Mon-Fri days Turnaround Time 1-3 days Method RIA Test Includes Renin, #6, ng/mL/h; Renin, Site 6 Supply Item Number 1222

Billing Code Test Code [sunquest] REPTILASE (REFLEXIVE) REPTLS REPTLS This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifue specimen, separate plasma, recentrifue, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85635 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes Reptilase, Patient, sec; Reptilase, Control, sec; Reptilase, Patient/Control Mix, sec Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reptilase time prolonged Reptilase PT/Ctl Mix 85635

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Billing Code Test Code [sunquest] RESPIRATORY SYNCYTIAL VIRUS ANTIBODY, IGG & IGM RSVGM RSVGM Acute and convalescent samples advised. Synonyms RSV, IgG and IgM Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Store and transport refrigerated. Acute and convalescent samples must be labeled as such; parallel testing is preferred and convalescent samples must be received within 30 days from receipt of the acute samples. Please mark sample plainly as acute or convalescent. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, hemolyzed, icteric, turbid, bacterially contaminated or heat-inactivated samples. Alternate Specimens Ambient temperature and frozen samples. Reference Laboratory ARUP Reference Lab Test Code 51087 CPT Codes 86756 x 2 Test Schedule Thu Turnaround Time 2-9 days Method ELISA Test Includes Respiratory Syncytial Virus Antibody, IgG, IV; Respiratory Syncytial Virus Antibody, IgM, IV. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] RESPIRATORY SYNCYTIAL VIRUS SCREEN RSVSCR RSVSCR Synonyms RSV Screen; RSV Antigen Container Type See below Store and Transport Refrigerated Specimen Type See below Specimen Processing Nasopharynx (NP) and/or throat swab (flocked preferred, polyester or rayon acceptable), or nasal washing in viral transport media (Remel M4, M4RT, M5, M6 or BD Universal Transport Media). Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Sputum Department PAML Virology CPT Codes 87280, 87015 Test Schedule Twice daily. Received by 0500: results by 1200; received by 1300: results by 1700 Turnaround Time LT one day after receipt in Virology Method DFA Test Includes RSV, DFA Screen; RSV, DFA Status Notes This is the rapid DFA method for the detection of RSV Antigen. The specimen may be cultured for other respiratory viruses if the RSV DFA is negative. The ordering physician may order a viral culture to screen for other respiratory viruses on the same sample. An additional fee will be added. Contact Client Services and request VRDFAR or VIRCUL. Supply Item Number 1785K

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Billing Code Test Code [sunquest] RESPIRATORY SYNCYTIAL VIRUS, STAT ONLY STRSV STRSV

This rapid ICT method is only approved for patient 5 years of age and younger. See note below. Synonyms RSV Screen; RSV Antigen Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Specimen Processing Nasopharynx (NP) and/or throat swab (flocked preferred, polyester or rayon acceptable) or nasal washing in viral transport media (Remel M4, M4RT, M5, M6, or BD Universal Transport Media may be used for these specimens. Required Patient Info Source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Sputum Alternate Specimens See below Department PAML Virology CPT Codes 87420 Test Schedule Daily Turnaround Time 1 day Method ICT Assay Test Includes Source; Respiratory Syncytial Virus EIA Screen; Report Status Notes For older patients, order RSVSCR or VRDFAR. If the STRSV result is negative, the ordering physician may order a RSVSCR or a viral culture to screen for other respiratory viruses on the same sample. Contact Client Services and request VRDFAR or RSVSCR. Supply Item Number 1785K

Billing Code Test Code [sunquest] RETICULIN ANTIBODY, TOTAL, IGA, IGG & IGM RETICULIN.AB RETAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and refrigerate. Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition All samples drawn with anticoagulant Department PAML Chemistry CPT Codes 86255 Test Schedule Mon-Sat Turnaround Time 1-2 days Method IFA Test Includes Reticulin Antibody, Total A,G,M Supply Item Number 1467

Billing Code Test Code [sunquest] RETICULOCYTE COUNT, AUTOMATED RETCA RETCA Synonyms Retic Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL EDTA whole blood Specimen Processing Store and transport refrigerated. Room Temp 24 hours Refrigerated 72 hours Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85046 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Automated-New Methylene Blue Test Includes Reticulocyte Count, %; Reticulocyte, Absolute, K/uL; Immature Reticulocyte Fraction. Supply Item Number 1222

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Billing Code Test Code [sunquest] RETICULOCYTE COUNT, AUTOMATED WITHOUT IRF RETCAW RETCAW Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL EDTA whole blood Specimen Processing Store and transport refrigerated. Room Temp 24 hours Refrigerated 72 hours Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85045 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Automated-New Methylene Blue Test Includes Reticulocyte Count, %; Reticulocyte, Absolute, K/uL. Supply Item Number 1222

Billing Code Test Code [sunquest] RETICULOCYTE COUNT, MANUAL RETICM RETICM Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL whole blood or 1 EDTA microtainer Specimen Processing Store and transport refrigerated. Room Temp 6 hours Refrigerated 72 hours Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85044 Test Schedule Mon-Sat days Turnaround Time 24-48 hours Method Microscopic Test Includes Reticulocytes, %; Reticulocytes, Absolute, K/uL; Reticulocytes, Corrected, %.

Billing Code Test Code [sunquest] RETICULOCYTES, CELLULAR HEMOGLOBIN RTCHGB RTCHGB Synonyms Cellular Hemoglobin, Reticulocytes Container Type Lavender top tube (EDTA) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL Specimen Processing Store and transport refrigerated. Room Temp 24 hours Refrigerated 3 days Frozen (-20°C) unacceptable Unacceptable Condition Frozen. clotted or hemolyzed samples. Reference Laboratory ARUP Reference Lab Test Code 40263 CPT Codes 85046 Test Schedule Sun-Sat Turnaround Time 1-3 days Method Flow Cytometry Test Includes Cellular Hemoglobin Reticulocytes, pg; Reticulocytes, %. Supply Item Number 1222

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Billing Code Test Code [sunquest] RETINOL BINDING PROTEIN RETBP RETBP Synonyms RBP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition Contaminated, hemolyzed, or severely lipemic specimens. Plasma is not recommended. Reference Laboratory ARUP Reference Lab Test Code 0050467 CPT Codes 83883 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Nephelometry Test Includes Retinol Binding Protein Supply Item Number 1467

Billing Code Test Code [sunquest] RETT SYNDROME (MECP2 DNA ANALYSIS) REF.RRETT RRETT This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced. Synonyms Molecular testing Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 3 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original draw tube Required Patient Info Patient family history and clinical indication Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old and specimens not received in the original collection tubes and aliquoted specimens Alternate Specimens Sodium citrate or ACD whole blood (blue or yellow top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81302 Test Schedule Wed-Thu Turnaround Time 1-3 weeks Method PCR and Sequencing Test Includes RETT DNA Analysis Supply Item Number 1222

Billing Code Test Code [sunquest] RH FACTOR RH M2RH Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Refrigerated 10 days Unacceptable Condition Hemolyzed cells and all samples collected in plain red top tubes that are not cord blood samples. Alternate Specimens Cord blood samples collected in plain red top tubes and clearly labeled as cord blood, other specimen types collected in red top tubes will not be accepted. Department PAML Immunology CPT Codes 86901 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Hemagglutination Test Includes RH Supply Item Number 1222

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Billing Code Test Code [sunquest] RH-COMPLETE CDE COMPRH COMPRH Container Type Red top tube (plain) and Lavender top tube (EDTA). Specimen Type Serum and whole blood Preferred Volume 4 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Reference Laboratory INBC CPT Codes 86906 Turnaround Time 3-5 days Method Slide/Tube Agglutination Test Includes Complete RH. Supply Item Number 1372

Billing Code Test Code [sunquest] RHEUMATOID ARTHRITIS PANEL (REFLEXIVE) RAPTVM RAPTVM This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells ASAP and transfer to 3 standard PAML aliquot tubes. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Sodium fluoride/potassium oxalate plasma specimens (gray top tube), lipemic specimens, hemolyzed specimens, avoid repeate freeze/thaw cycles (no more than three) Department PAML Chemistry, PAML Immunology CPT Codes 86038, 84550, 86140, 86431 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex, Nephelometry, Enzymatic Test Includes ANA; (If positive the following tests will be done and reported). DSDNA Autoanitobdy, IU/mL; Smith Autoantibody, AI; Ribosomal P Autoantibody, AI; Chromatin Autoantibodies, AI; RNP Autoantibody, AI; SMRNP Autoantibody, AI; SCL-70 Autoantibody, AI; Centromere B Autoantibody, AI; SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI; JO-1 Autoantibody, AI; RA, IU/mL; CRP, mg/dL; Uric Acid, mg/dL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes ANA Screen is positive DSDNA, Smith, Ribosomal P, Chromatin, RNP, 86225, 86235 x 9, 83516 SMRNP, SCL-70, Centromere B, SSA (RO), SSB(LA), JO-1 Autoantibodies

Billing Code Test Code [sunquest] RHEUMATOID FACTOR RA RAQ Synonyms RA; RF Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Unacceptable Condition Plasma Department PAML Immunology CPT Codes 86431 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes RA, IU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] RHEUMATOID FACTOR (IGA, IGG, IGM) RHFAGM RHFAGM Container Type Red top tube (plain) Store and Transport Transport refrigerated Specimen Type Serum Preferred Volume 1.8 mL Minimum Volume 0.9 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 48 hours Refrigerated 8 days Frozen (-20°C) 28 days Unacceptable Condition Hemolysis, Visible particulate matter, Samples drawn in or received in SST tubes. Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 19705X CPT Codes 83520 x 3 Test Schedule Tue, Fri Turnaround Time 3-6 days Method Enzyme Linked Immunosorbent Immunoassay

Billing Code Test Code [sunquest] RHEUMATOID FACTOR, BODY FLUID RAFLA RAFLA Synonyms RA Factor, Body Fluid Container Type Leakproof plastic container. Specimen Type Body fluid Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Centrifuge to remove cellular material. Put supernatant in separate plastic tube. Store and transport refrigerated. Required Patient Info Source Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 2 weeks Limitations Thaw specimen only once. Reference Laboratory ARUP Reference Lab Test Code 2003347 CPT Codes 86431 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Immunoturbidimetric Test Includes Source, Rheumatoid Factor, Body Fluid, IU/mL. Compliance Remarks This test is FDA cleared but is not labeled for use with body fluid specimens. Notes This test is performed using the Roche Molecular P analyzer and Roche reagents.

Billing Code Test Code [sunquest] RIBOSOMAL P AUTOANTIBODY, IGG RIBPMP RIBPMP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes Ribosomal P Autoantibody,IgG, AI Supply Item Number 1467

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Billing Code Test Code [sunquest] RICKETTSIA ANTIBODY PANEL (SPOTTED FEVER AND TYPHUS RAPIFA RAPIFA FEVER GROUPS) BY IFA Synonyms Rickettsia Rickettsii; Rocky Mountain Spotted Fever; Tick-Borne Diseases; Typhus Fever; Rickettsia Typhi Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, severely lipemic, contaminated, or hemolyzed specimens Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 86757 x 4 Test Schedule Tue-Fri Turnaround Time 2-6 days Method Indirect Fluorescent Antibody Test Includes Rocky Mountain Spotted Fever Group, IgG; Rocky Mountain Spotted Fever Group, IgM; Typhus Fever Group Antibody, IgG; Typhus Fever Group Antibody, IgM Notes The best evidence for current infection is a significant change on two appropriately timed specimens, where both tests are done in the same laboratory at the same time. The CDC does not use IgM results for routine diagnostic testing of Rocky Mt Spotted Fever, as the response may not be specific for the agent (resulting in false positives) and the IgM response may be persistent from past infection. Supply Item Number 1467

Billing Code Test Code [sunquest] RICKETTSIA RICKETTSII (SPOTTED FEVER GROUP) IGG & IGM RMSFGM RMSFGM Synonyms Rickettsia Rickettsii; Rocky Mountain Spotted Fever; Tick-Borne Diseases Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, severely lipemic, contaminated, or hemolyzed specimens Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 86757 x 2 Test Schedule Tue-Fri Turnaround Time 2-6 days Method Indirect Fluorescent Antibody Test Includes Rocky Mountain Spotted Fever Group, IgG; Rocky Mountain Spotted Fever Group, IgM Notes The best evidence for current infection is a significant change on two appropriately timed specimens, where both tests are done in the same laboratory at the same time. The CDC does not use IgM results for routine diagnostic testing of Rocky Mt Spotted Fever, as the response may not be specific for the agent (resulting in false positives) and the IgM response may be persistent from past infection. Supply Item Number 1467

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Billing Code Test Code [sunquest] RICKETTSIA TYPHI (TYPHUS FEVER GROUP), IGG & IGM RTYPGM RTYPGM Synonyms Rickettsia; Typhus Fever; Tick-Borne Diseases Container Type Serum separator tube (gold, brick, SST or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, severely lipemic, contaminated or hemolyzed specimens Limitations Avoid repeated freeze/thaw cycles Department PAML Chemistry CPT Codes 86757 x 2 Test Schedule Tue-Fri Turnaround Time 2-6 days Method Indirect Fluorescent Antibody Test Includes Typhus Fever Group Antibody, IgG; Typhus Fever Group Antibody, IgM Notes Antibody reactivity to the R. typhi antigen should be considered Typhus Fever group reactive, as infection by R. prowazekii also induces the production of antibody reactive with R. typhi. The best evidence of current infection is a significant change on two appropriately timed specimens, where both tests are done in the same laboratory at the same time. Supply Item Number 1467

Billing Code Test Code [sunquest] RISPERIDONE RIS RIS Synonyms Risperdal; Risperidone Metabolite; Total Active Moiety Container Type Red top tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells immediately and put in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 7 months Unacceptable Condition SST or PST (gel separator tubes). Alternate Specimens Plasma. Reference Laboratory NMS Reference Lab Test Code 4105SP CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 5-8 days Method HPLC/LC/MS/MS Test Includes Risperidone, ng/mL; 9-Hydroxyrisperidone ng/mL; Risperidone & 9-Hydroxyrisperidone, ng/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] RNA ISOLATION & STORAGE RNAISO RNAISO This is not a test, it is a service only. Container Type EDTA whole blood (lavender top tube) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 3 mL Room Temp Whole blood: 3 days; bone marrow: unacceptable Refrigerated Whole blood: 5 days; bone marrow: 2 days Frozen (-20°C) Unacceptable Unacceptable Condition Whole blood in sodium heparin, serum/plasma, grossly hemolyzed samples, frozen whole blood or bone marrow, shared samples (other than bone marrow) Alternate Specimens 2 mL EDTA bone marrow (lavender top tube), minimum 1 mL and is stable 48 hours refrigerated. Sodium citrate whole blood or bone marrow (blue top tube) Limitations Must be in original collection tube. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 84311 Test Schedule Mon-Sat Test Includes RNA Concentration, ng/uL; Date Completed; Comment Supply Item Number 1222

Billing Code Test Code [sunquest] RNA POLYMERASE III ANTIBODY, IGG RNAPAA RNAPAA Synonyms RNA pol III IgG (RNA Polymerase III Antibody, IgG) Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Reference Laboratory ARUP Reference Lab Test Code 2001601 CPT Codes 83516 Test Schedule Tue, Thu, Sun Turnaround Time 2-8 days Method Semi-Quant ELISA Test Includes RNA Polymerase 3 Antibody, IgG, Units

Billing Code Test Code [sunquest] RNP AUTOANTIBODY, IGG RNPMP RNPMP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes RNP Autoantibody, IgG, AI Supply Item Number 1467

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Billing Code Test Code [sunquest] ROTAVIRUS ROTEIA ROTEIA Container Type Leakproof plastic container, wax-free Store and Transport Refrigerated if time to test is less than 3 days. Freeze if time to test is greater than 3 days. Specimen Type Stool Preferred Volume 1 gram or mL Minimum Volume 1 gram or mL Collection Procedure Collect fresh, unpreserved stool in a clean, leakproof container. Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Indefinitely Frozen (-70°C) Indefinitely Unacceptable Condition Must be fresh or frozen stool only, transport media is unacceptable. Soiled diapers or rectal swabs are unacceptable. Department PAML Virology CPT Codes 87425 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Enzyme Immunoassay Test Includes Rotavirus Antigen Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] RUBELLA ANTIBODY, IGM RUBMAR RUBMAR Acute and convalescent samples advised Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Clearly label specimens as acute or convalescent. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated, contaminated, hemolyzed or plasma specimens. Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 50551 CPT Codes 86762 Test Schedule Sun-Sat Turnaround Time 2-4 days Method Chemiluminescent Immunoassay Test Includes Rubella, IgM, IV Notes Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.

Billing Code Test Code [sunquest] RUBELLA SCREEN, IGG RUBELLA RUBEG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 year Unacceptable Condition Heat-treated, lipemic, or grossly hemolyzed specimens Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Immunochemistry CPT Codes 86762 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Rubella, IgG, IU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] RUBELLA, IGM RUBEM RUBEM Acute and convalescent samples advised. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Clearly label specimens. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, icteric, contaminated, hemolyzed or plasma specimens Department PAML Special Immunology CPT Codes 86762 Test Schedule Tue, Thur Turnaround Time 2-6 days Method EIA Test Includes Rubella, IgM, Index Notes Rubella IgG should be used to test for immunity. Supply Item Number 1467

Billing Code Test Code [sunquest] RUBEOLA, IGG RUBEOLA RUBOG Recommend acute and convalescent samples drawn 3 to 4 weeks apart if recent measles infection suspected. Recommend single sample to screen for immunity. Recommend single sample for Rubeola IgM if acute measles infection suspected. Synonyms Measles, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum Limitations Avoid repeat freeze/thaw cycles Department PAML Special Immunology CPT Codes 86765 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Rubeola IgG, ISR Supply Item Number 1467

Billing Code Test Code [sunquest] RUBEOLA, MUMPS, RUBELLA IGG ANTIBODIES MMRG MMRG Synonyms Measles; Mumps; Rubeola; Rubella; MMR Titer Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Room Temp 8 hours Refrigerated Rubella: 1 week; Rubeola and Mumps: 2 weeks Frozen (-20°C) Rubella: 1 year; Rubeola and Mumps: 1 month Department PAML Special Immunology, PAML Immunochemistry CPT Codes 86765, 86735,86762 Test Schedule Rubella: Sun-Fri; Rubeola: Mon-Sat; Mumps: Mon-Sat Turnaround Time 1-3 days Method EIA and ICMA Test Includes Rubeola, IgG, ISR; Mumps Virus Ab, IgG, OD; Rubella IgG Ab, IU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] RUFINAMIDE, SERUM/PLASMA RUFIS RUFIS Container Type Red top tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.4 mL Specimen Processing Separate serum or plasma from the cells and put in a separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or PST tubes. Reference Laboratory NMS Reference Lab Test Code 4125SP CPT Codes 82491 Test Schedule Wed Turnaround Time 3-5 days Method HPLC Test Includes Rufinamide, mcg/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] SACCHAROMYCES CEREVISIAE AB, IGG & IGA ASCAG ASCAG Synonyms Inflammatory Bowel Disease; Saccharomyces cerevisiae; ANCA; Crohn Disease; Ulcerative Colitis; ASCA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Severely lipemic, contaminated, heat-inactivated, or hemolyzed specimens; avoid repeat freeze/thaw cycles. Department PAML-Special Immunology. CPT Codes 86671 x 2 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method EIA Test Includes S. cerevisiae, IgG, Units; S. cerevisiae, IgA, Units, Comment Notes Saccharomyces cerevisiae IgG antibodies are found in 60-70% of Crohn disease (CD) patients and 10-15% of ulcerative colitis (UC) patients. Saccharomyces cerevisiae IgA antibocies are found in about 35% of CD patients but less than 1% in UC patients. Detection of both Saccharomyces IgG and IgA antibodies in the same serum specimen is highly specific for CD.

These results were obtained with the INOVA QUANTA Lite ASCA (S. cerevisiae) IgA ELISA. ASCA IgA values obtained with different manufacturers' assay methods may not be used interchangeably.

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Billing Code Test Code [sunquest] SALICYLATES SAL SAL Synonyms Salicylic Acid; Acetylsalicylic Acid; Aspirin Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube Refrigerated 24 hours Unacceptable Condition Lithium heparin plasma Alternate Specimens EDTA, sodium heparinized, sodium citrate or fluoride-oxalate plasma (lavender, green, blue or grey top tube) or 2 microtainers Limitations If testing is delayed more than 24 hours, freeze specimen. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80196 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Salicylates, ug/mL; Salicylates, mg/dL. Supply Item Number 1372

Billing Code Test Code [sunquest] SALMONELLA ANTIBODIES, EIA SALAB SALAB Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 40450 CPT Codes 86768 X 5 Test Schedule Mon-Fri Turnaround Time 2-5 days Method DA Test Includes Salmonella O Paratyphoid A; Salmonella O Paratyphoid B; Salmonella O Group D (Typhoid O); Salmonella H Paratyphoid A; Salmonella H Paratyphoid B; Salmonella H Group D (Typhoid H). Supply Item Number 1467

Billing Code Test Code [sunquest] SCHISTOSOMA ANTIBODY, IGG SCHAB SCHAB Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 weeks Refrigerated 2 months Frozen (-20°C) Indefinitely Reference Laboratory Focus Reference Lab Test Code 40915 CPT Codes 86682 Test Schedule Wed Turnaround Time 2-7 days Method Fluorescent Microsphere Immunoassay Test Includes Schistosoma Antibody, IgG Supply Item Number 1467

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Billing Code Test Code [sunquest] SCL-70 AUTOANTIBODY, IGG SCLMP SCLMP Synonyms Anti-Scleroderma Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SCL-70 Autoantibody, IgG AI Supply Item Number 1467

Billing Code Test Code [sunquest] SEDIMENTATION RATE SED SED Synonyms ESR; Erythrocyte Sedimentation Rate; Westergren Sedimentation Rate Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1.5 mL Required Patient Info Time of specimen collection Refrigerated 24 hours Unacceptable Condition Clotted, hemolyzed, microtainers, EDTA tube filled less than half full, anticoagulants other than EDTA or specimens that exceed stability requirements. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85652 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Automated Westergren Test Includes Sed Rate, mm/h Supply Item Number 1222

Billing Code Test Code [sunquest] SELENIUM, QUANTITATIVE, WHOLE BLOOD SEL SELWB Do not use this order code for sending serum or plasma specimens. Container Type Royal blue top tube (metal free EDTA) Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Do not centrifuge. Send whole blood. Store and transport refrigerated. Unacceptable Condition All heparin based tubes. Green top tube(Sodium or lithium heparin), light green top tube, Royal blue top tube (trace metal-free sodiumm heparin), Tan top tube-glass sodium heparin, and clotted specimens. Reference Laboratory NMS Reference Lab Test Code 4180B CPT Codes 84255 Test Schedule Sun-Fri Turnaround Time 3-5 days Method ICP/MS Test Includes Selenium, Blood, mcg/mL. Supply Item Number 9734

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Billing Code Test Code [sunquest] SELENIUM, SERUM SEL.S SELS Do not use this order code for whole blood specimens. Synonyms Se; SES Container Type Royal blue top tube (metal free plain) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and non-essential over- the-counter medications (upon the advice of their physician). Specimen Processing Centrifuge; do not allow serum or plasma to remain on cells. Separate serum from cells and transfer to a trace element-free tube Room Temp Stability (collection to initiation of testing): If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time Refrigerated Acceptable Frozen (-20°C) Acceptable Unacceptable Condition Serum separator tubes or gels. Specimens not separated from cells or clot within 6 hours. Alternate Specimens Royal Blue (EDTA) Reference Laboratory ARUP Reference Lab Test Code 25023 CPT Codes 84255 Test Schedule Tue, Thu, Sat Turnaround Time 2-3 days Method Quantitative Inductively Coupled Plasma-Mass Spectrometry Test Includes Selenium, Serum, ug/L. Notes Elevated results from noncertified trace element-free tubes may be due to contamination. Elevated concentrations of trace elements in serum should be confirmed with a second specimen collected in a trace element-free tube, such as royal blue sterile tube (no additive) Supply Item Number 1052

Billing Code Test Code [sunquest] SEMEN EXAMINATION SEMN SEMN Container Type Clean leakproof glass container Specimen Type Semen, complete collection Collection Procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, (withdrawal before ejaculation) and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection.

For the Spokane Area: Take specimen to either the 5th floor Laboratory in the Sacred Heart Doctors Building, Mon-Fri from 06:00 to 17:30. Do NOT return the sample to a PAML Patient Service Center. Printed instructions are available upon request.

For Areas Outside of Spokane: Take specimen to either the Alpha Service Center or Yakima Service Center, Mon-Fri from 08:30 to 14:00 or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Printed instructions are available upon request. Required Patient Info The Specimen Collection Form must be completely answered and sent with the specimen to the testing site. Room Temp 1 hour Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89320 Test Schedule Daily Turnaround Time 2 days Test Includes Appearance; Viscosity; Sperm Concentration, M/mL; Volume, mL; Total Sperm Number, M; Liquefaction; Motility, %; Activity grade; Morphology, % Normal; Leukocytes; Comments; Reviewed By Supply Item Number 1131

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Billing Code Test Code [sunquest] SEMEN MORPHOLOGY SEMOPH SEMOPH Container Type Clean leakproof glass container Specimen Type Semen, complete collection Collection Procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, (withdrawal before ejaculation) and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection.

For Areas Outside of Spokane: Take specimen to either the Alpha Service Center or Yakima Service Center, Mon-Fri from 08:30 to 14:00 or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Printed instructions are available upon request. Alternate Specimens Prepare 2 smears on adhesive coated slides and spray immediately with cytology fixative. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89300 Test Schedule Mon-Fri Turnaround Time 3 days Test Includes Morphology; Leukocytes; Comments; Reviewed By Supply Item Number 1131

Billing Code Test Code [sunquest] SEQUENTIAL SCREEN SSGENZ SSGENZ Must have NT measurements from certified (FMF) or Maternal Fetal Medicine Foundation sonographer when ordering this test. This is the first part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar SSCGEN & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect initial specimen between 10 wks/3 days & 13 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Required Patient Info NT measurements Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 84163, 84702 Test Schedule Mon-Sat Turnaround Time after second specimen is received. Test Includes Sequential Screen. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

Billing Code Test Code [sunquest] SEQUENTIAL SCREEN, COMPLETION SSCGEN SSCGEN This is the second part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar SSCGEN & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect second specimen between 15 wks/0 days & 21 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 82105, 82677, 84702, 86336 Test Schedule Mon-Sat Turnaround Time 4-5 days Test Includes Sequential Screen Completion. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration. 2.1 www.paml.com 4/16/2013 page 838 S 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory S

Billing Code Test Code [sunquest] SEROTONIN, SERUM SEROT.S SER Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Patient Prep Abstain from medications for 72 hours prior to collection. Specimen Processing Separate serum from cells within 1 hour and freeze in separate plastic tube. Store and transport frozen.Critical frozen. Separate samples must be submitted when multiple tests are ordered. Room Temp unacceptable Refrigerated 24 hours Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum and non-frozen samples. Limitations Medication which may affect serotonin concentrations include reserpine, methyldopa, MAO inhibitors, lithium and morphine. Reference Laboratory ARUP Reference Lab Test Code 0080397 CPT Codes 84260 Test Schedule Sun, Wed, Fri Turnaround Time 2-6 days Method HPLC Test Includes Serotonin, ng/ml. Notes In general EDTA whole blood (as compared to serum) transported with ascorbic acid preservative will give values most representative of blood concentrations. Most 95% of blood serotonin is typically found in platelets (refer to Serotonin, Whole Blood). Supply Item Number 1467

Billing Code Test Code [sunquest] SEROTONIN, WHOLE BLOOD SEROT SERBLD Separate samples must be submitted when multiple tests are ordered Synonyms 5-HT;5-Hydroxytryptamine Container Type Lavender top tube (EDTA) or Pink top tube (K2EDTA) Store and Transport Frozen Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Patient Prep Abstain from medications for 72 hours prior to collection. Collection Procedure Place on ice Specimen Processing Transfer whole blood to an plastic Serotonin Transport Tube containing ascorbic acid. Mix well and freeze. Specimen must be preserved and frozen within 2 hours of collection. CRITICAL FROZEN. Plastic ascorbic acid tubes are available from the PAML Supply Department. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 1 month Unacceptable Condition Samples other than whole blood & non-frozen specimens. Reference Laboratory ARUP Reference Lab Test Code 0080395 CPT Codes 84260 Test Schedule Sun, Wed, Fri Turnaround Time 2-5 days Method HPLC Test Includes Serotonin, ng/mL. Notes Medications that may affect serotonin concentrations include lithium, MAO inhibitors, methyldopa, morphine, and reserpine. In general, foods that contain serotonin do not interfere significantly. Slight increases may be seen in acute intestinal obstruction, acute MI, cystic fibrosis, dumping syndromes, and nontropical sprue. Metastasizing abdominal carcinoid tumors often show serotonin concentrations greater than 400 ng/mL. Supply Item Number 1222

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Billing Code Test Code [sunquest] SERTRALINE ZOLOFT SERT Synonyms Zoloft Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 5 days Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Plasma from Lavender (K2 or K3EDTA) or pink (K2EDTA). Limitations Avoid the use of serum separator tubes and gels. Reference Laboratory ARUP Reference Lab Test Code 98745 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 2-6 days Method LC/MS Test Includes Sertraline, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] SERTRALINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCSER TLCSER SUR. Synonyms Zoloft Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Sertraline Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] SERUM INTEGRATED SCREEN, COMPLETION MSIGZC MSIGZC This is the second part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar MSIGZC & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect second specimen between 15 wks/0 days & 21 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 82105, 82677, 84702, 86336 Test Schedule Mon-Sat Turnaround Time 4-5 days Test Includes Serum Integrated Screen, Completion. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

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Billing Code Test Code [sunquest] SERUM INTEGRATED SCREEN, INITIAL MSIGZI MSIGZI This is the first part of a two part test. Paperwork will be sent to the ordering physician to alert them to draw the second specimen which will complete the study. The second specimen will be ordered using the workpar MSIGZC & will be drawn between the 15 wks/0 days & 21 wks/6 day gestation period. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL Collection Procedure Collect initial specimen between 10 wks/3 days & 13 wks/6 days gestation. Specimen Processing Centrifuge specimen and store and transport refrigerated. Unacceptable Condition Hemolyzed samples & samples received more than 7 days from date of collection. Reference Laboratory Genzyme Genetics CPT Codes 84163 Test Schedule Mon-Sat Turnaround Time after second specimen is received. Test Includes Serum Integrated Screen, Initial. Compliance Remarks This test was developed and its performance characteristics determined by Genzyme Genetics. It has not been cleared or approved by the U.S. Food & Drug Administration.

Billing Code Test Code [sunquest] SEX HORMONE BINDING GLOBULIN SHBGL SHBGL Synonyms Testosterone Binding Globulin, Estradiol Binding Globulin, SHBG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Collect all blood samples observing universal precautions for venipuncture. Allow serum to clot adequately before centrifugation. Keep tubes stoppered. Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed specimens; frozen samples thawed more than 3 times Alternate Specimens Lithium heparin plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84270 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method Enzyme Immunoassay Supply Item Number 1467

Billing Code Test Code [sunquest] SICKLE CELL SCREEN (REFLEXIVE) SICKLE SICKLE This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Hemoglobin S Solubility Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood and 2 peripheral blood smears Preferred Volume 3 mL Minimum Volume 1 whole blood (EDTA microtainer) and 2 peripheral blood slides Refrigerated 1-2 weeks Alternate Specimens Finger or heel stick specimens Limitations Does not provide quantitaion of Hemoglobin S. Not suitable for child less than 6 months of age. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85660 Test Schedule Daily Turnaround Time 1 week Method Solubility Test Includes Sickle Cell Notes All positive results are confirmed by HPLC. Supply Item Number 1222

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Billing Code Test Code [sunquest] SILICON, SERUM/PLASMA SILIS SILIS Synonyms SI Container Type Royal blue top tube trace metal free, no additive Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube or acid-washed plastic screw capped vial. Store and transport refrigerated.

Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Glass containers and SST or PST tubes. Alternate Specimens EDTA plasma (Royal blue top tube trace metal free, EDTA). Reference Laboratory NMS Reference Lab Test Code 4190SP CPT Codes 84285 Test Schedule Wed Turnaround Time 3-8 days Method ICP/MS Test Includes Silicon, mg/dL. Supply Item Number 1052

Billing Code Test Code [sunquest] SILVER SIL SILVER Container Type Royal blue top tube (metal free EDTA) Specimen Type Whole blood Preferred Volume 4 mL Minimum Volume 0.5 mL Specimen Processing Protect from light. Store and transport refrigerated or at room temperature. Unacceptable Condition Specimens that are not protected from light. Limitations Protect from light. Reference Laboratory NMS Reference Lab Test Code 4200B CPT Codes 83788 Test Schedule Tue, Thu Turnaround Time 2-5 days Method ICP/MS Test Includes Silver, mcg/mL. Supply Item Number 9734

Billing Code Test Code [sunquest] SILVER, URINE SILVER.U SILUR Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 0.5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated or at room temperature. Limitations Protect from light. Reference Laboratory NMS Reference Lab Test Code 4200 CPT Codes 83788 Test Schedule Tue, Thu Turnaround Time 2-5 days Method ICP/MS Test Includes Silver, Urine, ug/L. Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] SIROLIMUS, PARENT DRUG ONLY SIR SIR Synonyms Rapamune; Rapamycin Container Type Lavender top tube Store and Transport Store and transport refrigerated in original container Specimen Type EDTA whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing DO NOT CENTRIFUGE. Draw 30 minutes before next dose as a trough specimen. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Serum, plasma or specimens at ambient temperature longer than 24 hours. Department PAML Bioanalytics CPT Codes 80195 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Tandem Mass Spectrometry Test Includes Sirolimus, ng/mL. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvemnet Ammendments (CLIA) to perform high-complexity testing. Supply Item Number 7358

Billing Code Test Code [sunquest] SJOGRENS AUTOANTIBODIES SJOMP SJOMP Synonyms SSA; SSB; RO Antibody; LA Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 x 2 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SSA (RO) Autoantibody, AI; SSB (LA) Autoantibody, AI Supply Item Number 1467

Billing Code Test Code [sunquest] SM AUTOANTIBODY, IGG SMMP SMMP Synonyms Anti-Smith Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SM Autoantibody, IgG, AI Supply Item Number 1467

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Billing Code Test Code [sunquest] SMEAR, AFB AFB-SM AFBSM Synonyms TB Smear; Mycobacteria Stain Container Type Sterile, leakproof container with a tight fitting lid Store and Transport Refrigerated Specimen Type Sputum, bronch wash, urine, or other specimens Preferred Volume Sputum, body fluids, aspirates: 5-10 mL; urine: 40 mL Minimum Volume Sputum, body fluids, aspirates: 1 mL; urine: 10 mL; tissue must be visible Required Patient Info Specimen source Alternate Specimens 6-10 mL fluid Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87206 Test Schedule Daily Turnaround Time Smear results are reported within 24 hours of specimen receipt in lab Method Microscopy Test Includes Source; Smear, AFB; Smear, AFB, Status Notes AFB smear is included with AFB culture and should not be ordered separately. Supply Item Number 5212

Billing Code Test Code [sunquest] SMEAR, STAIN & INTERPRETATION SMEAR GSSM Synonyms Gram Stain (Smear, Stain and Interpretation) Container Type Clean glass slide Store and Transport Ambient (room temperature) Collection Procedure Place material to be stained on a clean glass slide. Air dry, do not fix. Place in slide mailer. Required Patient Info Specimen source Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87205 Test Schedule Daily Turnaround Time 1-2 days Method Microscopy Test Includes Source; Gram Stain; Gram Stain, Status Notes Gram stain is done on all appropriate specimens as part of routine culture. Supply Item Number 5212

Billing Code Test Code [sunquest] SMRNP AUTOANTIBODY, IGG SMRNMP SMRNMP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SMRNP Autoantibody, IgG, AI Supply Item Number 1467

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Billing Code Test Code [sunquest] SODIUM SOD NA Synonyms Na Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Collection Procedure Avoid hemolysis Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube). Department PAML Chemistry CPT Codes 84295 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ISE Test Includes Sodium, mmol/L Supply Item Number 1467

Billing Code Test Code [sunquest] SODIUM & POTASSIUM NA/K NAK Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84295, 84132 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ISE Test Includes Sodium, mmol/L; Potassium, mmol/L Notes Hemolysis will elevate potassium values and minimal volume specimens will concentrate upon exposure to air. Supply Item Number 1467

Billing Code Test Code [sunquest] SODIUM, FECAL STLNA STLNA Container Type Sterile leakproof plastic container Store and Transport Refrigerated Specimen Type Feces (stool) Preferred Volume 5 grams Minimum Volume 1 gram Collection Procedure Random LIQUID stool in clean, unpreserved leakproof plastic container Specimen Processing Do not add saline or water to liquify sample Room Temp 1 hour Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Formed or viscous stool Reference Laboratory ARUP Reference Lab Test Code 20379 CPT Codes 84302 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Ion-Selective Electrode Test Includes Sodium, Stool, mmol/L. Supply Item Number 1387

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Billing Code Test Code [sunquest] SODIUM, FLUID SODFLD NAFL Container Type Red top tube (plain) or leakproof plastic container Specimen Type Body fluid Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and place in separate plastic tube. Note the type of fluid. Store and transport refrigerated. Required Patient Info Note the type of fluid. Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) 6 months Unacceptable Condition Clotted or viscous samples. Avoid hemolysis. Limitations Extremely high levels of protein may interfere with testing. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84302 Test Schedule Daily Turnaround Time 24-48 hours Method ISE Test Includes Sodium, Fluid, mmol/L Supply Item Number 1372 or 1387

Billing Code Test Code [sunquest] SODIUM, URINE (RANDOM) SOD-R NAUR Synonyms Na, Urine, Random Container Type Leakproof plastic urine container Store and Transport Refrigerated or frozen Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 1 week Department PAML Chemistry CPT Codes 84300 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ISE Test Includes Sodium, Urine, mmol/L Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] SODIUM, URINE 24HR SOD-U NAUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms Na, Urine Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24 hour urine collection in leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84300 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ISE Test Includes Collection Period, h; Volume, mL; Sodium, Urine, mmol/24h Supply Item Number 1108

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Billing Code Test Code [sunquest] SOLUBLE LIVER ANTIGEN ANTIBODY, IGG SLAIGG SLAIGG Synonyms Anti-Liver-Pancreas (LP); Anti-SLA-LP; Anti-SLA/LP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Contaminated, heat-inactivated, hemolyzed, or lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 55235 CPT Codes 83516 Test Schedule Sun, Tue, Thu Turnaround Time 2-4 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes Soluble Liver Antigen Antibody, IgG, U. Supply Item Number 1467

Billing Code Test Code [sunquest] SOLUBLE TRANSFERRIN RECEPTOR STFRC STFRC Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Collect all blood samples observing universal precautions for venipuncture. Allow serum to clot adequately before centrifugation. Keep tubes stoppered. Specimen Processing Allow serum to clot completely at room temperature. Separate serum from cells ASAP and put in separate plastic tube. Store and transport refrigerated. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Frozen (-70°C) 1 year Unacceptable Condition Grossly hemolyzed and frozen samples that have been thawed more than 3 times. Alternate Specimens Sodium or lithium heparin plasma. Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84238 Test Schedule Mon, Thu Turnaround Time 2-6 days Method EIA Test Includes Soluble Transferrin Receptor, mg/L. Supply Item Number 1467

Billing Code Test Code [sunquest] SPECIFIC GRAVITY SPG SPGFL Container Type Leakproof plastic container. Specimen Type Body fluid Preferred Volume 1 mL Specimen Processing Prefer specimen be stored and transported refrigerated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84315 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Specific Gravity. Supply Item Number 1388

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Billing Code Test Code [sunquest] SPECIFIC GRAVITY, URINE SPGUD SPGUD Container Type Leakproof plastic urine container. Specimen Type Urine, random Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine specimen. Store and transport refrigerated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 81005 Test Schedule Mon-Sun day, Mon-Fri nights Turnaround Time 24-48 hours Method T/S Meter Test Includes Specific Gravity, Urine. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] SPERM ANTIBODY IGA, IGG SPABAG SPABAG Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 24 hours Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Hemolysis, lipemia, samples received at room temperature. Reference Laboratory QUEST Reference Lab Test Code 19492X CPT Codes 89325 x 2 Test Schedule Once a week Turnaround Time 3-10 days Method Immunobeads Test Includes Sperm Antibody, IgG Binding Location IgG; Sperm Antibody, IgA Binding Location IgA. Compliance Remarks This test was developed and its performance characteristics determined by Quest Diagnostics Nichols Institute. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1372

Billing Code Test Code [sunquest] SPERM COUNT POST VASECTOMY SPCTPV SPCTPV Container Type Clean leakproof glass container Specimen Type Semen, complete collection Collection Procedure Collect complete semen specimen in a clean glass container. Collect following a 3-day period without sexual intercourse or masturbation. Specimen may be collected by masturbation or coitus interruptus, withdrawal before ejaculation and placed into the glass container. A condom may be used if it contains no substance that would be harmful to sperm (check the label or ask the pharmacist). Deliver within 1 hour as close to body temperature as possible by placing it in a shirt pocket under a coat. Tell the lab the exact time of collection. Take specimen to either the Alpha Service Center or Yakima Service Center, Mon-Fri from 08:30 to 14:00 or schedule a time in advance if taken to any other service center so that arrangements can be made to transport immediately to the testing laboratory. Printed instructions are available upon request. Required Patient Info The Specimen Collection Form must be completely answered and sent with the specimen to the testing site. Room Temp 1 hour Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89310 Test Schedule Daily Turnaround Time 2 days Method Hemocytometer Test Includes Sperm Count, M/mL Supply Item Number 1131

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Billing Code Test Code [sunquest] SPINAL MUSCULAR ATROPHY CARRIER TESTING SMA SMAC SMAC For Prenatal Specimens: Call Genzyme genetic coordinator 1-800-848-4436, prior to ordering. Additional specimen may be required if multiple tests are ordered. Synonyms SMN1, SMA carrier Container Type ACD-A (yellow top tube) Specimen Type Whole blood Preferred Volume 10 mL (add 20 mL if ordering multiple tests) See alternate Specimens Section. Room Temp 4 days Frozen (-20°C) Unacceptable Alternate Specimens Whole blood in EDTA. For prenatal testing: Amniotic Fluid: 15 mL (Orange top polypropylene tube), expel the first 2 mL before adding specimen to tube. If additional testing is required, more amniotic fluid will be required (15 to 25 mL additional). Chorionic Villi: 10-15 mg in Genzyme provided screw- top tube with sterile transport medium. If cultured at another facility, send 1 T-25 flask of confluent cells. Please ensure that a back-up culture is maintained. For all Prenatal specimens: Call Genzyme genetic coordinator 1-800-848-4436, prior to ordering. Additional parental specimens will be required: Example-Maternal blood or mouthwash. Reference Laboratory Genzyme Reference Lab Test Code SMN1 CPT Codes 83891, 83892 x 4, 83900, 83912, 83901 x 6 Test Schedule Mon - Sat Turnaround Time 8-12 days, add 2 weeks if Prenatal Method Real-Time PCR Test Includes SMN1 Copy Number, Interpretation Compliance Remarks The test was developed and its performance characteristics determined by Genzyme. The laboratory is regulated under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) as qualified to perform high complexity testing. This test must be used in conjunction with clinical assessment when available.

Billing Code Test Code [sunquest] SPINAL MUSCULAR ATROPHY CARRIER TESTING SMA SMACS SMACS Synonyms SMN1; SMA Carrier Container Type EDTA (lavender top tube) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original draw tube Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, serum, heparinized whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old and specimens not received in the original collection tubes and aliquoted specimens. Alternate Specimens Sodum citrate or ACD whole blood (blue or yellow top tube) Limitations Submit in original and unopened tube only Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81401 Test Schedule Mon, Thu Turnaround Time 4-8 days Method Real-Time PCR Test Includes SMN1 Copy Number & Interpretation Clinical Significance Spinal muscular atrophy is a severe, progressive neuromuscular disease characterized by proximal muscle weakness and eventual paralysis. SMA is also the second most common fatal autosomal recessive disorder, with a prevalance of about 1 in 10,000 live births and a carrier frequency of 1/40- 1/60 in the caucasian population. Carrier screening for SMA was recently recommended by the American College of Medical Genetics. Gene dosage analysis techniques have a detection rate of about 90% and will identify the common mutation found in 95% of individuals affected with disease. Compliance Remarks The test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1222

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Billing Code Test Code [sunquest] SPINAL MUSCULAR ATROPHY, DIAGNOSTIC STUDY REF.SMAPCR SMAPCR This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test using PAML computer system if you are interfaced. Synonyms SMA; SMN1; Molecular testing Container Type Lavender top tube (EDTA) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Whole blood Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original draw tube. Do not freeze specimen Required Patient Info Clinical indication Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, frozen specimens, severely hemolyzed specimens, specimens over 5 days old or in leaking containers and specimens not received in the original collection tubes. Alternate Specimens Sodium citrate or ACD whole blood (blue or yellow top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81400 x 2 Test Schedule Tue Turnaround Time 4-8 days Method PCR (polymerase chain reaction) and RFLP (restriction fragment length polymorphism) Test Includes Spinal Muscular Atrophy Supply Item Number 1222

Billing Code Test Code [sunquest] SPIRONOLACTONE (URINE ONLY) TEST ALSO INCLUDED IN TLCSPI TLCSPI DRUG-SUR. Synonyms Aldactone; Water Pills Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Spironolactone Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] SRP AUTOANTIBODIES SRPAUT SRPAUT Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 4 hours and place in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 2 months Reference Laboratory Specialty Reference Lab Test Code 1227 CPT Codes 86235 Test Schedule Mon Turnaround Time 10-17 days Method RIPA Test Includes SRP Autoantibodies Supply Item Number 1467

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Billing Code Test Code [sunquest] SSA AUTOANTIBODY, IGG SSAMP SSAMP Synonyms RO Autoantibody; Sjogren's Autoantibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SSA (RO) Autoantibody, IgG, AI Supply Item Number 1467

Billing Code Test Code [sunquest] SSB AUTOANTIBODY, IGG SSBMP SSBMP Synonyms LA Autoantibody; Sjogren's Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Hemolyzed specimens, avoid repeat freeze/thaw cycles (no more than three) Alternate Specimens EDTA or heparinized plasma (lavender or green top tube) Department PAML Chemistry CPT Codes 86235 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Multiplex luminex Test Includes SSB (LA) Autoantibody,IgG, AI Supply Item Number 1467

Billing Code Test Code [sunquest] SSDNA ANTIBODY, IGG SSDNA SSDNA Synonyms Anti-ssDNA Antibody; DNA Single Stranded Antibody; Single Stranded DNA Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma, severely lipemic, contaminated or hemolyzed samples. Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 99528 CPT Codes 86226 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Semi-Quantitative Enzyme-Linked Immunosorbent Assay Test Includes ssDNA Antibody, IgG, EU. Notes The ssDNA antibody test detects ssDNA and some dsDNA antibodies. As a result, patient samples should also be tested for dsDNA antibodies in order to more accurately determine the level of anti- ssDNA antibodies. By calculating the ratio (ssDNA/dsDNA), a conclusion can be made as to the presence of ssDNA antibodies. A ratio less than or equal to 1.0 indicates the absence of ssDNA antibodies. A ratio greater than 1.0 indicates the presence of ssDNA antibodies. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 851 S 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory S

Billing Code Test Code [sunquest] STONE ANALYSIS WITH IMAGE STONA STONA Synonyms Kidney Stone; Calculi Container Type Sterile screw cap container Store and Transport Ship ambient (room temperature) Specimen Type Dry kidney stone Collection Procedure Dry stone in sterile screw cap container. Stones originating from sources not related to the kidney should be air-dried, then placed in a plastic tube or a urine collection cup. Do not use tape. Minute specimens may be placed in a gelatin capsule. Room Temp 12 months Refrigerated 12 months Frozen (-20°C) 12 months Alternate Specimens Filtered material Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 4161 CPT Codes 82365 Test Schedule Mon-Sat Turnaround Time 4-5 days Method IR (FTIR), Gravimetric Test Includes Nidus, Component 1, Component 2, Stone Weight

Billing Code Test Code [sunquest] STONE ANALYSIS WITHOUT IMAGE STNWI STNWI Synonyms Kidney Stone; Calculi Container Type Sterile screw cap container Store and Transport Ship ambient Specimen Type Dry kidney stone Collection Procedure Dry stone in sterile screw cap container. Stones originating from sources not related to the kidney should be air-dried, then placed in a plastic tube or a urine collection cup. Do not use tape. Minute specimens may be placed in a gelatin capsule. Room Temp 12 months Refrigerated 12 months Frozen (-20°C) 12 months Alternate Specimens Filtered material Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 4155 CPT Codes 82365 Test Schedule Mon-Sat Turnaround Time 4-5 days Method IR (FTIR), Gravimetric Test Includes Nidus; Component 1; Component 2; Stone Weight, g

Billing Code Test Code [sunquest] STREPTOCOCCAL ANTIBODY (DNASE B) STREPTO DNASEB Synonyms Anti-DNase-B Antibody; Streptococcal Antibodies; Anti-Strep Dnase B Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 ml Minimum Volume 0.4 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma or severely hemolyzed specimens Reference Laboratory ARUP Reference Lab Test Code 50220 CPT Codes 86215 Test Schedule Tue, Thu, Sat Turnaround Time 2-4 days Method Quantitative Nephelometry Test Includes Streptococcal Antibody-Dnase B Supply Item Number 1467

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Billing Code Test Code [sunquest] STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (14 PNEUAB PNEUAB SEROTYPES) Synonyms Streptococcus pneumoniae Immune Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes); Streptococcus pneumoniae Vaccine Response (Streptococcus pneumoniae Antibodies, IgG (14 serotypes) Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.25 mL Collection Procedure If pre and post-vaccine samples are collected the post-immunization specimen should be drawn 30 days after immunization. Store the pre-vaccine samples frozen and submit both samples together. If shipped separately, must be received within 60 days of pre-immunization specimen. MARK SPECIMENS CLEARLY AS 'PRE' OR 'POST' Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens. Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50725 CPT Codes 86317 x 14 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Multiplex Bead Assay Test Includes Pneumococcal Serotype 1, IgG, ug/mL; Pneumococcal Serotype 3, IgG, ug/mL; Pneumococcal Serotype 4, IgG, ug/mL; Pneumococcal Serotype 5, IgG, ug/mL; Pneumococcal Serotype 6B, IgG, ug/mL; Pneumoncoccal Serotype 7F, IgG, ug/mL; Pneumococcal Serotype 8, IgG, ug/mL; Pneumococcal Serotype 9N, IgG, ug/mL; Pneumococcal Serotype, 9V, IgG, ug/mL; Pneumococcal Serotype 12F, IgG, ug/mL; Pneumococcal Serotype 14, IgG, ug/mL; Pneumococcal Serotype 18C, IgG, ug/mL; Pneumococcal Serotype 19F, IgG, ug/mL; Pneumococcal Serotype 23F, IgG, ug/mL; Pneumococcal Serotype Interpretation. Supply Item Number 1467

Billing Code Test Code [sunquest] STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (23 SPABGS SPABGS SEROTYPES) Container Type SST tube Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 2 months Reference Laboratory Specialty Reference Lab Test Code 2388 CPT Codes 86317 x 23 Test Schedule Mon, Thu Turnaround Time 5-7 days Method IAA Test Includes S. pneumoniae Type 1, IgG, ug/mL; S. pneumoniae Type 2, IgG, ug/mL; S. pneumoniae Type 3, IgG, ug/mL; S. pneumoniae Type 4, IgG, ug/mL; S. pneumoniae Type 5, IgG, ug/mL; S. pneumoniae Type 6B, IgG, ug/mL; S. pneumoniae Type 7F, IgG, ug/mL; S. pneumoniae Type 8, IgG, ug/mL; S. pneumoniae Type 9N, IgG, ug/mL; S. pneumoniae Type 9V, IgG, ug/mL; S. pneumoniae Type 10A, IgG, ug/mL; S. pneumoniae Type 11A, IgG, ug/mL; S. pneumoniae Type 12F, IgG, ug/mL; S. pneumoniae Type 14, IgG, ug/mL; S. pneumoniae Type, 15B, IgG, ug/mL; S. pneumoniae Type 17F, IgG, ug/mL; S. pneumoniae Type 18C, IgG, ug/mL; S. pneumoniae Type 19A, IgG, ug/mL; S. pneumoniae Type 19F, IgG, ug/mL; S. pneumoniae Type 20, IgG, ug/mL; S. pneumoniae Type 22F, IgG, ug/mL. S. pneumoniae Type 23F, IgG, ug/mL; S. pneumoniae Type 33F, IgG, ug/mL.

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Billing Code Test Code [sunquest] STREPTOCOCCUS PNEUMONIAE ANTIBODY, IGG PRE AND SPABG2 SPABG2 POST IMMUNIZATION Paired specimens required. Container Type SST Tube Specimen Type Serum Preferred Volume 2 mL( each specimen) Minimum Volume 1 mL for each specimen Collection Procedure Draw Pre and Post immunization samples. Specimen Processing Separate serum from cells and put in separate plastic tube and label appropriately. Store and transport refrigerated. Indicate date of each draw. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 2 months Alternate Specimens ACD, heparinized, EDTA plasma (yellow, green or purple top tube). Reference Laboratory Specialty Reference Lab Test Code 2386P CPT Codes 86609 x 28 Test Schedule Tue-Fri Turnaround Time 5-7 days Method IAA Test Includes Streptococcus Pneumoniae Antibody, IgG 14 types.

Billing Code Test Code [sunquest] STREPTOCOCCUS PNEUMONIAE ANTIGEN, URINE SPNUAG SPNUAG Container Type Leakproof plastic container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 5 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 5 mL of a random urine collection. Put in leakproof plastic container. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 week Unacceptable Condition Leaking containers Alternate Specimens Urine collected with boric acid as a preservative. Department PAML Virology CPT Codes 87899 Test Schedule Daily Turnaround Time 1-2 days Method ICT Assay Test Includes Streptococcus pneumoniae Antigen, Urine Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] STREPTOLYSIN O ANTIBODY ASO ASO Synonyms Anti-Streptolysin O Antibody; ASO Ab; ASO Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Department PAML Immunology CPT Codes 86060 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes ASO, IU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] STREPTOMYCIN SERUM LEVEL, HPLC ASLTF ASLTF Synonyms Antimicrobial Container Type Red top tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Specimens collected just before or within 15 minutes of the next dose represent the TROUGH levels. Specimens obtained within 15-30 minutes after the end of IV infusion or 45-60 minutes after an IM injection or 90 minutes after oral intake represent the PEAK level. Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport frozen. This is a critical frozen.

Required Patient Info List all medications patient is taking. Room Temp unacceptable Refrigerated unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition SST tubes. Limitations Sulindac may interfere with this assay. Reference Laboratory FOCUS Reference Lab Test Code 51962 CPT Codes 80299 Test Schedule Mon, Wed, Fri Turnaround Time 7-8 days Method HPLC Test Includes Streptomycin Serum Level, ug/mL.

Billing Code Test Code [sunquest] STREPTOZYME TITER, REFLEX TO ASO STREP STRZ This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 2 weeks Frozen (-20°C) 6 months Department PAML Immunology CPT Codes 86063 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Agglutination/Nephelometry Test Includes Streptozyme Titer, Units; ASO Titer, IU/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive Streptozyme ASO 86060

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Billing Code Test Code [sunquest] STRIATED MUSCLE ANTIBODY, IGG WITH REFLEX TO TITER STRAB STRAB This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Anti-Striated Muscle Antibody; Skeletal Muscle Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Plasma; contaminated, hemolyzed, or severely lipemic specimens Limitations Avoid repeated freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 50746 CPT Codes 86255 Test Schedule Mon-Fri Turnaround Time 2-5 days Method Semi-Quantitative Indirect Fluorescent Antibody Test Includes Striated Muscle Antibody, IgG Screen; Striated Muscle Antibody, IgG Titer Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Striated Muscle Ab is > 1:40, titer to Striated Muscle Antibody, IgG Titer 86256 endpoint will be performed

Billing Code Test Code [sunquest] STRONGYLOIDES ANTIBODY, IGG STROAG STROAG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.05 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Lipemic, hemolyzed, icteric, bacterially contaminated, or heat-inactivated samples. Alternate Specimens Plain red Reference Laboratory ARUP Reference Lab Test Code 99564 CPT Codes 86682 Test Schedule Wed Turnaround Time 2-8 days Method ELISA Test Includes Strongyloides Antibody, IgG, IV Compliance Remarks Analyte specific reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] STRYCHNINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCSTY TLCSTY SUR. Synonyms Rat Poison; Back Breakers; Homicide; Red Rock Opium; Red Rum; Red Stuff; Spike Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Strychnine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] SULFATE, URINE 24HR URSUL URSUL Container Type Leakproof plastic container Store and Transport Frozen Specimen Type Urine, random Preferred Volume 4 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen. Refrigerate during collection. Specimen Processing Aliquot 4 mL urine into a leakproof plastic container and freeze.

Required Patient Info Total volume and collection time Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Specimen types other than urine. Room temperature specimens. Reference Laboratory ARUP Reference Lab Test Code 0081102 CPT Codes 84392 Test Schedule Wed, Sat Turnaround Time 2-9 days Method Spectrophotometric Test Includes Collection time, hrs; Total volume, mL; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/day; Sulfate, Urine, mmol/L; Sulfate, Urine, mmol/d Supply Item Number 1377 or 1388

Billing Code Test Code [sunquest] SULFONAMIDES SULFA SULFA Synonyms Sulfa Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw peak specimen 2 hours post dose. Indicate sulfa medication on request form. Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Store and transport refrigerated. Required Patient Info Sulfa medication. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 0020044 CPT Codes 80299 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Quantitative Colorimetric Test Includes Sulfonamides, mg/dL. Supply Item Number 1372

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Billing Code Test Code [sunquest] SULFONYLUREA HYPOGLYCEMICS PANEL (QUALITATIVE) SUHGP SUHGP SERUM OR PLASMA Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 4 months Unacceptable Condition Serum separator tubes (SST) or gels. Alternate Specimens EDTA, K2EDTA, soium fluoride/potassium oxalate, sodium heparin (lavender, pink, grey or green top tube) or samples sent at room temperature or refrigerated. Reference Laboratory ARUP Reference Lab Test Code 2004279 CPT Codes 83788 Test Schedule Varies Turnaround Time Varies Method HPLC -TMS Test Includes Acetohexamide; Chlorpropamide; Glimepiride; Glipizide; Glyburide; Nateglinide; Repaglinide; Tolazamide; Tolbutamide. Supply Item Number 1372

Billing Code Test Code [sunquest] SULINDAC CLIND CLIND Synonyms Clinoril Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Trough levels are the most reproducible. Room Temp 3 days Alternate Specimens Heparin plasma (green top tube). Reference Laboratory MEDTOX Reference Lab Test Code 115 CPT Codes 82491 Test Schedule Varies Turnaround Time 7-9 days Method HPLC/UV Test Includes Sulindac (Clinoril), ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] SYNOVIAL FLUID PROFILE SYNFL SYNFL Container Type Green top tube (sodium heparin) and Lavender top tube (EDTA) Specimen Type Synovial fluid Preferred Volume 6 mL Minimum Volume 1 mL in each tube Specimen Processing Divide the fluid between the sodium heparin (green top tube) and EDTA (lavender top tube). Transport ASAP. Store and transport refrigerated. Unacceptable Condition Samples collected in powdered EDTA cannot be used for crystals. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 89051, 89060, 84315 Test Schedule Sun-Sat Turnaround Time 24-48 hours Test Includes Color; Clarity; RBC, M/L; Nucleated Cells, M/L; Number of Cells Seen; Segs, %; Bands, %; Lymphocytes, %; Variant Lymphocytes, %; Mononuclear Phagocytes, %; Eosinophils, %; Basophils, %; Others, %; Non-Heme Cells; Nucleated RBC, /100WBCs; Mesothelial Cells, /100WBCs; Note; Reviewed By; Crystals, Synovial Fluid; Crystals, Identification; Specific Gravity. Supply Item Number 1518

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Billing Code Test Code [sunquest] SYNTHETIC CANNABINOIDS SCREEN SYNCAN SYNCAN This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms K2; Spice; Fake Pot; K2 Summitt; Synthetic Cannabinoids; Cannabinomimetics; JWH Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Random urine Preferred Volume 20 mL Minimum Volume 10 mL Collection Procedure Collect a random urine in a leakproof plastic urine container. Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 2 days Method EIA Test Includes AM-2201 (Parent); AM-2201 Metabolites; JWH-018 (Parent); JWH-018 and/or JWH-073 Met; JWH- 073 (Parent); JWH-081 (Parent); JWH-081 Metabolites; JWH-250 (Parent); JWH-250 Metabolites; RCS-4 (Parent); RCS-4 Metabolites Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive results SYNTHC 83788

Billing Code Test Code [sunquest] T-CELL CLONALITY (GAMMA) SCREENING ASSAY BY PCR TCELL TCELL Synonyms T-Cell Gamma Clonality; TCRG Container Type Lavender top (EDTA); paraffin embedded tissue and/or slides Store and Transport Store and transport at room temperature or refrigerated if delay of more than 72 hours Specimen Type Whole blood, bone marrow; paraffin embedded tissue and/or slides Preferred Volume 5 mL whole blood, 1 mL bone marrow, 1 paraffin embedded tissue block or 6 unstained 7-micron slides with an additional H&E stained slide containing at least 50% tumor cells Minimum Volume 3 mL whole blood, 0.5 mL bone marrow, 1 paraffin embedded tissue block or 4 unstained 7-micron slides with an additional H&E stained slide containing at least 20% tumor cells Collection Procedure Collect tumor tissue Specimen Processing Submit original unopened tube only. Indicate source Required Patient Info Surgical pathology report Alternate Specimens ACD or sodium citrate whole blood (lavender, yellow, or blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81342 Test Schedule Tue, Wed Turnaround Time 7-10 days Method Polymerase Chain Reaction Clinical Significance The T cell receptor (TCR) is composed of two different protein chains (heterodimer). In more than 90% of T cells, this consists of an alpha and beta chain, whereas in the rest of T cells this consists of gamma and delta chains. During normal T-cell development and maturation, the T-cell receptor undergoes a series of rearrangements to produce a unique antigen receptor with specificity to a discrete antigen. In a healthy person, T-cell development results in a spectrum of mature T-cells that can respond to essentially any antigen encountered by the individual.

In T-cell lymphoproliferative disorders, the neoplastic T-cell population shares the same TCR rearrangement pattern and serves as a marker for monoclonality that can be detected by PCR and capillary electrophoresis. In typical reactive populations, no single rearrangement predominates, yielding a detectable polyclonal pattern. Therefore, a prominent TCR gene rearrangement profile (TCRG in this assay) is suggestive for lymphoid malignancy in the appropriate clinical and pathologic setting. Detection of the same profile could be used for monitoring a patient with persistent neoplasm. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration (FDA) approval or clearance. This test was developed and its performance characteristics determined by PSHMC Division of Laboratory Medicine. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use.

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Billing Code Test Code [sunquest] T3 BY ICMA (TBG CORRECTED) RT3 RT3 Synonyms Total T3; T3 Total; Triiodothyronine Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated; freeze if transport will exceed 24 hours. Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed, grossly lipemic, or grossly icteric samples Limitations Avoid freeze-thaw cycles Department PAML Immunochemistry CPT Codes 84480 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes T3 by ICMA TBG Corrected, ng/dL Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] T3 UPTAKE T3UP T3U Synonyms T3 Resin Uptake Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 3 months Alternate Specimens Red top tube (plain) Department PAML Immunochemistry CPT Codes 84479 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes T3 Uptake, % Supply Item Number 1467

Billing Code Test Code [sunquest] T3, FREE & TOTAL FREE&TOT.T3 FRTT3 Container Type Serum separator tube (gold, brick, SST, or corvac) or red top tube (plain) Store and Transport Refrigerated. Frozen if transport will exceed 24 hours. Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Refrigerated 2 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed, grossly lipemic, or grossly icteric specimens Department PAML Immunochemistry CPT Codes 84481, 84480 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Free T3, pg/mL; T3 by ICMA TBG Corrected, ng/dL

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Billing Code Test Code [sunquest] T4 BY ICMA T4 T4 Synonyms Thyroxine; T4 Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 4 days Frozen (-20°C) 3 months Department PAML Immunochemistry CPT Codes 84436 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes T4, ug/dL Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] TACROLIMUS BY LC-MS/MS TAC TAC Synonyms Tacrolimus; FK506; Prograf Container Type Lavender top tube Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL Patient Prep Draw 30 minutes before next dose as a trough specimen Collection Procedure Draw specimen 30 minutes before next dose Specimen Processing DO NOT CENTRIFUGE. Send whole blood refrigerated in original vacutainer. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Specimens other than whole blood collected in EDTA lavender top tube. Alternate Specimens Specimen can be sent room temperature if less than or equal to 24 hours for transport. Department PAML Bioanalytics CPT Codes 80197 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Tandem Mass Spectrometry Test Includes FK506, ng/mL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Ammendments (CLIA) to perform high-complexity testing. Notes The recommended therapeutic range applies to trough specimens drawn just before the next dose. Blood drawn at other times will yield higher results.

Supply Item Number 1222

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Billing Code Test Code [sunquest] TEG MAPPING AND STANDARD TEG TEGMAP TEGMAP Container Type Green top tube & Blue top tube Specimen Type Whole blood Preferred Volume 10 mL sodium heparin whole blood and 3 mL citrate whole blood Minimum Volume 2 mL sodium heparin and 3 mL citrate Specimen Processing Deliver immediately to the laboratory at room temperature. Room Temp 2 hours Refrigerated Unacceptable Frozen (-20°C) Unacceptable Limitations Test must be scheduled in advance. Call 509-474-4111. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85576 x 5, 85384, 85347, 85390 Test Schedule Sun-Sat Turnaround Time 4-5 hours Method Clot Detection, TEG Analyzer Test Includes CK R; CK Angle; CK MA; CK CI; CK EPL; CK LY30; CKH R; CKH Angle; CKH MA; CKH CI; CKH LY30; % Inhibition ADP; ADP MA; ADP G; % Inhibition AA; AA MA; AA G; Interpretation; Note. Supply Item Number 1398

Billing Code Test Code [sunquest] TEICHOIC ACID ANTIBODY TEICHOIC TEICH Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Plasma samples. Reference Laboratory ARUP Reference Lab Test Code 50775 CPT Codes 86329 Test Schedule Mon, Thu, Sat Turnaround Time 2-6 days Method ID Test Includes Teichoic Acid Antibody, Titer. Supply Item Number 1467

Billing Code Test Code [sunquest] TEMAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCTEM TLCTEM SUR. Synonyms Restoril Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Temazepam Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] TESTICULAR FUNCTION PROFILE TFP TFP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 0.5 mL per test Specimen Processing Separate serum from cells and place in separate plastic tube. Room Temp 8 hours Refrigerated 2 days Frozen (-20°C) 2 months Unacceptable Condition Plasma, grossly hemolyzed or grossly lipemic serum. Department PAML Immunochemistry, PSHMC Immunology CPT Codes 83002, 83001, 84403 Turnaround Time 2-4 days Method ICMA Test Includes FSH, mIU/mL; LH, mIU/mL; Testosterone, ng/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] TESTOSTERONE, FREE (ADULT MALES) TSTFRM TSTFRM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Indicate patient's sex Refrigerated 3 days Frozen (-20°C) 2 months Unacceptable Condition Gross lipemia; avoid repeat freeze/thaw cycles Alternate Specimens Heparinized plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84402 Test Schedule Sun-Fri Turnaround Time 1-3 days Method RIA Test Includes Testosterone, Free

Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL & FREE (ADULT MALES) TSTFM TSTFM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL per test Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerate promptly. Required Patient Info Indicate patient's sex Room Temp Not documented Refrigerated 3 days Frozen (-20°C) 2 months Unacceptable Condition Gross lipemia; avoid repeat freeze/thaw cycles Alternate Specimens Heparinized plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84403, 84402 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes Testosterone, Total, ng/dL; Testosterone, Free, pg/mL Notes Sample stabilities for Total Testosterone are less strict than for Free Testosterone. If retesting only that component, consult that listing.

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Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL & FREE, SERUM BY EQUILIBRIUM TESTED TESTED DIALYSIS & LC & MS/MS Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 2 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Patient's age and sex Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 2 months Unacceptable Condition Gross hemolysis Alternate Specimens Serum separator tube (SST) Reference Laboratory Mayo Reference Lab Test Code TGRP CPT Codes 84402, 84403 Test Schedule Mon-Fri, Sun Turnaround Time 5-6 days Method Equilibrium Dialysis/Liquid Chromatography-Tandem Mass Spectrometry Test Includes Testosterone Free, S; Testosterone Total, S Supply Item Number 1372

Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL (ADULT MALES) TSTOTM TSTOTM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Required Patient Info Indicate patient's sex Room Temp 8 hours Refrigerated 8 days Frozen (-20°C) 2 months Unacceptable Condition Freeze/thaw no more than 2 times Alternate Specimens Heparinized plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84403 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes Testosterone, Total, ng/dL

Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL AND FREE + SHBG, ADULT MALE TESTFB TESTFB Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4 mL Minimum Volume 0.5 mL per test Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerate promptly. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Gross lipemia, gross hemolysis, frozen samples thawed more than 3 times Alternate Specimens Lithium heparin plasma (green top tube) Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 84403, 84402, 84270 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Electrochemiluminescent Immunoassay Test Includes Testosterone, Total, ng/dL; Testosterone, Free, pg/mL; Sex Hormone Binding Globulin, nmol/L Notes Adult male only

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Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL BY LC-MS/MS TESTAM TESTAM Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info Age and gender of patient must be submitted. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly Icteric samples may falsely elevate testosterone results Department PAML Bioanalytics CPT Codes 84403 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry Test Includes Total Testosterone, ng/dL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required.

Billing Code Test Code [sunquest] TESTOSTERONE, TOTAL BY LC-MS/MS (FEMALES & CHILDREN) TESFC TESFC Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube. Required Patient Info Age and gender of patient must be submitted. Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly icteric samples may falsely elevate testosterone results. Department PAML Bioanalytics CPT Codes 84403 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry Test Includes Total Testosterone (Females & Children), ng/dL Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required.

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Billing Code Test Code [sunquest] TESTOSTERONE,FREE BY LC-MS/MS TESFR TESFR Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and aliquot into 3 separate plastic tubes (3 aliquots). Required Patient Info Age and gender of patient must be submitted Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly icteric samples may falsely elevate testosterone results Department PAML Bioanalytics CPT Codes 84402 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry ICMA, Colorimetric Test Includes Free Testosterone (Calculated) Compliance Remarks PAML // PSHMC B: Laboratory Developed / Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required. Testosterone, Free, Females and Children by tandem mass spectrometry, only provides a result for the free testosterone value. The concentration of free testosterone is derived from a mathematical expression based on the constant for the binding of testosterone to sex hormone binding globulin.

Billing Code Test Code [sunquest] TESTOSTERONE,TOTAL & FREE BY LC-MS/MS TETFR TETFR Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and aliquot into 3 separate plastic tubes (3 aliquots). Required Patient Info Age and gender of patient must be submitted Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly icteric samples may falsely elevate total and free testosterone results. Department PAML Bioanalytics CPT Codes 84402, 84403 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry ICMA, Colorimetric Test Includes Total Testosterone (ng/dl); Free Testosterone (Calculated) Compliance Remarks PAML // PSHMC B: Laboratory Developed / Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required. The concentration of free testosterone is derived from a mathematical expression based on the constant for the binding of testosterone to sex hormone binding globulin.

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Billing Code Test Code [sunquest] TESTOSTERONE,TOTAL BY LC-MS/MS, & BIOAVAILABLE + TESAMS TESAMS SHBG Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and aliquot into 3 separate plastic tubes (3 aliquots). Required Patient Info Age and gender of patient must be submitted Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly icteric samples may falsely elevate testosterone results. Department PAML Bioanalytics CPT Codes 84403, 84270 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry ICMA, Colorimetric Test Includes Testosterone, Total, Sex Hormone Binding Globulin, Serum Albumin: Calculated: Free Testosterone & Calculated: Bioavailable Testosterone Compliance Remarks PAML // PSHMC B: Laboratory Developed / Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required.

Billing Code Test Code [sunquest] TESTOSTERONE,TOTAL BY LC-MS/MS, & BIOAVAILABLE + TESFWC TESFWC SHBG (WOMEN & CHILDREN) Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and aliquot into 3 separate plastic tubes (3 aliquots). Required Patient Info Age and gender of patient must be submitted Room Temp 2 days Refrigerated 1 week Frozen (-20°C) 2 months Unacceptable Condition EDTA plasma Alternate Specimens Sodium or lithium heparin plasma (green top tube) and serum separator tubes (SST) Limitations Grossly icteric samples may falsely elevate testosterone results. Department PAML Bioanalytics CPT Codes 84403, 84270 Test Schedule Mon-Sat Turnaround Time 1-4 days Method Tandem Mass Spectrometry ICMA, Colorimetric Test Includes Testosterone, Total, Sex Hormone Binding Globulin, Serum Albumin: Calculated: Free Testosterone & Calculated: Bioavailable Testosterone Clinical Significance PAML // PSHMC B: Laboratory Developed / Modified In-Vitro Diagnostic Test Compliance Statement [LDTB]: This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Utilization of LC-MS/MS technology is suggested when increased sensitivity of testosterone testing is required.

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Billing Code Test Code [sunquest] TETANUS ANTIBODY, IGG TETABG TETAB Pre-and post-vaccination samples recommended. Container Type SST tube Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Pre and Post (1 month) vaccine specimens are recommended and must be clearly labeled. They should be submitted together for testing. Post sample should be drawn 30 days after immunization and, if shipped separately, must be received within 60 days of pre sample. Please clearly mark samples 'pre-vaccine' or 'post-vaccine' so that samples will be saved and tested simultaneously. Specimen Processing Separate serum from cells and place in separate plastic tube. Clearly label specimens. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year (avoid repeated freeze/thaw cycles) Unacceptable Condition Plasma specimens or other body fluids, severely lipemic, contaminated or hemolyzed samples. Reference Laboratory ARUP Reference Lab Test Code 50535 CPT Codes 86317 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Multi-analyte Fluorescent Detection Test Includes Tetanus Antibody, IgG, IU/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] THALLIUM, BLOOD THALLIUM THALL Container Type Royal blue top tube (metal free NA2 EDTA) Specimen Type NA2EDTA whole blood Preferred Volume 7 mL Minimum Volume 1 mL Specimen Processing Store and transport room temperature. Room Temp If the sample is drawn and stored in the appropriate container, the trace element values do not change with time. Unacceptable Condition Heparin anticoagulant. Alternate Specimens K2EDTA whole blood (K2EDTA royal blue top tube). Reference Laboratory ARUP Reference Lab Test Code 99610 CPT Codes 83018 Test Schedule Tue, Fri Turnaround Time 3-7 days Method ICP/MS Test Includes Thallium, Blood, ug/L. Supply Item Number 9734

Billing Code Test Code [sunquest] THEOPHYLLINE THEO THEO Synonyms Aminophylline; Elixophyllin Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.2 mL Collection Procedure Draw just prior to next oral dose. Note times of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Required Patient Info Note times of dose and drawing. Room Temp 2 days Refrigerated 1 month Frozen (-20°C) 3 months Frozen (-70°C) 3 months Alternate Specimens Plasma specimens. SST and other gel-type tubes, however, they may artifactually, randomly lower results if not promptly centrifuged and separated. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80198 Test Schedule Sun-Sat and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Theophylline, ug/mL. Supply Item Number 1372 2.1 www.paml.com 4/16/2013 page 868 T 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory T

Billing Code Test Code [sunquest] THEOPHYLLINE (URINE ONLY) TEST ALSO INCLUDED IN TLCTHE TLCTHE DRUG-SUR. Synonyms Asthma Medicine Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 20000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Theophylline Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] THIOCYANATE THIOCYANATE THIO Container Type SST tube Specimen Type Serum Preferred Volume 6 mL Minimum Volume 3.5 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Alternate Specimens EDTA or heparinized plasma ( lavender or green top tube). Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84430 Test Schedule Mon-Fri, days Turnaround Time 1-3 days Method Colorimetric Test Includes Thiocyanate, mg/dL. Supply Item Number 1467

Billing Code Test Code [sunquest] THIOPURINE METHYLTRANSFERASE, RBC TPMTA TPMTA Synonyms TPMT Activity; TPMT; TPMT Erythrocytes; TPMT-RBC Container Type Lavender top tube (K2-EDTA) plastic Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 6 mL Minimum Volume 3 mL Patient Prep Blood is collected prior to azathioprine (Imuran) or 6-mercaptopurine (6-MP, Purinethol) therapy for screening purposes. The draw time is at physicians discretion. Collection Procedure Collect venous blood in 2 separate lavender top (K2-EDTA) tubes (3-5 mL each tube) Room Temp 2 days Refrigerated 6 days Frozen (-20°C) Unacceptable Unacceptable Condition Hemolysis. Clotted, Animal specimen, Forensic specimen. Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 18831 CPT Codes 83789 Test Schedule Mon, Wed, Fri Turnaround Time 4-5 days Method Liquid Chromatrography/Tandem Mass Spectrometry Supply Item Number 7359

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Billing Code Test Code [sunquest] THIORIDAZINE & METABOLITE QUANTITATIVE THIODZ THIODZ Container Type Red top tube (plain) Store and Transport Refrigerated or ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 days Refrigerated 8 days Frozen (-20°C) 12 months Unacceptable Condition Do not use serum separator tubes Alternate Specimens Plasma Reference Laboratory NMS Reference Lab Test Code 4461SP CPT Codes 84022 Test Schedule Tue, Thu Turnaround Time 3-5 days Method GC Test Includes Thioridazine, ng/mL; Mesoridazine, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] THIOTHIXENE NAVANE THIOTH Synonyms Navane; Orbinamon Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 5 days Frozen (-20°C) 1 month Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution) Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA) Limitations Avoid repeat freeze/thaw cycles Reference Laboratory ARUP Reference Lab Test Code 0099904 CPT Codes 80299 Test Schedule Mon, Wed, Fri Turnaround Time 2-5 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Thiothixene, ng/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] THROMBIN TIME & FIBRINOGEN (REFLEXIVE) TTFIB TTFIB Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85384, 85670 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL. Notes Both thrombin time and the fibrinogen will be done regardless of the results Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Thrombin Time prolonged TT PT/CT Mix and/or TT PT/SO4 Mix 85670

Billing Code Test Code [sunquest] THROMBIN TIME (REFLEXIVE) XTT XTT Thrombin Time is a qualitative test for how well fibrinogen functions. Separate samples must be submitted when multiple tests are ordered. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 2 mL Minimum Volume 0.5 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing Specimens should be transported uncentrifuged or centrifuged with plasma remaining on top of the cells in an unopened tube kept at 2-4C or 22-24C. If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85670 Test Schedule Daily Turnaround Time 24-48 hours Method Electromechanical Test Includes Thrombin Time; Patient, sec; Control, sec; PT/CT Mix, sec; PT/PS Mix, sec. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Thrombin Time prolonged TT PT/CT Mix and/or TT PT/SO4 Mix 85670

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Billing Code Test Code [sunquest] THROMBIN TIME TO FIBRINOGEN (REFLEXIVE) TTIME TTIME Separate samples must be submitted when multiple tests are ordered This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85670 Test Schedule Daily Turnaround Time 1-2 days Method Electromechanical Test Includes Thrombin Time Patient, sec; Thrombin Time Control, sec; Thrombin Time PT/CT Mix, sec; Thrombin Time PT/PSO4 Mix, sec; Fibrinogen, mg/dL. Notes If the thrombin time is abnormal, this test reflexes to a fibrinogen, and an additional charge will be added Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Thrombin Time prolonged Fibrinogen 85384 TT PT/CT Mix and/or TT PT/SO4 85670 Mix

Billing Code Test Code [sunquest] THROMBIN-ANTITHROMBIN COMPLEX TANTIC TANTIC Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 2 months Reference Laboratory Esoterix Reference Lab Test Code 300714 CPT Codes 83520 Test Schedule Mon, Thu Turnaround Time 4-8 days Method Enzyme-Linked Immunosorbent Assay Test Includes Thrombin-Antithrombin Complex, ng/mL Supply Item Number 1050 or 1072

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Billing Code Test Code [sunquest] THROMBOPHILIA RISK ASSESSMENT PANEL TRTPAN TRTPAN Container Type Lavender top tube Store and Transport Refrigerated or ambient (room temperature) Specimen Type EDTA whole blood Preferred Volume 5 mL Minimum Volume 1 mL Specimen Processing Submit only in the original unopened tube. Do not freeze Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Serum, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, leaky containers or samples over 5 days old. Also specimens not received in the original collection tubes. Do not freeze Alternate Specimens ACD whole blood or sodium citrate whole blood (yellow or blue top tube) Limitations Do not freeze Department PSHMC-Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81291, 81240, 81241 Test Schedule Sun, Wed, Fri Turnaround Time 2-7 days Method PCR Test Includes Factor V Result; Factor V Interpretation; Factor V Comment; Prothrombin Result; Prothrombin Interpretation; Prothrombin Comment; MTHFR Result; MTHFR Interpretation; Thrombophilia Note; Method

Billing Code Test Code [sunquest] THYROGLOBULIN (REFLEXIVE) THYRO THYRO This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Thyroglobulin; Tg; Thryoglobulin Assay for Thyroid Cancer; Tumor Marker Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated Thyroglobulin-7 days; Thyroglobulin Autoantibodies-2 weeks Frozen (-20°C) Both 1 month Unacceptable Condition Repeat freeze/thaw cycles, lipemic, iceric, or grossly hemolyzed samples Limitations Unable to perform if autoantibodies are present Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 86800 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA-Immulite; ICMA-Beckman Coulter Test Includes Thyroglobulin Autoantibodies, IU/mL; Thyroglobulin, ng/mL Notes If the thyroglobulin autoantibodies are negative, a thyroglobulin will be done. An additional fee will be added. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes TG < 0.9 IU/mL Thyroglobulin (REFLEXIVE) 84432 BTHYR

Billing Code Test Code [sunquest] THYROGLOBULIN (TG) + TGAB THRUSC THRUSC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Specimen Processing Allow to clot for 60 minutes and centrifuge for 15 minutes and separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated Indefinitely Frozen (-20°C) Indefinitely Alternate Specimens Serum (Red top tube) Reference Laboratory USC CPT Codes 86800, 84432 Test Includes TgAb, U/mL; Thyroglobulin, ng/mL; Comment Supply Item Number 1467

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Billing Code Test Code [sunquest] THYROGLOBULIN AUTOANTIBODIES TG.AB TG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed, lipemic and icteric specimens. Alternate Specimens Heparinized plasma from a PST or plain green top tube Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 86800 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes Thyroglobulin Autoantibodies, IU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] THYROGLOBULIN, FINE NEEDLE ASPIRATION (FNA) THYFNA THYFNA Synonyms Fine Needle Aspiration (FNA),Thyroglobulin; Thyroglobulin, Fine Needle Aspiration (FNA) Container Type Leakproof plastic container Store and Transport Frozen Specimen Type Fine needle aspirate of thyroid in saline Preferred Volume 0.5 mL Minimum Volume 0.5 mL Collection Procedure Collect fine needle aspirate of thryoid and put in saline. Specimen Processing Centrifuge to remove cellular material. Put saline needle aspirate in separate plastic tube. Required Patient Info Source Room Temp 8 hours Refrigerated 48 hours Frozen (-20°C) 6 months Unacceptable Condition Viscous samples and specimens containing EDTA Alternate Specimens Non-viscous body fluids, frozen, or heparinized samples Limitations Specimen must be non-viscous and free of particulate matter. Reference Laboratory ARUP Reference Lab Test Code 0020753 CPT Codes 84432 Test Schedule Sun-Sat Turnaround Time 2-3 days Method ICMA Test Includes Thyroglobulin, Fine Needle Aspiration, ng/mL Compliance Remarks This test is FDA cleared but is not labeled for use with FNA fluid. The performance characteristics of this test were determined by ARUP Laboratories. Notes Thyroglobulin (Tg) is measured by the Beckman Coulter Access method. Results obtained with different assay methods or kits cannot be used interchangeably. The Tg result, regardless of concentration, should not be interpreted as absolute evidence for the presence or absence of papillary or follicular thyroid cancer. This test is FDA cleared but is not labeled for use with FNA fluid. Ther performance characteristics of this test were determined by ARUP.

Indicate source on test request form.

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Billing Code Test Code [sunquest] THYROID CANCER MONITORING THYCM THYCM This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2.5 mL Minimum Volume 1.5 mL Patient Prep No sample should be drawn until at least 8 hours after last biotin administration Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 6 days Refrigerated 1 week Frozen (-20°C) 28 days Unacceptable Condition Hemolysis, lipemia, plasma, icteric Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 90814 CPT Codes 86800 Test Schedule Mon-Fri Turnaround Time 9-10 days Method ECL/Reflex to Second Generation (Beckman Coulter) or LC/MS/MS Test Includes Thyroglobulin Antibody, Electrochemiluminescence Reflex tests: Thyroglobulin, Second Generation (Beckman Coulter) or Thyroglobulin, LC/MS/MS Clinical Significance The panel will first measure Tg Ab (Roche E170) an electrochemiluminescent assay and a highly sensitive test for the detection of endogenous anti-Tg antibodies. If the patient is Tg Ab negative, Tg will be measured using an immunoassay (Second Generation, Beckman Coulter) - also a highly sensitive assay with increased low-level sensitivity to 0.05 ng/mL. If the Tg Ab is positive, Tg will be measured by tandem mass spectrometry. The LC/MS/MS assay will provide quantitative measurement of Tg in the presence of Tg Ab. Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If Thyroglobulin Antibody, ECL is Thyroglobulin, Second Generation 84432 BTHCM2 LT or = 20 IU/mL If Thyroglobulin Antibody, ECL is Thyroglobulin, LC/MS/MS 84432 BTHYCM GT 20 IU/mL

Billing Code Test Code [sunquest] THYROID CASCADE (REFLEXIVE) THYCR THYCR This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) or green top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 4.0 mL Minimum Volume 2.0 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Refrigerated 4 days Frozen (-20°C) 2 weeks Unacceptable Condition Grossly hemolyzed, lipemic, or icteric samples Department PAML Immunochemistry, PSHMC Immunology CPT Codes 84443 Test Schedule Sun-Fri Turnaround Time 1-4 days Method Chemiluminescence Assays Test Includes TSH, uIU/mL; Free T4, ng/mL if TSH abnormal; TPO Antibodies, IU/mL if TSH is elevated and Free T4 is normal or low; Free T3, pg/mL if TSH is low and Free T4 is normal or low Notes The Thyroid Cascade (Reflexive) begins with a TSH. If the TSH result is abnormal, a Free T4 will be performed at an additional charge. If the TSH is elevated and the Free T4 is either normal or low, TPO Antibodies will be performed at an additional charge. If the TSH is low and the Free T4 is either normal or low, a Free T3 will be performed at an additional charge. NOTE: The Thyroid Cascade (Reflexive) will only be performed on patients 18 years or older. Orders on patients younger than 18 will have a TSH only performed. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If TSH is abnormal Free T4 84439 If TSH is elevated & FT4 normal or low Thyroid Peroxidase Antibody 86376 If TSH is low & FT4 is either normal or low Free T3 84481

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Billing Code Test Code [sunquest] THYROID PEROXIDASE ANTIBODY TPO.AB TPO Synonyms Anti-TPO; TPO AB; Antithyroid Peroxidase Antibody; Microsomal Antibody; Anti-microsomal Antibody; TPO Auto Antibody; TPO Autoantibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed, lipemic, or icteric specimens Alternate Specimens Heparinized plasma from a PST or plain green top tube Department PSHMC Immunology Reference Laboratory PSHMC CPT Codes 86376 Test Schedule Sun-Fri Turnaround Time 1-3 days Method ICMA Test Includes Thyroid Peroxidase Autoantibodies, IU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] THYROID PROFILE BTB BTB Synonyms Free Thyroxin Index (FTI); BTB; FTI Container Type Red top tube (plain) or serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 4 days Frozen (-20°C) 3 months Department PAML Immunochemistry CPT Codes 84479, 84436 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes FTI; T3 Uptake, %; Total T4, ug/dL Notes Client may phone in request for TSH or T3 by ICMA if thyroid results indicate additional testing necessary. Supply Item Number 1372 or 1467

Billing Code Test Code [sunquest] THYROID STIMULATING HORMONE TSH TSH Synonyms TSH Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 3 months Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Immunochemistry CPT Codes 84443 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes TSH, uIU/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] THYROID STIMULATING HORMONE (REFLEXIVE) TSH.R TSHREF This test reflexes to a Free T4 if TSH is abnormal. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 3 months Department PAML Immunochemistry CPT Codes 84443 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes TSH, uIU/mL; Free T4, ng/dL if TSH is abnormal. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes TSH is High or Low Free T4 84439

Billing Code Test Code [sunquest] THYROID STIMULATING HORMONE 3RD GENERATION TSH3G TSH3G Synonyms TSH 3rd Generation; TSH 3 Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed samples Alternate Specimens Heparinized or EDTA plasma Department PAML Immunochemistry CPT Codes 84443 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Immunochemiluminometric Assay Test Includes TSH 3rd Generation, uIU/mL Supply Item Number 1467

Billing Code Test Code [sunquest] THYROID STIMULATING HORMONE RECEPTOR ANTIBODY ATRAB ATRAB (TRAB) Synonyms TRAb; TBII; Anti-Thyrotropin; Anti-TSHR; Thyrotropin Receptor Antibody; TSH Receptor Antibody; TSH Receptor Blocking Antibody Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum, frozen Preferred Volume 1.0 mL Minimum Volume 0.30 mL Collection Procedure Collect 4 mL blood in a serum separator tube Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 day Refrigerated 3 days Frozen (-20°C) 1 month Unacceptable Condition Plasma, grossly hemolyzed, or lipemic serum specimens Limitations Avoid repeated freezing/thawing of the sample Department PAML Special Immunology CPT Codes 83516 Test Schedule Tue, Thu Turnaround Time 2-6 days Method ELISA Test Includes TSH Receptor Antibody Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 877 T 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory T

Billing Code Test Code [sunquest] THYROID STIMULATING IMMUNOGLOBULINS TSIA TSIA Synonyms TSIG; Thyretain® Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells and put in separate plastic tube and freeze. Room Temp 2 hours Refrigerated 6 days Frozen (-20°C) 3 months Unacceptable Condition Plasma Reference Laboratory ARUP Reference Lab Test Code 99430 CPT Codes 84445 Test Schedule Mon-Sat Turnaround Time 3-6 days Method Chemiluminescence BioAssays Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Notes An elevated Thyroid Stimulating Hormone (TSH) value above 6 mU/L may produce a weakly positive Thyroid Stimulating Immunoglobulin (TSI) result (123 percent or greater).

Billing Code Test Code [sunquest] THYROXINE BINDING GLOBULIN TBG TBG Synonyms TBG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.4 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 24 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma, tissue, or urine. Grossly hemolyzed or lipemic specimens. Reference Laboratory ARUP Reference Lab Test Code 70410 CPT Codes 84442 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Chemiluminescent Immunoassay Test Includes Thyroxine Binding Globulin, ug/mL Notes Not recommended for routine thyroid screening. Supply Item Number 1467

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Billing Code Test Code [sunquest] THYROXINE, FREE BY EQUILIBRIUM DIALYSIS/HPLC-TMS FT4TMS FT4TMS Synonyms Direct Dialysis; FT4; T4 Free, Equilibrium Dialysis Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube Room Temp 4 days Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 0093244 CPT Codes 84439 Test Schedule Mon-Fri Turnaround Time 3-5 days Method Quantitative Equilibrium Dialysis/High Performance Liquid Chromatography-Tandem Mass Spectrometry Test Includes Free T4 by Equilibrium Dialysis-TMS, ng/dL. Notes Ordering Recommendation: Not recommended for routine evaluation of thyroid disorders. Order Thyroxine, Free (Free FT4) instead Supply Item Number 1372

Billing Code Test Code [sunquest] TIAGABINE, SERUM/PLASMA TIAGA TIAGA Synonyms Gabitril® Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Collection Procedure Draw Sample prior to dosing (trough) Specimen Processing Promptly separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 3 months Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Lavender (EDTA) , pink (K2EDTA) Reference Laboratory NMS Reference Lab Test Code 4479SP CPT Codes 83789 Test Schedule Thu Turnaround Time 5-8 days Method High Performance Liquid Chromatography/Tandem Mass Spectrometry Test Includes Tiagabine Supply Item Number 1372

Billing Code Test Code [sunquest] TISSUE TRANSGLUTAMINASE ANTIBODY, IGA TTGIGA TTGIGA Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples; avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Tissue Transglutaminase Antibody, IgA, U/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] TISSUE TRANSGLUTAMINASE ANTIBODY, IGG TTGIGG TTGIGG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Refrigerated 2 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated samples; avoid repeated freeze/thaw cycles Department PAML Special Immunology CPT Codes 83516 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Tissue Transglutaminase Antibody, IgG, U/mL Supply Item Number 1467

Billing Code Test Code [sunquest] TOBRAMYCIN (PAIRED) TOB2 TOBIN Synonyms Nebcin Container Type Red top tube (plain) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure For trough specimen, draw 15 minutes prior to next dose (no more that 1 hour prior). For peak dose draw 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimens. Specimen Processing Separate serum or plasma from cells and place each in separate plastic tube and freeze. Clearly label specimens. Samples containing other antibiotics should be promptly frozen to minimize interference. Required Patient Info Trough and peak specimen, dates and times of dose and draw. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80200 x 2 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Tobramycin, Trough, ug/mL; Tobramycin, Peak, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] TOBRAMYCIN (SINGLE) TOB TOBR Synonyms Nebcin Container Type Red top tube (plain) Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Draw trough specimen within 1 hour prior to next dose. Draw peak specimen 1 hour after IM dose or 1/2 hour after IV infusion completed. Clearly label specimen. Specimen Processing Separate serum or plasma from cells and place in separate plastic tube and freeze. Clearly label specimen. Samples containing other antibiotics should be promptly frozen to minimize interference. Store and transport frozen. Required Patient Info Trough or peak specimen, date and time of dose and draw. Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80200 Test Schedule Daily and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Tobramycin, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] TOBRAMYCIN, PEAK TOB.PK TOBRPK Synonyms Nebcin Container Type Red top tube (plain) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Draw peak 1 hour after IM dose or 1/2 hour after IV infusion completed. Note time of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Samples containing other antibiotics should be promptly frozen to minimize interference. Required Patient Info Time of dose and draw Room Temp Unacceptable Refrigerated 1 week Frozen (-20°C) 1 month Alternate Specimens Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80200 Test Schedule Daily and STAT Turnaround Time 24-48 hours Method Enzyme Immunoassay Test Includes Tobramycin, Peak, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] TOBRAMYCIN, TROUGH TOB.TR TOBRTR Synonyms Nebcin Container Type Red top tube (plain) Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Draw trough 15 minutes prior to next dose (no more than 1 hour prior to next dose). Note time of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Clearly label specimen. Samples containing other antibiotics should be frozen to minimize interference. Required Patient Info Time of dose and draw Room Temp Unacceptable Refrigerated 1 day Frozen (-20°C) 1 month Alternate Specimens Plain green top or PST (heparin) or SST. However, if gel separator is used, sample must be promptly separated. Limitations Patient samples which contain kanamycin or amikacin will yield falsely elevated values for tobramycin. High concentrations of penicillin or cephalosporins have been shown to inactivate aminoglycosides in vitro, lowering tobramycin results. Samples containing additional antibiotics should be promptly frozen to minimize interference. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80200 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Tobramycin, Trough, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] TOCAINIDE TOC TOC Synonyms Tonocard Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 2 mL Specimen Processing Separate serum or plasma from cells and place in separate plastic tube. Store and transport at room temperature or refrigerated. Unacceptable Condition Specimens collected in serum separator or gel type tubes. Reference Laboratory NMS Reference Lab Test Code 4488SP CPT Codes 82491 Test Schedule Varies Turnaround Time Varies Method GC Test Includes Tocainide, mcg/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] TOPIRAMATE TOPARP TOPARP Synonyms Topamax Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum or plasma from cells ASAP or within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 6 weeks Refrigerated 6 weeks Frozen (-20°C) 6 weeks Unacceptable Condition Serum or plasma separator tube (SST or PST) or gel-type tubes Alternate Specimens Lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin) Reference Laboratory ARUP Reference Lab Test Code 0070390 CPT Codes 80201 Test Schedule Sun-Sat Turnaround Time 2 days Method Quantitative Enzyme Immunoassay Test Includes Topiramate, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] TOPIRAMATE BY GC TOPGCN TOPGCN Synonyms Topamax Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Collection Procedure Draw peak level 2 hours post oral dose Specimen Processing Separate serum from cells and place in separate plastic tube. Unacceptable Condition Polymer gel separation tubes, SST or PST Alternate Specimens Plasma in lavender or pink top tubes Limitations No SST tubes Reference Laboratory NMS Reference Lab Test Code 4519SP CPT Codes 80201 Test Schedule Varies Turnaround Time 5-10 days Method GC Test Includes Topiramate, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest] TORCH TEST, IGG TORGL TORGL Synonyms TORCH, IgG Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to 3 standard PAML aliquot tubes of 0.5 mL each. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood; serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter, or are contaminated; avoid freeze/thaw cycles. Department PAML Special Immunology, PAML Immunochemistry CPT Codes 86696, 86695, 86644, 86777, 86762 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA, EIA, ICMA Test Includes CMV Ab, IgG, U/mL; Toxoplasma Ab, IgG, IU/mL; Rubella Ab, IU/mL; HSV I Type Specific Ab, IgG, IV; HSV II Type Specific Ab, IV; TORCH IgG Interpretation Supply Item Number 1467

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Billing Code Test Code [sunquest] TORCH TEST, IGG & IGM (REFLEXIVE) TORGML TORGML This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms TORCH, IgG & IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to 3 standard PAML aliquot tubes of 1 mL each. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood; serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter, or are contaminated; avoid freeze/thaw cycles Department PAML Special Immunology, PAML Immunochemistry CPT Codes 86694, 86695, 86696, 86762 x 2, 86644, 86645, 86777, 86778 Test Schedule Varies Turnaround Time 2-6 days Method CLIA, EIA, ICMA Test Includes CMV Ab, IgG, U/mL; Toxoplasma Ab, IgG, IU/mL; Rubella Ab, IU/mL; HSV I Type Specific Ab, IgG, IV; HSV II Type Specific Ab, IVCMV Ab, IgM, AU/mL; Toxoplasma Ab, IgM, AU/mL; Rubella Ab, IgM, Index; HSV Ab, IgM, OD; TORCH IgM Interpretation Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Toxoplasma gondii IgM positive or equivocal TXMCF (must be ordered by client-not 86778 automatic reflex)

Billing Code Test Code [sunquest] TORCH TEST, IGM (REFLEXIVE) TORML TORML This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms TORCH, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to 2 standard PAML aliquot tubes. Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Plasma or whole blood; serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter, or are contaminated; avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86762, 86694, 86645, 86778 Test Schedule Varies Turnaround Time 2-6 days Method CLIA, EIA Test Includes CMV Ab, IgM, AU/mL; Toxoplasma Ab, IgM, AU/mL; Rubella Ab, IgM, Index; HSV Ab, IgM, OD; TORCH IgM Interpretation Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Toxoplasma gondii IgM positive or equivocal TXMCF (must be ordered by client-not 86778 automatic reflex)

Billing Code Test Code [sunquest] TOXIC SHOCK SYNDROME ANTIBODY TSABP TSABP Container Type SST tube Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 42050 CPT Codes 86609 x 2 Test Schedule Once per week Turnaround Time 3-9 days Method MAID Test Includes Toxic-Shock Syndrome 1 Antibody; SEB Antibody. Supply Item Number 1467

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Billing Code Test Code [sunquest] TOXIC-SHOCK SYNDROME TOXIN PANEL TSSTP TSSTP

Store and Transport Store and transport at room temperature. Ship Category A Specimen Type Pure culture of Staphylococcus aureus Specimen Processing Send a pure culture of Staphylococcus aureus safely contained. Reference Laboratory Focus Reference Lab Test Code 2565 CPT Codes 87299 x 3 Turnaround Time 5-9 days Method Culture and MAID Test Includes Toxic-Shock Syndrome Toxin-1; SEB; SEC. Supply Item Number 7221

Billing Code Test Code [sunquest] TOXOCARA AB, IGG TOXC TOXC Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.15 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Paired sera advised. Acute and convalescent samples must be labeled as such. Convalescent sample must be received within 30 days from receipt of acute sample. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated or contaminated samples. Limitations Avoid repeat freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0099090 CPT Codes 86682 Test Schedule Tue, Fri Turnaround Time 2-6 days Method ELSIA Test Includes Toxocara Ab, IgG, OD. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Lab. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] TOXOCARA ANTIBODY TOXOC TOXOC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Unacceptable Condition CSF or other body fluids Reference Laboratory Focus Reference Lab Test Code 40945 CPT Codes 86682 Test Schedule Tue, Thu Turnaround Time 5-7 days Method ELISA Test Includes Toxocara Antibody Supply Item Number 1467

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Billing Code Test Code [sunquest] TOXOPLASMA ANTIBODY, IGG, CSF TOXO.CSF TOXOSF Synonyms Toxoplasma gondii Antibody, IgG, CSF Container Type CSF sterile plastic tube Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.5mL Specimen Processing Store and transport refrigerated. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Grossly hemolyzed, contaminated or heat-inactivated samples. Limitations No established reference ranges for CSF. Reference Laboratory ARUP Reference Lab Test Code 50770 CPT Codes 86317 Test Schedule Mon-Sat Turnaround Time 2-4 days Method ICMA Test Includes Toxoplasma Antibody, IgG, IU/mL. Supply Item Number 7221

Billing Code Test Code [sunquest] TOXOPLASMA GONDII ANTIBODY, IGG TOXOGL TOXOGL Synonyms Toxoplasma gondii Antibody, IgG Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Refrigerated 2 weeks Frozen (-20°C) 1 month Frozen (-70°C) Indefinitely Unacceptable Condition Plasma or whole blood. Serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated. Avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86777 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes Toxoplasma gondii Antibody, IgG, IU/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] TOXOPLASMA GONDII ANTIBODY, IGG & IGM (REFLEXIVE) TOXGML TOXGML This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Toxoplasma Antibody, IgG & IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 1 month Frozen (-70°C) Indefinitely Unacceptable Condition Plasma or whole blood; serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated; avoid freeze/thaw cycles Department PAML Special Immunology CPT Codes 86777, 86778 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes Toxoplasma gondii Antibody, IgG, IU/mL; Toxoplasma gondii Antibody, IgM, AU/mL Notes If the Toxoplamsa IgM is equivocal or positive result will be held and the specimen reflexed to TXMCF for confirmation, CPT code 86778. Supply Item Number 1467

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Billing Code Test Code [sunquest] TOXOPLASMA GONDII ANTIBODY, IGM (REFLEXIVE) TOXOML TOXOML This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Toxoplasma Antibody, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 2 weeks Frozen (-20°C) 1 month Frozen (-70°C) Indefinitely Unacceptable Condition Plasma or whole blood; serum samples that are grossly hemolyzed, icteric, lipemic, contain particulate matter or are contaminated; avoid freeze/thaw cycles. Department PAML Special Immunology CPT Codes 86778 Test Schedule Tue-Sat Turnaround Time 1-4 days Method CLIA Test Includes Toxoplasma gondii Antibody, IgM, AU/mL Notes If Toxoplasma IgM Ab is equivocal or positive, result will be held and specimen will be reflexed to TXMCF for confirmation, CPT code 86778. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Toxoplasma gondii IgM positive or equivocal TXMCF (must be ordered by client - not 86778 automatic reflex)

Billing Code Test Code [sunquest] TOXOPLASMA GONDII BY PCR TOXPCR TOXPCR Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from the cells and put in separate plastic tube and freeze. Store and transport frozen. Submit specimen according to Biological Substance, Category B, shipping guidelines. Required Patient Info Specimen source Room Temp 8 hours (except tissues) Refrigerated 3 days (except tissues) Frozen (-20°C) 3 months Unacceptable Condition Nonsterile or leaking containers. Heparinized or hemolyzed specimens. Alternate Specimens EDTA or K2EDTA plasma (lavender or pink top tube), amniotic fluid, CSF in a sterile container frozen, or biopsy tissue (frozen immediately) and snap frozen and shipped on dry ice. Reference Laboratory ARUP Reference Lab Test Code 55591 CPT Codes 87798 Test Schedule Tue, Fri Turnaround Time 2-6 days Method PCR Test Includes Source; Toxoplasma gondii, PCR Result. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] TOXOPLASMA GONDII IGG & IGM, CSF TGONCF TGONCF Container Type CSF sterile plastic tube. Specimen Type CSF Preferred Volume 0.5 mL CSF Specimen Processing Store and transport refrigerated. Reference Laboratory Focus Reference Lab Test Code 6092 CPT Codes 86777, 86778 Turnaround Time 3-6 days Method ELISA Test Includes Toxoplasma gondii Antibody, IgG, CSF; Toxoplasma gondii Antibody, IgM, CSF. Supply Item Number 7211

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Billing Code Test Code [sunquest] TRAMADOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCTDL TLCTDL SUR. Synonyms Ultram Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Tramadol Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] TRAMADOL BY GC/MS MSTRAM MSTRAM Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Random urine Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container. Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 82542 Test Schedule Mon-Sat Turnaround Time 1-2 days Method GC/MS Test Includes Tramadol, ng/mL Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] TRAMADOL SCREEN (REFLEXIVE) TRAMU TRAMU This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 30 mL Minimum Volume 20 mL Collection Procedure Collect a random urine specimen in a leakproof plastic urine container. Room Temp 10 days Refrigerated 1 month Unacceptable Condition Blood, serum, or plasma samples Department PAML Toxicology CPT Codes 80101 (HCPCS G0431) Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA/Confirmation by GC/MS Test Includes Tramadol, ng/mL Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If screen is positive a confirmation test will MSTRAM 82542 automatically be run

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Billing Code Test Code [sunquest] TRANSFERRIN TRANSFERRIN TRF Synonyms Siderophilin Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Plasma samples not recommended. Limitations Specimen not hemolyzed or lipemic are preferred for nephelometry method. Increased values may be seen with estrogens, oral contraceptives. Decreased values may be seen with asparaginase, dextran, corticotropin, corticosteroids, testosterone. Avoid repeat freeze/thaw cycles. Department PAML Immunology CPT Codes 84466 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Nephelometry Test Includes Transferrin, mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] TRANSPLANT IMMUNE CELL FUNCTION ASSAY TICFA TICFA This is a critical ambient temperature specimen. Synonyms ImmunKnow Container Type Green top tube (sodium heparin) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL Specimen Processing Put the sodium heparin whole blood specimen in a sterile container and send at room temperature. Live Lymphocytes Required. This is a Critical Ambient specimen. Do not refrigerate or freeze. Specimen must be collected within 30 hours of test performance. Room Temp 30 hours Refrigerated unacceptable Frozen (-20°C) unacceptable Unacceptable Condition Refrigerated or frozen samples or samples in transport longer than 30 hours. Reference Laboratory ARUP Reference Lab Test Code 0051272 CPT Codes 86352 Test Schedule Mon-Sun Turnaround Time 2-4 days Method Cell Culture/Chemiluminescence Test Includes Transplantation Immue Cell Assay (ATP Level), ng/mL. Supply Item Number 1398

Billing Code Test Code [sunquest] TRAZODONE TRAZ TRAZ Synonyms Desyrel Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum or plasma from cells within 2 hours of collection. Store and transport refrigerated. Room Temp 12 hours Refrigerated 1 week Frozen (-20°C) 1 week Unacceptable Condition Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution). Alternate Specimens Lavender (K2 or K3EDTA) or pink (K2EDTA ). Reference Laboratory ARUP Reference Lab Test Code 0090316 CPT Codes 80299 Test Schedule Mon, Thu Turnaround Time 2-6 days Method Quantitative Liquid Chromatography-Tandem Mass Spectrometry Test Includes Trazodone, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] TRAZODONE/NEFAZODONE (URINE ONLY) TEST ALSO TLCTRA TLCTRA INCLUDED IN DRUG-SUR. Synonyms Trazodone; Desyrel; Nefazodone; Serzone Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 250 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Trazadone and/or Nefazodone Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] TREPONEMA PALLIDUM ANTIBODY , IGG BY IFA (CSF) TPAB TPAB Container Type Leakproof plastic container. Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Send in a leakproof plastic container. Store and transport refrigerated. Room Temp 2 days Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Serum, heat-inactivated, hemolyzed, or contaminated specimens. Reference Laboratory ARUP Reference Lab Test Code 0055273 CPT Codes 86780 Test Schedule Sun-Sat Turnaround Time 2-5 days Method Indirect Fluorescent Antibody Test Includes Fluorescent Treponema Antibody CSF. Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Laboratories, Inc. Supply Item Number 9793

Billing Code Test Code [sunquest] TREPONEMA PALLIDUM ANTIBODY BY EIA TREPS TREPS Synonyms Trep-Sure; Syphilis serologies; Syphilis Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia or hemolysis. CSF and other body fluids. Alternate Specimens EDTA plasma (Lavender top tube) as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Special Immunology CPT Codes 86780 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Treponema pallidum Antibody by EIA Supply Item Number 1467

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Billing Code Test Code [sunquest] TREPONEMA PALLIDUM ANTIBODY BY EIA (REFLEXIVE) TREP TREP RPR, RPR Titer and Treponema by TPPA will only be reported if the reflex is indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Trep-Sure; Syphilis Serologies; Syphilis Screen Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia, hemolysis, CSF, and other body fluids. Alternate Specimens EDTA plasma (lavender top tube) as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Special Immunology, PAML Immunology CPT Codes 86780 Test Schedule Mon-Sat Turnaround Time 1-2 days Method EIA Test Includes Treponema Pallidum Antibody by EIA; RPR; RPR Titer; Treponema Pallidum Antibody by TP-PA Notes When the treponemal test is reported as positive or equivocal, it will reflex to additional testing for confirmation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Positive T.Pallidium Antibody by EIA RPR Screen 86592 Reactive RPR Screen RPR Titer 86593 Non-reactive RPR Screen T.Pallidium Antibody by TP-PA 86780

Billing Code Test Code [sunquest] TREPONEMA PALLIDUM ANTIBODY BY TP-PA TPPAP TPPAP Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from the cells and transfer to a standard PAML aliquot tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia, or hemolysis. CSF and other body fluids. Alternate Specimens EDTA, sodium citrate or heparin plasma as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Immunology CPT Codes 86780 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Gel Particle Agglutination Test Includes Treponema pallidum Antibody by TP-PA Notes When the RPR screen is reported Nonreactive, Treponema pallidum Ab by TP-PA will be performed as part of the syphillis screening cascade algorithm. Supply Item Number 1467

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Billing Code Test Code [sunquest] TREPONEMAL CONFIRMATION PROFILE (REFLEXIVE) TREPC TREPC This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from the cells and put in separate plastic tube. Room Temp 2 days Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples should be free of bacterial contamination, lipemia, hemolysis, CSF, and other body fluids. Alternate Specimens EDTA plasma (Lavender top tube) as long as testing is completed before the specimen is 48 hours old, provided it has been collected with adequate volume to provide the appropriate proportions of specimen to anticoagulant. Department PAML Immunology CPT Codes 86592 Test Schedule Tue-Sat Turnaround Time 1-2 days Method Flocculation Test Includes RPR; RPR Titer; Treponema pallidum Antibody by TP-PA Notes When the RPR screen is reactive, it will reflex to additional testing for confirmation. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reactive RPR Screen RPR Titer 86593 Non-reactive RPR Screen T.Pallidium Antibody by TP-PA 86780

Billing Code Test Code [sunquest] TRH STIMULATION, 3 SAMPLES TRH3 3PTRH This is a hospital short stay procedure and test duration is approximately 2 hours. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL for each specimen Patient Prep Patient should be fasting and off any thyroid therapy for 24 hours prior to test. Collection Procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30 and 60 minutes after injection is complete. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube for each draw. Clearly label all specimens. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 3 months Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Immunochemistry CPT Codes 84443 x 3 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes Baseline TSH, uIU/mL; Post TRH TSH (30 minutes), uIU/mL; Post TRH TSH (60 minutes), uIU/mL Notes The typical normal response is an increase of 5 to 10 fold above the baseline at 30 minutes. Hyperthyroidism-less than normal response. Primary hypothyroidism has high baseline and exaggerated response. Hypothalamic hypothyroid may have peak delayed, pituitary insufficiency may have response lower than normal. Supply Item Number 1467

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Billing Code Test Code [sunquest] TRH STIMULATION, 4 SAMPLES TRH4 PTRH This is a hospital short stay procedure and test duration is approxiamtely 2 hours. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL for each specimen Patient Prep Patient should be fasting and off any thyroid therapy for 24 hours prior to the test. Collection Procedure Take vital signs. Insert heparin lock. Draw baseline TSH. Have patient empty bladder. With patient in supine position inject 500 mcg of TRH(Thypinone) IV as a bolus over a period of 15-30 seconds. Monitor blood pressure frequently over the first 15 minutes or until a clear trend downward is seen. Draw TSH levels at 30, 45, and 60 minutes after injection is complete. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube for each timed specimen. Clearly label all specimens. Room Temp 8 hours Refrigerated 5 days Frozen (-20°C) 3 months Alternate Specimens Lithium heparin plasma (green top tube). Department PAML Immunochemistry CPT Codes 84443 x 4 Test Schedule Mon-sat Turnaround Time 1-2 days Method ICMA Test Includes Baseline TSH, uIU/mL; Post TRH TSH (30 minutes), uU/mL; Post TSH TRH (45 minutes), uIU/mL; Post TRH TSH (60 minutes), uIU/mL Notes Patients with 'hypothalamic hypothyroidism' show a rise that is normal in magnitude but with a delayed peak at 45 minutes, or a value at 60 minutes greater than at 30 minutes. Patients who are hyperthyroid due to pituitary insufficiency have a response lower than normal. Supply Item Number 1467

Billing Code Test Code [sunquest] TRIAMTERINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCTRT TLCTRT SUR. Synonyms Dyrenium; Dyazide; Water Pills Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Triamterine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] TRICHINELLA ANTIBODY TRICH TRICAB Container Type SST tube Specimen Type Frozen serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Store and transport frozen.. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Limitations Avoid repeated freeze/thaw cycles. Reference Laboratory ARUP Reference Lab Test Code 0050787 CPT Codes 86784 Test Schedule Mon-Fri Turnaround Time 2-6 days Method Qualitative Enzyme-Linked Immunosorbent Assay Test Includes Trichinella Antibody. Supply Item Number 1467 2.1 www.paml.com 4/16/2013 page 893 T 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory T

Billing Code Test Code [sunquest] TRICHOMONAS VAGINALIS BY AMPLIFIED DETECTION (TMA) APTTV APTTV This test cannot be ordered as a reflexive test on CT or GC by Amplified Detection (TMA) previously tested. A dedicated sample is required for molecular testing. This test is not approved for male patients. Synonyms Molecular; TV; Trich; APTIMA; Trichomonas vaginalis by Amplified Detection (TMA) Container Type APTIMA Unisex Swab Specimen Collection Kit or APTIMA Urine Specimen Collection Kit Store and Transport Transport all samples collected in the kits ambient (room temperature), refrigerated, or frozen. Urine samples not collected in these kits must be refrigerated and received within 24 hours of collection. Specimen Type See below Preferred Volume See below Minimum Volume 2 mL for urine, not to exceed 30 mL Collection Procedure Female endocervical or vaginal swab collected with the APTIMA Swab Specimen Transport Tube or urine, first void, not clean catch collected in the APTIMA Urine Specimen Transport Tube Required Patient Info Source Room Temp Swabs - 2 months, urine in media - 1 month, urine not in media - not stable Refrigerated Swabs - 2 months, urine in media - 1 month, urine not in media - 24 hours Frozen (-20°C) Swabs - 3 months, urine in media - 3 months Unacceptable Condition Specimens from male patients. Eye, respiratory, or rectal swabs. Endocervical and urethral swabs not collected with the Aptima Swab. Specimens collected using the Gen-Probe PACE 2 tubes are not acceptable. Specimens collected and submitted with the white cleaning swab, which is for preparatory cleaning are not acceptable. Alternate Specimens ThinPrep liquid pap also acceptable ONLY if special Aptima aliquot is made prior to other testing. Vaginal swabs collected with designated Aptima vaginal swab collection kit. Limitations Testing is approved on female patients only. Department PAML Virology CPT Codes 87798 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method TMA by Gen-Probe APTIMA Test Includes Source; Trichomonas vaginalis by Amplified RNA Notes Trichomonas vaginalis testing by Aptima is approved for endocervical, vaginal, and female urine specimens only. Supply Item Number 1295 or 1296

Billing Code Test Code [sunquest] TRICHROME STAIN TRICHROM TRISM Container Type Sterile leakproof plastic container Store and Transport Store and transport refrigerated. If stool is fixed in PVA, store and transport at room temperature. Specimen Type Stool Minimum Volume Pea-sized stool Collection Procedure Submit a walnut-sized portion of fresh stool in a sterile leakproof plastic container and refrigerate. Unacceptable Condition Specimens fixed in formalin Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87209 Test Schedule Daily Turnaround Time 24-48 hours Method Microscopic Test Includes Source; Trichrome Stain; Trichrome Stain, Status. Notes Supplies available from PAML Supply Department Supply Item Number 1375

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Billing Code Test Code [sunquest] TRICYCLIC ANTIDEPRESSANT DETECTION TCA TCA Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Serum Preferred Volume 3 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 4 hours and place in separate polypropylene (not polystyrene) plastic tube with screw on cap and freeze. Room Temp 24 hours Refrigerated 4 weeks Frozen (-20°C) 1 year Frozen (-70°C) 1 year Unacceptable Condition Serum separator or gel tubes Alternate Specimens Heparin or EDTA plasma Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80101 Method Enzyme Immunoassay Supply Item Number 1372 or 1373

Billing Code Test Code [sunquest] TRIFLUOPERAZINE, SERUM/PLASMA TRI TRIFLU Synonyms Stelazine Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 5 mL Minimum Volume 2.5 mL Specimen Processing Promptly centrifuge and separate serum into a separate plastic tube. Room Temp 9 days Refrigerated 9 days Frozen (-20°C) 9 months Unacceptable Condition Polymer gel separation tube (SST or PST) Alternate Specimens Plasma Limitations No SST tubes Reference Laboratory NMS Reference Lab Test Code 4660SP CPT Codes 84022 Test Schedule Mon,Wed,Fri Turnaround Time 4-7 days Method Gas Chromatography (GC) Test Includes Trifluoperazine, ng/mL Notes NMS Labs has no experimental or literature-based data regarding the choice of specific specimen collection containers for this test. Supply Item Number 1372 or 1373

Billing Code Test Code [sunquest] TRIGLYCERIDES TRIG TRIG No normals for non-fasting specimens. Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Patient Prep Patient should be fasting 12-14 hours prior to collection. Specimen Processing Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks Unacceptable Condition Sodium fluoride-potassium oxalate plasma (grey top tube) and icteric samples Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84478 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Triglycerides, mg/dL Supply Item Number 1467

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Billing Code Test Code [sunquest] TRIHEXYPHENIDYL (URINE ONLY) TEST ALSO INCLUDED IN TLCTRH TLCTRH DRUG-SUR. Synonyms Artane, Tremin, Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 500 ng/mL Department PAML Toxicology CPT Codes 80100 Test Schedule Mon - Fri Turnaround Time 24 - 48 hours Method Thin Layer Chromatography Test Includes Trihexyphenidyl Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] TRIIODOTHYRONINE, REVERSE T3REV REVT3 Synonyms Reverse T3; Reverse Triiodothyronine Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells, transfer to a standard PAML aliquot tube, and freeze. Room Temp 1 day Refrigerated 1 week Frozen (-20°C) 3 months Alternate Specimens Plasma, lavender (EDTA) or pink (K2EDTA) Reference Laboratory ARUP Reference Lab Test Code 0070188 CPT Codes 84482 Test Schedule Mon-Sun Turnaround Time 2-3 days Method RIA Test Includes T3 (Reverse), pg/mL Compliance Remarks This test uses a reagent or kit designated by the manufacturer as 'for research or investigational use.' The performance characteristics of this test were validated by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Not recommended for routine thyroid screening. Supply Item Number 1467

Billing Code Test Code [sunquest] TRIMETHOPRIM (URINE ONLY) TEST ALSO INCLUDED IN TLCTRM TLCTRM DRUG-SUR. Synonyms Bactrim, Trimpex, Proloprim, Septra, Container Type Random Urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 80100 Test Schedule Mon - Fri Turnaround Time 24 - 48 hours Method Thin Layer Chromatography Test Includes Trimethoprim Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] TRIMETHOPRIM, SERUM OR PLASMA TRIMEN TRIMEN Synonyms Bactrim; Septra; Trimpox; Proloprim Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Serum or plasma Preferred Volume 1 mL Minimum Volume 1 mL Specimen Processing Promptly centrifuge and separate plasma into a plastic screw capped vial Room Temp 1 month Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition SST or PST tubes Alternate Specimens Refrigerated serum (red top tube) Reference Laboratory NMS Reference Lab Test Code 4704SP CPT Codes 83789 Test Schedule Tue Turnaround Time 3-8 days Method LC-MS/MS Test Includes Trimethoprim, mcg/mL

Billing Code Test Code [sunquest] TRIMIPRAMINE & METABOLITE TRIMIP TRIMIP Synonyms Surmontil Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 3 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated or at room temperature. Unacceptable Condition Specimens collected using serurm separator or gel type tubes. Limitations Protect from light. Reference Laboratory NMS Reference Lab Test Code 4706SP CPT Codes 82492 Test Schedule Mon-Fri Turnaround Time 4-6 days Method GC Test Includes Trimipramine, ng/mL; Trimipramine Metabolite, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] TRIMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN TLCTRP TLCTRP DRUG-SUR. Synonyms Surmontil Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 500 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Trimipramine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] TRIPELENAMINE (URINE ONLY) TEST ALSO INCLUDED IN TLCTPL TLCTPL DRUG-SUR. Synonyms PBZ; PBZ-SR; Pyribenzamine; Allergy Pills; Bs; Blues Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Tripelenamine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] TROFILE CO-RECEPTOR TROPISM ASSAY TCRTA TCRTA Synonyms CCR5; CXCR4; CR5 (Trofile Co-Receptor Tropism Assay); Chemokine co-receptor (Trofile Co- Receptor Tropism Assay); Selzentry; Maraviroc (Trofile Co-Receptor Tropism Assay); Trofile (Trofile Co-Receptor Tropism Assay); Tropotype (Trofile Co-Receptor Tropism Assay) Container Type Lavendar top tube (EDTA) Store and Transport Store and transport frozen Specimen Type Plasma Preferred Volume 3 mL Minimum Volume 1 mL Specimen Processing CRITICAL FROZEN. Separate plasma from cells within 2 hours of collection, place in separate plastic tube and freeze immediately. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Specimens that have been thawed Alternate Specimens Pink (K2EDTA) or two 5 mL PPT (pearl) Reference Laboratory ARUP Reference Lab Test Code 93370 CPT Codes 87999 Test Schedule Varies Turnaround Time Varies Method Recombinant virus, single replication Notes Do not thaw specimen after freezing. Indicate viral load and viral load collection date on the test request form. If viral load is less than 1,000 copies, testing MAY NOT be performed.

Billing Code Test Code [sunquest] TROPHERYMA WHIPPLEI DNA QUALITATIVE RT-PCR TWQPCR TWQPCR Container Type Lavender top tube Specimen Type EDTA whole blood Preferred Volume 0.7 mL Minimum Volume 0.3 mL Specimen Processing Store and transport refrigerated. Required Patient Info Source Room Temp 2 days Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Frozen whole blood. Alternate Specimens K2EDTA or ACD A or B whole blood (pink or yellow top tubes and CSF (send refrigerated) or GT 3 mm tissue (send frozen). Reference Laboratory FOCUS Reference Lab Test Code 46500 CPT Codes 87798 Test Schedule Mon-Fri Turnaround Time 3-5 days Method RT-PCR Test Includes Source; Tropheryma whipplei DNA PCR. Compliance Remarks This test was developed and its performance characteristics have been determined by Focus Diagnostics. Performance characteristics refer to the analytical performance of this test. Supply Item Number 1222 2.1 www.paml.com 4/16/2013 page 898 T 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory T

Billing Code Test Code [sunquest] TROPONIN I TRPI TRPI Container Type Green top tube (lithium heparin) Specimen Type Plasma Preferred Volume 0.5 mL Minimum Volume 0.3 mL Specimen Processing Separate plasma from cells within 8 hours and place in separate plastic container. Store and transport refrigerated. Room Temp 8 hours Refrigerated 3 days Frozen (-20°C) 3 months Unacceptable Condition Samples containing fibrin and all other fluid specimens, marked hemolysis or icterus. Alternate Specimens PST tube, serum or SST tube. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84484 Test Schedule Daily & STAT Turnaround Time 1-3 days Method CMIA Test Includes Troponin I, ng/mL. Supply Item Number 1411

Billing Code Test Code [sunquest] TROPONIN T TROPT TROPT Separate samples must be submitted when multiple tests are ordered Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Frozen Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and transfer to a standard PAML aliquot tube and freeze Room Temp 4 hours Refrigerated 1 day Frozen (-20°C) 1 year Unacceptable Condition Specimens collected in potassium oxalate or sodium fluoride. Grossly hemolyzed specimens Alternate Specimens Pink (K2EDTA), green (lithium heparin), or lt. blue (sodium citrate) Reference Laboratory ARUP Reference Lab Test Code 98803 CPT Codes 84484 Test Schedule Mon, Wed, Fri Turnaround Time 2-4 days Method Quantitative Electrochemiluminescent Immunoassay Test Includes Troponin T, ng/mL. Notes Ordering Recommendation: Recommended test for the diagnosis and management of acute coronary syndrome Supply Item Number 1467

Billing Code Test Code [sunquest] TRYPANOSOMA CRUZI ANTIGEN TCAOBI TCAOBI Synonyms Chagas Antibody; T. Cruzi Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.75 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 2 weeks Frozen (-20°C) 2 weeks Reference Laboratory OBI CPT Codes 84999 Turnaround Time 3-14 days Method ICMA Test Includes CHAG; CRIP

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Billing Code Test Code [sunquest] TRYPSIN, FECAL TRYPST TRYPST Container Type Leakproof plastic container. Specimen Type Frozen stool Preferred Volume 5 grams Minimum Volume 5 grams Collection Procedure Collect a random stool sample in a clean, leakproof, unpreserved plastic container. Specimen Processing Aliquot 5 grams of a random stool collection into a clean, unpreserved leakproof plastic container and freeze. Store and transport frozen. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 week Unacceptable Condition Refrigerated or ambient samples and samples kept in preservatives. Reference Laboratory ARUP Reference Lab Test Code 20383 CPT Codes 84488 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Film Digestion Test Includes Trypsin, Fecal. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] TRYPSIN-LIKE IMMUNOREACTIVITY TRYPSN TRYP Synonyms Trypsinogen Container Type SST tube Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Allow serum tube to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection and place in separate plastic tube and freeze. Store and transport frozen. Room Temp 2 hours Refrigerated 24 hours Frozen (-20°C) 3 months Unacceptable Condition Heparinized specimens, hemolyzed and lipemic samples. Alternate Specimens Lavender (EDTA) or pink (K2EDTA). Reference Laboratory ARUP Reference Lab Test Code 70003 CPT Codes 83519 Test Schedule Tue, Fri Turnaround Time 2-6 days Method RIA Test Includes Trypsin-like Immunoreactivity, ng/mL. Supply Item Number 1467

Billing Code Test Code [sunquest] TRYPTASE TRYPTS TRYPTS Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells as soon as possible and put in separate plastic tube. Room Temp 48 hours Refrigerated 5 days Frozen (-20°C) 30 days Unacceptable Condition Serum separator tube (SST) Alternate Specimens Serum (royal blue-top) tube (no additive), Plasma, EDTA (lavender-top) tube Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 34484 CPT Codes 83520 Test Schedule Mon, Thu Turnaround Time 3-7 days Method Fluorescence Immunoassay Compliance Remarks This test was performed using a kit that has not been approved or cleared by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. This test should not be used for diagnosis without confirmation by other medically established means.

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Billing Code Test Code [sunquest] TUMOR NECROSIS FACTOR-ALPHA TNECFA TNECFA Synonyms Alpha Tumor Necrosis Factor; TNF Alpha; TNFa Container Type SST tube Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and put in separate plstic tube and freeze. Room Temp 30 minutes Refrigerated unacceptable Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated, refrigerated, room temperature or contaminated samples. Alternate Specimens Lithium heparin plasma (green top tube) or serum (plain red top tube). Reference Laboratory ARUP Reference Lab Test Code 0051539 CPT Codes 83520 Test Schedule Mon, Wed, Fri Turnaround Time 3-6 days Method Multi-Analyte Fluorescence Detection Test Includes Tumor Necrosis Factor, Alpha, pg/mL. Compliance Remarks This test was developed and its performance characteristics determined by ARUP Laboratory. The U.S. Food & Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Supply Item Number 1467

Billing Code Test Code [sunquest] TYSABRI ANTIBODIES TYSABF TYSABF Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp Unacceptable Refrigerated 2 weeks Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 20443 CPT Codes 83516 Test Schedule Wed Turnaround Time 2-9 days Method ELISA Test Includes Tysabri Antibodies. Compliance Remarks This assay ws developed ant its performance characteristics have been determined by Focus Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. Performance characteristcs refer to the analytical performance of the test.

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Billing Code Test Code [sunquest] UDP GLUCURONOSYLTRANSFERASE 1A1 (UGT1A1) UGT1A1 UGT1A1 GENOTYPING Counseling and informed consent forms are recommended for genetic testing. Synonyms Irinotecan Toxicity; UGT1A1 Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type EDTA whole blood Preferred Volume 3 mL Minimum Volume 1 mL Room Temp 3 days Refrigerated 1 week Frozen (-20°C) Unacceptable Alternate Specimens K2EDTA or ACD solution A or B (pink or yellow top tube). Reference Laboratory ARUP Reference Lab Test Code 0051332 CPT Codes 81350 Test Schedule Mon, Thu Turnaround Time 9-12 days Method PCR/Fragment Analysis Test Includes UGT1A1 Specimen; UGT Allele 1; UGT Allele 2; UGT Interpretation Compliance Remarks The performance characteristics of this test were validated by ARUP Lab. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means ofor clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratroy Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] UNSATURATED IRON BINDING CAPACITY UIBCA UIBCA Synonyms UIBC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure AM collection is recommended. Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Refrigerated 1 week Unacceptable Condition Avoid hemolysis Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 83550, 83540 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Calculation Test Includes Unsaturated Iron Binding Capacity, ug/dL Supply Item Number 1467

Billing Code Test Code [sunquest] UNSTABLE HEMOGLOBIN UN.HEM UNSHGB Synonyms Hemoglobin, Unstable Container Type Lavender top tube (EDTA) Specimen Type Whole blood and 2 blood smears Preferred Volume 5 mL Minimum Volume 0.5 mL (microtainer) and 2 blood smears Specimen Processing Store and transport at room temperature or refrigerated. Room Temp 48 hours Refrigerated 1 week Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 83068 Test Schedule Mon-Fri days Turnaround Time 24-48 hours Method Precipitation Test Includes Unstable Hemoglobin. Notes Samples with Hemoglobin F levels above 4% will give false positive results. Supply Item Number 1222

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Billing Code Test Code [sunquest] UREA CLEARANCE URCLE URCLE Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection and total volume. There is no charge for this test. Container Type Serum separator tube (gold, brick, SST, or corvac) and 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type Serum and 24 hour urine collection Preferred Volume 2 mL serum and 40 mL urine Minimum Volume 0.5 mL serum and 1 mL urine Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Collect serum at the same time as urine collection. Specimen Processing Separate serum from cells and place in separate plastic tube. Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Height, weight, collection period, and total volume Refrigerated Serum-2 weeks; urine-1 week Unacceptable Condition Plasma with anticoagulants containing ammonium ions Alternate Specimens Frozen urine specimens, EDTA or sodium heparin plasma (lavender or green top tubes) Department PAML Chemistry CPT Codes 84545 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric and calculation Test Includes BUN, mg/dL; Urea, Urine, g/24 hours; Urea Clearance, mL/min/1.73 m2 Supply Item Number 1467 1108

Billing Code Test Code [sunquest] UREA NITROGEN BUN BUN Synonyms Urea Nitrogen; Blood Urea Nitrogen; BUN Container Type SST tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Refrigerated 2 weeks Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84520 Test Schedule Mon-Sat and STAT Turnaround Time 24-48 hours Method Enzymatic Test Includes BUN (UREA), mg/dL Supply Item Number 1467

Billing Code Test Code [sunquest] UREA NITROGEN/CREATININE RATIO BUN/CRE BUNCRE Synonyms Blood Urea Nitrogen/Creatinine Ratio; BUN/Creatinine Ratio Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection. Alternate Specimens Lithium heparinized (green top tube) or SST tube Department PAML Chemistry CPT Codes 84520, 82565 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic, Enzymatic (IDMS Traceable), Calculation Test Includes BUN (UREA), mg/dL; Creatinine, mg/dL; Bun/Cre Supply Item Number 1467

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Billing Code Test Code [sunquest] UREA, URINE (RANDOM) UREA-R UREAUR Synonyms Urea Nitrogen, Urine (Random) Container Type Leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84540 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Urea, Urine, mg/dL Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] UREA, URINE 24HR UREA-U UREAUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Container Type 24 hour dark plastic urine container Store and Transport Refrigerated Specimen Type 24 hour urine collection Preferred Volume 40 mL Minimum Volume 1 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container. Refrigerate during collection. Specimen Processing Aliquot 40 mL of a well-mixed 24 hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume. Refrigerated 1 week Alternate Specimens Frozen specimens Department PAML Chemistry CPT Codes 84540 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Colorimetric Test Includes Collection Period, h; Volume, mL; Urea, Urine, g/24h Supply Item Number 1108

Billing Code Test Code [sunquest] URIC ACID UCA URIC Synonyms Urate Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube.

Refrigerated 2 weeks Frozen (-70°C) 1 year Unacceptable Condition Sodium fluoride-potassium oxalate plasma specimens (grey top tube) and lipemic specimens Alternate Specimens Lithium heparin plasma (green top tube) Department PAML Chemistry CPT Codes 84550 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method Enzymatic Test Includes Uric Acid, mg/dL Notes Patients receiving Elitek (rasburicase) may exhibit falsely lowered results if not drawn as follows: Draw in PRE-CHILLED HEPARIN tube and IMMEDIATLEY immerse in ice bath. Plasma must be separated in a pre-cooled centrifuge (4 degrees C). Maintain plasma on ice bath and analyze within 4 hours of collection.

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Billing Code Test Code [sunquest] URIC ACID, FLUID UCASYN URICFL Container Type Sodium heparin (green top tube) Specimen Type Body fluid Preferred Volume 0.5 mL Minimum Volume 0.2 mL Specimen Processing Separate fluid from cells and place in separate plastic tube. Note type of fluid. Store and transport refrigerated. Required Patient Info Type of fluid. Room Temp 24 hours Refrigerated 5 days Frozen (-20°C) 6 months Unacceptable Condition Any more than slight hemolysis. Clotted or viscous specimens. Alternate Specimens Specimens collected in plain red top tube or sterile container. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84560 Test Schedule Daily Turnaround Time 24-48 hours Method Enzymatic Test Includes Uric Acid, Fluid, mg/dL. Notes This is not the same test as fluid for uric acid crystals CRYFL. Supply Item Number 1398 or 1397

Billing Code Test Code [sunquest] URIC ACID, URINE (RANDOM) UCA-R URICUR Synonyms Urate, Urine (Random) Container Type Leakproof plastic urine container Store and Transport Ambient (room temperature) Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 1 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Room Temp 4 days Refrigerated 4 days Unacceptable Condition Frozen or acidified specimens Alternate Specimens Refrigerated specimens Department PAML Chemistry CPT Codes 84560 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Uric Acid, Urine, mg/dL Supply Item Number 1387 or 1388

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Billing Code Test Code [sunquest] URIC ACID, URINE 24HR UCA-U URICUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours and the total volume in mL. It will report the collection time and total volume. There is no charge for this test. Synonyms Urate, Urine 24HR Container Type 24 hour dark plastic urine container Store and Transport Ambient (room temperature) Specimen Type 24 hour urine collection Preferred Volume 40 mL aliquot Minimum Volume 1 mL Collection Procedure Collect a 24 hour urine in a 24 hour dark plastic urine container containing 10 mL of 5% NaOH. Maintain specimen at room temperature during collection. At the end of collection adjust pH to 8, no more than 9 with 5% NaOH. Specimen Processing Aliquot 40 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Record collection time and total volume. Required Patient Info Collection period and total volume Room Temp 4 days Refrigerated 4 days Unacceptable Condition Frozen or acidified specimens Alternate Specimens Refrigerated specimens Department PAML Chemistry CPT Codes 84560 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Enzymatic Test Includes Collection Period, h; Volume, mL; Uric Acid, Urine, mg/24h Supply Item Number 1108

Billing Code Test Code [sunquest] URINALYSIS UA UA This workpar is to be used for tests that are not being performed at SHMC. Microscopic performed only if indicated. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Container Type Leakproof plastic urine container Store and Transport Store and transport refrigerated. Protect from light. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen Specimen Processing 10 mL aliquot of a random urine specimen. Protect from light. Refrigerated 24 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours Limitations Microscopic exam performed only if indicated. Protect from light. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81003 Test Schedule Mon-Sat days, Mon-Fri nights and STAT Turnaround Time 24-48 hours Method Colorimetric/Microscopic Test Includes Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase Supply Item Number 1387

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Billing Code Test Code [sunquest] URINALYSIS WITH MICROSCOPIC UAM UAM This workpar is to be used for tests that are not being performed at SHMC. Microscopic exam performed regardless of dip stick results. Container Type Sterile leakproof plastic container Store and Transport Store and transport refrigerated Specimen Type Urine Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect a random urine in a sterile leakproof plastic container. Refrigerated 24 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81001 Test Schedule Mon-Sat days/Mon-Fri nights & STAT Turnaround Time 24-48 hours Method Colorimetric/Microscopic Test Includes Urinalysis; Urine Microscopic Supply Item Number 1387

Billing Code Test Code [sunquest] URINALYSIS WITH MICROSCOPIC ANALYSIS UAXM UAXM Only use when test will be performed at PSHMC. To order 'Culture if Indicated,' order CULIF as a separate test in the same order entry session as you order this test. Container Type Red or yellow top urine collection tube Store and Transport Refrigerated Specimen Type Urine, random Preferred Volume 12 mL Minimum Volume 4 mL; pediatric 2 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 12 mL of a random urine specimen Refrigerated 2 days Unacceptable Condition Specimens that have been at room temperature longer than 2 hours; boric acid tubes Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81001 Test Schedule Daily and STAT Turnaround Time 1-2 days Method Flow Cell Digital Imaging/Colorimetric Test Includes Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase; Reducing Substances, mg/dL; WBC, /hpf; RBC, /hpf; WBC clumps, /hpf; RBC clumps, /hpf; Budding yeast, /hpf; Hyphae yeast, /hpf; Squamous epith cells, /lpf; Transitional epith cells, /hpf; Renal epith cells, /hpf; Oval fat bodies, /hpf; Fat, /hpf; Mucus, /lpf; Sperm, /hpf; Trichomonas, /hpf; Hyaline casts, /lpf; Epith cell casts, /lpf; WBC casts, /lpf; RBC casts, /lpf; Granular casts, /lpf; Broad casts, /lpf; Fatty casts, /lpf; Waxy casts, /lpf; Triple phosphate crystals, /hpf; Calcium oxalate crystals, /hpf; Calcium phosphate crystals, /hpf; Calcium carbonate crystals, /hpf; Uric acid crystals, /hpf; Leucine crystals, /lpf; Cystine crystals, /lpf; Tyrosine crystals, /lpf; Amorphous crystals, /hpf; Other Notes Microscopic exam is performed regardless of dipstick results Supply Item Number 1387

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Billing Code Test Code [sunquest] URINALYSIS, DIPSTICK DPS UAD This workpar is to be used for tests that are not being performed at SHMC. Synonyms Urine, Dipstick Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen. Specimen Processing 10 mL aliquot of a random urine specimen. Protect from light. Store and transport refrigerated. Room Temp 2 hours Refrigerated 24 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours. Limitations Protect from light. Department PSC Only CPT Codes 81003 Test Schedule Sun-Sat all shifts and STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Collection Method; Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen Screen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase. Supply Item Number 1387

Billing Code Test Code [sunquest] URINALYSIS, DIPSTICK ONLY UADIP UADIP To be used only when test will be performed at SHMC. Container Type Red/yellow top urine collection tube Store and Transport Protect from light. Store and transport refrigerated. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 4 mL; Pediatric samples only 2 mL. Collection Procedure Collect a random urine specimen. Specimen Processing 10 mL aliquot of a random urine specimen. Protect from light. Refrigerated 48 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours and boric acid tubes. Limitations Protect from light. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81003 Test Schedule Daily and STAT Turnaround Time 24-48 hours Method Colorimetric Test Includes Color; Appearance; Glucose, Urine, mg/dL; Bile, Urine; Ketones, Urine, mg/dL; Specific Gravity; pH, Urine; Protein, Urine, mg/dL; Urobilinogen, Urine, mg/dL; Nitrite, Urine; Blood, Urine; Leukocyte Esterase; Reducing Substances, mg/dL. Notes This is a dipstick only; no microscopic will be performed. Reducing substances performed and reported if patient is LT 3 years of age. Do not order 'culture if indicated' with this workpar. Supply Item Number 1387

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Billing Code Test Code [sunquest] URINALYSIS, MICROSCOPIC ONLY UAMIC UAMIC This workpar is to be used for tests that are not being performed at SHMC. Do not add the comment 'culture if indicated' on the order for this workpar. If dipstick shows leukocyte esterase positive (1+/small or greater), or nitrite is positive, and physician requests 'culture if indicated', send urine for culture. Otherwise order UA or UAM with a comment 'culture if idicated'. Container Type Leakproof plastic urine container Store and Transport Store and transport refrigerated Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 2 mL Collection Procedure Collect a random urine specimen Specimen Processing Aliquot 10 mL of a random urine specimen Refrigerated 24 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81015 Test Schedule Mon-Sun days/Mon-Fri Nights & STAT Turnaround Time 24-48 hours Method Microscopic Test Includes WBC, /hpf; RBC, /hpf; Epithelial Cells; Bacteria, /hpf; Casts, /lpf; Crystals, /hpf; Crystals, Abnormal, /lpf; Other Supply Item Number 1387

Billing Code Test Code [sunquest] URINALYSIS, MICROSCOPIC ONLY(NEW) UAMCR UAMCR To be used only when test will be performed at SHMC. Do not use the comment 'Culture if indicated' or CULIF when ordering this workpar. Container Type Red/yellow top urine collection tube Store and Transport Store and transport refrigerated. Specimen Type Urine, random Preferred Volume 12 mL Minimum Volume 4 mL; Pediatric only 2 mL. Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 12 mL of a random urine specimen. Refrigerated 48 hours Unacceptable Condition Specimens that have been at room temperature longer than 2 hours and boric acid tubes. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 81015 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Flow Cell Digital Imaging Test Includes WBC, /hpf; RBC, /hpf; WBC clumps, /hpf; RBC clumps, /hpf; Bacteria, /hpf; Budding yeast, /hpf; Hyphae yeast, /hpf; Squamous epith cells, /lpf; Transitional epith cells, /hpf; Renal epith cells, /hpf; Oval fat bodies, /hpf; Fat, /hpf; Mucus, /lpf; Sperm, /hpf; Trichomonas, /hpf; Hyaline casts, /lpf; Epith cell casts, /lpf; WBC casts, /lpf; RBC casts, /lpf; Granular casts, /lpf; Broad casts, /lpf; Fatty casts, /lpf; Waxy casts, /lpf; Triple phosphate crystals, /hpf; Calcium oxalate crystals, /hpf; Calcium phosphate crystals, /hpf; Calcium carbonate crystals, /hpf; Uric acid crystals, /hpf; Leucine crystals, /lpf; Cystine crystals, /lpf; Tyrosine crystals, /lpf; Amorphous crystals, /hpf; Other. Supply Item Number 1387

Billing Code Test Code [sunquest] URINE TIME AND VOLUME 1TV 1TV This test is to be ordered on all timed urines. Enter the period (collection time) in hours. Enter the volume in mL. The final report will include both of these tests. Required Patient Info Collection period and total volume CPT Codes 81050 Test Schedule Mon-Sat Turnaround Time 1 day Test Includes Collection Period, h; Volume, mL Notes Do not order this test for random urines. Collection time and urine volume MUST be entered at the time this test is ordered. There is no fee for this test. Supply Item Number No container needed

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Billing Code Test Code [sunquest] UROBILINOGEN, URINE (QUALITATIVE) UROB UROUD Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 10 mL Minimum Volume 0.5 mL Collection Procedure Collect a random urine specimen. Specimen Processing Aliquot 10 mL of a random urine specimen. Protect from light. Store and transport refrigerated. Unacceptable Condition Specimen not protected from light. Alternate Specimens Frozen specimens. Limitations Protect from light. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 84578 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Colorimetric/Dipstick/Modified Ehrlich Test Includes Urobilinogen, Urine, mg/dL. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] VAGINAL PATHOGENS DNA DIRECT PROBE VPDNAP VPDNAP The results for this test are only valid if the specimens was submitted using the AFFIRM VPIII Ambient Temperature Transport System which includes the addtion of the ATTS reagent to the specimen tube following package instructions. This reagent stabilizes the sample for up to 72 hours. Synonyms Trichomonas by DNA Probe; Candida by DNA Probe; Gardnerella by DNA Probe Container Type BD Affirm VPIII Ambient Temperature Transport System Store and Transport Ambient (room temperature) Specimen Type Vaginal fluid Collection Procedure Collect vaginal fluid using a BD Affirm VPIII Ambient Temperature Transport System. Collect vaginal sample from the posterior fornix. Room Temp 3 days Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Swabs submitted in media other than BD Affirm VPIII Ambient Temperature kits. Swabs GT 72 hours from time of collection to time of assay. Lubricants should not be used during specimen collection. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87480, 87510, 87660 Test Schedule Daily Turnaround Time 1-2 days Method Nucleic Acid Probe Test Includes Source; Trichomonas vaginalis DNA Probe; Gardnerella vaginalis DNA Probe; Candida Species DNA Probe Supply Item Number 1679

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Billing Code Test Code [sunquest] VAGINITIS/VAGINOSIS PANEL VAGPAN VAGPAN Stability limits listed are for the part of the assay with more stringent requirements. If stability limits are exceeded, the CT, GC and Trichomonas may still be performed. Please refer to APTCGT and VPDNAP for specific test information. Synonyms Molecular; Chlamydia trachomatis/GC by Amplified Detection (TMA); CT; GC; TV; Trich; APTIMA; Trichomonas vaginalis by Amplified Detection (TMA), Candida by DNA Probe; Gardnerella by DNA Probe; Vaginal, BD Affirm Container Type APTIMA Vaginal Swab Specimen Collection Kit and BD Affirm VPIII Ambient Temperature Transport System Store and Transport Ambient (room temperature) Specimen Type Vaginal swab (APTIMA), vaginal fluid (BD Affirm) Collection Procedure Collect vaginal sample from the posterior fornix Required Patient Info Source Room Temp 3 days Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Specimens from male patients. Swabs submitted in media other than the Aptima and BD Affirm collection devices. Limitations Testing is approved on female patients only. Department PAML Virology, PSHMC Microbiology CPT Codes 87798, 87491, 87591, 87480, 87510 Test Schedule Sun-Sat Turnaround Time 1-2 days Method TMA by Gen-Probe APTIMA, Nucleic Acid Probe Test Includes Source; Chlamydia trachomatis by Amplified RNA; Neisseria gonorrhoeae by Amplified by RNA; Trichomonas vaginalis by Amplified RNA; Gardnerella by DNA Probe, Candida by DNA probe Supply Item Number 2420K

Billing Code Test Code [sunquest] VALPROIC ACID VALPROIC VALP Synonyms Depakene; Depakote; Divalproex Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Collection Procedure Draw just prior to next dose. Note times of dose and drawing. Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Required Patient Info Note times of dose and drawing Refrigerated 2 days Frozen (-20°C) 1 month Alternate Specimens Heparin or EDTA plasma (green or lavender top tube) Department PAML Immunochemistry CPT Codes 80164 Test Schedule Mon-Sat and STAT Turnaround Time 1-2 days Method ICMA Test Includes Valproic Acid, ug/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] VALPROIC ACID, FREE, SERUM/PLASMA VALPROIC.FREE VALPFR Synonyms Depakene®; Depakote®; Divalproex Epival® Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.2 mL Specimen Processing Promptly separate serum or plasma from cells and transfer to a standard PAML aliquot tube. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 3 months Alternate Specimens Lavender (EDTA), pink (K2EDTA) Limitations Polymer gel separation tube (SST or PST) Reference Laboratory NMS Reference Lab Test Code 4761SP CPT Codes 80164 Test Schedule Wed Turnaround Time 3-8 days Method Immunoassay Test Includes Valproic Acid, Free Supply Item Number 1372

Billing Code Test Code [sunquest] VANCOMYCIN VAN VAN Synonyms Vancocin Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Draw trough specimen within 15 minutes(no more than 30 minutes) prior to infusion. Draw peak specimen 60 minutes (no more that 90 minutes) after 90 minute IV infusion. Clearly label specimens with times. Specimen Processing Separate serum from cells and place in separate plastic tube and refrigerate. Required Patient Info Trough or peak specimen, date and time of dose and draw Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition EDTA plasma or severe hemolysis Alternate Specimens SST, serum, and sodium or lithium heparin Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80202 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Vancomycin, ug/mL. Supply Item Number 1372

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Billing Code Test Code [sunquest] VANCOMYCIN, PEAK VAN.PK VANCPK Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Draw peak 60 minutes (no more than 90 minutes) after 90 minute IV infusion is completed. Note time of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube and refrigerated. Clearly label specimen. Required Patient Info Time of dose and drawing. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition EDTA plasma or severe hemolysis Alternate Specimens SST serum and sodium or lithium heparin Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80202 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Vancomycin, Peak, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] VANCOMYCIN, PEAK & TROUGH VAN2 VANIN Synonyms Vancocin Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Draw trough sample within 15 minutes (no more than 30 minutes) prior to infusion. Draw peak sample 60 minutes (no more than 90 minutes) after 90 minute infusion. Clearly label specimens with times. Specimen Processing Separate serum from cells and place each in separate plastic tube and refrigerate. Clearly label specimens. Required Patient Info Trough and peak specimens, dates and times of dose and draw. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition EDTA plasma or severe hemolysis. Alternate Specimens SST serum, sodium or lithium heparin. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80202 x 2 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Vancomycin, Trough, ug/mL; Time, Trough; Vancomycin, Peak, ug/mL; Time, Peak. Supply Item Number 1372

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Billing Code Test Code [sunquest] VANCOMYCIN, TROUGH VAN.TR VANCTR Container Type Red top tube (plain) Store and Transport Store and transport refrigerated Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Collection Procedure Draw trough within 15 minutes (no more than 30 minutes) prior to infusion. Note time of dose and drawing. Specimen Processing Separate serum from cells and place in separate plastic tube and refrigerate. Clearly label specimen. Required Patient Info Time of dose and drawing. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 2 weeks Unacceptable Condition EDTA plasma or severe hemolysis. Alternate Specimens SST, serum, sodium or lithium heparin. Department PSHMC Chemistry Reference Laboratory PSHMC CPT Codes 80202 Test Schedule Daily & STAT Turnaround Time 1-2 days Method Enzyme Immunoassay Test Includes Vancomycin, Trough, ug/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] VANILLYLMANDELIC ACID (VMA) & HOMOVANILLIC ACID VMAHVA VMAHVA (HVA), URINE Synonyms HVA & VMA (Vanillylmandelic Acid (VMA) & Homovanillic Acid (HVA), Urine) Container Type Urine, leakproof plastic urine container Store and Transport Refrigerated Specimen Type Urine, 24 hour or random Preferred Volume 4 mL Minimum Volume 1 mL Patient Prep Abstain from medications for 72 hours prior to collection Collection Procedure 24-hour or random urine. Refrigerate 24-hour specimens during collection. Specimen Processing Aliquot 4 mL from a well-mixed 24-hour or random urine collection into a leakproof plastic urine container. Record total volume and collection time interval on transport tube and test request form. Room Temp Unacceptable Refrigerated 7 days Frozen (-20°C) 2 weeks Unacceptable Condition Specimen types other than urine Reference Laboratory ARUP Reference Lab Test Code 80470 CPT Codes 83150, 84585 Test Schedule Sun, Tue-Sat Turnaround Time 2-4 days Method Quantitative High Performance Liquid Chromatography Notes Moderately elevated HVA (homovanillic acid) and VMA (vanillylmandelic acid) can be caused by a variety of factors such as essential hypertension, intense anxiety, intense physical exercise, and numerous drug interactions (including some over-the-counter medications and herbal products).

Medications that may interfere with catecholamines and their metabolites include amphetamines and amphetamine-like compounds, appetite suppressants, bromocriptine, buspirone, caffeine, chlorpromazine, clonidine, disulfiram, diuretics (in doses sufficient to deplete sodium), epinephrine, glucagon, guanethidine, histamine, hydrazine derivatives, imipramine, levodopa (L-dopa, Sinemet®), lithium, MAO inhibitors, melatonin, methyldopa (Aldomet®), morphine, nitroglycerin, nose drops, propafenone (Rythmol), radiographic agents, rauwolfia alkaloids (Reserpine), tricyclic antidepressants, and vasodilators. The effects of some drugs on catecholamine metabolite results may not be predicable.

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Billing Code Test Code [sunquest] VANILLYLMANDELIC ACID, URINE (RANDOM) VMA-R VMAUR Includes creatinine. Synonyms VMA; 3-methoxy-4-hydroxymendelic acid Container Type Leakproof plastic urine container. Specimen Type Urine, random Preferred Volume 25 mL Minimum Volume 10 mL Patient Prep No diet restrictions. Collection Procedure Collect a random urine in a leakproof plastic urine container. Specimen Processing Aliquot 25 mL of a well mixed refrigerated random urine collection into a leakproof plastic bottle. Upon receipt, adjust pH to 2 with 6N HCl. Store and transport refrigerated. Room Temp Unacceptable Refrigerated Acidified: 1 month. Limitations A pH less than 1 can cause assay interference. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84585, 82570 Test Schedule Tue, Thu Turnaround Time 2-6 days Method HPLC/Electro Det/Enzymatic (IDMS traceable) Test Includes Creatinine, Urine, mg/dL; VMA, Urine, ug/mg Cr. Supply Item Number 1387 or 1388

Billing Code Test Code [sunquest] VAP CHOLESTEROL TEST VAPCT VAPCT Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 2 mL Minimum Volume 1.6 mL Specimen Processing Allow specimen to clot for 20-30 minutes. Spin specimen for 20 minutes (standard 2500 rpm). Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. If transport time will exceed 7 days, freeze sample. Do not freeze SST tubes. Room Temp Unacceptable Refrigerated 7 days Frozen (-20°C) 28 days Frozen (-70°C) 1 year Unacceptable Condition Ambient temperature samples Limitations Because the VAP test includes a directly measured LDL, and is not calculated, the LDL is unaffected by having a meal. Triglyceride levels will be affected if the patient is not fasting. Reference Laboratory Atherotech CPT Codes 83701, 84478 Test Schedule Varies Turnaround Time Within 7 days Method Ultracentrifugation Test Includes Total LDL Cholesterol, mg/dL; Direct Total HDL Cholesterol, mg/dL; Direct Total VLDL Cholesterol, mg/dL; Sum Total Cholesterol, mg/dL; Triglycerides, Direct, mg/dL; Total Non-HDL Cholesterol (LDL + VLDL), mg/dL; Total apoB100-calc; mg/dL; Direct Lp(a) Cholesterol, mg/dL; Direct IDL Cholesterol, mg/dL; Direct LDL R (Real) Cholesterol, mg/dL; Total LDL Cholesterol, mg/dL; Real LDL Size Pattern; Remnant Lipo (IDL + VLDL), mg/dL; HDL 2 (Large Boyant, Most Protective), mg/dL; HDL 3 (Small Dense, Least Protective), mg/dL; VLDL 1+2, mg/dL, VLDL 3 (Small Remnant), mg/dL; LDL 4, mg/dL; LDL 3, mg/dL; LDL 2, mg/dL; LDL 1, mg/dL, APO A1, mg/dL, APO B100-A1 Ratio Clinical Significance Supply Item Number 1467

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Billing Code Test Code [sunquest] VARICELLA ZOSTER & HERPES SIMPLEX ANTIGEN BY DFA, VZHSFA VZHSFA REFLEX TO VIRAL CULTURE (REFLEXIVE) If DFA is negative, this test will reflex to Viral Culture. At client request, Viral Culture may be added regardless of DFA result. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Zoster; Varicella; Herpes; VZV; Shingles; Chicken Pox; Virus Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Collection Procedure See below Specimen Processing Dermal or ocular lesion swab in viral transport media. Flocked preferred, polyester or rayon acceptable. Submit in VTM (Remel M4, M4RT, M5, M6, or BD Universal transport media). For best results, vigorously swab base of lesion, aseptically open lesion if necessary. Place swab in VTM. Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Non-dermal sources, calcium alginate swab, dry or wooden swab, swab in gel or other non-viral media, samples received frozen at -20C, samples GT 3 days old unless received frozen on dry ice. Department PAML Virology CPT Codes 87015, 87290 x 2, 87300 Test Schedule Twice daily. Received by 0500, results by 1200; received by 1300, results by 1700 Turnaround Time Less than 24 hours after receipt in Virology Method DFA reflex to Viral Culture Test Includes Source; VZV & HSV Antigen by DFA Result; Report Status Clinical Significance Rapid sensitive test for Varicella Zoster & Herpes Simplex Virus. Specimen must contain adequate patient cells for best results. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Negative DFA Viral Culture 87252, 87254 BVRCUL

Billing Code Test Code [sunquest] VARICELLA-ZOSTER ANTIBODY, IGG VZA VZA Test is intended to assess an individual's immune status to VZV prior to administration of VZA vaccine. Synonyms Herpes Zoster Antibody, IgG; VZA; Herpes Zoster, IgG; Varicella-Zoster Ab (Chicken Pox); VZV; VZV, IgG; Shingles Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Icteric, hemolyzed, heat inactivated, or plasma specimens Department PAML Special Immunology CPT Codes 86787 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Varicella-zoster Antibody, IgG, ISR Supply Item Number 1467

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Billing Code Test Code [sunquest] VARICELLA-ZOSTER VIRUS ANTIBODY IGG, CSF VZVGCA VZVGCA Container Type Leakproof plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Minimum Volume 0.3 mL Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated or contaminated samples Reference Laboratory ARUP Reference Lab Test Code 54444 CPT Codes 86787 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Semi-Quantitative Chemiluminescent Immunoassay Test Includes VZV Antibody IgG, CSF, IV Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Lab. Supply Item Number 9793

Billing Code Test Code [sunquest] VARICELLA-ZOSTER VIRUS ANTIBODY, IGG & IGM VZAGM VZAGM Synonyms VZV; VZV, IgG & IgM; Herpes Zoster Virus Antibody IgG & IgM; Varicella Zoster Virus Antibody IgG & IgM; VZA, IgG & IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, hemolyzed, lipemic, contaminated, heat-inactivated samples Department PAML Special Immunology CPT Codes 86787 x 2 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Varicella-Zoster Virus Antibody, IgG, ISR; Varicella-Zoster Virus Antibody, IgM, IV Supply Item Number 1467

Billing Code Test Code [sunquest] VARICELLA-ZOSTER VIRUS ANTIBODY, IGM VZVM VZVM Synonyms VZA, IgM; Herpes Zoster Virus Antibody, IgM; Varicella Zoster Virus Antibody, IgM; VZV; VZV, IgM Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Plasma, hemolyzed, lipemic, contaminated, or heat-inactivated samples Department PAML Special Immunology CPT Codes 86787 Test Schedule Mon-Sat Turnaround Time 1-3 days Method EIA Test Includes Varicella-Zoster Virus Antibody, IgM, IV Supply Item Number 1467

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Billing Code Test Code [sunquest] VARICELLA-ZOSTER VIRUS ANTIBODY, IGM BY ELISA, CSF VZVMCA VZVMCA Container Type Leakproof plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 0.5 mL Minimum Volume 0.3 mL Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated or contaminated samples Reference Laboratory ARUP Reference Lab Test Code 54445 CPT Codes 86787 Test Schedule Mon-Fri Turnaround Time 3-7 days Method ELISA Test Includes VZV Antibody IgM, CSF, ISR Compliance Remarks The manufacturer has not determined the efficacy of this test when performed on CSF specimens. The performance characteristics of this test were determined by ARUP Lab. Supply Item Number 9793

Billing Code Test Code [sunquest] VARICELLA-ZOSTER VIRUS BY PCR VZVRTP VZVRTP A dedicated sample is recommended. Synonyms Varicella Zoster; Chicken Pox; Varicella; Zoster; VZV; Herpes Zoster Container Type Sterile plastic container Store and Transport Frozen Specimen Type Frozen CSF OR frozen vesicle or ocular fluid in viral transport media (flocked swab preferred for lesion collection but polyester or cotton also acceptable) Preferred Volume CSF: 1 mL; 1 swab in 2 mL of VT Minimum Volume 0.5 mL Specimen Processing Keep specimen frozen Required Patient Info Source Room Temp 8 hours Refrigerated 1 day Frozen (-20°C) 3 months Unacceptable Condition Non-sterile or leaking containers or calcium alginate swabs. Multiple freeze/thaw cycles may reduce test sensitivity. Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 87798 Test Schedule Tue, Fri Turnaround Time 2-6 days Method Real-Time PCR Test Includes Varicella-Zoster Virus Source; Varicella-Zoster Virus Result; Varicella-Zoster Virus Comment Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 7211

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Billing Code Test Code [sunquest] VASCULAR ENDOTHELIAL GROWTH FACTOR VEGF VEGF This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Lavender top tube (EDTA) Store and Transport Store and transport frozen Specimen Type Frozen plasma Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate plasma from cells ASAP and put in separate plastic tube and freeze. This is a critical frozen specimen. Additional specimens must be submitted when multiple tests are ordered. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 6 months Unacceptable Condition Ambient, refrigerated, and hemolyzed specimens Alternate Specimens K2EDTA plasma (pink top tube) Reference Laboratory ARUP Reference Lab Test Code 92660 CPT Codes 83520 Test Schedule Tue Turnaround Time 3-10 days Method Chemiluminescent Immunoassay Test Includes Vascular Endothelial Growth Factor, pg/mL. Compliance Remarks This test uses a kit designated by the manufacturer as for research use, not for clinical use. The performance characteristics of this test were validated by ARUP Lab. The U.S. Food & Drug Administation (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under CLIA and by all states to perform high-complexity testing. Supply Item Number 1222

Billing Code Test Code [sunquest] VASOACTIVE INTESTINAL POLYPEPTIDE (VIP) VIPQ VIPQ Separate samples must be submitted when multiple tests are ordered Container Type Lavender top tube (EDTA) Store and Transport Frozen Specimen Type Plasma Preferred Volume 3 mL Minimum Volume 1.1 mL Specimen Processing Separate plasma from cells immediately and transfer to a standard PAML aliquot tube and freeze Room Temp 3 days Refrigerated 1 week Frozen (-20°C) 28 days Unacceptable Condition Lipemia, room temperature Alternate Specimens EDTA/Aprotinin Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 31252P CPT Codes 84586 Test Schedule Tue, Fri Turnaround Time 6-9 days Method Extraction, Immunoassay Test Includes VIP, pg/mL Compliance Remarks This test was developed and its performance characteristics have been determined by Quest Diagnostics Nichols Institute, San Juan Capistrano. Performance characteristics refer to the analytical performance of the test. Supply Item Number 1222

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Billing Code Test Code [sunquest] VDRL, CSF VDRL.CSF VDRLSF Synonyms RPR, CSF; Neurosyphilis; Venereal Disease Research Laboratory Container Type CSF sterile plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Centrifuge and decant spinal fluid. Room Temp 4 hours Refrigerated 5 days Frozen (-20°C) 1 year Unacceptable Condition Spinal fluid visibly contaminated or containing gross blood Department PAML Immunology CPT Codes 86592 Test Schedule Mon-Sat Turnaround Time 1-2 days Method FLOC Test Includes VDRL, CSF Supply Item Number 7211

Billing Code Test Code [sunquest] VENLAFAXINE & METABOLITE, SERUM/PLASMA VENLAM VENLAM Container Type Red top tube (plain) Specimen Type Serum Preferred Volume 1 mL Specimen Processing Separate serum from cells and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition SST or PST tubes. Alternate Specimens Plasma samples. Reference Laboratory NMS Reference Lab Test Code 4767SP CPT Codes 83789 Test Schedule Tue, Fri Turnaround Time 4-7 days Method LC-MS/MS Test Includes Venlafaxine, ng/mL; O-Desmethylvenlafaxine, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] VENLAFAXINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCVEN TLCVEN SUR. Synonyms Effexor Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 5 mL Room Temp 10 days Refrigerated 1 month Limitations 1000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Thin Layer Chromatography Test Includes Venlafaxine Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

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Billing Code Test Code [sunquest] VENOUS ACID BASE PROFILE AC/BASE VBG Synonyms Venous Blood Gases Container Type Green top tube (lithium heparin) Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Immerse tube completely in ice water. Test must be performed within 1 hour of collection. Store and transport on ice water. Required Patient Info Patient's temperature. Unacceptable Condition Specimen exposed to air or not kept on ice. Department PSHMC Respiratory Therapy Reference Laboratory PSHMC CPT Codes 82803 Test Schedule Daily & STAT Turnaround Time 24-48 hours Method Ion Transfer Electrode/Potentiometry/Co-oximeter Test Includes pH; pCO2, mmHg; pO2, mmHg; 02 Content, Vol %; O2 Saturation, Venous, %; HCO3, mmol/L; Base Excess, mmol/L; Base Deficit, mmol/L; Hemoglobin, Venous, g/dL; CO Hemoglobin, %; Met Hemoglobin, %; 02, %; Additional Data. Supply Item Number 1398

Billing Code Test Code [sunquest] VERAPAMIL (URINE ONLY) TEST ALSO INCLUDED IN DRUG- TLCVER TLCVER SUR. Synonyms Calan; Isoptin Container Type Random urine Specimen Type Urine Preferred Volume 30 mL Minimum Volume 10 mL Room Temp 10 days Refrigerated 1 month Limitations 2000 ng/mL Department PAML Toxicology CPT Codes 82489 Test Schedule Mon-Fri Turnaround Time 1-2 days Method Thin Layer Chromatography Test Includes Verapamil Notes Test is also included in Drug-Sur as part of panel. Supply Item Number 1388

Billing Code Test Code [sunquest] VERAPAMIL, SERUM/PLASMA VERAPA VERAPA Synonyms Isoptin; Verelin; Calan Container Type Red top tube (Plain) Specimen Type Serum Preferred Volume 3 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated or room temperature. Room Temp 2 weeks Refrigerated 1 month Frozen (-20°C) 1.5 years Unacceptable Condition Samples in SST or gel tubes. Reference Laboratory NMS Reference Lab Test Code 4770SP CPT Codes 82491 Test Schedule Mon-Sun Turnaround Time 3-4 days Method GC Test Includes Verapamil, ng/mL Supply Item Number 1372

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Billing Code Test Code [sunquest] VIRAL CULTURE (REFLEXIVE) VIRCUL VIRCUL

This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Culture, Viral; Enterovirus, Entero; Echovirus; Poliovirus; Coxsackie Virus; Influenza A; Influenza B; Flu A; Flu b; Parainfluenza Virus 1,2,3; Para; CMV; Cytomegalovirus; HSV; Herpes; Herpes Simplex; VZV; Varicella; Varicella zoster; Zoster; Adenovirus; RSV; Respiratory Syncytial Virus; Chickenpox; Shingles; Measles; Mumps; Virus Culture Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Specimen Processing Nasopharynx, throat, rectal swabs (flocked preferred, polyester or rayon acceptable), tissue biopsy, stool, BAL, bronch brush, wash, eye or skin lesion swab submitted in viral transport media (Remel M4, M4RT, M5, M6, or BD Universal Transport Media). Submit min 1.5 mL of urine or min of 1 mL of CSF in sterile container. Required Patient Info Specimen source Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Frozen (-70°C) Indefinitely Unacceptable Condition Calcium alginate swabs or swabs in gel media, wooden swabs and dry swabs, samples received frozen at -20C, samples GT 3 days old unless received frozen on dry ice. CSF or uring received in VTM. Alternate Specimens See above Department PAML Virology CPT Codes 87252, 87254 Test Schedule Daily Turnaround Time Shell vial CMV results at 72 hours, preliminary culture results at 7 days, final culture report at 14 days. CMV shell vial done only on tissue, BAL, bronch brush or wash, or urine unless otherwise requested. Method Isolation in Tissue Culture Test Includes Source; Viral Culture; Viral Culture, Status Notes This culture is for the detection of common viruses, including HSV, CMV, VZV, adenovirus, influenza, RSV, parainfluenza, and enterovirus. CMV shell vial done only on tissue, BAL, bronch, or urine unless otherwise requested. Culture for measles or mumps done only by special request, additional fee added. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If source is BAL, Bronchial, tissue, Shell vial for CMV 87254 x 2 BDCMSV or urine If virus identified in specimen Viral ID 87253 BVIRID non-respiratory If virus identified in specimen IFA 8well 87275 INFB, 87276 INFA, 87279 BD8W respiratory x 3 PARAINFLU, 87280 RSV, 87260 ADENO If Measles culture requested Rubeola Shell Vial 87254 X 2 BDMEA If Mumps culture requested Mumps Shell Vial 87254 x 2 BMUMPS

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Billing Code Test Code [sunquest] VIRAL DFA STAIN, REFLEXIVE TO VIRAL CULTURE (REFLEXIVE) VRDFAR VRDFAR This is a generic DFA request. DFA performed will be based on source provided. Additional charges will apply. If the DFA is negative it will reflex to a viral culture. At client request, viral culture may be added regardless of DFA result. This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Respiratory Screen; Influenza; Parainfluenza; RSV; Respiratory Syncytial Virus; Herpes; HSV; Varicella; VZV; Human Metapneumovirus; HMPV; Adenovirus; CMV; Cytomegalovirus; Zoster; Flu Container Type See below Store and Transport Refrigerated. Ship Category B Specimen Type See below Specimen Processing Nasopharyngeal, throat, skin lesion, or eye swab, or tissue biopsy, BAL, bronchial brush or Wash, submitted in viral transport media (Remel M4, M4RT, M5, M6 or BD Universal Transport Media). Flocked swab preferred, polyester or rayon acceptable. Required Patient Info Specimen source, specify location if biopsy Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) Unacceptable Unacceptable Condition Sputum, stool, rectal, urine and CSF specimens, refer to VIRCUL. Calcium alginate swab, dry swab, wooden swabs, and swabs in gel media. Department PAML Virology CPT Codes 87015 Test Schedule Twice daily. Received by 0500, results by 1200; received by 1300, results by 1700. Turnaround Time Less than 24 hours after receipt in Virology Method DFA Stain Test Includes Viral culture and DFA Stain; Viral Culture and DFA, Status Notes DFA performed will be based on source specified: respiratory samples will be screened for Influenza A & B, Adenovirus, Respiratory Syncytial Virus, Parainfluenzavirus types 1, 2, 3 and Human Metapneumovirus. Tissue specimens will be screened for CMV. Dermal and eye for HSV & VZV. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes If source is respiratory (NP, Respiratory Pool IFA 87299 Metapnuemo, 87300 Resp BDBRP throat, BAL, Bronchial) IFA Pool If resp pool is positive Respiratory IFA 8well 87275 INFB, 87276 INFA, 87279 BD8W x 3 PARAINFLU, 87280 RSV, 87260 ADENO If FA stain is negative Viral Culture 87252, 87254 BVRCUL If source is dermal for stain VZV & HSV by Direct IFA 87290 x 2 VZV, 87300 HSV 1 & 2 BVZVSV Pool If source is tissue CMV by Direct IFA 87271 BDCMV

Billing Code Test Code [sunquest] VISCOSITY VISC VISC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 4 days Alternate Specimens Frozen samples are acceptable. Limitations The presence of cryoglobulin will enhance the viscosity of serum. Department PAML Immunology CPT Codes 85810 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Cone and Plate Viscometer Test Includes Viscosity, cP Supply Item Number 1467

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Billing Code Test Code [sunquest] VISCOSITY, FLUID VISCFL VISCFL Container Type Green top tube (lithium heparin) Store and Transport Refrigerated Specimen Type Body fluid Preferred Volume 3 mL Minimum Volume 3 mL Room Temp 8 hours Refrigerated 4 days Unacceptable Condition Clotted specimens Department PAML Immunology CPT Codes 85810 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Cone and Plate Viscometer Test Includes Viscosity, Fluid, cP Supply Item Number 1411

Billing Code Test Code [sunquest] VITAMIN A VIA VIA This test does not measure Vitamin A metaboliltes, retinyl palmitate, retinaldehyde, and retinoic acid. Synonyms Retinol Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol for 1 day prior to blood draw. Collection Procedure Protect from light during collection, storage and transport. Specimen Processing Allow serum to completely clot at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated. Room Temp 48 hours Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed or icteric samples. Lipemic samples. Alternate Specimens Heparinized or EDTA plasma (green, lavender or pink top tube). Limitations Avoid hemolysis. Protect from light. This test does not measure Vitamin A metaboliltes, retinyl palmitate, retinaldehyde, and retinoic acid. Department PAML Bioanalytics CPT Codes 84590 Test Schedule Tue, Thu, Sat Turnaround Time 1-3 days Method HPLC Test Includes Vitamin A (retinol) result, mg/L Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1467

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Billing Code Test Code [sunquest] VITAMIN B 12 B12 B12 Synonyms Vitamin B12; B12; Cobalamin; Vitamin B-12 Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection, transfer to a standard PAML aliquot tube, and freeze. Room Temp 8 hours Refrigerated 10 days Frozen (-20°C) 2 months Unacceptable Condition Repeat freeze/thaw cycles Alternate Specimens SST(brick top tube) Department PAML Immunochemistry CPT Codes 82607 Test Schedule Mon-Sat Turnaround Time 1-2 days Method ICMA Test Includes B12, pg/mL Supply Item Number 1372

Billing Code Test Code [sunquest] VITAMIN B-1 THIAMINE, PLASMA VIT B-1 THIAM VITB1P The whole blood assay is preferred over plasma for thiamine assessment because it is more light sensitive. Separate specimens must be submitted when multiple tests are ordered. Synonyms Thiamine Container Type Green top tube (sodium or lithium heparin) Specimen Type Frozen plasma Preferred Volume 3 mL Minimum Volume 0.2 mL Collection Procedure CRITICAL - Protect from light during collection, storage and transport. Specimen Processing Separate plasma from cells within 1 hour and place in separate amber plastic tube and freeze. Protect from light within 1 hour of collection & during storage and transport.. Store and transport frozen. Room Temp unacceptable Refrigerated 1 week Frozen (-20°C) 6 months Unacceptable Condition Hemolyzed samples and samples other than heparin or EDTA plasma.. Alternate Specimens EDTA or K2EDTA plasma (lavender or pink top tube). Reference Laboratory ARUP Reference Lab Test Code 80389 CPT Codes 84425 Test Schedule Sun-Sat Turnaround Time 3-6 days Method HPLC for Thiochrome Test Includes Vitamin B-1, Plasma, nmol/L. Notes This assay does not distinguish beteen thiamine and its phosphate esters. Supply Item Number 1398

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Billing Code Test Code [sunquest] VITAMIN B-1, (WHOLE BLOOD) VTB1B VTB1B Synonyms Thiamine; Thiamin; Vitamin B1; TDP (Thiamine Diphosphate); TPP (Thiamine Pyrophosphaste); Soft- VITB1 Container Type Lavender top tube (EDTA) Specimen Type Frozen EDTA whole blood Preferred Volume 3 mL Minimum Volume 0.5 mL Collection Procedure Protect from light during collection, storage and transport. Specimen Processing Immediately freeze in separate plastic tube. Protect from light. Store and transport frozen. Room Temp unacceptable Refrigerated 4 hours Frozen (-20°C) 2 months Unacceptable Condition Grossly icteric samples. Non-frozen samples and specimens received in glass tubes. Alternate Specimens Sodium or lithium heparinized whole blood or K2EDTA whole blood (green or pink top tube). Limitations Protect from light. Department PAML Bioanalytics CPT Codes 84425 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method HPLC Test Includes Vitamin B-1 (Thiamine, Whole Blood, nmol/L. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Ammendments (CLIA) to perform high-complexity testing. Notes Whole blood is the preferred specimen for thiamine assessment. Approximately 80% of thiamine found in whole blood is in red blood cells. This assay detects thiamine diphosphate (TDP) not the various accompanying phosphate esters. Reference range applies to individuals who are not taking Vitamin B1 supplements. Supply Item Number 1222

Billing Code Test Code [sunquest] VITAMIN B-6 VTB6P VTB6P Synonyms Pyridoxal phosphate; PALP; PLP (Pyridoxal 5-Phosphate); Soft-B6 Container Type Lavender top tube Specimen Type Frozen EDTA plasma Preferred Volume 1 mL Minimum Volume 0.5 mL Collection Procedure Protect from light during collection, storage and transport. Specimen Processing Separate plasma from cells ASAP and place in separate plastic tube and freeze. Protect from light during collection, storage and transport. Store and transport frozen. Separate specimens must be submitted when multiple tests are ordered. Room Temp unacceptable Refrigerated 4 hours Frozen (-20°C) 2 months Unacceptable Condition Non-frozen samples and specimens in glass tubes. Grossly icteric samples. Alternate Specimens K2EDTA, lithium heparin, lithium heparin with gel separator, serum and serum with gel separator (pink, green, lime green, red or gold top tubes). Department PAML Bioanalytics CPT Codes 84207 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method HPLC Test Includes Vitamin B-6, ng/mL. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food & Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under CLIA to perform high-complexity testing. Notes This assay does not detect secondary metabolites pyridoxine, pyridoxal and pyridoxic acid. Supply Item Number 1222

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Billing Code Test Code [sunquest] VITAMIN B12 & FOLATE B12/FOL B12FOL Synonyms Vitamin B12/Folate; Vitamin B12/Folic Acid; Vitamin B-12/Folate; Vitamin B-12/Folic Acid Container Type Red top tube (plain) Store and Transport Frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a separate 12 x 75 plastic tube and freeze. Room Temp B12-8 hours; folate-2 days Refrigerated B12-10 days; folate-3 days Frozen (-20°C) B12-2 months; folate-2 weeks Unacceptable Condition Repeat freeze/thaw cycles Alternate Specimens SST(brick top tube) Limitations Hemolysis significantly increases folate values due to the high folate concentrations in red blood cells. Department PAML Immunochemistry CPT Codes 82607, 82746 Test Schedule Sun-Fri Turnaround Time 1-2 days Method ICMA Test Includes B12, pg/mL; Folate, ng/mL Supply Item Number 1372

Billing Code Test Code [sunquest] VITAMIN B12 BINDING CAPACITY UBBC VB12BC Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 6 hours Refrigerated 1 week Frozen (-20°C) 1 month Reference Laboratory ARUP Reference Lab Test Code 0070260 CPT Codes 82608 Test Schedule Mon, Thu Turnaround Time 2-5 days Method Quantitative Radioimmunoassay Test Includes Vitamin B12 Binding Capacity, Unsaturated, pg/mL Notes This assay measures the unsaturated binding capacity of serum for vitamin B12. Supply Item Number 1467

Billing Code Test Code [sunquest] VITAMIN B2, (RIBOFLAVIN) VB2 VB2 This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Synonyms Glutathione Reductase Activity Container Type Lavender top tube (EDTA) Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 6 mL Minimum Volume 1 mL Unacceptable Condition Frozen specimens Alternate Specimens Green top tube Reference Laboratory University of Washington Medical Center Reference Lab Test Code VITB2 CPT Codes 84252 Test Schedule Tue Turnaround Time 6-8 days Method Spectrophotometric Test Includes Vitamin B2, Riboflavin, Activity Coefficient. Compliance Remarks This test was developed and its performance characteristics determined by UW Medicine, Department of Laboratory Medicine. It has not been cleared or approved by the U.S. Food and Drug Administration. Supply Item Number 1222

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Billing Code Test Code [sunquest] VITAMIN B5 (PANTOTHENIC ACID), SERUM VITB5 VITB5 Container Type SST Store and Transport Frozen Specimen Type Serum Preferred Volume 1.0 mL Minimum Volume 0.5 mL Specimen Processing Transfer 1 mL serum to an amber transport tube. Protect from light. Room Temp Unacceptable Refrigerated 3 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed or lipemic specimens. Specimens not light protected. Reference Laboratory ARUP Reference Lab Test Code 2006982 CPT Codes 84591 Test Schedule Varies Turnaround Time 5-12 days Method Quantitative Cell Based Assay Test Includes Vitamin B5 (Pantothenic Acid), Serum ug/L Compliance Remarks The performance characteristics of the listed assay was validated by Cambridge Biomedical Inc. The US FDA has not approved or cleared this test. The results of this assay can be used for clinical diagnosis without FDA approval. Cambridge Biomedical Inc. is a CLIA certified, CAP accredited laboratory for performing high complexity assays such as this one.

Billing Code Test Code [sunquest] VITAMIN B7 (BIOTIN) VITB7A VITB7A Synonyms Vitamin H Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Allow to clot for 30 minutes before separation. Separate serum from cells and put in separate amber plastic tube and freeze immediately. Store and transport frozen. Protect from light during collection, storage and transport.

Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed specimens. Thawed samples and samples not protected from light. Alternate Specimens Serum (red top tube). Reference Laboratory ARUP-then sent to Cambridge Biomedical Research Group, MA. Reference Lab Test Code 2003184 CPT Codes 84591 Test Schedule Varies Turnaround Time Varies Method Bioassay Test Includes Biotin (Vitamin B7), pg/mL. Compliance Remarks The performance characteristics of this assay were validated by Cambridge Biomedical, Inc. The U.S. FDA has not approved or cleared this test. The results of this assay can be used for clinical diagnosis without FDA approval. Cambridge Biomedical Inc. is a CLIA certified, CAP accredited laboratory for performing high-complexity assays such as this one. Notes This test is NOT indicated for diagnosing patients with biotinidase deficiency or as a follow up of an abnormal newborn screen for biotinidase deficiency. Use in combination with other tests to confirm or monitor patients with biotinidase deficiency.

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Billing Code Test Code [sunquest] VITAMIN C, PLASMA VIT.C VITCP CRITICAL FROZEN Separate samples must be submitted when multiple tests are ordered. The oxalic acid preservative may interfere with other tests. Synonyms Ascorbic Acid (Vitamin C, Plasma); C; Vitamin (Vitamin C, Plasma) Container Type Green top tube (sodium or lithium heparin) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1.3 mL Patient Prep Fasting specimen preferred Collection Procedure Centrifuge immediately, separate plasma from the cells and transfer 2 mL plasma to a collection tube containing 40 mg oxalic acid; mix and freeze within 1 hour of collection. Special collection tubes are available from PAML Supply Department. Adequate preservation is 20 mg oxalic acid per 1 mL/plasma. The oxalic acid preservative may interfere with other tests. Specimen Processing Centrifuge immediately. Transfer 2 mL plasma to a collection tube containing 40 mg oxalic acid. (Special collection tubes are available from PAML Supply Department. Supply Item Number: 9701). Mix and freeze within 1 hour of collection. Adequate preservation is 20 mg oxalic acid to 1 mL plasma. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) Frozen (with oxalic acid preservative added): 2 months Unacceptable Condition Nonfrozen samples, samples that are not preserved with oxalic acid, serum and hemolyzed plasma Alternate Specimens EDTA plasma (lavender top tube) Reference Laboratory ARUP Reference Lab Test Code 80380 CPT Codes 82180 Test Schedule Sun, Tue, Thu Turnaround Time 2-8 days Method Quantitative Spectrophotometry Test Includes Vitamin C, Plasma, mg/dL Notes Vitamin C concentrations between 0.2-0.4 mg/dL indicate risk of deficiency. Concentrations LT 0.2 mg/dL consistent with deficiency. Supply Item Number 1398 (sodium heparin) or 1411 (lithium heparin)

Billing Code Test Code [sunquest] VITAMIN D, 1,25-DIHYDROXY VIDD VIDD Synonyms 1,25-Dihydroxy Container Type SST tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1.5 mL Specimen Processing Separate serum from cells and place in separate plastic tube and freeze. Room Temp 3 days Refrigerated 3 days Frozen (-20°C) 6 months Unacceptable Condition Four or more freeze/thaw cycles Alternate Specimens Frozen EDTA plasma or serum (lavender or plain red top tube). Department PSHMC Special Chemistry, PSHMC Immunology Reference Laboratory PSHMC CPT Codes 82652 Test Schedule Mon-Fri Turnaround Time 2-5 days Method RIA Test Includes Vitamin D (1,25-OH), pg/mL Supply Item Number 1467

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Billing Code Test Code [sunquest] VITAMIN D, 25-HYDROXY VDOH VDOH Synonyms VDOH Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.25 mL Specimen Processing Separate serum from cells within 2 hours of collection and transfer to a standard PAML aliquot tube. Room Temp 3 days Refrigerated 10 days Frozen (-20°C) 7 months Unacceptable Condition Grossly hemolyzed, grossly lipemic, or jaundiced samples Alternate Specimens EDTA plasma, lithium heparin plasma (lavender or green top tube) Limitations Avoid repeated freeze/thaw cycles Department PAML Immunochemistry CPT Codes 82306 Test Schedule Mon-Sat Turnaround Time 1-2 days Method Chemiluminescent Immunoassay Test Includes Vitamin D, 25-Hydroxy, ng/mL Supply Item Number 1467

Billing Code Test Code [sunquest] VITAMIN D2 D3, 25-HYDROXY BY LC-MS/MS VITD23 VITD23 Synonyms 25-Hydroxy D2, 25-Hydroxy D3, 25-Hydroxy Vitamin D, 25-Hydroxycholecalciferol, 25- hydroxyergocalciferol, 25-OH, calcidiol, D2, D3, Vitamin D assay Container Type SST Tube (Gold, Brick, SST or Corvac) Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.3 mL Specimen Processing Separate serum from cells and put in separate plastic tube. Store and transport refrigerated. Room Temp 48 hours Refrigerated 14 days Frozen (-20°C) 1 month Unacceptable Condition Room Temperature specimens older than 48 hours from draw. Department PAML Bioanalytics CPT Codes 82306 Test Schedule Mon-Fri Turnaround Time 1-3 days Method Tandem Mass Spectrometry Test Includes 25-Hydroxyvitamin D2, ng/mL; 25-Hydroxyvitamin D3, ng/mL; 25-Hydroxyvitamin D Total, ng/mL. Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Notes Caution should be taken when interpreting results from patients less than one year of age. This method does not distinguish 25 OH Vitamin D from its epimer that may be elevated in pediatric patients. Remarks Supply Item Number 1375

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Billing Code Test Code [sunquest] VITAMIN E VIE VIE This test does not measure Vitamin E metaboliltes, gamma tocopherol. Synonyms Alpha-Tocopherol; Tocopherol Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Patient Prep Patient should fast overnight (12 hours) and should not consume alcohol for 1 day prior to blood draw. Collection Procedure Protect from light during collection, storage and transport. Specimen Processing Allow serum to completely clot at room temperature. Separate serum from cells ASAP and place in separate plastic tube. Protect from light. Store and transport refrigerated. Room Temp 48 hours Refrigerated 1 month Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed or icteric samples. Alternate Specimens Heparinized or EDTA plasma (green, lavender or pink top tube). Limitations Avoid hemolysis. Protect from light. This test does not measure Vitamin E metaboliltes, gamma tocopherol. Department PAML Bioanalytics CPT Codes 84446 Test Schedule Tue, Thu, Sat Turnaround Time 1-3 days Method HPLC Test Includes Vitamin E (alpha-tocopherol) Result, mg/L Compliance Remarks This test was developed and its performance characteristics determined by PAML/PSHMC Division of Laboratory Medicine. The U.S. Food and Drug Administration (FDA) has not approved or cleared this test. However, FDA approval or clearance is currently not required for clinical use of this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. PAML/PSHMC is authorized under Clinical Laboratory Improvement Amendments (CLIA) to perform high-complexity testing. Supply Item Number 1467

Billing Code Test Code [sunquest] VITAMIN K1 VITK1 VITK1 Container Type SST tube Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1.2 mL Patient Prep Fast for 12 hours (overnight) prior to draw.. The patient should not consume alcohol for 24 hours prior to the blood draw. Collection Procedure Protect from light during collection, storage and transport. Specimen Processing Separate serum from cells and place in separate plastic tube, protect from light and freeze. Store and transport frozen. Room Temp unacceptable Refrigerated 1 month Frozen (-20°C) 6 months Alternate Specimens EDTA or K2EDTA plasma (lavender or pink top tube). Limitations Protect from light and avoid hemolysis. Reference Laboratory ARUP Reference Lab Test Code 99225 CPT Codes 84597 Test Schedule Tue-Sun Turnaround Time 3-7 days Method HPLC Test Includes Vitamin K1, ng/mL. Supply Item Number 1467

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Billing Code Test Code [sunquest] VMA, URINE 24HR VMA VMAUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms 3-methoxy-4-hydroxymendelic acid; VMA Container Type 24-hour dark plastic urine container. Store and Transport Store and transport refrigerated. Specimen Type 24-hour urine collection. Preferred Volume 25 mL Minimum Volume 10 mL Patient Prep There are no diet restrictions. Collection Procedure Collect a 24-hour urine specimen. Refrigerate during collection. Specimen Processing Aliquot 50 mL of a well-mixed 24-hour urine collection into a leakproof plastic urine container. Upon receipt adjust pH to 2 with 6N HCl. Record collection time and total volume. Required Patient Info Collection period and total volume. Room Temp Unacceptable Refrigerated Acidified: 1 month. Alternate Specimens 24 hour urine collection preserved with 25 mL 6N HCl at start of collection, then adjust to pH to 2 with 6N HCl. 50% acetic acid or 10 grams of boric acid may also be used as preservatives. Toddlers: use 5 mL volume for preservative or 2 grams boric acid. Babies: use 2 mL volume of preservative or 1 gram boric acid. Limitations A pH less than 1 can cause assay interference. Department PSHMC Special Chemistry Reference Laboratory PSHMC CPT Codes 84585 Test Schedule Tue, Thu Turnaround Time 2-6 days Method HPLC/Electrochemical Detection Test Includes Collection Period, h; Volume, mL; VMA, Urine, ug/mg Cr. Supply Item Number 1108

Billing Code Test Code [sunquest] VOLATILES VOL VOLAT Synonyms Methanol; Methyl Alcohol; Isopropanol; Isopropal Alcohol; Acetone Container Type Serum (red top tube), oxalated whole blood (grey top tube), or heparinized whole blood (green top tube) Specimen Type Blood/serum Preferred Volume 2 mL Minimum Volume 1 mL Alternate Specimens Urine or vitreous humor Limitations Container must be keep sealed. Limit of detection 10 mg/dL. Department PAML Toxicology CPT Codes 84600 Test Schedule Mon-Fri Turnaround Time 1-2 days Method FID Test Includes Acetone, Isopropanol, and Methanol Supply Item Number 1372 7357

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Billing Code Test Code [sunquest] VOLTAGE GATED CALCIUM CHANNEL ANTIBODY VGCCAB VGCCAB This test has not yet received FDA approval and is considered for research use only. Medicare may not pay for tests listed as research use or investigational use only. Container Type Red top tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 1 mL Minimum Volume 0.2 mL Specimen Processing Separate serum from cells ASAP and put in separate plastic tube and freeze. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) Indefinitely Unacceptable Condition Grossly lipemic, or hemolyzed specimens, and plasma Reference Laboratory ARUP Reference Lab Test Code 0092628 CPT Codes 83519 Test Schedule Tue Turnaround Time 2-9 days Method Quantitative Radiobinding Assay Test Includes Voltage-gated Calcium Channel Antibody, pmol/L. Compliance Remarks This test uses a kit designated by the manufacturer as 'for research use, not for clinical use.' The performance characteristics of this test were validated by ARUP Laboratories, Inc. The U.S. Food & Drug Administration (FDA) has not approved this test. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. ARUP is authorized under Clinical Laboratory Improvement Amendments (CLIA) and by all states to perform high-complexity testing. Supply Item Number 1372

Billing Code Test Code [sunquest] VON WILLEBRAND FACTOR ACTIVITY VON F08RCO Separate samples must be submitted when multiple tests are ordered Synonyms VW Factor; VW Factor Activity; Ristocetin Cofactor Activity Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85245 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical, Platelet Aggregation Test Includes VWF Activity (Ristocetin Cofactor), %. Supply Item Number 1050

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Billing Code Test Code [sunquest] VON WILLEBRAND FACTOR ANTIGEN FAC8AG F08RA Separate samples must be submitted when multiple tests are ordered Synonyms F8-Related Antigen; VW Antigen; FAC8 Antigen; Factor 8 Antigen; Factor VIII-related Antigen Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tube filled to capacity. Must be performed within 4 hours of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85246 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Immuno-turbidimetric Assay Test Includes Von Willebrand Factor Antigen, % Notes This is a quantitative test. It detects the amount of VWF antigen immunologically. It is correctly called FVIII-related antigen. Supply Item Number 1050

Billing Code Test Code [sunquest] VON WILLEBRAND MULTIMERIC ANALYSIS VWFMA VWFMA Container Type Blue top tube (buffered sodium citrate) Specimen Type Frozen plasma Preferred Volume 0.5 mL Minimum Volume 0.5 mL Specimen Processing Separate plasma from cells ASAP and place in separate plastic tube and freeze. Store and transport frozen. Frozen (-20°C) 2 weeks Unacceptable Condition Thawed, clotted, hemolyzed or specimens that have been filtered. Reference Laboratory Blood Center of Wisconsin Reference Lab Test Code 1064 CPT Codes 85247 Test Schedule Mon-Fri Turnaround Time 5-12 days Method Chemiluminensce Test Includes Von Willebrand Factor Multimeric; Interpretation. Supply Item Number 1050

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Billing Code Test Code [sunquest] VON WILLEBRAND MULTIMERIC PANEL VWMUL VWMUL Critical frozen Synonyms VFW Multimeric Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen - Separate samples must be submitted when multiple tests are ordered. Specimen Type Frozen plasma Preferred Volume 3 mL Minimum Volume 1.5 mL Specimen Processing Separate plasma from cells ASAP and transfer to a standard PAML aliquot tube and freeze. Critical frozen. Room Temp 4 hours Refrigerated Unacceptable Frozen (-20°C) 3 months Frozen (-70°C) 6 months Unacceptable Condition Serum, nonfrozen, or hemolyzed samples Reference Laboratory ARUP Reference Lab Test Code 0030002 CPT Codes 85247, 85240, 85246, 85245 Test Schedule Mon-Sat Turnaround Time 2-11 days Method Electrophoresis, Western Blot, Clotting MPMIA, Platelet Agg Test Includes Von Willebrand Multimeric; Factor VIII Activity, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, % Supply Item Number 1050

Billing Code Test Code [sunquest] VON WILLEBRAND PANEL VONP VONP Separate samples must be submitted when multiple tests are ordered Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Frozen plasma Preferred Volume 3 mL Minimum Volume 1 mL Collection Procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours from time of specimen collection. Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge, separate into 2 clean plastic tubes (2 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less. Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85240, 85246, 85245 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical, Immuno-turbidimetric, Platelet Aggregation Test Includes Factor VIII, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %. Supply Item Number 1050

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Billing Code Test Code [sunquest] VON WILLEBRAND PANEL COAGULATION CONSULT VONPCC VONPCC Separate samples must be submitted when multiple tests are ordered Synonyms Von Willebrand Coagulation Consultation Container Type Blue top tube (buffered sodium citrate) Store and Transport Frozen Specimen Type Plasma Preferred Volume 4.5 mL Minimum Volume 3 mL Collection Procedure Liquid blue top tubes filled to capacity. Must be performed within 4 hours from time of specimen collection Specimen Processing If time interval between drawing and testing exceeds 4 hours, centrifuge specimen, separate plasma, recentrifuge plasma, separate into 3 clean plastic tubes (3 aliquots), and freeze at -20C or less. Room Temp 4 hours Refrigerated 4 hours Frozen (-20°C) 1 month Unacceptable Condition Severely hemolyzed, clotted samples or inappropriately filled liquid blue top tubes, specimens more than 4 hours old that have not been separated and frozen at -20C or less Department PSHMC Coagulation Reference Laboratory PSHMC CPT Codes 85240, 85246, 85245, 80500 Test Schedule Mon-Sat Turnaround Time 1-3 days Method Electromechanical, Immuno-turbidimetric, Platelet Aggregation Test Includes Factor VIII, %; Von Willebrand Factor Antigen, %; Von Willebrand Factor Activity, %; Interpretation; Reviewed By. Supply Item Number 1090

Billing Code Test Code [sunquest] VORICONAZOLE LEVEL, HPLC VORIF VORIF Container Type Plain red top tube Store and Transport Store and transport frozen Specimen Type Frozen serum Preferred Volume 2 mL Minimum Volume 1 mL Collection Procedure Specimens collected just before or within 15 minutes of next dose are the Trough levels. Specimens obtained within 15-30 minutes after the end of I.V. infusion or 45-60 minutes after an IM injection or 90 minutes after oral intake represent the Peak level. Specimen Processing Separate serum from cells and put in separate sterile plastic tube and freeze. Room Temp Unacceptable Refrigerated Unacceptable Frozen (-20°C) 2 weeks Unacceptable Condition Non-frozen samples; Specimens collected in SST; sterile tube preferred Alternate Specimens Heparin or EDTA plasma (green or lavender top tube) or CSF Reference Laboratory Focus Reference Lab Test Code 51929 CPT Codes 80299 Test Schedule Mon-Fri Turnaround Time 3-5 days Method HPLC Test Includes Voriconazole Level, mcg/mL.

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Billing Code Test Code [sunquest] WARFARIN, SERUM OR PLASMA COUMA COUMA Synonyms Coumadin Container Type Plain Red Top Tube Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.7 mL Specimen Processing Separate serum from cells within 2 hours of collection and place in separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 2 weeks Unacceptable Condition Separator tubes. Alternate Specimens EDTA, K2EDTA, sodium fluoride/potassium oxalate or sodium heparin plasma (lavender, pink, grey or green top tube), and specimens received at room temperature or frozen. Reference Laboratory ARUP Reference Lab Test Code 0090805 CPT Codes 80299 Test Schedule Varies Turnaround Time Varies Method HPLC Test Includes Warfarin, mcg/mL.

Billing Code Test Code [sunquest] WEST NILE VIRUS WNVOBI WNVOBI Container Type Lavender top tube Store and Transport Frozen Specimen Type Frozen EDTA plasma Preferred Volume 2 mL Minimum Volume 1 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube and freeze. Room Temp 3 days Refrigerated 5 days Frozen (-20°C) 9 months Reference Laboratory OBI CPT Codes 84999 Method Nucleic Acid Test Includes WNV; WNV Confirmation

Billing Code Test Code [sunquest] WEST NILE VIRUS AB PANEL, IGG & IGM WNGM WNGM Container Type Red top tube Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 8 hours Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Samples other than serum Department PAML Special Immunology CPT Codes 86788, 86789 Test Schedule Tue, Thur Turnaround Time 2-6 days Method EIA Test Includes West Nile Virus, IgG; West Nile Virus, IgM; Interpretation Supply Item Number 1467

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Billing Code Test Code [sunquest] WEST NILE VIRUS ANTIBODIES (IGG, IGM), CSF WNVCSF WNVCSF Container Type Sterile CSF plastic tube Store and Transport Refrigerated Specimen Type CSF Preferred Volume 2 mL Minimum Volume 0.7 mL Room Temp 4 days Refrigerated 1 week Frozen (-20°C) 1 month Reference Laboratory Focus Reference Lab Test Code 36597 CPT Codes 86788, 86789 Test Schedule Mon, Wed, Fri Turnaround Time 3-5 days Method Enzyme Immunoassay Test Includes West Nile Virus, IgG, CSF; West Nile Virus, IgM, CSF; Interpretation Supply Item Number 7211

Billing Code Test Code [sunquest] WEST NILE VIRUS RNA BY RT-PCR WNVPR WNVPR

Container Type Lavender top tube (EDTA) Store and Transport Store and transport frozen. Ship Category B Specimen Type Plasma Preferred Volume 1 mL Specimen Processing Separate plasma or serum from cells aseptically and put in sterile plastic tube and freeze Room Temp 8 hours Refrigerated 24 hours Frozen (-20°C) 3 months Unacceptable Condition Heparinized or hemolyzed samples, nonsterile or leaking containers. Avoid repeat freeze/thaw cycles. Alternate Specimens Pink (K2EDTA), serum, or CSF Reference Laboratory ARUP Reference Lab Test Code 50229 CPT Codes 87798 Test Schedule Mon-Fri Turnaround Time 2-5 days Method RT-PCR Test Includes West Nile Virus RNA by RT-PCR Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval or clearance. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved or cleared by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

Billing Code Test Code [sunquest] WET MOUNT WET-MNT WM A delay of more than one hour from time of specimen collection until performance of a wet mount exam for trichomonas leads to false negative results. Wet mount exams for Trichomonas should be performed locally.If testing is performed at PSC use the workpar WET-MNT or Flexi ordercode WM. If testing done at SHMC use the workpar MISCDE. Container Type Culturette Store and Transport Ambient (room temperature) Specimen Type Urogenital discharge or oral thrush Alternate Specimens Specimen can also be submitted in a small amount of sterile saline. Department PSHMC Microbiology Reference Laboratory PSHMC CPT Codes 87210 Test Schedule Daily Method Microscopic Test Includes Source; WBC, /hpf; Epithelial Cells, /hpf; Bacteria, hpf; Clue Cells, /hpf; Yeast, /hpf; Trichomonas, /hpf. Supply Item Number 6271

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Billing Code Test Code [sunquest] WHITE CELL COUNT WBC WBC Synonyms WBC Container Type Lavender top tube (EDTA) Store and Transport Store and transport refrigerated Specimen Type Whole blood Minimum Volume 0.5 mL Specimen Processing Prefer to receive specimen within 12 hours of collection. Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 85048 Test Schedule Daily-24 hours Turnaround Time 24-48 hours Method Automated Test Includes WBC, K/uL. Supply Item Number 1222

Billing Code Test Code [sunquest] WOMENS CARRIER SCREEN PANEL (REFLEXIVE) WCSP WCSP This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test on the PAML computer system if you are interfaced. This test may reflex to additional tests depending upon the results of this test. This test must be ordered on a paper requisition that accompanies the specimen. It is an orderable test on the PAML computer system if you are interfaced. Container Type Lavender top tube Store and Transport Refrigerated or ambient (room temperature) Specimen Type EDTA whole blood Preferred Volume 7 mL Minimum Volume 5 mL Specimen Processing Submit original and unopened tube only. Do not transfer from original tube Required Patient Info Include race, family history & clinical indication Room Temp 72 hours Refrigerated 5 days Frozen (-20°C) Unacceptable Unacceptable Condition Plasma, seurm, heparinized whole blood, frozen whole blood, severely hemolyzed specimens, specimens in leaking containers or over 5 days old and specimens not received in the original collection tubes and aliquoted specimens. Alternate Specimens Sodium citrate whole blood (blue top tube) Department PSHMC Molecular Diagnostics Reference Laboratory PSHMC CPT Codes 81220, 81243, 81401 Test Schedule Tue, Thu Turnaround Time 1-2 weeks Method PCR, Restriction Digest/PCR, OLA/Real-Time PCR Test Includes Fragile X Carrier Screen Result; Cystic Fibrosis Report; SMN1 Copy Number & Interpretation Compliance Remarks Some components of this panel have compliance remarks and are listed in the reference range section of this test. Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes Reflex Billing Codes Carrier of R117H mutation IVS8poly T 81224 BIVS8T Preliminary result of homozygous I506V, I507V 81224 B1506V delF508 Full mutation in carrier screen Southern FX 81244 BFXSCR

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Billing Code Test Code [sunquest] XYLOSE ABSORPTION TEST [CHILD], URINE 24HR XYTOC XYTOC Container Type Serum separator tube (gold, brick, SST, or corvac) and plastic urine container Store and Transport Refrigerated Specimen Type Serum, fasting and 1 hr post dose and timed urine Preferred Volume 1 mL each specimen and 5 mL urine Minimum Volume 0.5 mL each specimen and 3 mL urine ( if unable to collect pediatric urine specimens, testing will be completed with a disclaimer). Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 0.5 grams of D-xylose/kg up to 25 g in H2O( 5 mL H2O/0.5 g xylose up to 250 mL). Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 1 hour post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume. Collection Procedure Draw fasting serum specimen and then 1 hour post-dose serum specimen and collect all urine for 5 hours post dose. Specimen Processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour urine collection into clean plastic leakproof urine container. Required Patient Info Record dose and urine volume Room Temp 4 hours Refrigerated 7 days Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed serum and nonfasting samples. Whole blood or upspun clot tubes. Reference Laboratory ARUP Reference Lab Test Code 20612 CPT Codes 84620 Test Schedule Tue, Thu Turnaround Time 2-6 days Method Spectrophotometry Test Includes Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 1 hour, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, % Supply Item Number 1467

Billing Code Test Code [sunquest] XYLOSE ABSORPTION TEST, ADULT 25 GM XYTO25 XYTO25 Synonyms Xylose (25 gram dose) Container Type SST tube and plastic urine container Specimen Type Serum, fasting and 2 hr post dose and timed urine Preferred Volume 1 mL each specimen and 5 mL urine Minimum Volume 0.5 mL each specimen and 3 mL urine Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 25 grams of D-xylose in 250 mL H2O. Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 2 hours post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume. Collection Procedure Draw fasting serum specimen and then 2 hour post-dose serum specimen and collect all urine for 5 hours post dose. Specimen Processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour urine collection into clean plastic leakproof urine container. Store & transport all specimens refrigerated. Required Patient Info Record dose and urine volume. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed serum and nonfasting samples. Whole blood or unspun clot tubes. Reference Laboratory ARUP Reference Lab Test Code 20609 CPT Codes 84620 Test Schedule Tue, Thu Turnaround Time 2-6 days Method Spectrophotometry Test Includes Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 2 hours, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, %. Supply Item Number 1467

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Billing Code Test Code [sunquest] XYLOSE ABSORPTION TEST, ADULT 5 GM XYTO5 XYTO5 Synonyms Xylose (5 gram dose) Container Type SSt tube and plastic urine container Specimen Type Serum, fasting and 2 hr post dose and timed urine Preferred Volume 1 mL each specimen and 5 mL urine Minimum Volume 0.5 mL each specimen and 3 mL urine Patient Prep Draw fasting serum (8 hours or minimum of 4 hours). Have patient empty bladder and discard. Dose patient with 5 grams of D-xylose in 250 mL H2O. Encourage patient to drink additional H2O. Patient is to be allowed no food or liquid except H2O, no smoking, and is to be at rest. Draw serum 2 hours post-dose. Collect all urine for 5 hours after dose. Record dose and urine volume. Collection Procedure Draw fasting serum specimen and then 2 hour post-dose serum specimen and collect all urine for 5 hours post dose. Specimen Processing Separate serum specimens from the cells and place each in separate plastic tubes and label accordingly. Aliquot 5 mL urine from 5 hour urine collection into clean plastic leakproof urine container. Store & transport all specimens refrigerated. Required Patient Info Record dose and urine volume. Room Temp 4 hours Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Grossly hemolyzed serum & nonfasting samples. Whole blood or unspun clot tubes. Reference Laboratory ARUP Reference Lab Test Code 20615 CPT Codes 84620 Test Schedule Tue, Thu Turnaround Time 2-6 days Method Spectrophotometry Test Includes Volume at 5 hours, mL; Xylose Dose, g; Xylose, Serum, 2 hours, mg/dL; Xylose Excretion, g/5 hr; Xylose Excretion, %. Supply Item Number 1467

Billing Code Test Code [sunquest] YERSINIA SPECIES ANTIBODY, IGA & IGG YERAB YERAB Acute and convalescent samples advised. Container Type SST tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.5 mL Specimen Processing Separate serum from cells ASAP and place in separate plastic tube. Clearly label specimens. Store and transport refrigerated. Room Temp 2 days Refrigerated 14 days Frozen (-20°C) 1 year Unacceptable Condition Heat-inactivated, contaminated, hemolytic, icteric, lipemic or turbid samples. Reference Laboratory ARUP Reference Lab Test Code 51230 CPT Codes 86793 x2 Test Schedule Tue Turnaround Time 2-9 days Method Western Blot Test Includes Yersinia Species Antibody, IgA; Yersinia Species Antibody, IgG. Compliance Remarks Analyte Specific Reagents (ASR) are used in many laboratory tests necessary for standard medical care and generally do not require U.S. Food and Drug Administration approval. This test was developed and its performance characteristics determined by ARUP Laboratories, Inc. It has not been approved by the U.S. Food and Drug Administration. This test should not be regarded as investigational or for research use. Supply Item Number 1467

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Billing Code Test Code [sunquest] YO ANTIBODY SCREEN WITH REFLEX TO TITER AND WESTERN YOABQ YOABQ BLOT This test may reflex to additional tests depending upon the results of this test. An additional fee will be added if the reflex test is necessary. Synonyms Purkinje Cell Container Type Serum separator tube (gold, brick, SST, or corvac) Store and Transport Room temperature Specimen Type Serum Preferred Volume 0.5 mL Minimum Volume 0.2 mL Patient Prep Overnight fasting is preferred Specimen Processing Separate serum from cells and put in separate plastic tube. Room Temp 7 days Refrigerated 14 days Frozen (-20°C) 21 days Reference Laboratory Quest Diagnostics Nichols Institute (SJC) Reference Lab Test Code 90119 CPT Codes 86255 Test Schedule Sun, Tue, Thu Turnaround Time 4-7 days Method Immunofluorescence Assay Reflex Testing Reflex Condition Reflex Test Name Reflex CPT codes If Yo Ab, IFA is positive Yo Ab Western Blot 84181 If Yo Ab, Western Blot is positive Yo Ab Titer 86256

Billing Code Test Code [sunquest] ZINC ZINC ZN Synonyms Zn Container Type Trace Element Free Tube. Specimen Type Serum Preferred Volume 3 mL Minimum Volume 1 mL Patient Prep Early morning fasting specimen recommended. Collection Procedure Collect in a royal blue top tube, additive free. Specimen Processing Separate serum from cells within 1 hour and place in Trace Element Free tube. Store and transport refrigerated. Required Patient Info Fasting/non-fasting. Room Temp 48 hours Refrigerated 2 weeks Frozen (-20°C) 3 months Unacceptable Condition Serum left in contact with RBC's longer than 1 hour or hemolyzed specimen. Samples from separator gel tubes are not acceptable. Alternate Specimens Serum (plain red top tube) separated within 1 hour. Limitations There is a circadian variation with peak levels of zinc at approximately 0900 and 1800 hours. Serum zinc levels decrease post-prandially. Avoid hemostasis. Department PSHMC Chemistry, PSHMC Trace Metals Reference Laboratory PSHMC CPT Codes 84630 Test Schedule Mon, Wed, Fri Turnaround Time 1-3 days Method AAS Test Includes Zinc, ug/dL. Supply Item Number 1796 or 9771

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Billing Code Test Code [sunquest] ZINC PROTOPORPHYRINS EP-SCR ZPP Synonyms ZPP; Zinc, RBC Container Type Royal blue top tube (metal free EDTA) is preferred, Lavendar top tube (EDTA) is an acceptable alternative Store and Transport Refrigerated Specimen Type Whole blood Preferred Volume 1 mL Minimum Volume 0.5 mL (1 microtainer) Refrigerated 7 days Unacceptable Condition Hemolyzed specimens Alternate Specimens Sodium heparinized or citrated whole blood (green, royal blue metal free heparin or blue top tube). Department PSHMC Hematology Reference Laboratory PSHMC CPT Codes 84203 Test Schedule Sun-Fri Turnaround Time 1 week Method Hematoflourometric Test Includes Zinc Protoporphyrins, mol/mol Supply Item Number 9734

Billing Code Test Code [sunquest] ZINC, RBC ZNRBC ZNRBC Container Type Royal blue top metal free (EDTA) Store and Transport Ambient (room temperature) Specimen Type Whole blood Preferred Volume 3 mL Minimum Volume 1 mL Room Temp 1 week Refrigerated 1 week Frozen (-20°C) Unacceptable Unacceptable Condition Hemolyzed specimens Alternate Specimens Lavender (EDTA), green (sodium or lithium heparin), royal blue (sodium heparin), tan (sodium heparin lead-free) Reference Laboratory Quest Diagnostics Nichols Institute (VAL) Reference Lab Test Code 4877R CPT Codes 84630 Test Schedule Sun, Wed, Fri Turnaround Time 3-4 days Method Inductively Coupled Plasma/Mass Spectrometry Test Includes Zinc, RBC, umol/L Supply Item Number 9734

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Billing Code Test Code [sunquest] ZINC, SERUM/PLASMA ZINCSA ZINCSA Synonyms Zn; ZNS Container Type Royal blue top tube (plain) or Royal blue (EDTA) Store and Transport Ambient (room temperature) Specimen Type Serum Preferred Volume 2 mL Minimum Volume 0.5 mL Patient Prep Diet, medication, and nutritional supplements may introduce interfering substances. Upon the advice of their physician, patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, and nonessential over-the-counter medications for one week prior to sample draw. Specimen Processing Do not allow serum or plasma to remain on cells. Centrifuge and pour off serum or plasma ASAP or within 2 hours of collection. Transfer serum or plasma to an Trace Element-Free Transport Tube. Room Temp Acceptable. Stability (collection to initiation of testing): If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time. Refrigerated Acceptable Frozen (-20°C) Acceptable Unacceptable Condition Separator tubes; specimens that are not separated from the red cells or clot; hemolyzed specimens Alternate Specimens EDTA plasma (EDTA royal blue top tube) Reference Laboratory ARUP Reference Lab Test Code 20097 CPT Codes 84630 Test Schedule Sun-Sat Turnaround Time 2-3 days Method Quantitative Inductively Coupled Plasma-Mass Spectrometry Test Includes Zinc, Serum, ug/dL Notes Elevated results from noncertified trace element-free tubes may be due to contamination. Elevated concentrations of trace elements in serum should be confirmed with a second specimen collected in a trace element-free tube, such as royal blue sterile tube (no additive). Supply Item Number 1052 or 9734

Billing Code Test Code [sunquest] ZINC, URINE 24HR ZNCUQ ZNCUQ Order the workpar '1TV' with this test. Enter the collection time (period) in hours & the total volume in mLs. It will report the collection time & total volume. There is no charge for this test. Synonyms Zn, Urine Container Type 24-hour plastic urine container or leakproof plastic urine container Store and Transport Refrigerated Specimen Type 24-hour urine or random collection Preferred Volume 8 mL Minimum Volume 1 mL Patient Prep Diet, medications and supplements may interfere. Patients should be encouraged to discontinue nonessential items prior to collection. High concentrations of iodine may interfere. Discontinue 1 month prior to collection. Collection Procedure Collect a 24-hour urine specimen in a 24-hour plastic urine container or a random urine collection. Refrigerate during collection. Specimen Processing Aliquot 8 mL of a well-mixed 24-hour urine collection or random urine collection into a leakproof plastic urine container. ARUP studies indicate that refrigeration of urine alone, during and after collection preserves specimens adequately if tested within 14 days of collection. Record total volume and collection time. Submit specimen in two ARUP Trace Element-Free Transport Tubes (43116). Required Patient Info Record total volume and collection time interval on transport tube and request form. Room Temp 7 days Refrigerated 2 weeks Frozen (-20°C) 1 year Unacceptable Condition Urine collected within 48 hours after administration of gadalinium (Gd) containing contrast media (may occur with MRI studies) or acid preserved urine specimens. Reference Laboratory ARUP Reference Lab Test Code 20462 CPT Codes 84630 Test Schedule Mon-Sat Turnaround Time 2-3 days Method ICP/MS Test Includes Collection Period, h; Volume, mL; Zinc, Urine, ug/dL; Zinc, Urine, ug/d; Zinc, Urine, ug/gCr; Creatinine, Urine, mg/dL; Creatinine, Urine, mg/d Supply Item Number 1108

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Billing Code Test Code [sunquest] ZIPRASIDONE, SERUM/PLASMA ZIPRA ZIPRA Container Type Red top tube Specimen Type Serum Preferred Volume 1 mL Minimum Volume 0.4 mL Specimen Processing Separate serum or plasma ASAP from the cells and put in a separate plastic tube. Store and transport refrigerated. Room Temp 2 weeks Refrigerated 2 weeks Frozen (-20°C) 1 month Unacceptable Condition Polymer gel separation tubes (SST or PST). Alternate Specimens Specimens in EDTA. Plasma. Reference Laboratory NMS Reference Lab Test Code 4860SP CPT Codes 82542 Test Schedule Mon, Wed, Fri Turnaround Time 4-5 days Method HPLC/LC-MS/MS Test Includes Ziprasidone, ng/mL. Supply Item Number 1372

Billing Code Test Code [sunquest] ZONISAMIDE ZONI ZONI Container Type Red top tube (plain) Store and Transport Refrigerated Specimen Type Serum Preferred Volume 1.5 mL Minimum Volume 0.8 mL Specimen Processing Separate serum from cells and transfer to a standard PAML aliquot tube. Room Temp 1 week Refrigerated 1 week Frozen (-20°C) 1 month Unacceptable Condition Unseparated samples; repeat freeze/thaw cycles Alternate Specimens EDTA, sodium or lithium heparin plasma (lavender, pink or green top tube) Department PAML Toxicology CPT Codes 80299 Test Schedule Mon-Fri Turnaround Time 1-2 days Method PETIA Test Includes Zonisamide, ug/mL Supply Item Number 1372

Billing Code Test Code [sunquest]

2.1 www.paml.com 4/16/2013 page 945 Z 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory Z Test Page (1,3)-BETA-D-GLUCAN (FUNGITELL) 1 1, 5 ANHYDROGLUCITOL (GLYCOMARK) 1 11-DEOXYCORTISOL, LC/MS/MS 1 14-3-3 PROTEIN, CSF (PRION DISEASE) 1 17 HYDROXYCORTICOSTEROIDS, URINE 24HR 2 17-HYDROXYPREGNENOLONE, LC/MS/MS 2 17-HYDROXYPROGESTERONE 3 17-HYDROXYPROGESTERONE, LC/MS/MS 3 17-KETOSTEROIDS, URINE 24HR 3 18-HYDROXYCORTICOSTERONE 4 21-HYDROXYLASE ANTIBODY 4 3-ALPHA-ANDROSTANEDIOL GLUCURONIDE 5 5' NUCLEOTIDASE 5 5-A-DIHYDROTESTOSTERONE BY TMS 6 5-FLUOROCYTOSINE, HPLC 6 5-HIAA, URINE (RANDOM) 6 5-HIAA, URINE 24HR 7 6-MONOACETYLMORPHINE (6MAM) CONFIRMATION BY LC-MS/MS 7 6-MONOACETYLMORPHINE (6MAM) SCREENING BY EMIT (REFLEXIVE) 8 7 AMINO CLONAZEPAM CONFIRMATION BY LC-MS/MS 8 7 AMINO FLUNITRAZEPAM CONFIRMATION BY LC-MS/MS 8 ABACAVIR HYPERSENSITIVITY: HLA-B*5701 GENOTYPING 9 ABO & RH 9 ABO GROUP 10 ABO GROUP & RH TYPE 10 ACETAMINOPHEN 10 ACETAMINOPHEN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 11 ACETAMINOPHEN, URINE 11 ACETAZOLAMIDE SERUM/PLASMA 11 ACETONE 12 ACETONE FOR TOXICOLOGY PURPOSES 12 ACETYLCHOLINE RECEPTOR BINDING ANTIBODY 12 ACETYLCHOLINE RECEPTOR BLOCKING ANTIBODY 13 ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY 13 ACETYLCHOLINESTERASE, AMNIOTIC FLUID 13 ACID FAST BACILLUS, MIC 12 DRUG PACKAGE 14 ACID MUCOPOLYSACCHARIDES, URINE 14 ACID PHOSPHATASE WITH TARTRATE STAIN 14 ACTIVATED PROTEIN C RESISTANCE 15 ACYLCARNITINE, QUANTITATIVE PROFILE, PLASMA 15 ADAMTS13 EVALUATION (REFLEXIVE) 16 ADENOSINE DEAMINASE, CSF 16 ADENOSINE DEAMINASE, PERITONEAL FLUID 17 ADENOSINE DEAMINASE, PLEURAL FLUID 17 ADENOSINE DEAMINASE, RBC 17 ADENOVIRUS ANTIBODY, IGG & IGM 18 ADENOVIRUS DNA, QUANTITATIVE, RT-PCR 18 ADIPONECTIN 18 ADRENAL ANTIBODY SCREEN WITH REFLEX TO TITER 19 ADRENOCORTICOTROPIC HORMONE ASSAY 19 ALANINE AMINOTRANSFERASE 20 ALBUMIN 20 ALBUMIN, CSF 20 ALBUMIN, FLUID 21 ALBUMIN, GLYCATED 21 ALCOHOL SCREEN (REFLEXIVE) 21 ALCOHOL, ETHYL (CONFIRMATION) 22 ALDOLASE, SERUM 22 ALDOSTERONE, SERUM 22 ALDOSTERONE, URINE 24HR 23 ALDOSTERONE/RENIN RATIO 23 ALKALINE PHOSPHATASE 23 ALKALINE PHOSPHATASE ISOENZYMES (HEAT STABLE) 24 ALKALINE PHOSPHATASE, BONE SPECIFIC 24 ALKALINE PHOSPHATASE, ISOENZYMES 24 ALLERGEN, ACACIA TREE, IGE 25 ALLERGEN, ACREMONIUM KILIENSE, IGE 25 ALLERGEN, ALMOND, IGE 25 ALLERGEN, ALMOND, IGG4 26 ALLERGEN, ALPHA-LACTALBUMIN, IGE 26 ALLERGEN, ALTERNARIA TENUIS (ALTERNATA), IGE 26 2.1 www.paml.com 4/16/2013 page 946 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGEN, AMERICAN BEECH TREE, IGE 27 ALLERGEN, AMERICAN CHEESE, IGE 27 ALLERGEN, AMOXICILLOYL, IGE 27 ALLERGEN, AMPICILLOYL, IGE 28 ALLERGEN, APPLE, IGE 28 ALLERGEN, APPLE, IGG4 28 ALLERGEN, APRICOT, IGE 29 ALLERGEN, ARTICHOKE, IGE 29 ALLERGEN, ASPARAGUS, IGG 29 ALLERGEN, ASPEN, IGE 30 ALLERGEN, ASPERGILLUS FLAVUS, IGE 30 ALLERGEN, ASPERGILLUS FUMIGATUS, IGE 30 ALLERGEN, ASPERGILLUS NIGER, IGE 31 ALLERGEN, AUREOBASIDIUM PULLULANS (PULLULARIA), IGE 31 ALLERGEN, AUSTRALIAN PINE TREE, IGE 31 ALLERGEN, AVOCADO, IGE 32 ALLERGEN, BAHIA GRASS, IGE 32 ALLERGEN, BAKERS YEAST, IGG4 32 ALLERGEN, BANANA, IGE 33 ALLERGEN, BANANA, IGG4 33 ALLERGEN, BARLEY, IGE 33 ALLERGEN, BARLEY, IGG4 34 ALLERGEN, BASIL, IGE 34 ALLERGEN, BASS BLACK, IGE 34 ALLERGEN, BEEF, IGE 35 ALLERGEN, BEEF, IGG4 35 ALLERGEN, BELL PEPPER/PAPRIKA, IGE 35 ALLERGEN, BENTGRASS, IGE 36 ALLERGEN, BERLIN BEETLE, IGE 36 ALLERGEN, BERMUDA GRASS, IGE 36 ALLERGEN, BETA-LACTOGLOBULIN, IGE 37 ALLERGEN, BIRD FANCIER'S PRECIPITIN PANEL 1 37 ALLERGEN, BLACK PEPPER, IGE 37 ALLERGEN, BLACKBERRY, IGE 38 ALLERGEN, BLOMIA TROPICALIS MITE, IGE 38 ALLERGEN, BLOOD WORM, IGE 38 ALLERGEN, BLUE MUSSEL, IGE 39 ALLERGEN, BLUEBERRY, IGE 39 ALLERGEN, BOTRYTIS CINEREA, IGE 39 ALLERGEN, BOTRYTIS CINEREA, IGG 40 ALLERGEN, BOX ELDER, IGE 40 ALLERGEN, BRAZIL NUT, IGE 40 ALLERGEN, BROCCOLI, IGE 41 ALLERGEN, BROME GRASS, IGE 41 ALLERGEN, BUCKWHEAT, IGE 41 ALLERGEN, CABBAGE, IGE 42 ALLERGEN, CANDIDA ALBICANS, IGE 42 ALLERGEN, CARMINE/RED DYE-COCHINEAL, IGE 42 ALLERGEN, CARROT, IGE 43 ALLERGEN, CASEIN, IGG 43 ALLERGEN, CASEIN, IGE 43 ALLERGEN, CASHEW NUT, IGE 44 ALLERGEN, CAT DANDER, IGE 44 ALLERGEN, CELERY, IGE 44 ALLERGEN, CHEESE, CHEDDAR TYPE, IGE 45 ALLERGEN, CHEESE, MOLD TYPE, IGE 45 ALLERGEN, CHERRY, IGE 45 ALLERGEN, CHICKEN FEATHERS, IGE 46 ALLERGEN, CHICKEN MEAT, IGG 46 ALLERGEN, CHICKEN MEAT, IGE 46 ALLERGEN, CHICKPEA, IGE 47 ALLERGEN, CHOCOLATE, IGG4 47 ALLERGEN, CHOCOLATE/CACAO, IGE 47 ALLERGEN, CINNAMON, IGE 48 ALLERGEN, CLADOSPORIUM HERBARUM, IGE 48 ALLERGEN, CLADOSPORIUM HERBARUM, IGG 48 ALLERGEN, CLAM, IGE 49 ALLERGEN, COCKLEBUR, IGE 49 ALLERGEN, COCKROACH, IGE 49 ALLERGEN, COCONUT, IGE 50 ALLERGEN, CODFISH (WHITEFISH), IGE 50 2.1 www.paml.com 4/16/2013 page 947 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGEN, COFFEE, IGG 50 ALLERGEN, COFFEE, IGE 51 ALLERGEN, COMMON SILVER BIRCH , IGE 51 ALLERGEN, CORIANDER/CILANTRO, IGE 51 ALLERGEN, CORN (MAIZE), IGE 52 ALLERGEN, CORN, IGG4 52 ALLERGEN, CORN/MAIZE (ZEA MAYS), IGG 52 ALLERGEN, COTTONWOOD TREE, IGE 53 ALLERGEN, COW DANDER, IGE 53 ALLERGEN, COW'S MILK, IGE 53 ALLERGEN, COWS MILK, IGG4 54 ALLERGEN, CRAB, IGE 54 ALLERGEN, CUCUMBER, IGE 54 ALLERGEN, CULTIVATED OAT, IGE 55 ALLERGEN, CUMIN, IGE 55 ALLERGEN, CURRY (SANTA MARIA), IGE 55 ALLERGEN, CURVULARIA LUNATA, IGE 56 ALLERGEN, D. FARINAE (MITE), IGE 56 ALLERGEN, D. PTERONYSSINUS (MITE), IGE 56 ALLERGEN, DANDELION (TARAXACUM VULGARE) IGE 57 ALLERGEN, DOG DANDER, IGE 57 ALLERGEN, DUCK FEATHERS, IGE 57 ALLERGEN, EGG WHITE, IGE 58 ALLERGEN, EGG WHITE, IGG 58 ALLERGEN, EGG WHOLE, IGE 58 ALLERGEN, EGG WHOLE, IGG 59 ALLERGEN, EGG WHOLE, IGG4 59 ALLERGEN, EGG YOLK, IGE 59 ALLERGEN, EGG YOLK, IGG 60 ALLERGEN, ELM TREE, IGE 60 ALLERGEN, ENGLISH PLANTAIN (RIBWORT), IGE 60 ALLERGEN, EPICOCCUM PURPURASCENS, IGE 61 ALLERGEN, ETHYLENE OXIDE, IGE 61 ALLERGEN, EUCALYPTUS (GUM) TREE, IGE 61 ALLERGEN, EUROPEAN HORNET, IGE 62 ALLERGEN, FALSE RAGWEED, IGE 62 ALLERGEN, FEATHER MIX, IGE 62 ALLERGEN, FERRET EPITHELIUM, IGE 63 ALLERGEN, FIRE ANT, IGE 63 ALLERGEN, FLOUNDER, IGG4 63 ALLERGEN, FLY HORSE, IGE 64 ALLERGEN, FOOD PANEL 1, IGG4 64 ALLERGEN, FOOD, HADDOCK, IGE 64 ALLERGEN, FOOD, RASPBERRY, IGE 65 ALLERGEN, FOOD, SUNFLOWER SEED (HELIANTHUS ANNUS), IGE 65 ALLERGEN, FORMALDEHYDE/FORMALIN, IGE 66 ALLERGEN, FUSARIUM OXYSPORUM/VASINFECTUM, IGE 66 ALLERGEN, FUSARIUM PROLIFERATUM, IGE 66 ALLERGEN, FUSARIUM SOLANIE, IGE 67 ALLERGEN, GARLIC, IGE 67 ALLERGEN, GELATIN BOVINE, IGE 67 ALLERGEN, GIANT RAGWEED, IGE 68 ALLERGEN, GINGER, IGE 68 ALLERGEN, GLUTEN, IGE 68 ALLERGEN, GLUTEN, IGG 69 ALLERGEN, GOLDENROD, IGE 69 ALLERGEN, GOOSE FEATHERS, IGE 69 ALLERGEN, GRAPE (RAISIN), IGE 70 ALLERGEN, GRAPEFRUIT, IGE 70 ALLERGEN, GRAPEFRUIT, IGG 70 ALLERGEN, GRASS, ALFALFA, IGE 71 ALLERGEN, GREEN BEAN, IGE 71 ALLERGEN, GREEN BEAN, IGG4 72 ALLERGEN, GREEN NIMITTI, IGE 72 ALLERGEN, GREEN PEA, IGG4 72 ALLERGEN, GREY ALDER TREE, IGE 73 ALLERGEN, GUINEA PIG EPITHELIUM, IGE 73 ALLERGEN, HALIBUT, IGE 73 ALLERGEN, HAMSTER EPITHELIUM, IGE 74 ALLERGEN, HAZEL NUT (FILBERT), IGE 74 ALLERGEN, HAZEL NUT TREE, IGE 75 2.1 www.paml.com 4/16/2013 page 948 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGEN, HONEYBEE VENOM, IGE 75 ALLERGEN, HONEYDEW/CANTALOUPE, IGE 75 ALLERGEN, HORSE DANDER, IGE 76 ALLERGEN, HOUSE DUST (GREER), IGE 76 ALLERGEN, HOUSE DUST (HOLLISTER-STEIR), IGE 76 ALLERGEN, INSULIN HUMAN, IGE 77 ALLERGEN, JAPANESE CEDAR, IGE 77 ALLERGEN, JOHNSON GRASS, IGE 77 ALLERGEN, JUNIPER WESTERN, IGE 78 ALLERGEN, KIDNEY BEAN, IGE 78 ALLERGEN, KIWI, IGE 78 ALLERGEN, KOCHIA (FIREBUSH), IGE 79 ALLERGEN, LAMB (MUTTON), IGE 79 ALLERGEN, LAMB'S QUARTERS (GOOSEFOOT), IGE 79 ALLERGEN, LATEX (BRAZILIAN RUBBER TREE), IGE 80 ALLERGEN, LEMON, IGG 80 ALLERGEN, LEMON, IGE 80 ALLERGEN, LENTIL, IGE 81 ALLERGEN, LETTUCE, IGE 81 ALLERGEN, LIMA BEAN/WHITE BEAN, IGE 81 ALLERGEN, LIME, IGE 82 ALLERGEN, LIME, IGG 82 ALLERGEN, LINDEN TREE, IGE 82 ALLERGEN, LOBSTER, IGE 83 ALLERGEN, MACADAMIA NUT (MACADAMIA TERNIFOLIA), IGE 83 ALLERGEN, MALT, IGE 83 ALLERGEN, MANGO, IGE 84 ALLERGEN, MEADOW (KENTUCKY BLUE) GRASS, IGE 84 ALLERGEN, MEADOW FESCUE, IGE 84 ALLERGEN, MILK GOAT, IGE 85 ALLERGEN, MILK SHEEP, IGE 85 ALLERGEN, MOSQUITO, IGE 85 ALLERGEN, MOUNTAIN CEDAR (JUNIPER) TREE, IGE 86 ALLERGEN, MOUSE EPITHELIUM, SERUM & URINE PROTEINS, IGE 86 ALLERGEN, MOZZARELLA CHEESE, IGE 86 ALLERGEN, MUCOR RACEMOSUS, IGE 87 ALLERGEN, MUGWORT, IGE 87 ALLERGEN, MULBERRY TREE, IGE 87 ALLERGEN, MUSHROOM, IGE 88 ALLERGEN, MUSTARD, IGE 88 ALLERGEN, NETTLE, IGE 88 ALLERGEN, OAK TREE, IGE 89 ALLERGEN, OAT IGG4 89 ALLERGEN, OAT, IGE 89 ALLERGEN, OCTOPUS, IGE 90 ALLERGEN, OLIVE RUSSIAN, IGE 90 ALLERGEN, OLIVE TREE, IGE 90 ALLERGEN, ONION, IGE 91 ALLERGEN, ORANGE, IGE 91 ALLERGEN, ORANGE, IGG 91 ALLERGEN, ORANGE, IGG4 92 ALLERGEN, ORCHARD GRASS (COCKSFOOT), IGE 92 ALLERGEN, OREGANO, IGE 92 ALLERGEN, OYSTER, IGE 93 ALLERGEN, PAPAYA, IGE 93 ALLERGEN, PAPER WASP VENOM, IGE 93 ALLERGEN, PARSLEY, IGE 94 ALLERGEN, PEA, GREEN, IGE 94 ALLERGEN, PEACH, IGE 94 ALLERGEN, PEANUT, IGE 95 ALLERGEN, PEANUT, IGG4 95 ALLERGEN, PEAR, IGE 95 ALLERGEN, PECAN (HICKORY) TREE, IGE 96 ALLERGEN, PECAN FOOD, IGG4 96 ALLERGEN, PECAN NUT, IGE 96 ALLERGEN, PENICILLIUM CHRYSOGENUM, IGE 97 ALLERGEN, PENICILLIUM CHRYSOGENUM/NOTATUM, IGG 97 ALLERGEN, PENICILLOYL G, IGE 97 ALLERGEN, PENICILLOYL V, IGE 98 ALLERGEN, PEPPER CAYENNE, IGE 98 ALLERGEN, PEPPER JALAPENO/CHIPOLTE, IGE 98 2.1 www.paml.com 4/16/2013 page 949 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGEN, PEPPER WHITE, IGE 99 ALLERGEN, PERCH OCEAN, IGE 99 ALLERGEN, PERENNIAL RYE GRASS, IGE 99 ALLERGEN, PHOMA BETAE, IGE 100 ALLERGEN, PIGWEED, IGE 100 ALLERGEN, PINE NUT, IGE 100 ALLERGEN, PINEAPPLE, IGE 101 ALLERGEN, PINTO BEAN, IGE 101 ALLERGEN, PISTACHIO, IGE 102 ALLERGEN, PITYROSPORUM ORBICULARE, IGE 102 ALLERGEN, PLUM, IGE 102 ALLERGEN, PORK, IGE 103 ALLERGEN, PORK, IGG4 103 ALLERGEN, POTATO (WHITE), IGE 103 ALLERGEN, POTATO WHITE, IGG4 104 ALLERGEN, PUMPKIN, IGE 104 ALLERGEN, RABBIT EPITHELIUM, IGE 104 ALLERGEN, RABBIT HAIR, IGE 105 ALLERGEN, RABBIT MEAT, IGE 105 ALLERGEN, RAT EPITHELIUM, SERUM & URINE PROTEINS, IGE 105 ALLERGEN, RHIZOPUS NIGRICANS, IGE 106 ALLERGEN, RHIZOPUS NIGRICANS, IGG 106 ALLERGEN, RICE, IGE 106 ALLERGEN, RICE, IGG4 107 ALLERGEN, ROUGH MARSH ELDER, IGE 107 ALLERGEN, RUSSIAN THISTLE (SALTWORT), IGE 107 ALLERGEN, RYE, IGG4 108 ALLERGEN, RYE, IGE 108 ALLERGEN, SAGE, IGE 108 ALLERGEN, SALMON, IGE 109 ALLERGEN, SALMON, IGG4 109 ALLERGEN, SCALE (LENSCALE), IGE 109 ALLERGEN, SCALLOP, IGE 110 ALLERGEN, SCOTCH BROOM, IGE 110 ALLERGEN, SESAME SEED, IGE 110 ALLERGEN, SETOMELANOMMA ROSTRATA / HELMINTHOSPORIUM HALODES, IGE 111 ALLERGEN, SHEEP SORREL (YELLOW DOCK), IGE 111 ALLERGEN, SHORT (COMMON) RAGWEED, IGE 111 ALLERGEN, SHRIMP, IGE 112 ALLERGEN, SILK, IGE 112 ALLERGEN, SOYBEAN (GLYCINE MAX), IGG 112 ALLERGEN, SOYBEAN, IGE 113 ALLERGEN, SOYBEAN, IGG4 113 ALLERGEN, SPINACH, IGE 113 ALLERGEN, SQUASH SUMMER, IGE 114 ALLERGEN, SQUID (PACIFIC), IGE 114 ALLERGEN, STEMPHYLIUM BOTRYOSUM, IGG 114 ALLERGEN, STEMPHYLIUM HERBARUM, IGE 115 ALLERGEN, STRAWBERRY, IGE 115 ALLERGEN, STRAWBERRY, IGG4 115 ALLERGEN, SUNFLOWER SEED (OCCUPATIONAL), IGE 116 ALLERGEN, SWEET POTATO, IGE 116 ALLERGEN, SWEET VERNAL GRASS, IGE 116 ALLERGEN, SYCAMORE TREE, IGE 117 ALLERGEN, TILAPIA, IGE 117 ALLERGEN, TIMOTHY GRASS, IGE 117 ALLERGEN, TOMATO, IGE 118 ALLERGEN, TOMATO, IGG4 118 ALLERGEN, TRICHODERMA VIRIDE, IGE 118 ALLERGEN, TRICHOPHYTON RUBRUM, IGE 119 ALLERGEN, TRICHOPHYTON RUBRUM, IGG 119 ALLERGEN, TROUT, IGE 119 ALLERGEN, TUNA, IGE 120 ALLERGEN, TURKEY FEATHERS, IGE 120 ALLERGEN, TURKEY MEAT, IGE 120 ALLERGEN, TURKEY, IGG4 121 ALLERGEN, VENOM BUMBLE BEE, IGE 121 ALLERGEN, WALNUT FOOD, IGG4 121 ALLERGEN, WALNUT TREE, IGE 122 ALLERGEN, WALNUT, IGE 122 ALLERGEN, WATERMELON, IGE 122 2.1 www.paml.com 4/16/2013 page 950 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGEN, WESTERN RAGWEED, IGE 123 ALLERGEN, WHEAT (TRITICUM AESTIVUM), IGG 123 ALLERGEN, WHEAT CULTIVATED (TRITICUM SATIVUM), IGG 123 ALLERGEN, WHEAT, IGE 124 ALLERGEN, WHEAT, IGG4 124 ALLERGEN, WHEY, IGE 124 ALLERGEN, WHEY, IGG 125 ALLERGEN, WHITE ASH TREE, IGE 125 ALLERGEN, WHITE PINE TREE, IGE 125 ALLERGEN, WHITE-FACED HORNET VENOM, IGE 126 ALLERGEN, WHITE/NAVY BEAN, IGE 126 ALLERGEN, WILLOW BLACK, IGE 126 ALLERGEN, WINGSCALE, IGE 127 ALLERGEN, WORM WOOD (SAGEBRUSH), IGE 127 ALLERGEN, YEAST (BAKERS OR BREWERS), IGE 127 ALLERGEN, YELLOW JACKET VENOM, IGE 128 ALLERGEN, YELLOW-FACED HORNET VENOM, IGE 128 ALLERGENS, ADULT FOOD PROFILE 22 128 ALLERGENS, BIRD & MOLD PRECIPITIN PANEL II 129 ALLERGENS, BIRD FANCIERS PROFILE PANEL III 129 ALLERGENS, CEREAL PROFILE 5 130 ALLERGENS, CHILDHOOD (FOOD & ENVIRONMENTAL) PROFILE 15 130 ALLERGENS, DUST/MITE PROFILE 4 131 ALLERGENS, FOOD PANEL II IGG 131 ALLERGENS, FOOD PROFILE 10 132 ALLERGENS, GRASS PROFILE 9 132 ALLERGENS, HYMENOPTERA PANEL 133 ALLERGENS, INHALANT SCREEN 9 133 ALLERGENS, INLAND NORTHWEST 17 134 ALLERGENS, INTERMOUNTAIN WEST 14 134 ALLERGENS, MOLD PROFILE 5 135 ALLERGENS, NORTH DAKOTA FOOD PANEL 135 ALLERGENS, NUT PROFILE 6 135 ALLERGENS, PACIFIC NORTHWEST 14 136 ALLERGENS, PEDIATRIC FOOD PROFILE 21 136 ALLERGENS, PEDIATRIC PROFILE 11 136 ALLERGENS, RESPIRATORY DISEASE PANEL, REGION 3, SOUTH ATLANTIC REGION 137 ALLERGENS, RESPIRATORY DISEASE PANEL, REGION 4, NEW FLORIDA (SOUTH OF ORLANDO) 137 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 1, NORTH ATLANTIC STATES (CT, MA, NJ, NY, PA, 138 VT, ME, NH, RI) ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 10 SOUTHWESTERN GRASSLAND STATES (TX, 138 OK) ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 11, ROCKY MOUNTAIN STATES (AZ [MTN], ID 139 [MTN], NM, WY, CO, UT [MTN], MT) ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 12, ARID SOUTHWEST (S. AZ, SE CA DESERT) 139 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 13 SOUTH COASTAL CALIFORNIA (CA) 140 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 14, CENTRAL CALIFORNIA (CA) 140 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 15, INTERMOUNTAIN WEST (SOUTH ID, NV) 141 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 16, INLAND NORTHWEST (CENTRAL & EASTERN 141 WA, OR) ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 17, CASCADE/PACIFIC NORTHWEST (NW CA, 142 WESTERN WA & OR) ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 18, ALASKA (AK) 142 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 2, MID-ATLANTIC STATES (DE, MD, VA, DC, NC) 143 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 5, GREATER OHIO VALLEY (IN, OH, TN, WV, KY) 143 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 6, SOUTH CENTRAL STATES (AL, AR, LA, MS) 144 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 7, NORTHERN, MIDWEST STATES (MI, WI, MN) 144 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 8, CENTRAL MIDWEST STATES (IL, MO, IA) 145 ALLERGENS, RESPIRATORY DISEASE PROFILE, REGION 9, GREAT PLAINS STATES (KS, NE, ND, SD) 145 ALLERGENS, ROCKY MOUNTAIN 15 146 ALLERGENS, RODENT PROFILE IGE 146 ALLERGENS, SCREEN 31 147 ALLERGENS, SCREEN 36 147 ALLERGENS, SEAFOOD PROFILE 7 148 ALLERGENS, SHELLFISH PROFILE, IGE 148 ALLERGENS, SOUTH CENTRAL STATES 18 149 ALLERGENS, SOUTHERN CALIFORNIA 21 149 ALLERGENS, SOUTHWEST INHALENTS COMPREHENSIVE 2 150 ALLERGENS, STACHYBOTRYS PANEL II 150 ALLERGENS, TREE PROFILE 11 151 ALLERGENS, WEED PROFILE 12 151 2.1 www.paml.com 4/16/2013 page 951 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS (ABPA) PANEL BY ID & EIA 151 ALPHA ANTIPLASMIN ACTIVITY 152 ALPHA FETOPROTEIN (MATERNAL) 152 ALPHA FETOPROTEIN (NON-MATERNAL) 153 ALPHA FETOPROTEIN, AMNIOTIC FLUID (REFLEXIVE) 153 ALPHA FETOPROTEIN, TOTAL AND L3 PERCENT 154 ALPHA SUBUNIT 154 ALPHA-1-ANTITRYPSIN 155 ALPHA-1-ANTITRYPSIN PHENOTYPE 155 ALPHA-1-ANTITRYPSIN, FECES 155 ALPHA-GLOBIN GENE ANALYSIS 156 ALPRAZOLAM 156 ALTERNATE AMPHETAMINE CONFIRMATION TESTING BY GC/MS 157 ALTERNATE AMPHETAMINES (SCREEN) 157 ALTERNATE AMPHETAMINES CONFIRMATION BY GC/MS 157 ALTERNATE OPIATE CONFIRMATION BY GC/MS 158 ALUMINUM, SERUM/PLASMA 158 ALUMINUM, URINE 24HR 158 AMENORRHEA PROFILE 159 AMIKACIN (SINGLE) 159 AMIKACIN, PEAK 160 AMIKACIN, TROUGH 160 AMINO ACIDS QUANTITATIVE, CSF 161 AMINO ACIDS QUANTITATIVE, URINE 161 AMINO ACIDS QUANTITATIVE,PLASMA 162 AMINO ACIDS, PLASMA (QUANTITATIVE) 162 AMINO ACIDS, URINE (QUANTITATIVE) 163 AMINOLEVULINIC ACID, URINE 24HR 163 AMIODARONE & METABOLITE 163 AMITRIPTYLINE & METABOLITE 164 AMITRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR 164 AMMONIA 164 AMNIOTIC FLUID SCAN 165 AMOXAPINE 165 AMPHETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 166 AMPHETAMINE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 166 AMPHETAMINES BY GC/MS 166 AMPHETAMINES BY TLC 167 AMPHETAMINES SCREEN (REFLEXIVE) 167 AMYLASE 167 AMYLASE ISOENZYMES 168 AMYLASE, FLUID 168 AMYLASE, URINE (2HR) 168 AMYLASE, URINE (PANCREATIC TRANSPLANT) 169 AMYLASE, URINE (QUANTITATIVE) 169 AMYLASE, URINE (RANDOM) 170 AMYLASE/CREATININE CLEARANCE 170 AMYLASE/CREATININE, URINE (RANDOM) 170 ANA SPECIFIC ANTIBODY PANEL 171 ANALYZER 171 ANCA PANEL 171 ANCA PANEL WITH ANA (REFLEXIVE) 172 ANCA TITER BY IFA 172 ANDROSTENEDIONE 173 ANDROSTERONE, URINE 24HR 173 ANEMIA PROFILE 173 ANGIOTENSIN CONVERTING ENZYME 174 ANGIOTENSIN CONVERTING ENZYME POLYMORPHISM 174 ANGIOTENSIN CONVERTING ENZYME, CSF 174 ANTABUSE 175 ANTI-CONVULSANT PROFILE 175 ANTI-DNA (FARR TECHNIQUE) 175 ANTI-IGE RECEPTOR ANTIBODY 176 ANTI-MULLERIAN HORMONE 176 ANTI-MYOCARDIAL ANTIBODY, IGG WITH REFLEX TO TITER 176 ANTI-NUCLEAR ANTIBODY (ANA), BY EIA 177 ANTI-NUCLEAR ANTIBODY (ANA), BY EIA (REFLEXIVE) 177 ANTI-NUCLEAR ANTIBODY TITER BY IFA 178 ANTI-NUCLEAR ANTIBODY TITER BY IFA (REFLEXIVE) 178 ANTI-PARIETAL CELL ANTIBODY, TOTAL, IGA, IGG & IGM 179 ANTI-SMOOTH MUSCLE ANTIBODY 179 2.1 www.paml.com 4/16/2013 page 952 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ANTI-THYROID ANTIBODIES 180 ANTI-THYROID PEROXIDASE ANTIBODY (TPOAB) 180 ANTIBODY IDENTIFICATION 180 ANTICARDIOLIPIN ANTIBODY, IGA 181 ANTICARDIOLIPIN ANTIBODY, IGG 181 ANTICARDIOLIPIN ANTIBODY, IGG, IGM & IGA 181 ANTICARDIOLIPIN ANTIBODY, IGM 182 ANTIMICROBIAL SERUM LEVEL, ISONIAZID, HPLC 182 ANTIMICROBIAL SERUM LEVEL, RIFAMPIN, HPLC 182 ANTINEURONAL ANTIBODIES IGG BY IMMUNOBLOT (HU, RI, YO, AMPHIPHYSIN) 183 ANTINEURONAL CELL ANTIBODY 183 ANTINUCLEAR ANTIBODIES SCREEN (REFLEXIVE) 184 ANTIPHOSPHATIDYLSERINE, IGA 184 ANTIPHOSPHATIDYLSERINE, IGG 184 ANTIPHOSPHATIDYLSERINE, IGM 185 ANTIPHOSPHOLIPID PANEL 1 (REFLEXIVE) 185 ANTIPHOSPHOLIPID PANEL 2 (REFLEXIVE) 186 ANTIPHOSPHOLIPID PANEL 3 (REFLEXIVE) 186 ANTITHROMBIN III ACTIVITY 187 ANTITHROMBIN III ANTIGEN 187 APOLIPOPROTEIN A-1 188 APOLIPOPROTEIN A-1 & B100 WITH RATIO 188 APOLIPOPROTEIN B 188 APOLIPOPROTEIN E (APOE) 2 MUTATIONS, CARDIOVASCULAR RISK 189 APT 189 AQUAPORIN-4 RECEPTOR ANTIBODY 189 ARBOVIRUS ANTIBODY PANEL, IGG & IGM 190 ARBOVIRUS ANTIBODY PANEL, IGG & IGM, CSF 190 ARBOVIRUS ANTIBODY PANEL, IGM 190 ARBOVIRUS IGM ANTIBODY PANEL, CSF 191 ARGININE VASOPRESSIN HORMONE 191 ARIPIPRAZOLE 191 ARSENIC 192 ARSENIC CREATININE RATIO, RANDOM URINE 192 ARSENIC TOTAL INORGANIC, URINE 193 ARSENIC, URINE (RANDOM) 193 ARSENIC, URINE 24HR 194 ARSENIC, URINE 24HR REFLEX TO FRACTIONATED 194 ARTERIAL BLOOD GASES BATTERY 195 ARTHRITIS PROFILE 195 ARYLSULFATASE A, URINE 24HR 196 ASHKENAZI JEWISH DISEASE PANEL (BLM,ASPA,IKBKAP,FANCC,GBA,MCOLN1,SMPD1,HEXA) 196 ASPARTATE AMINOTRANSFERASE 196 ASPERGILLUS ANTIBODIES PANEL 197 ASPERGILLUS ANTIBODY 197 ASPERGILLUS GALACTOMANNAN ANTIGEN BRONCHIAL 197 ASPERGILLUS GALACTOMANNAN ANTIGEN BY EIA, SERUM 198 ASPIRIN WORKS 198 ATYPICAL ANCA TITER BY IFA 198 AUTOIMMUNE PROFILE (REFLEXIVE) 199 B-CELL CLONALITY (IGH AND IGK) AND T-CELL CLONALITY (GAMMA) SCREENING ASSAY BY PCR 199 B-CELL CLONALITY (IGH, IGK) SCREENING ASSAY BY PCR 200 B-TYPE NATRIURETIC PEPTIDE 201 BABESIA MICROTI ANTIBODY, IGG & IGM 202 BACLOFEN, SERUM 202 BACTERIAL ANTIGEN DETECTION PANEL 203 BAL PROFILE (REFLEXIVE) 203 BAL, BODY FLUID CONSULT REVIEW 204 BAL, DIFFERENTIAL (REFLEXIVE) 204 BAL, IRON STAIN 204 BAL, LYMPH SUBSETS (REFLEXIVE) 205 BAL, OIL RED O STAIN 205 BARBITURATE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 205 BARBITURATE SCREEN (REFLEXIVE) 206 BARBITURATES BY GC/MS 206 BARBITURATES BY TLC 206 BARTONELLA DNA BY PCR 207 BARTONELLA HENSELAE (CAT SCRATCH) ANTIBODIES, IGG & IGM 207 BARTONELLA SPECIES ANTIBODIES (IGG/IGM) WITH REFLEX TO TITER 208 BASIC METABOLIC PANEL 208 BASIC METABOLIC PANEL WITH GFR 209 2.1 www.paml.com 4/16/2013 page 953 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page BCR-ABL GENE REARRANGEMENT 209 BENCE JONES PROTEIN, QUALITATIVE FREE KAPPA & LAMBDA LIGHT CHAINS, URINE 210 BENCE JONES PROTEIN, QUANTITATIVE FREE KAPPA & LAMBDA LIGHT CHAINS, URINE 210 BENZENE, WHOLE BLOOD 211 BENZODIAZEPINE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 211 BENZODIAZEPINES BY GC/MS 212 BENZODIAZEPINES BY TLC 212 BENZODIAZEPINES SCREEN (REFLEXIVE) 212 BENZODIAZEPINES, (QUANTITATIVE) 213 BENZOYLECGONINE (COCAINE) PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 213 BENZYL ALCOHOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 213 BERYLLIUM 214 BETA 2 TRANSFERRIN 214 BETA HCG, SERUM, QUALITATIVE, BETA 214 BETA STREP GROUP B PCR 215 BETA-2 GLYCOPROTEIN 1, IGA 215 BETA-2 GLYCOPROTEIN 1, IGG 215 BETA-2 GLYCOPROTEIN 1, IGG & IGM 216 BETA-2 GLYCOPROTEIN 1, IGM 216 BETA-2-MICROGLOBULIN, CSF 216 BETA-2-MICROGLOBULIN, SERUM 217 BETA-2-MICROGLOBULIN, URINE 217 BETA-HYDROXYBUTYRIC ACID 217 BICARBONATE, URINE 218 BILE ACIDS, FRACTIONATED 218 BILE ACIDS, TOTAL 218 BILIRUBIN, DIRECT 219 BILIRUBIN, FLUID 219 BILIRUBIN, FRACTIONATED 219 BILIRUBIN, NEONATAL 220 BILIRUBIN, TOTAL 220 BILIRUBIN, URINE 220 BIOTINIDASE, WITH PARIED NORMAL CONTROL 221 BK VIRUS BY RT-PCR, QUANTITATIVE 221 BK VIRUS QUANTITATIVE BY PCR, PLASMA 222 BK VIRUS QUANTITATIVE BY PCR, SERUM 222 BK VIRUS QUANTITATIVE BY PCR, URINE 223 BLADDER TUMOR ASSOCIATED ANTIGEN 223 BLASTOMYCES ANTIBODIES BY CF & ID 223 BLASTOMYCES ANTIBODY BY CF 224 BLASTOMYCES ANTIBODY BY ID 224 BLASTOMYCES DERMATITIDIS QUANTITATIVE ANTIGEN EIA 224 BLEEDING DIATHESIS PANEL (REFLEXIVE) 225 BLEEDING TIME 225 BONE MARROW EVALUATION 226 BORDETELLA PERTUSSIS ANTIBODIES, IGA, IGG, & IGM BY IMMUNOBLOT 226 BORDETELLA PERTUSSIS ANTIBODY, IGA, BY IMMUNOBLOT 226 BORDETELLA PERTUSSIS ANTIBODY, IGG BY ELISA 227 BORDETELLA PERTUSSIS ANTIBODY, IGG, BY IMMUNOBLOT 227 BORDETELLA PERTUSSIS ANTIBODY, IGM, BY IMMUNOBLOT 228 BORDETELLA PERTUSSIS SCREEN 228 BORDETELLA PERTUSSIS/PARAPERTUSSIS BY PCR 229 BORON, SERUM/PLASMA 229 BORRELIA BURGDORFERI ANTIBODY, IGG/IGM CSF BY WESTERN BLOT 230 BORRELIA BURGDORFERI ANTIBODY, IGM 230 BORRELIA HERMSII ANTIBODY PANEL 230 BORRELIA HERMSII, SMEAR (BLOOD PARASITES) 231 BORRELIA SPECIES DNA DETECTION BY PCR 231 BRAF V600E MUTATION BY SEQUENCE ANALYSIS 232 BRETYLIUM TOSYLATE 232 BRILLIANT CRESYL BLUE 233 BROMIDES 233 BRUCELLA ANTIBODIES, IGG, IGM, EIA W/REFLEX TO AGGLUTINATION 233 BUPRENORPHINE COMPLIANCE SCREEN (REFLEXIVE) 234 BUPRENORPHINE CONFIRMATION BY GC/MS 234 BUPRENORPHINE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 234 BUPROPION 235 BUTALBITAL 235 C REACTIVE PROTEIN 236 C-PEPTIDE 236 C-TELOPEPTIDE, BETA-CROSS LINKED 236 2.1 www.paml.com 4/16/2013 page 954 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page C1 ESTERASE INHIBITOR (FUNCTIONAL) 237 C1 ESTERASE INHIBITOR (TOTAL) 237 C1Q BINDING ASSAY 238 C2 COMPLEMENT COMPONENT 238 C3 & C4 COMPLEMENT COMPONENTS 239 C3 COMPLEMENT COMPONENT 239 C4 COMPLEMENT COMPONENT 240 CA 125 240 CA 15-3 240 CA 27.29 241 CA19-9 241 CADMIUM EXPOSURE PANEL (OSHA) 241 CADMIUM, URINE (RANDOM) 242 CADMIUM, URINE 24HR 242 CADMIUM, WHOLE BLOOD 243 CAFFEINE 243 CAFFEINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 244 CALCITONIN 244 CALCIUM 244 CALCIUM, IONIZED 245 CALCIUM, URINE (RANDOM) 245 CALCIUM, URINE 24HR 246 CALCIUM/CREATININE RATIO 246 CALCULI (STONE) ANALYSIS 247 CALPROTECTIN, FECAL 247 CAMPYLOBACTER JEJUNI ANTIBODY IGG 247 CANDIDA ANTIBODY & ANTIGEN PANEL 248 CANDIDA IGG, IGA & IGM ANTIBODY PANEL 248 CANDIDA PRECIPITINS 248 CANNABINOID CONFIRMATION BY GC/MS 249 CANNABINOID CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR. 249 CANNABINOID QUANTITATION 249 CANNABINOID SCREEN AT 20 NG/ML (REFLEXIVE) 250 CANNABINOIDS (QUANTITATIVE) 250 CANNABINOIDS (THC) CONFIRMATION TESTING BY GC/MS 250 CANNABINOIDS SCREEN AT 50 NG/ML (REFLEXIVE) 251 CARBAMAZEPINE 251 CARBAMAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 251 CARBAMAZEPINE EPOXIDE & TOTAL 252 CARBAMAZEPINE, FREE & TOTAL 252 CARBON DIOXIDE 253 CARBOXYHEMOGLOBIN 253 CARCINOEMBRYONIC ANTIGEN 253 CARCINOEMBRYONIC ANTIGEN (CEA), FLUID 254 CARCINOEMBRYONIC ANTIGEN, CSF 254 CARDIAC RISK ASSESSMENT BATTERY 254 CARDIOLIPIN ANTIBODY, IGG & IGM 255 CARISOPRODOL & MEPROBAMATE 255 CARNITINE PANEL 255 CARNITINE, FREE & TOTAL (INCLUDES CARNITINE, ESTERIFIED) 256 CAROTENE 256 CATECHOLAMINES FRACTIONATED, URINE 24HR 257 CATECHOLAMINES, PLASMA FRACTIONATED 257 CATECHOLAMINES, URINE (RANDOM) 258 CATHARTIC LAXATIVES PROFILE, STOOL 258 CBC WITH MANUAL DIFFERENTIAL 259 CBC WITH AUTO DIFFERENTIAL 259 CD19 260 CD25 BY IMMUNOHISTOCHEMISTRY 260 CD3 260 CD4 261 CD57 Antibody 261 CELIAC DISEASE (HLA-DQA1*05, HLA-DQB1*02, AND HLA-DQB1*03:02) GENOTYPING 261 CELIAC PANEL, BASIC 262 CELIAC PANEL, EXTENDED 262 CELIAC PROFILE, PEDIATRIC BASIC 263 CELIAC PROFILE, PEDIATRIC EXTENDED 263 CELL COUNT, DIFFERENTIAL, BODY FLUID 263 CELL COUNT, DIFFERENTIAL, CSF 264 CENTROMERE B AUTOANTIBODY, IGG 264 CEPHALEXIN LEVEL, BA 264 2.1 www.paml.com 4/16/2013 page 955 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page CERULOPLASMIN 265 CH50 COMPLEMENT, TOTAL 265 CHEMISTRY REFLEX PANEL 265 CHLAMYDIA ANTIBODY PANEL. IGG/IGM 266 CHLAMYDIA & CHLAMYDOPHILIC ANTIBODY PANEL 3 266 CHLAMYDIA ANTIBODY PANEL, IGM 267 CHLAMYDIA SPP. IGA, IGG, IGM ANTIBODIES 267 CHLAMYDIA TRACHOMATIS DFA 267 CHLAMYDIA TRACHOMATIS BY AMPLIFIED DETECTION (TMA) 268 CHLAMYDIA TRACHOMATIS CULTURE 268 CHLAMYDIA TRACHOMATIS IGG & IGM ANTIBODIES 269 CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (TMA) 269 CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE BY SDA, PAP VIAL 270 CHLAMYDOPHILA PNEUMONIAE CULTURE 270 CHLAMYDOPHILA PNEUMONIAE DNA QUAL RT-PCR 271 CHLORALHYDRATE 271 CHLORALHYDRATE, URINE 271 CHLORAMPHENICOL 272 CHLORIDE 272 CHLORIDE, CSF 272 CHLORIDE, FLUID 273 CHLORIDE, URINE (RANDOM) 273 CHLORIDE, URINE 24HR 273 CHLORPROMAZINE 274 CHOLESTEROL 274 CHROMATIN AUTOANTIBODY, IGG 274 CHROMIUM, SERUM 275 CHROMIUM, URINE 24HR 275 CHROMIUM, WHOLE BLOOD 276 CHROMOGRANIN A 276 CHROMOSOME MICROARRAY TESTING PERIPHERAL BLOOD 277 CHRONIC URTICARIA INDEX 277 CHRONIC URTICARIA PANEL 278 CHYLOMICRON SCREEN, BODY FLUID 278 CIMETIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 279 CIMETIDINE, SERUM/PLASMA 279 CITALOPRAM 279 CITALOPRAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 280 CITRIC ACID, URINE 24HR 280 CLINICAL HEMATOLOGY INTERPRETATION, COMPREHENSIVE 280 CLINICAL HEMATOLOGY INTERPRETATION, LIMITED 281 CLOMIPRAMINE AND METABOLITE, SERUM OR PLASMA 281 CLONAZEPAM 281 CLONIDINE 281 CLORAZEPATE 282 CLOSTRIDIUM DIFFICILE BY PCR 282 CLOSTRIDIUM DIFFICILE CYTOTOXIN ANTIBODY 282 CLOSTRIDIUM DIFFICILE CYTOTOXIN ASSAY 283 CLOZAPINE 283 CLOZAPINE/NORCLOZAPINE 284 COAGULATION PROFILE 285 COBALT, BLOOD 285 COBALT, SERUM OR PLASMA 286 COBALT, URINE 24HR 286 COCAINE & METABOLITES 287 COCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 287 COCAINE CONFIRMATION BY GC/MS 288 COCAINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR. 288 COCAINE SCREEN (REFLEXIVE) 288 COCCIDIOIDES ANTIBODIES, IGG & IGM BY ELISA 289 COCCIDIOIDES ANTIBODY BY CF 289 COCCIDIOIDES ANTIBODY BY ID 290 COCCIDIOIDES ANTIBODY PANEL, CSF 290 COCCIDIOIDES ANTIBODY, CF AND ID, SERUM 291 COCCIDIOIDES IMMITIS ID BY DNA 291 CODEINE CONFIRMATION BY LC-MS/MS 291 COENZYME Q10A, TOTAL 292 COLD AGGLUTININS 292 COLLAGEN TYPE II ANTIBODY 292 COLONY COUNT DIALYSATE 293 COLONY COUNT DIALYSIS WATER 293 2.1 www.paml.com 4/16/2013 page 956 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page COLORADO TICK FEVER IGG ANTIBODY 293 COMPLEMENT C1Q 294 COMPLEMENT COMPONENT 1, FUNCTIONAL 294 COMPLEMENT COMPONENT C5 294 COMPLEMENT COMPONENT C7 295 COMPLEMENT COMPONENT C8 295 COMPLEMENT COMPONENT C9 296 COMPLEMENT SPLIT PRODUCT C3AL 296 COMPLEX DRUG ANALYSIS 297 COMPLIANCE METHADONE TESTING 297 COMPLIANCE MORPHINE TESTING 297 COMPLIANCE OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES OXYCODONE, HYDROCODONE, 298 HYDROMORPHONE. COMPLIANCE OXYCODONE TESTING 298 COMPREHENSIVE DRUG SURVEY 298 COMPREHENSIVE DRUG SURVEY/GASTRIC 299 COMPREHENSIVE METABOLIC PANEL 299 COMPREHENSIVE METABOLIC PANEL WITH GFR 299 CONNECTIVE TISSUE DISEASE (REFLEXIVE) 300 CONNEXIN 26 TESTING (GJB2) SEQUENCE ANALYSIS (REFLEXIVE) 300 CONSULT/REVIEW, FLUID 301 CONVENTIONAL SLIDE, PAP ONLY 301 COOMBS, DIRECT 302 COOMBS, DIRECT & INDIRECT 302 COOMBS, INDIRECT (ANTIBODY SCREEN) (REFLEXIVE) 302 COOMBS, INDIRECT (NON-CROSSMATCH) 303 COPPER 303 COPPER, LIVER 304 COPPER, URINE 24HR 304 COPROPORPHYRIN ISOMERS I AND III, URINE 24HR 305 CORDSTAT 12 DRUG SCREEN 305 CORDSTAT 12 SM DRUG SCREEN + PETH 306 CORDSTAT 13 DRUG SCREEN 306 CORDSTAT 5 DRUG SCREEN 307 CORDSTAT 7 DRUG SCREEN 307 CORDSTAT 9 DRUG SCREEN 308 CORTISOL (ACTH STIMULATION 30 MINUTE & 60 MINUTE) 308 CORTISOL (ACTH STIMULATION) 309 CORTISOL (PAIRED SPECIMENS) 309 CORTISOL CALCULATED FREE, URINE 24HR 309 CORTISOL FREE, URINE 24HR LC-MS/MS 310 CORTISOL, AM 310 CORTISOL, FREE SERUM 311 CORTISOL, FREE URINE (RANDOM) 311 CORTISOL, LC/MS/MS, SALIVA 312 CORTISOL, RANDOM 312 CORTISOL/CORTISONE FREE, URINE 24HR 313 COTININE 313 COXIELLA BURNETII (Q-FEVER) ANTIBODY IGG, PHASE I & II 313 COXSACKIE A ANTIBODY PANEL 314 COXSACKIE A9 VIRUS ANTIBODIES 314 COXSACKIE B(1-6) ANTIBODIES 314 CREATINE KINASE 315 CREATINE KINASE ISOENZYMES 315 CREATINE KINASE-MB 316 CREATINE, SERUM OR PLASMA 316 CREATINE, URINE 24HR 317 CREATININE 317 CREATININE CLEARANCE 318 CREATININE CLEARANCE, 12HR 318 CREATININE CLEARANCE, 48HR 319 CREATININE WITH GFR 319 CREATININE, AMNIOTIC FLUID 320 CREATININE, FLUID 320 CREATININE, URINE (RANDOM) 320 CREATININE, URINE 24HR 321 CRYOFIBRINOGEN 321 CRYOGLOBULIN 321 CRYOGLOBULIN & CRYOFIBRINOGEN 322 CRYOGLOBULIN SCREEN WITH REFLEX TO CRYOGLOBULIN PROFILE 322 CRYPTOCOCCUS ANTIBODY 323 2.1 www.paml.com 4/16/2013 page 957 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page CRYPTOCOCCUS ANTIBODY, CSF 323 CRYPTOCOCCUS ANTIGEN 323 CRYPTOSPORIDIUM ANTIGEN 324 CRYSTALS, FLUID 324 CRYSTALS, SYNOVIAL FLUID BATTERY 324 CSF PROFILE (REFLEXIVE) 325 CSF/SERUM IGG INDEX 325 CT, GC AND TRICHOMONAS BY AMPLIFIED DETECTION (TMA) 325 CULTURE IF INDICATED 326 CULTURE, AFB (NO SMEAR) (REFLEXIVE) 326 CULTURE, AFB (REFLEXIVE) 327 CULTURE, BETA STREP A SCREEN (REFLEXIVE) 327 CULTURE, BETA STREP B SCREEN (REFLEXIVE) 328 CULTURE, BLOOD (2ND SPECIMEN/SAME DAY) 328 CULTURE, BLOOD (REFLEXIVE) 328 CULTURE, BLOOD DIPHASIC FUNGUS (REFLEXIVE) 329 CULTURE, BODY FLUID (REFLEXIVE) 329 CULTURE, BORDETELLA PERTUSSIS (REFLEXIVE) 330 CULTURE, CAMPYLOBACTER SCREEN 330 CULTURE, EAR (REFLEXIVE) 331 CULTURE, EQUIPMENT (REFLEXIVE) 331 CULTURE, EXTENDED BETA LACTAMASE (ESBL) CONFIRMATION 332 CULTURE, EYE (REFLEXIVE) 332 CULTURE, FUNGUS (REFLEXIVE) 333 CULTURE, FUNGUS, SKIN, HAIR, NAILS (REFLEXIVE) 333 CULTURE, GENITAL (REFLEXIVE) 334 CULTURE, LEGIONELLA (REFLEXIVE) 334 CULTURE, METHICILLIN RESISTANT STAPH AUREUS SCREEN (REFLEXIVE) 335 CULTURE, NEISSERIA GONORRHOEAE (REFLEXIVE) 335 CULTURE, RESPIRATORY (REFLEXIVE) 335 CULTURE, RESPIRATORY CYSTIC FIBROSIS (REFLEXIVE) 336 CULTURE, STOOL WITH YERSINIA AND SHIGA TOXIN (REFLEXIVE) 336 CULTURE, STOOL E COLI 0157 WITH SHIGA TOXIN TEST (REFLEXIVE) 337 CULTURE, STOOL, WITH SHIGA TOXIN TEST (REFLEXIVE) 337 CULTURE, TISSUE (REFLEXIVE) 338 CULTURE, TRICHOMONAS 338 CULTURE, UREAPLASMA AND MYCOPLASMA 339 CULTURE, URINE COLONY COUNT (NO SMEAR) (REFLEXIVE) 339 CULTURE, VANCOMYCIN RESISTANT ENTEROCOCCUS SCREEN (REFLEXIVE) 340 CULTURE, WOUND (REFLEXIVE) 340 CULTURE, WOUND, DEEP (REFLEXIVE) 341 CULTURE, YEAST SCREEN (REFLEXIVE) 341 CULTURE, YERSINIA SCREEN (REFLEXIVE) 342 CUTANEOUS DIRECT IMMUNOFLUORESCENCE, BIOPSY 342 CYANIDE 343 CYCLIC CITRULLINATED PEPTIDE ANTIBODY IGG 343 CYCLOBENZAPRINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 344 CYCLOSPORA DETECTION 344 CYCLOSPORINE A BY LC-MS/MS 344 CYCLOSPORINE, TDX (HEART TRANSPLANT) 345 CYSTATIN C 345 CYSTIC FIBROSIS CARRIER SCREEN & DIAGNOSIS (REFLEXIVE) 346 CYSTIC FIBROSIS EXPAND MUTATION PANEL 347 CYSTICERCOSIS ANTIBODY, CSF 347 CYSTICERCOSIS ANTIBODY, IGG, CSF 348 CYSTICERCUS ANTIBODY 348 CYSTICERCUS IGG ANTIBODY, WESTERN BLOT 348 CYSTINE, URINE 24HR 349 CYTOCHROME P450 2C9 2 MUTATIONS 349 CYTOCHROME P450 CYP2D6 14 MUTATIONS & GENE DUPLICATION 350 CYTOGENETICS FISH 350 CYTOGENETICS, AMNIOTIC FLUID 350 CYTOGENETICS, BONE MARROW 350 CYTOGENETICS, CHROMOSOME ANALYSIS, AMNIOTIC FLUID 350 CYTOGENETICS, CHROMOSOME ANALYSIS, BONE MARROW, ASPIRATE/BONE CORE 351 CYTOGENETICS, CHROMOSOME ANALYSIS, HIGH RESOLUTION, PERIPHERAL BLOOD 351 CYTOGENETICS, CHROMOSOME ANALYSIS, LEUKEMIC BLOOD 351 CYTOGENETICS, CHROMOSOME ANALYSIS, MOSAIC, PERIPHERAL BLOOD 352 CYTOGENETICS, CHROMOSOME ANALYSIS, MOSIAC, SOLID TISSUE 352 CYTOGENETICS, CHROMOSOME ANALYSIS, PLEURAL OR ASCITES FLUID 352 CYTOGENETICS, CHROMOSOME ANALYSIS, ROUTINE, PERIPHERAL BLOOD 353 2.1 www.paml.com 4/16/2013 page 958 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TISSUE 353 CYTOGENETICS, CHROMOSOME ANALYSIS, SOLID TUMOR 354 CYTOGENETICS, LEUKEMIC BLOOD 354 CYTOGENETICS, MISC SPECIMEN 354 CYTOGENETICS, PERIPHERAL BLOOD 354 CYTOGENETICS, SENDOUT TEST 354 CYTOGENETICS, SOLID TISSUE 354 CYTOGENETICS, SOLID TUMOR 354 CYTOGENETICS, TISSUE CULTURE, AMNIOTIC FLUID 355 CYTOGENETICS, TISSUE CULTURE, SOLID TISSUE 355 CYTOKINE PANEL 12 BY MAFD 355 CYTOLOGY, PAP SMEAR, CONVENTIONAL SMEAR 356 CYTOLOGY, SURE PATH PAP 356 CYTOLOGY, THIN PREP PAP 357 CYTOMEGALOVIRUS ANTIBODY, IGG 357 CYTOMEGALOVIRUS ANTIBODY, IGG & IGM 357 CYTOMEGALOVIRUS ANTIBODY, IGM 358 CYTOMEGALOVIRUS BY RT-PCR, QUALITATIVE 358 CYTOMEGALOVIRUS BY RT-PCR, QUALITATIVE (NON-PLASMA SOURCES) 359 CYTOMEGALOVIRUS BY RT-PCR, QUANTITATIVE 359 CYTOMEGALOVIRUS PCR, AMNIOTIC FLUID 360 D-DIMER, QUANTITATIVE 360 DANTRIUM 361 DENGUE FEVER VIRUS ANTIBODIES, IGG & IGM 361 DEOXYCORTICOSTERONE, LC/MS/MS 362 DESIPRAMINE 362 DESIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 363 DEXAMETHASONE (SUPPRESSION-2) 363 DEXAMETHASONE (SUPPRESSION-3) 363 DEXAMETHASONE (SUPPRESSION-4) 364 DEXAMETHASONE (SUPPRESSION-RANDOM) 364 DEXTROMETHORPHAN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 364 DEXTROMETHORPHAN AND METABOLITE RATIO, URINE 365 DHEA 365 DHEA-SO4 365 DIAZEPAM AND NORDIAZEPAM 366 DIC SCREEN (REFLEXIVE) 366 DIFFERENTIAL SLIDE REVIEW BY PATH 367 DIFFERENTIAL, MANUAL 367 DIGITOXIN 367 DIGOXIN 368 DILTIAZEM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR 368 DILUTE RUSSELL VIPER VENOM (REFLEXIVE) 368 DIPHENHYDRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 369 DIPHTHERIA & TETANUS ANTIBODIES, IGG 369 DIRECT EXAM, MISC 370 DIRECT PLATELET ANTIBODIES, IGG & IGM 370 DISACCHARIDASE ANALYSIS 370 DISOPYRAMIDE 371 DNA AUTOANTIBODIES, DOUBLE-STRANDED (ENDPOINT) 371 DNA CONTENT/CELL CYCLE ANALYSIS, MISCELLANEOUS 371 DNA, DOUBLE STRANDED AUTOANTIBODY, IGG 372 DNA, DOUBLE STRANDED CRITHIDIA IFA 372 DORIDEN 373 DOXEPIN & METABOLITE 373 DOXEPIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 373 DOXYLAMINE 374 DOXYLAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 374 DRUG FACILITATED SEXUAL ASSAULT PANEL 374 DRUG OF ABUSE SCREEN (9 PANEL), SERUM/PLASMA (REFLEXIVE) 375 DRUGS OF ABUSE 9 PANEL & ALCOHOL SCREEN, SERUM /PLASMA (REFLEXIVE) 375 DRUGS OF ABUSE CONFIRMATION, QUANTITATIVE, OPIATES 376 DRUGS OF ABUSE SCREEN 10 (REFLEXIVE) 376 DRUGS OF ABUSE SCREEN 10 PLUS ALCOHOL (REFLEXIVE) 377 DRUGS OF ABUSE SCREEN 2 (REFLEXIVE) 377 DRUGS OF ABUSE SCREEN 2 PLUS ALCOHOL (REFLEXIVE) 378 DRUGS OF ABUSE SCREEN 5 (REFLEXIVE) 378 DRUGS OF ABUSE SCREEN 5 PLUS ALCOHOL (REFLEXIVE) 379 DRUGS OF ABUSE SCREEN 6 (REFLEXIVE) 379 DRUGS OF ABUSE SCREEN 7 (REFLEXIVE) 380 DRUGS OF ABUSE SCREEN 7 PLUS ALCOHOL (REFLEXIVE) 380 2.1 www.paml.com 4/16/2013 page 959 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page DULOXETINE, SERUM/PLASMA 381 DYPHYLLINE 381 EARLY CDT LUNG 382 ECHINOCOCCUS 382 ECHOVIRUS ANTIBODY 382 ECTOPIC PREGNANCY PANEL 383 EHRLICHIA CHAFFEENSIS ANTIBODY, IGG & IGM 383 ELECTROLYTE & OSMOLALITY PROFILE, FECAL 384 ELECTROLYTES PANEL 384 ELECTROLYTES, FECAL (NA,K,CL) 385 ELECTROPHORESIS SCAN, URINE 24HR 385 ELECTROPHORESIS, CITRATE GEL 385 ELECTROPHORESIS, FLUID 386 ELECTROPHORESIS, PROTEIN 386 ELECTROPHORESIS, PROTEIN (REFLEXIVE) 386 ELECTROPHORESIS, PROTEIN, RANDOM URINE, (REFLEXIVE) 387 ELECTROPHORESIS, PROTEIN, URINE (REFLEXIVE) 387 ELECTROPHORESIS, SCAN, URINE (RANDOM) 388 ELECTROPHORESIS, URINE (RANDOM) 388 EMETINE (GASTRIC ONLY) TEST INCLUDED IN DRUG-SUR.G. 388 ENCEPHALITIS, EASTERN EQUINE ANTIBODY PANEL, IGG & IGM, CSF 389 ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG 389 ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG & IGM 389 ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGG, CSF 389 ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM 390 ENCEPHALITIS, EASTERN EQUINE ANTIBODY, IGM, CSF 390 ENCEPHALITIS, ST LOUIS ANTIBODY 390 ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM 391 ENCEPHALITIS, ST. LOUIS ANTIBODY PANEL, IGG & IGM, CSF 391 ENCEPHALITIS, ST. LOUIS ANTIBODY, IGG, CSF 391 ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM 392 ENCEPHALITIS, ST. LOUIS ANTIBODY, IGM, CSF 392 ENCEPHALITIS, WESTERN EQUINE ANTIBODY 392 ENCEPHALITIS, WESTERN EQUINE ANTIBODY PANEL, IGG & IGM, CSF 393 ENDOMYSIAL (EMA) ANTIBODY, IGG 393 ENDOMYSIAL ANTIBODY, IGA (REFLEXIVE) 393 ENDOTOXIN, CONVENTIONAL DIALYSATE 394 ENDOTOXIN, CONVENTIONAL DIALYSATE FOR INFUSION 394 ENDOTOXIN, DIALYSATE H20 394 ENDOTOXIN, ULTRAPURE DIALYSATE 395 ENDOTOXIN, ULTRAPURE WATER 395 ENTAMOEBA HISTOLYTICA ANTIBODY, IGG 395 ENTAMOEBA HISTOLYTICA ANTIGEN EIA 396 ENTEROVIRUS DETECTION BY RT-PCR 396 EOSINOPHILS, SMEAR 397 EOSINOPHILS, URINE 397 EPIDERMAL (SKIN) ANTIBODY 397 EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) MUTATION ANALYSIS (REFLEXIVE) 398 EPSTEIN BARR VIRUS ANTIBODY PANEL 399 EPSTEIN BARR VIRUS ANTIBODY TO EARLY ANTIGEN, DIFFUSE IGG 400 EPSTEIN BARR VIRUS ANTIBODY TO NUCLEAR ANTIGEN, IGG 400 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG 400 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGG & IGM 401 EPSTEIN BARR VIRUS ANTIBODY TO VIRAL CAPSID ANTIGEN, IGM 401 EPSTEIN BARR VIRUS BY PCR 401 EPSTEIN BARR VIRUS, QUANTITATIVE PCR 402 EPSTEIN BARR VIRUS, QUANTITATIVE PCR, WHOLE BLOOD 402 ERYTHROCYTE PORPHYRIN (EP), WHOLE BLOOD 403 ERYTHROMYCIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 403 ERYTHROPOIETIN 404 ESCITALOPRAM 404 ESTERASE STAIN, ACETATE 404 ESTERASE STAIN, COMBINED 405 ESTERASE, STAIN, CHLOROACETATE 405 ESTRADIOL 405 ESTRADIOL, MALES, CHILDREN OR POSTMENOPAUSAL FEMALES BY TANDEM MASS SPECTROMETRY 406 ESTRIOL, UNCONJUGATED 406 ESTROGEN, TOTAL, SERUM 406 ESTROGENS, FRACTIONATED 407 ESTRONE 407 ETHOSUXIMIDE 407 2.1 www.paml.com 4/16/2013 page 960 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ETHOTOIN 408 ETHYL GLUCURONIDE, URINE (REFLEXIVE) 408 ETHYL GLUCURONIDE/ETHYL SULFATE BY LC-MS/MS 409 ETHYLENE GLYCOL 409 EUGLOBULIN LYSIS 409 EVEROLIMUS BY LC-MS/MS 410 EXTRACTABLE NUCLEAR AUTOANTIBODIES 410 FACTOR 10 INHIBITORS, QUANTITATIVE (REFLEXIVE) 411 FACTOR 11 INHIBITORS, QUANTITATIVE (REFLEXIVE) 411 FACTOR 12 INHIBITORS, QUANTITATIVE (REFLEXIVE) 412 FACTOR 2 INHIBITORS, QUANTITATIVE (REFLEXIVE) 412 FACTOR 5 INHIBITORS, QUANTITATIVE (REFLEXIVE) 413 FACTOR 7 INHIBITORS, QUANTITATIVE (REFLEXIVE) 413 FACTOR 9 INHIBITORS, QUANTITATIVE (REFLEXIVE) 414 FACTOR II 414 FACTOR IX 415 FACTOR V 415 FACTOR V LEIDEN MUTATION 416 FACTOR VII 416 FACTOR VIII (COAGULANT ACTIVITY) 417 FACTOR VIII ACTIVITY, CHROMOGENIC 417 FACTOR VIII INHIBITOR (QUANTITATIVE) 418 FACTOR X 418 FACTOR XI 419 FACTOR XII 419 FACTOR XIII 420 FAT STAIN (OIL RED O) 420 FAT, FECAL QUANTITATIVE, HOMOGENIZED ALIQUOT 421 FAT, STOOL 421 FATTY ACID PROFILE, PEROXISOMAL 422 FATTY ACIDS PROFILE, ESSENTIAL 422 FATTY ACIDS, FREE 422 FDA DONOR PANEL 423 FECAL IMMUNOCHEMICAL TEST (FIT) FOR OCCULT BLOOD 423 FELBAMATE 423 FEMALE DONOR 424 FENTANYL & METABOLITE, BLOOD 424 FENTANYL & METABOLITE, SERUM/PLASMA 424 FENTANYL AND NORFENTANYL CONFIRMATION IN URINE BY LC-MS/MS 425 FENTANYL PAIN MANAGEMENT CONFIRMATION TESTING BY LCMSMS 425 FERRITIN 425 FETAL FIBRONECTIN 426 FETAL HEMOGLOBIN F 426 FIBRIN MONOMER 426 FIBRINOGEN 427 FIBRINOGEN REFLEX TO THROMBIN TIME 427 FIBRINOLYSIS 428 FIBRONECTIN AGGREGATES, IGA 428 FILARIA IGG4 ANTIBODY 428 FIRST SCREEN 429 FISH ASSAY, ANGELMAN SYNDROME 429 FISH ASSAY, 1p/19q DELETIONS AND REARRANGEMENTS IN GLIOMA, 1P/1Q, 19P/19Q, FFPE 429 FISH ASSAY, 20q DELETION HEMATOLOGIC MALIGNANCY 430 FISH ASSAY, 6q DELETIONS OR REARRANGEMENTS IN B-CELL DISORDERS 430 FISH ASSAY, 7q DELETIONS OR MONOSOMY 7 430 FISH ASSAY, ALK GENE REARRANGEMENT, FFPE 431 FISH ASSAY, ALK GENE REARRANGEMENTS, ANAPLASTIC LARGE CELL LYMPHOMA 431 FISH ASSAY, ALLAGILE SYNDROME 432 FISH ASSAY, AML PANEL 432 FISH ASSAY, ANIRIDIA 433 FISH ASSAY, BCL2/IGH GENE REARRANGEMENT 433 FISH ASSAY, BCL6 GENE REARRANGEMENT 434 FISH ASSAY, BCL6 GENE REARRANGEMENT, FFPE TISSUE 434 FISH ASSAY, BCR/ABL1 GENE REARRANGEMENT 434 FISH ASSAY, BECKWITH-WIEDEMANN SYNDROME 435 FISH ASSAY, CBFB GENE REARRANGEMENTS 435 FISH ASSAY, CCND1 GENE REARRANGEMENTS, DUAL COLOR BREAK-APART PROBE 436 FISH ASSAY, CCND1/IGH GENE REARRANGEMENT 436 FISH ASSAY, CHARGE SYNDROME 437 FISH ASSAY, CLL PANEL 437 FISH ASSAY, CLL VS MCL, CLL PANEL AND CCND1/IGH 438 2.1 www.paml.com 4/16/2013 page 961 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page FISH ASSAY, CRI DU CHAT SYNDROME 438 FISH ASSAY, DDIT3 (CHOP) GENE REARRANGEMENT 439 FISH ASSAY, DDIT3 (CHOP) GENE REARRANGEMENT, FFPE 439 FISH ASSAY, DEK/CAN GENE REARRANGEMENT, t(6;9) 440 FISH ASSAY, DELETION 22q SYNDROME, DIGEORGE/VCF SYNDROME 440 FISH ASSAY, DIFFUSE LARGE B-CELL LYMPHOMA (BCL2/IGH AND BCL6) 441 FISH ASSAY, DIFFUSE LARGE CELL LYMPHOMA, FFPE TISSUE 441 FISH ASSAY, EGFR1 GENE AMPLIFICATION 442 FISH ASSAY, EGFR1 GENE AMPLIFICATION, FFPE 442 FISH ASSAY, EGR1, 5Q DELETION OR MONOSOMY 5 443 FISH ASSAY, ELL & ENL GENE REARRANGEMENT, t(11;19) 443 FISH ASSAY, ETV6 GENE REARRANGEMENT DUAL COLOR BREAK-APART PROBE 444 FISH ASSAY, ETV6/RUNX1 GENE REARRANGEMENT, T(12;21) 444 FISH ASSAY, EWSR1 GENE REARRANGEMENT 445 FISH ASSAY, EWSR1 GENE REARRANGEMENT, FFPE 445 FISH ASSAY, FGFR1 GENE REARRANGEMENT 446 FISH ASSAY, FIP1L1, CHIC2, PDGFRA TRICOLOR PROBE 446 FISH ASSAY, FOR DETECTION OF 15Q11-Q13 DUPLICATI0N 446 FISH ASSAY, FOR DETECTION OF BCR/ABL1 AND MLL GENE REARRANGEMENT IN ADULTS WITH B-CELL 447 ALL FISH ASSAY, FOR DETECTION OF CHIC2 GENE DELETION 447 FISH ASSAY, FOR DETECTION OF FGFR3/IGH GENE FUSION, T(4;14) 447 FISH ASSAY, FOR DETECTION OF FOXO1 (FKHR) GENE REARRANGEMENT 448 FISH ASSAY, FOR DETECTION OF IGH GENE REARRANGEMENT 448 FISH ASSAY, FOR DETECTION OF MAF/IGH GENE FUSION, T(14;16) 448 FISH ASSAY, FOR DETECTION OF MALT1 GENE REARRANGEMENT 449 FISH ASSAY, FOR DETECTION OF MALT1 GENE REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE, FFPE 449 FISH ASSAY, FOR DETECTION OF MLL GENE REARRANGEMENT 449 FISH ASSAY, FOR DETECTION OF MYC/IGH GENE REARRANGEMENT 450 FISH ASSAY, FOR DETECTION OF MYCN GENE AMPLIFICATION 450 FISH ASSAY, FOR DETECTION OF PAX5 GENE REARRANGEMENT 450 FISH ASSAY, FOR DETECTION OF PDGFRB GENE REARRANGEMENT 451 FISH ASSAY, FOR DETECTION OF PML/RARA GENE REARRANGEMENT 451 FISH ASSAY, FOR DETECTION OF SS18 (SYT) GENE REARRANGEMENT 452 FISH ASSAY, FOR DETECTION OF TP16 DELETION 452 FISH ASSAY, FOR DETECTION OF TP53 DELETION 452 FISH ASSAY, FOR DETECTION OF TP58 GENE REARRANGEMENT 453 FISH ASSAY, FOR DETECTION OF TP58 GENE REARRANGEMENT IN PARAFFIN EMBEDDED TISSUE (FFPE) 453 FISH ASSAY, FOR DETECTION/CONFIRMATION OF NUP98 GENE REARRANGEMENT 453 FISH ASSAY, FOR DETECTION/IDENTIFICATION OF MARKER CHROMOSOMES, MOSAIC OR NON-MOSAIC 454 FISH ASSAY, FOR RB1 GENE DELETION IN CONSTITUTIONAL SPECIMEN 454 FISH ASSAY, FOR RB1 GENE DELETION OR REARRANGEMENT IN NEOPLASTIC SPECIMENS 454 FISH ASSAY, FOR SIL/TAL1 GENE REARRANGEMENT OR DELETION OF SIL 455 FISH ASSAY, FOR TCRAD GENE REARRANGEMENT 455 FISH ASSAY, FOR X & Y CHROMOSOME DETECTION POST SEX-MISMATCHED BONE MARROW 455 TRANSPLANT FISH ASSAY, FOXO1 (FKHR) GENE REARRANGEMENT, FFPE 456 FISH ASSAY, FUS GENE REARRANGEMENT 16P11 456 FISH ASSAY, FUS GENE REARRANGEMENT, FFPE 456 FISH ASSAY, HER2 GENE AMPLIFICATION, BREAST CANCER 457 FISH ASSAY, HER2 GENE AMPLIFICATION, GASTRIC CANCER 457 FISH ASSAY, IGH GENE REARRANGEMENT, FFPE 458 FISH ASSAY, IGH/BCL2 GENE REARRANGEMENT, FFPE 458 FISH ASSAY, IGH/CCND1 GENE REARRANGEMENT, FFPE 459 FISH ASSAY, IGH/MYC GENE REARRANGEMENT, FFPE 459 FISH ASSAY, KALLMAN SYNDROME 460 FISH ASSAY, LANGER-GIDEON SYNDROME, MULTIPLE EXOSTOSIS 460 FISH ASSAY, MDS PANEL 461 FISH ASSAY, MILLER-DIEKER SYNDROME 461 FISH ASSAY, MPD PANEL, FIP1L1/CHIC2/PDGFRA; PDGFRB; FGFR1 462 FISH ASSAY, MULTIPLE MYELOMA PANEL 462 FISH ASSAY, MYC GENE REARRANGEMENT, DUAL COLOR BREAK-APART PROBE, T(8;14) OR VARIANT 463 MYC, BURKITT LYMPHOMA FISH ASSAY, MYC GENE REARRANGEMENT, FFPE 463 FISH ASSAY, MYCN GENE AMPLIFICATION, FFPE 464 FISH ASSAY, PAX5 GENE REARRANGEMENT, FFPE TISSUE 464 FISH ASSAY, PEDIATRIC B-CELL ALL PANEL 465 FISH ASSAY, PRADER-WILLI SYNDROME 465 FISH ASSAY, PRENATAL ANEUPLOIDY SCREEN, AMNIOTIC FLUID 466 FISH ASSAY, PTEN DELETION IN PARAFFIN EMBEDDED TISSUE, FFPE 466 FISH ASSAY, RARA GENE REARRANGEMENT, RARA DUAL COLOR BREAK-APART PROBE, T(15;17), APL 467 2.1 www.paml.com 4/16/2013 page 962 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page FISH ASSAY, RUBENSTEIN-TAYBI SYNDROME 467 FISH ASSAY, RUNX1/RUNX1T1 (ETO/AML1), t(8;21) 467 FISH ASSAY, SMITH-MAGENIS SYNDROME 468 FISH ASSAY, SOTOS SYNDROME 468 FISH ASSAY, SRY GENE DELETION, GAIN OR REARRANGEMENTS 469 FISH ASSAY, SS18 (SYT) GENE REARRANGEMENT, FFPE 469 FISH ASSAY, STS LOCUS: X-LINKED ICTHYOSIS 470 FISH ASSAY, TCF3/PBX1 GENE REARRANGEMENT, T(1;19)(Q23;P13) FOR B CELL ALL 470 FISH ASSAY, TRICHORHINOPHALANGEAL, TYPE 1 SYNDROME 471 FISH ASSAY, TRISOMY 8 IN HEMATOLOGIC MALIGNANCY 471 FISH ASSAY, WILLIAMS SYNDROME 471 FISH ASSAY, WILMS TUMOR/ANIRIDIA/WAGR SYNDROME (REFLEXIVE) 472 FISH ASSAY, WOLF-HIRSCHHORN SYNDROME 472 FISH ASSAY, WT1 GENE DELETION OR REARRANGEMENT, FFPE 473 FISH ASSAY, XIST (X-INACTIVATION) LOCUS 473 FISH FOR DETECTION 6Q ABERRATIONS IN B-CELL DISORDERS 474 FISH FOR DETECTION OF DELETIONS ASSOCIATED WITH CORNELIA DE LANGE SYNDROME 474 FISH PANEL FOR B-CELL LYMPHOMA SUB-CLASSIFICATION 475 FISH PANEL-NEOPLASTIC REFLEX , MM IGH+, FGFR3/IGH 475 FISH, CONSTITUTIONAL, 3Q29 DELETION SYNDROME 476 FISH, CONSTITUTIONAL, CONGENITAL DIAPHRAGMATIC HERNIA 476 FK 506 477 FLECAINIDE 477 FLEXERIL 478 FLT3MT MUTATION DETECTION BY PCR 478 FLU A, FLU B, and RSV by PCR 479 FLU A, FLU B, AND RSV BY PCR (REFLEXIVE) 479 FLUNITRAZEPAM & METABOLITE URINE (REFLEXIVE) 480 FLUORESCENT PARASITE SMEAR 480 FLUORESCENT TREPONEMAL ANTIBODY (REFLEXIVE) 481 FLUORIDE 481 FLUORIDE, URINE 481 FLUOXETINE & NORFLUOXETINE 482 FLUOXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 482 FLUPHENAZINE 482 FLURAZEPAM 483 FLURAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR 483 FLUVOXAMINE 483 FOLATE 484 FOLATE, RBC 484 FOLLICLE STIMULATING HORMONE, PITUITARY 484 FONDAPARINUX 485 FORMIC ACID 485 FORMIC ACID, URINE 24HR 485 FRAGILE X CARRIER SCREEN (REFLEXIVE) 486 FRAGILE X MUTATION ANALYSIS (REFLEXIVE) 486 FRAGILE X SYNDROME MUTATION ANALYSIS 487 FRANCISELLA TULARENSIS AB, IGG 487 FRANCISELLA TULARENSIS AB, IGM 488 FRANCISELLA TULARENSIS ANTIBODIES, IGG & IGM 488 FREE LIGHT CHAINS GAMMOPATHY DIAGNOSTIC PANEL 489 FREE T-3 489 FREE T-4 490 FREE THYROXINE (T4) 490 FRUCTOSAMINE 490 FRUCTOSE, SEMEN 491 FTA-ABS (MONTANA) 491 FUNGAL ANTIBODIES BY CF 491 FUROSEMIDE, (QUANTITATIVE) 492 GABAPENTIN 492 GALACTOSE, URINE 492 GALACTOSE-ALPHA-1,3-GALACTOSE (ALPHA-GAL) IGE 493 GAMMA GLUTAMYL TRANSFERASE 493 GAMMA HYDROXY BUTYRIC ACID 493 GANGLIOSIDE (ASIALO-GM1, GM1, GM2, GD1a, GD1b, & GQ1b) Antibodies 494 GANGLIOSIDE (GM1) ANTIBODIES, IGG & IGM 494 GASTRIN 495 GASTRIN, SAMPLE 1 495 GASTRIN, SAMPLE 2 496 GASTRIN, SAMPLE 3 496 GASTRIN, SAMPLE 4 496 2.1 www.paml.com 4/16/2013 page 963 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page GASTRIN, SAMPLE 5 497 GASTRIN, SAMPLE 6 497 GASTRIN, SAMPLE 7 498 GASTRIN, SAMPLE 8 498 GENERAL HEALTH 499 GENERAL HEALTH PANEL (REFLEXIVE) 499 GENOMIC DNA ISOLATION & STORAGE 500 GENTAMICIN (PAIRED) 500 GENTAMICIN (SINGLE) 501 GENTAMICIN, PEAK 501 GENTAMICIN, TROUGH 502 GIARDIA ANTIBODY, IGG, IGA & IGM 502 GIARDIA LAMBLIA ANTIGEN 503 GLIADIN DEAMIDATED PEPTIDE (DGP) ANTIBODIES, IGA & IGG 503 GLIPIZIDE 503 GLOMERULAR BASEMENT MEMBRANE ANTIBODY 504 GLOMERULAR FILTRATION PROFILE 504 GLOMERULAR FILTRATION PROFILE (12HR) 505 GLOMERULAR FILTRATION RATE, ESTIMATED 505 GLUCAGON 505 GLUCOSE CHALLENGE, PREGNANT (1HR) 506 GLUCOSE TOLERANCE, 2 HR 506 GLUCOSE TOLERANCE, 2 HR (3 SPECIMENS) 507 GLUCOSE TOLERANCE, 3 HR (4 SPECIMENS) 507 GLUCOSE TOLERANCE, 4 HR (5 SPECIMENS) 508 GLUCOSE TOLERANCE, 5 HR (6 SPECIMENS) 508 GLUCOSE TOLERANCE, PREGNANT (2HR) 509 GLUCOSE TOLERANCE, PREGNANT (3HR) 509 GLUCOSE, CSF 510 GLUCOSE, FASTING OR RANDOM 510 GLUCOSE, FLUID 510 GLUCOSE, RANDOM 511 GLUCOSE, SPECIFIC 511 GLUCOSE, URINE (QUALITATIVE) 511 GLUCOSE, URINE (RANDOM) 512 GLUCOSE, URINE 24HR 512 GLUCOSE-6-PHOSPHATE DEHYDROGENASE 512 GLUCOSE-6-PHOSPHATE DEHYDROGENASE 513 GLUTAMIC ACID DECARBOXYLASE ANTIBODY 513 GLUTAMINES, CSF 513 GLYBURIDE 514 GOLD 514 GROWTH HORMONE ANTIBODIES 514 GTT, 2 HOUR 515 GTT, 3 HOUR 515 GTT, 30 MINUTES 515 GTT, 4 HOUR 516 GTT, 5 HOUR 516 GTT, 6 HOUR 516 GTT, 90 MINUTES 517 GUAIAC TEST FOR OCCULT BLOOD 517 GUAIAC TEST FOR OCCULT BLOOD X 2 517 GUAIAC TEST FOR OCCULT BLOOD X 3 518 HAEMOPHILUS INFLUENZAE TYPE B ANTIBODY, IGG 518 HALOPERIDOL 518 HANTAVIRUS IGG & IGM ANTIBODIES (REFLEXIVE) 519 HAPTOGLOBIN 519 HCG QUANTITATIVE TUMOR MARKER 520 HCG, SERUM QUANTITATIVE, BETA 520 HCG, URINE, QUALITATIVE, BETA 520 HCV FIBROSURE 521 HEAT SHOCK PROTEIN 70 BY WB 521 HEAVY METALS PANEL 3, BLOOD 522 HEAVY METALS, URINE (RANDOM) 522 HEAVY METALS, URINE 24HR 523 HELICOBACTER PYLORI ANTIBODY, IGA 523 HELICOBACTER PYLORI ANTIBODY, IGG 524 HELICOBACTER PYLORI ANTIBODY, IGG & IGA 524 HELICOBACTER PYLORI ANTIBODY, IGM 524 HELICOBACTER PYLORI ANTIGEN, STOOL 525 HELICOBACTER PYLORI BREATH TEST 525 2.1 www.paml.com 4/16/2013 page 964 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page HELICOBACTOR PYLORI SCREEN 526 HELPER SUPPRESSOR 526 HEMATOCRIT 527 HEMOGLOBIN 527 HEMOGLOBIN & HEMATOCRIT 527 HEMOGLOBIN & HEMATOCRIT, FLUID 528 HEMOGLOBIN A1C, (GLYCOHEMOGLOBIN) 528 HEMOGLOBIN A2, QUANTITATIVE 528 HEMOGLOBIN F, QUANTITATIVE 529 HEMOGLOBIN S, QUANTITATIVE 529 HEMOGLOBIN, QUANTITATIVE, PLASMA 529 HEMOGLOBIN, URINE 530 HEMOGLOBINOPATHY/THALASSEMIA PANEL (REFLEXIVE) 530 HEMOGLOBINOPATHY/THALASSEMIA SCREEN 531 HEMOGRAM WITH PLATELET, AUTOMATED 531 HEMOSIDERIN, URINE 532 HEPARIN ASSAY 532 HEPARIN INDUCED THROMBOCYTOPENIA ANTIBODY (REFLEXIVE) 533 HEPARIN-DEPENDENT PLATELET ANTIBODY (SRA) - UNFRACTIONATED HEPARIN 533 HEPATIC FUNCTION PANEL 534 HEPATITIS A DIAGNOSTIC PANEL (REFLEXIVE) 534 HEPATITIS A VIRUS ANTIBODY, IGM 535 HEPATITIS A VIRUS ANTIBODY, TOTAL 535 HEPATITIS A, B, C (REFLEXIVE) 536 HEPATITIS B CORE ANTIBODY, IGM 536 HEPATITIS B CORE ANTIBODY, TOTAL 537 HEPATITIS B CORE ANTIBODY, TOTAL TO HEPATITIS B CORE IGM (REFLEXIVE) 537 HEPATITIS B E ANTIBODY 538 HEPATITIS B E ANTIGEN 538 HEPATITIS B SURFACE ANTIBODY 539 HEPATITIS B SURFACE ANTIGEN (REFLEXIVE) 539 HEPATITIS B SURFACE ANTIGEN CONFIRMATION 540 HEPATITIS B VIRUS DNA QUANTITATIVE BY PCR, HIGHLY SENSITIVE 540 HEPATITIS B VIRUS GENOTYPING 541 HEPATITIS C ANTIBODY 541 HEPATITIS C VIRUS GENOTYPING BY PCR & LINE PROBE ASSAY (REFLEXIVE) 542 HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA 3.0 543 HEPATITIS C VIRUS RNA QUANTITATIVE BY BDNA REFLEX TO GENOTYPING 544 HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR , HIGHLY SENSITIVE, REFLEX TO GENOTYPING 545 HEPATITIS C VIRUS RNA QUANTITATIVE BY PCR, HIGHLY SENSITIVE 546 HEPATITIS D ANTIBODY, TOTAL 547 HEPATITIS DELTA ANTIGEN BY ELISA 547 HEPATITIS E ANTIBODY, IGG 548 HEPATITIS E VIRUS ANTIBODIES, IGG & IGM 548 HEPATITIS E VIRUS, IGM 548 HEPATITIS PANEL, ACUTE (REFLEXIVE) 549 HEPATITIS PANEL, CHRONIC (REFLEXIVE) 549 HEPATITIS PANEL, HBV PROGNOSIS (REFLEXIVE) 550 HEPTIMAX® HCV RNA 550 HEREDITARY HEMOCHROMATOSIS 551 HERPES SIMPLEX VIRUS BY WESTERN BLOT 551 HERPES SIMPLEX VIRUS CULTURE 552 HERPES SIMPLEX VIRUS CULTURE & TYPING (REFLEXIVE) 552 HERPES SIMPLEX VIRUS I & II ANTIBODY, TYPE-SPECIFIC IGG-HERPESELECT® 553 HERPES SIMPLEX VIRUS I & II DETECTION AND DIFFERENTIATION BY RT-PCR 553 HERPES SIMPLEX VIRUS IGG 1 & 2 DIFFERENTIATION BY IMMUNOBLOT-HERPSELECT 554 HERPES SIMPLEX VIRUS IGM ANTIBODY 554 HERPES SIMPLEX VIRUS PCR, AMNIOTIC FLUID 555 HERPES SIMPLEX VIRUS TYPE-SPECIFIC 1 IGG-HERPESELECT® 555 HERPES SIMPLEX VIRUS TYPE-SPECIFIC 2 IGG-HERPESELECT® 556 HERPES SIMPLEX VIRUS TYPE-SPECIFIC I & II IGG-HERPESELECT® & HERPES SIMPLEX VIRUS IGM 556 ANTIBODY HERPESVIRUS 6 ANTIBODY, IGG 557 HERPESVIRUS 6 ANTIBODY, IGG & IGM 557 HERPESVIRUS 6 DNA, PCR 558 HERPESVIRUS 7 IGG AND IGM ANTIBODY PANEL 558 HEXAGONAL PHOSPHOLIPID NEUTRALIZATION TEST 559 HIGH DENSITY LIPOPROTEIN 559 HIGH MOLECULAR WEIGHT KININOGEN ASSAY (HMW KININOGEN) 559 HIGH SENSITIVITY C-REACTIVE PROTEIN 560 HIGH SENSITIVITY C-REACTIVE PROTEIN & CHOLESTEROL PROFILE 560 2.1 www.paml.com 4/16/2013 page 965 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page HISTAMINE 560 HISTAMINE, PLASMA 561 HISTAMINE, URINE 561 HISTONE ANTIBODY 562 HISTOPLASMA ANTIBODY 562 HISTOPLASMA ANTIBODY PANEL 563 HISTOPLASMA ANTIGEN 563 HISTOPLASMA PRECIPITIN ANTIBODY 563 HLA B27 (REFLEXIVE) 564 HLA-A GENOTYPE 564 HLA-B 1502 TYPING 564 HLA-B GENOTYPE 565 HLA-C GENOTYPE 565 HLA-DQB GENOTYPING 565 HLA-DR GENOTYPING 566 HNPCC/LYNCH SYNDROME (MSH2) SEQUENCING DELETION & DUPLICATION 566 HNPCC/LYNCH SYNDROME (MSH6) SEQUENCING DELETION & DUPLICATION 567 HOMOCYSTEINE, CARDIAC RISK 567 HOMOCYSTINE, URINE 24HR 568 HOMOVANILLIC ACID (HVA) URINE 568 HPV HIGH RISK, REFLEX TO HPV GENOTYPE 16/18 IF HPV POSITIVE (REFLEXIVE) 569 HU, YO, AND RI ANTIBODIES WITH REFLEX TO TITERS AND WESTERN BLOT 570 HU, YO, RI ANTIBODIES WITH REFLEX TO TITERS AND WESTERN BLOT, CSF 571 HUMAN ANTI-MOUSE ANTIBODY (HAMA) 571 HUMAN EPIDIDYMIS PROTEIN 4 (HE4) 572 HUMAN GROWTH HORMONE 572 HUMAN GROWTH HORMONE, SAMPLE 1 572 HUMAN GROWTH HORMONE, SAMPLE 2 573 HUMAN GROWTH HORMONE, SAMPLE 3 573 HUMAN GROWTH HORMONE, SAMPLE 4 573 HUMAN GROWTH HORMONE, SAMPLE 5 574 HUMAN GROWTH HORMONE, SAMPLE 6 574 HUMAN GROWTH HORMONE, SAMPLE 7 575 HUMAN GROWTH HORMONE, SAMPLE 8 575 HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRA SENSITIVE VIRAL LOAD BY PCR 575 HUMAN IMMUNODEFICIENCY VIRUS 1 ULTRASENSITIVE VIRAL LOAD BY BDNA 576 HUMAN IMMUNODEFICIENCY VIRUS-1 & 2 ANTIBODY (VIROLOGY SEROLOGY) (REFLEXIVE) 577 HUMAN IMMUNODEFICIENCY VIRUS-1 GENOTYPING 577 HUMAN IMMUNODEFICIENCY VIRUS-1, WESTERN BLOT 578 HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, EIA 578 HUMAN IMMUNODEFICIENCY VIRUS-2 ANTIBODY, IMMUNOBLOT 579 HUMAN METAPNEUMOVIRUS BY RT-PCR 579 HUMAN PAPILLOMA VIRUS, GENOTYPE 16/18 580 HUMAN PAPILLOMA VIRUS, HIGH RISK 580 HUMAN PLACENTAL LACTOGEN 581 HUMAN T-LYMPHOTROPIC VIRUS TYPES I/II ANTIBODIES WITH REFLEX TO HTLV I/II CONFIRMATION 581 HUMORAL IMMUNITY PANEL 1 582 HUNTINGTON DISEASE DNA SCREEN 583 HYDROCODONE CONFIRMATION BY LC-MS/MS 583 HYDROCODONE, FREE, UNCONJUGATED 584 HYDROCORTISONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 584 HYDROMORPHONE - FREE (UNCONJUGATED) SCREEN, SERUM/PLASMA 584 HYDROMORPHONE BY LC-MS/MS 585 HYDROXYCHLOROQUINE 585 HYPERCOAGULATION CONSULT EXTENDED PANEL (REFLEXIVE) 585 HYPERCOAGULATION CONSULTATION BASIC (REFLEXIVE) 586 HYPERSENSITIVE PNEUMONITIS EXTENDED PANEL (FARMER'S LUNG PANEL) 587 HYPERSENSITIVE PNEUMONITIS I 587 HYPERSENSITIVE PNEUMONITIS II 588 HYPERTHYROID PROFILE 588 HYPOTHYROID PROFILE 589 IA-2 ANTIBODY 589 IBUPROFEN 589 ICA 512 AUTOANTIBODIES 590 ID CULTURE AFB (REFLEXIVE) 590 ID FUNGUS (MOLD) (REFLEXIVE) 590 ID ORGANISM WITH SUSCEPTIBILITY (REFLEXIVE) 591 ID ORGANISM, BLOOD/BODY FLUID (REFLEXIVE) 591 ID ORGANISM, BLOOD/FLUID & SUSCEPTIBILITY (REFLEXIVE) 592 ID ORGANISM, RESPIRATORY & SUSCEPTIBILITY (REFLEXIVE) 592 ID ORGANISM, RESPIRATORY (REFLEXIVE) 593 2.1 www.paml.com 4/16/2013 page 966 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ID ORGANISM, URINE (REFLEXIVE) 593 ID ORGANISM, URINE WITH SUSCEPTIBILITY (REFLEXIVE) 594 ID YEAST (REFLEXIVE) 594 IGF BINDING PROTEIN - 2 IGFBP2 595 IGF BINDING PROTEIN-1 (IGFBP-1) 595 IGF BINDING PROTEIN-3 596 IGF BINDING PROTEIN-3 596 IGF BINDING PROTEIN-3 (IGFBP-3) 596 IGF-I, LC/MS 597 IGH-BCL2 (BCL-2/JH) TRANSLOCATION, T(14;18) BY PCR 597 IGH-CCND1 (BCL-1/JH) TRANSLOCATION, T(11;14) BY PCR 598 IMIPRAMINE & METABOLITE 598 IMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 599 IMMUNE CELL FUNCTION 599 IMMUNE COMPLEX PROFILE I 599 IMMUNOFIXATION 600 IMMUNOFIXATION, BLOOD AND URINE 24HR 600 IMMUNOFIXATION, URINE (RANDOM) 601 IMMUNOFIXATION, URINE 24HR 601 IMMUNOFIXATION, URINE/SERUM (RANDOM) 602 IMMUNOGLOBULIN A, SERUM 602 IMMUNOGLOBULIN D 603 IMMUNOGLOBULIN E, TOTAL 603 IMMUNOGLOBULIN G, CSF 603 IMMUNOGLOBULIN G, SERUM 604 IMMUNOGLOBULIN G, SUBCLASSES 604 IMMUNOGLOBULIN M, SERUM 604 IMMUNOGLOBULINS, A, G, & M, SERUM 605 IMMUNOPHENOTYPE SCREEN (REFLEXIVE) 605 IMMUNOPHENOTYPE TISSUE SCREEN (REFLEXIVE) 606 IMMUNOPHENOTYPING ONE ANTIBODY 606 IMMUNOPHENOTYPING TWO ANTIBODIES 607 INDICANS, URINE (QUALITATIVE) 607 INFLAMMATORY BOWEL DISEASE DIFFERENTIATION PANEL 607 INFLUENZA A & B VIRUS ANTIGEN 608 INFLUENZA A & B VIRUS ANTIGEN BY DFA, REFLEX TO VIRAL CULTURE 608 INFLUENZA A SUBTYPING RT-PCR 609 INFLUENZA A VIRUS, IGG 609 INFLUENZA ANTIGEN, A/B, RAPID (PSC ONLY) 610 INFLUENZA B VIRUS, IGG 610 INHIBIN A 611 INHIBIN B 611 INSECTICIDE EXPOSURE PANEL 612 INSULIN ASSAY 612 INSULIN AUTOANTIBODY 613 INSULIN, FREE & TOTAL 613 INSULIN, SAMPLE 1 613 INSULIN, SAMPLE 2 614 INSULIN, SAMPLE 3 614 INSULIN, SAMPLE 4 615 INSULIN, SAMPLE 5 615 INSULIN, SAMPLE 6 616 INSULIN, SAMPLE 7 616 INTEGRATED SCREEN, COMPLETION 617 INTEGRATED SCREEN, INITIAL 617 INTERFERON-BETA, IGG 617 INTERLEUKIN 1 BETA BY MAFD 618 INTERLEUKIN 10 BY MAFD 618 INTERLEUKIN 2 RECEPTOR SOLUBLE BY MAFD 619 INTERLEUKIN 28 B (IL28B)-ASSOCIATED VARIANTS, 2SNPS 619 INTERLEUKIN 6 BY MAFD 620 INTRINSIC FACTOR BLOCKING ANTIBODY 620 IODINE SERUM/PLASMA 621 IODINE, RANDOM URINE 621 IODINE, URINE 24HR 621 IRON BINDING CAPACITY 622 IRON STAIN 622 IRON, LIVER 622 IRON, TOTAL 623 IRON, URINE 24HR 623 ISLET CELL CYTOPLASMIC ANTIBODY, IGG 623 2.1 www.paml.com 4/16/2013 page 967 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page ISOAGGLUTININ TITER, ANTI-A 624 ISOAGGLUTININ TITER, ANTI-B 624 ISOHEMAGGLUTININ TITER 625 ISOPROPYL ALCOHOL 625 ITRACONAZOLE, ANTIFUNGAL LEVEL 626 JAK2 (V617F) 626 JC VIRUS BY PCR 627 JO-1 AUTOANTIBODY, IGG 627 KAPPA/LAMBDA FREE LIGHT CHAINS WITH RATIO, SERUM 628 KAPPA/LAMBDA LIGHT CHAIN RATIO, SERUM 628 KELL ANTIGEN 628 KEPPRA (LEVETIRACETAM) 629 KETAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 629 KETAMINE AND METABOLITE SCREEN, SERUM/PLASMA (REFLEXIVE) 629 KETAMINE CONFIRMATION BY GC/MS 630 KETONES, URINE 630 KIDNEY STONE RISK PANEL II, URINE 24HR 630 KIDNEY STONE RISK PANEL, URINE 24HR 631 KLEIHAUER BETKE (STAT ONLY) 631 KOH WET MOUNT 632 KRAS MUTATION DETECTION BY SEQUENCE ANALYSIS, CODONS 12 AND 13 632 KRAS MUTATION DETECTION BY SEQUENCE ANALYSIS, CODONS 12 AND 13 WITH REFLEX TO BRAF IF 633 INDICATED LACOSAMIDE, SERUM/PLASMA 634 LACTATE DEHYDROGENASE 634 LACTATE DEHYDROGENASE TOTAL, CSF 635 LACTATE DEHYDROGENASE, ISOENZYMES 635 LACTIC ACID, ARTERIAL 636 LACTIC ACID, CSF 636 LACTIC ACID, VENOUS 637 LACTOFERRIN, FECAL BY ELISA 637 LACTOSE TOLERANCE 637 LAMELLAR BODY COUNTS (REFLEXIVE) 638 LAMOTRIGINE 638 LC-MS/MS COMPLIANCE CONFIRMATION OF OPIATE 6 DRUGS 639 LC-MS/MS CONFIRMATION OF OPIATE 6 DRUGS 639 LD, FLUID 639 LDL CHOLESTEROL, DIRECT 640 LDL PARTICLE SIZE 640 LEAD AND ZPP OSHA PROFILE 640 LEAD, SERUM 641 LEAD, URINE (RANDOM) 641 LEAD, URINE 24HR 641 LEAD, WHOLE BLOOD 642 LEFLUNOMIDE AS METABOLITE, SERUM/PLASMA 642 LEGIONELLA ANTIBODY, IGG/IGM/IGA 643 LEGIONELLA DNA, QUALITATIVE REAL-TIME PCR 643 LEGIONELLA FA STAIN 644 LEGIONELLA PNEUMOPHILA ANTIGEN, URINE 644 LEGIONELLA PNEUMOPHILA ANTIBODY 1-6, IGM 645 LEGIONELLA SPECIES BY PCR 645 LEISHMANIA PANEL 645 LEPTIN 646 LEPTOSPIROSIS ANTIBODY 646 LEUCINE AMINOPEPTIDASE 647 LEUKOCYTE ALKALINE PHOSPHATASE STAIN 647 LIBRIUM (CHLORDIAZAPOXIDE) AND NORDIAZEPAM 647 LIDOCAINE 648 LIDOCAINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 648 LIPASE 648 LIPASE, FLUID 649 LIPASE, URINE 649 LIPID ASSOCIATED SIALIC ACID 649 LIPID PANEL WITH REFLEX TO DIRECT LDL 650 LIPID PROFILE 650 LIPID PROFILE & LP-PLA2 (PLAC) 650 LIPOPROTEIN (a) 651 LIPOPROTEIN ELECTROPHORESIS 651 LIQUID-BASED PAP AND HPV 651 LIQUID-BASED PAP AND HPV; REFLEX TO 16/18 GENOTYPE IF PAP NEG AND HPV POS 652 LIQUID-BASED PAP ONLY 652 2.1 www.paml.com 4/16/2013 page 968 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page LIQUID-BASED PAP; REFLEX HPV IF ASCUS 653 LIQUID-BASED PAP; REFLEX HPV IF ASCUS AND REFLEX TO 16/18 GENOTYPE IF HPV POS 653 LISTERIA ANTIBODY 654 LISTERIA ANTIBODY, CF (CSF) 654 LITHIUM 655 LIVER CYTOSOL AUTOANTIBODIES (LC-1) 655 LORAZEPAM 655 LOW MOLECULAR WEIGHT HEPARIN 656 LOXAPINE 656 LP-PLA2 (PLAC) 657 LSD SCREEN, SERUM/PLASMA (REFLEXIVE) 657 LSD SCREEN, URINE (REFLEXIVE) 658 LUPUS ANTICOAGULANT SCREEN (REFLEXIVE) 658 LUTEINIZING HORMONE 659 LUTEINIZING HORMONE & FOLICLE STIMULATING HORMONE 659 LYME (B. BURGDORFERI ) ANTIBODY, IGG/IGM (REFLEXIVE) 660 LYME (B. BURGDORFERI) ANTIBODY, CSF 660 LYME (B. BURGDORFERI) ANTIBODY, IGG/IGM BY WESTERN BLOT 661 LYME CSF & SERUM 661 LYMPHOCYTE ANTIGEN & MITOGEN PROLIFERATION PANEL 661 LYMPHOCYTE SUBSETS 662 LYSOZYME 662 MACROPROLACTIN 663 MAGNESIUM 663 MAGNESIUM - TOTAL, RBCS 664 MAGNESIUM, FECAL 664 MAGNESIUM, FLUID 664 MAGNESIUM, URINE (RANDOM) 665 MAGNESIUM, URINE 24HR 665 MALARIA ANTIBODY IGG 665 MALARIA EVALUATION 666 MALE DONOR 666 MANGANESE 666 MANGANESE, BLOOD 667 MANGANESE, URINE 24HR 667 MAPROTILINE 668 MATERNAL CELL CONTAMINATION, MOLECULAR ANALYSIS 668 MATERNAL SCREEN, FIRST TRIMESTER 669 MATERNAL SCREEN, INTEGRATED, SPECIMEN # 2 669 MATERNAL SCREEN, INTEGRATED, SPECIMEN #1 670 MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 1 671 MATERNAL SCREEN, SEQUENTIAL, SPECIMEN # 2 671 MDA (METHYLENEDIOXYAMPHETAMINE) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 672 MEASLES (RUBEOLA) ANTIBODY, IGM 672 MECONIUM 12 DRUG SCREEN 673 MECONIUM 12 DRUG SCREEN PLUS ALCOHOL 673 MECONIUM 5 DRUG + ALCOHOL SCREEN 674 MECONIUM 5 DRUG SCREEN 674 MECONIUM 9 DRUG SCREEN 675 MELANIN, URINE 675 MELANOCYTE STIMULATION HORMONE, ALPHA 676 MENINGOENCEPHALITIS COMPREHENSIVE PANEL (SERUM) 676 MENORRHAGIA EVALUATION (REFLEXIVE) 677 MEPERIDINE 677 MEPERIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 678 MEPERIDINE BY GC/MS 678 MEPERIDINE SCREEN (REFLEXIVE) 678 MEPHENYTOIN & METABOLITE 679 MEPHOBARBITAL 679 MEPROBAMATE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 679 MEPROBAMATE, URINE 680 MERCAPTOPURINE, SERUM 680 MERCURY, SERUM/PLASMA 680 MERCURY, URINE (RANDOM) 681 MERCURY, URINE 24HR 681 MERCURY, URINE 24HR 682 MERCURY, WHOLE BLOOD 682 METANEPHRINES FRACTIONATED, URINE 24HR 683 METANEPHRINES TOTAL, URINE 24HR 683 METANEPHRINES, FRACTIONATED, FREE, LC/MS/MS, PLASMA 684 METANEPHRINES, URINE (RANDOM) 684 2.1 www.paml.com 4/16/2013 page 969 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page METHADONE & METABOLITE, SERUM/PLASMA 685 METHADONE (EDDP) PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 685 METHADONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG- SUR. 685 METHADONE CONFIRMATION BY GC/MS 686 METHADONE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR. 686 METHADONE SCREEN (REFLEXIVE) 686 METHAMPHETAMINE (URINE ONLY) TEST ASLO INCLUDED IN DRUG-SUR. 687 METHAMPHETAMINE D & L ISOMERS 687 METHAQUALONE 687 METHAQUALONE CONFIRMATION BY TLC 688 METHAQUALONE SCREEN (REFLEXIVE) 688 METHEMOGLOBIN (QUANTITATIVE) 688 METHOCARBAMOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 689 METHOTREXATE 689 METHSUXIMIDE (CELONTIN) AND NORMETHSUXIMIDE 689 METHYL ALCOHOL 690 METHYLENEDIOXYMETHAMPHETAMINE (MDMA) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 690 METHYLMALONIC ACID (MMA) QUANTITATION, URINE 690 METHYLMALONIC ACID, QUANTITATIVE, SERUM 691 METHYLPHENIDATE AND METABOLITE, SERUM/PLASMA 691 METHYLPHENIDATE AND METABOLITE, URINE 692 METOPROLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 692 MEXILETINE 693 MICROALBUMIN, URINE 24HR 693 MICROALBUMIN-CREATININE RATIO 693 MICROSOMAL ANTIBODY LIVER/KIDNEY 694 MICROSPORIDIA STAIN BY MODIFIED TRICHROME 694 MIRTAZAPINE (QUANTITATIVE) 694 MIRTAZEPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 695 MITOCHONDRIAL ANTIBODIES 695 MITOCHONDRIAL M2 ANTIBODY, IGG 695 MOBAN 696 MOLYBDENUM 696 MONOCLONAL PROTEIN STUDY, SERUM 696 MONONUCLEOSIS TEST 697 MORICIZINE 697 MORPHINE CONFIRMATION BY LC-MS/MS 697 MRSA NASAL SCREEN BY PCR (REFLEXIVE) 698 MTHFR C677T AND A1298C 698 MUCOPOLYSACCHARIDES, QUANTITATIVE, URINE 699 MUMPS VIRUS ANTIBODY, IGG 699 MUMPS VIRUS ANTIBODY, IGM 700 MYASTHENIA GRAVIS PANEL 3 700 MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR, NON-RESPIRATORY 701 MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR, RESPIRATORY 701 MYCOBACTERIUM TUBERCULOSIS SUSCEPTIBILITY 702 MYCOPHENOLIC ACID 702 MYCOPLASMA PNEUMONIAE ANTIBODY, IGG 702 MYCOPLASMA PNEUMONIAE ANTIBODY, IGG & IGM 703 MYCOPLASMA PNEUMONIAE ANTIBODY, IGM 703 MYCOPLASMA PNEUMONIAE DNA BY PCR 703 MYELIN ASSOC. GLYCOPROTEIN (MAG) ANTIBODY W/REFLEX TO MAG-SGPG & MAG, EIA 704 MYELIN BASIC PROTEIN 704 MYELIN IGG ANTIBODY 705 MYELOPEROXIDASE ANTIBODY 705 MYOGLOBIN 706 MYOGLOBIN, URINE 706 MYOSITIS ASSESSOR, JO-1 AUTOANTIBODIES 706 N-TELOPEPTIDES, CROSS-LINKED, SERUM 707 N-TELOPEPTIDES, CROSS-LINKED, URINE 707 NAPROXEN 707 NARCOLEPSY (HLA-DQB1*06:02) GENOTYPING 708 NARDIL 708 NEFAZODONE, QUANTITATIVE 709 NEISSERIA GONORRHOEAE ANTIBODY 709 NEISSERIA GONORRHOEAE BY AMPLIFIED DETECTION (TMA) 709 NEISSERIA MENINGITIDIS ANTIGEN DETECTION (A/Y & C/W135) 710 NEISSERIA MENINGITIDIS ANTIGEN DETECTION (B 7 ECOLI K1) 710 NEUROMYELITIS OPTICA IGG, CSF 711 NEURON SPECIFIC ENOLASE 711 NEURON SPECIFIC ENOLASE, CSF 711 2.1 www.paml.com 4/16/2013 page 970 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page NEUTROPHIL ANTIBODY, FLOW CYTOMETRY 712 NEUTROPHIL OXIDATIVE BURST ASSAY 712 NEWBORN SCREENING (WASHINGTON) 713 NIACIN (VITAMIN B3) 713 NICKEL 714 NICKEL, URINE 24HR 714 NICOTINE & METABOLITE, SERUM/PLASMA 715 NICOTINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 715 NMP 22 716 NMR LIPOPROFILE TEST 716 NMR LIPOPROFILE TEST (LDL-P ONLY) 717 NMR LIPOPROFILE TEST (WITH LP-IR VALUES) 717 NOROVIRUS GROUP 1 & 2 RT-PCR 718 NORTRIPTYLINE 718 NORTRIPTYLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 719 NUCLEOPHOSMIN (NPM1) MUTATION ANALYSIS BY PCR AND FRAGMENT ANALYSIS 719 OBSTETRIC PANEL (REFLEXIVE) NO CBC 720 OBSTETRIC PANEL (REFLEXIVE) WITH CBC 720 OBSTETRIC PANEL 3 (REFLEXIVE) 721 OCCULT BLOOD, GASTRIC 721 OCCULT BLOOD, URINE 722 OLANZAPINE 722 OLANZAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 722 OLIGOCLONAL BAND PROFILE 723 OLIGOCLONAL BANDS (IGG), CSF 723 ONCOFISH CERVICAL 724 ONCOFISH CERVICAL REFLEX 724 OPIATE (ALTERNATE) CONFIRMATION BY GC/MS. INCLUDES OXYCODONE, HYDROCODONE, 725 HYDROMORPHONE OPIATE COMPLIANCE PANEL 7 725 OPIATE CONFIRMATION BY GC/MS 726 OPIATE CONFIRMATION BY LC/MS 726 OPIATE SCREEN (REFLEXIVE) 726 OPIATES - FREE (UNCONJUGATED) SERUM/PLASMA 727 OPIATES - TOTAL (CONJUGATED/UNCONJUGATED) SERUM/PLASMA 727 OPIATES SCREEN, SERUM/PLASMA (REFLEXIVE) 728 OPIATES, FREE & TOTAL 728 ORAL FLUID STAT 10 729 ORAL FLUID STAT 12 729 ORAL FLUID STAT 5 730 ORAL FLUID STAT 7 730 ORAL FLUID STAT 9 731 ORGANIC ACIDS, URINE 731 ORGANIC ACIDS, URINE 732 ORGANISM IDENTIFICATION (REFLEXIVE) 732 ORGANISM SENSITIVITY, EACH ORGANISM 732 OSMOLALITY 733 OSMOLALITY, FECAL 733 OSMOLALITY, URINE (RANDOM) 733 OSMOLALITY, URINE 24HR 734 OSTEOCALCIN 734 OVA 1 735 OVA AND PARASITES 735 OVARIAN ANTIBODY SCREEN WITH REFLEX TO TITER 736 OXALATE, SERUM 737 OXALATE, URINE (RANDOM) 737 OXALATE, URINE 24HR 737 OXCARBAZEPINE METABOLITE 738 OXYCODONE BY LC-MS/MS 738 OXYCODONE SCREEN (REFLEXIVE) 738 OXYMORPHONE BY LC-MS/MS 739 P0 ANTIBODIES BY WESTERN BLOT 739 PAIN MANAGEMENT CANNABINOIDS (THC) (REFLEXIVE) 739 PAIN MANAGEMENT COCAINE (REFLEXIVE) 740 PAIN MANAGEMENT MEPERIDINE SCREEN (REFLEXIVE) 740 PAIN MANAGEMENT OPIATES 740 PAIN MANAGEMENT PROPOXYPHENE (REFLEXIVE) 741 PAIN MANAGEMENT ACETAMINOPHEN SCREEN (REFLEXIVE) 741 PAIN MANAGEMENT ALCOHOL (REFLEXIVE) 741 PAIN MANAGEMENT ALTERNATE AMPHETAMINES (REFLEXIVE) 742 PAIN MANAGEMENT AMPHETAMINE/METHAMPHETAMINE (REFLEXIVE) 742 2.1 www.paml.com 4/16/2013 page 971 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page PAIN MANAGEMENT BARBITURATES (REFLEXIVE) 742 PAIN MANAGEMENT BENZODIAZEPINES (REFLEXIVE) 743 PAIN MANAGEMENT BUPRENORPHINE SCREEN (REFLEXIVE) 743 PAIN MANAGEMENT CARISOPRODOL/MEPROBAMATE (REFLEXIVE) 743 PAIN MANAGEMENT CLONAZEPAM 744 PAIN MANAGEMENT ETG/ETS (REFLEXIVE) 744 PAIN MANAGEMENT FENTANYL (REFLEXIVE) 744 PAIN MANAGEMENT METHADONE & METABOLITE (REFLEXIVE) 745 PAIN MANAGEMENT PANEL 1 (REFLEXIVE) 745 PAIN MANAGEMENT PANEL 2 (REFLEXIVE) 746 PAIN MANAGEMENT PANEL 3 (REFLEXIVE) 747 PAIN MANAGEMENT PANEL 4 (REFLEXIVE) 748 PAIN MANAGEMENT PHENCYCLIDINE (REFLEXIVE) 749 PAIN MANAGEMENT PROMPT FOR PRESCRIBED DRUGS 750 PAIN MANAGEMENT TRAMADOL (REFLEXIVE) 750 PAIN MANAGEMENT VALIDITY TESTING 750 PANCREASTATIN 750 PANCREATIC ELASTASE, FECAL 751 PANCREATIC POLYPEPTIDE 751 PANCREATITIS, IDIOPATHIC (CFTR, PRSS1, SPINK1) SEQUENCING 751 PARAINFLUENZA ANTIBODY 1, 2, 3, IGG & IGM 752 PARASITE IDENTIFICATION, MACROSCOPIC 752 PAROXETINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 753 PAROXETINE, SERUM/PLASMA 753 PAROXYSMAL NOCTURNAL HEMOGLOBINURIA PANEL (PNH PANEL) 754 PARVOVIRUS B19 ANTIBODY PANEL, ELISA/PCR 754 PARVOVIRUS B19 ANTIBODY, IGG 754 PARVOVIRUS B19 ANTIBODY, IGG & IGM 755 PARVOVIRUS B19 ANTIBODY, IGM 755 PARVOVIRUS B19 BY PCR 755 PATHOLOGIST DIFFERENTIAL INTERPRETATION-REQUEST ONLY 756 PEMPHIGOID PANEL - EPITHELIAL BASEMENT MEMBRANE ZONE IGG & IGA, BP180 & BP230 IGG 756 ANTIBODIES PEMPHIGUS PANEL-IGG EPITHELIAL CELL SURFACE ANTIBODIES & LEVELS OF IGG DESMOGLEIN 1 & 757 DESMOGLEIN 3 PENTAZOCINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 757 PENTOBARBITAL 757 PEROXIDASE STAIN 758 PERPHENAZINE 758 PH, FLUID 758 PH, STOOL 759 PH, URINE 759 PHENCYCLIDINE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 759 PHENCYCLIDINE CONFIRMATION BY GC/MS 760 PHENCYCLIDINE CONFIRMATION BY TLC. TEST IS ALSO INCLUDED IN DRUG-SUR. 760 PHENCYCLIDINE SCREEN (REFLEXIVE) 760 PHENCYLIDINE (PCP) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 761 PHENOBARBITAL 761 PHENOBARBITAL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 761 PHENOL EXPOSURE, (QUANTITATIVE) 762 PHENOLPHTHALEIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 762 PHENOLPHTHALEIN, FECAL 762 PHENOTHIAZINES (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 763 PHENTERMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 763 PHENYLALANINE (QUANTITATIVE) 763 PHENYLPROPANOLAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 764 PHENYTOIN 764 PHENYTOIN (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 764 PHENYTOIN, TOTAL, WITH REFLEX TO FREE 765 PHOSPHATIDYLSERINE, ANTIBODIES, IGA, IGG, IGM 765 PHOSPHOLIPIDS, SERUM/PLASMA 766 PHOSPHORUS 766 PHOSPHORUS, URINE (RANDOM) 766 PHOSPHORUS, URINE 24HR 767 PINWORM PREPARATION 767 PLASMINOGEN ACIVATOR INHIBITOR-1 (PAI-1) 4G/5G 767 PLASMINOGEN ACTIVATOR INHIBITOR 1 768 PLASMINOGEN ACTIVITY 768 PLATELET AGGREGATION, WHOLE BLOOD (REFLEXIVE) 769 PLATELET ANTIBODY DETECTION, INDIRECT 769 PLATELET ANTIGEN GENOTYPING (HPA-1) 770 2.1 www.paml.com 4/16/2013 page 972 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page PLATELET ASPIRIN TEST 770 PLATELET COUNT 771 PLATELET FUNCTION SCREEN 771 PLATELET NEUTRALIZATION PROCEDURE 772 PLATELET P2Y12 FUNCTION 772 PML/RARA T (15;17) BY RT-PCR, QUANT 773 PNEUMOCYSTIS FA STAIN 773 PNEUMOCYSTIS JIROVECII, QUALITATIVE REAL-TIME PCR 774 POLIOVIRUS ANTIBODY, NEUTRALIZATION 774 POLYCHLORINATED BIPHENYLS 774 POLYMYOSITIS (PM-SCL) ANTIBODY 775 PORPHOBILINOGEN DEAMINASE, RBC 775 PORPHOBILINOGEN, URINE (RANDOM) 775 PORPHOBILINOGEN, URINE 24HR 776 PORPHYRIN AND PORPHOBILINOGEN, URINE 24HR 776 PORPHYRINS, COMPREHENSIVE + PBG, URINE 24HR 777 PORPHYRINS, FECAL 777 PORPHYRINS, FRACTIONATED, PLASMA 778 PORPHYRINS, SERUM TOTAL 778 PORPHYRINS, URINE (RANDOM) 779 PORPHYRINS, URINE (RANDOM) +PBG 779 PORPHYRINS, URINE 24HR 780 POTASSIUM 780 POTASSIUM, FECAL 781 POTASSIUM, FLUID 781 POTASSIUM, URINE (RANDOM) 781 POTASSIUM, URINE 24HR 782 PRADER-WILLI SYNDROME & ANGELMAN SYNDROME METHYLATION ANALYSIS 782 PRE-ALBUMIN 783 PREGABALIN, SERUM/PLASMA 783 PREGNENOLONE 784 PREKALLIKREIN (FLETECHER FACTOR) 784 PRENATAL RISK QUAD SCREEN 784 PRENATAL RISK TRIPLE SCREEN 785 PRIMIDONE 785 PROBRAIN NATRIURETIC PEPTIDE, NT 786 PROCAINAMIDE & NAPA 786 PROCALCITONIN 786 PROGESTERONE 787 PROINSULIN 787 PROLACTIN 787 PROLONGED APTT EVALUATION (REFLEXIVE) 788 PROPAFENONE 789 PROPOXYPHENE & METABOLITE - SERUM OR PLASMA 790 PROPOXYPHENE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 790 PROPOXYPHENE CONFIRMATION BY GC/MS 790 PROPOXYPHENE PAIN MANAGEMENT CONFIRMATION TESTING BY GC/MS 791 PROPOXYPHENE SCREEN (REFLEXIVE) 791 PROPRANOLOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 791 PROSTATE SPECIFIC ANTIGEN 792 PROSTATE SPECIFIC ANTIGEN (REFLEXIVE) 792 PROSTATE SPECIFIC ANTIGEN, FREE & TOTAL 792 PROSTATE SPECIFIC ANTIGEN, POST PROSTATECTOMY 793 PROSTATIC ACID PHOSPHATASE 793 PROTEIN C + S ACTIVITY 793 PROTEIN C, ACTIVITY 794 PROTEIN C, ANTIGEN 794 PROTEIN ELECTROPHORESIS, CSF 795 PROTEIN ELECTROPHORESIS, URINE 24HR 795 PROTEIN S, ACTIVITY 796 PROTEIN S, ANTIGEN 796 PROTEIN S, ANTIGEN FREE 797 PROTEIN S, ANTIGEN TOTAL 797 PROTEIN, CSF 798 PROTEIN, FLUID 798 PROTEIN, TOTAL 798 PROTEIN, URINE (RANDOM) 799 PROTEIN, URINE 12HR 799 PROTEIN, URINE 24HR 799 PROTEIN/CREATININE, URINE (RANDOM) 800 PROTEINASE 3 ANTIBODY 800 2.1 www.paml.com 4/16/2013 page 973 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page PROTHROMBIN 20210 MUTATION 801 PROTHROMBIN FRAGMENT 1+2, MONOCLONAL 801 PROTIME 802 PROTIME MIXING STUDY 802 PROTRIPTYLINE 802 PSEUDOCHOLINESTERASE, DIBUCAINE INHIBITION 803 PSEUDOCHOLINESTERASE, TOTAL 803 PSEUDOEPHEDRINE/EPHEDRINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 804 PSILOCIN (OD ONLY) (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 804 PTH, INTACT, WHOLE MOLECULE 804 PTH, INTACT, WHOLE MOLECULE, NO CALCIUM 805 PTH-RELATED PROTEIN (PTH-RP) 805 PTT 806 PTT MIXING STUDY 806 PYRUVATE KINASE 807 PYRUVIC ACID 807 PYRUVIC ACID, CSF 808 QUANTIFERON TB GOLD IN-TUBE 808 QUETIAPINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 809 QUETIAPINE, SERUM 809 QUINIDINE 810 QUININE/QUINIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 810 RABIES ANTIBODY, IGG (VACCINE RESPONSE) 810 RAJI CELL ASSAY 811 RANITIDINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 811 RAPID PLASMA REAGIN (RPR) (REFLEXIVE) 811 RAPID PLASMA REAGIN CONFIRMATION PROFILE 812 RAPID PLASMA REAGIN TITER 812 RAPID STREP GROUP A SCREEN 813 RBC MORPHOLOGY 813 RDS BY LAMELLAR BODY COUNT 813 RDS RISK PANEL 814 RED BLOOD CELL OSMOTIC FRAGILITY, INCUBATED 814 RED CELL COUNT 815 REDUCING SUBSTANCES, STOOL 815 REDUCING SUBSTANCES, URINE 815 REFERENCE TEST TO ARUP 816 REFERENCE TEST TO CHILDRENS ORTHOPEDIC HOSPITAL 816 REFERENCE TEST TO ESOTERIX 816 REFERENCE TEST TO FOCUS 816 REFERENCE TEST TO GENZYME 816 REFERENCE TEST TO IBT 816 REFERENCE TEST TO MAYO 816 REFERENCE TEST TO MISCELLANEOUS 816 REFERENCE TEST TO NMS 816 REFERENCE TEST TO QUEST DIAGNOSTICS 816 REFERENCE TEST TO RDL 817 REFERENCE TEST TO SHMC FLOW 817 REFERENCE TEST TO SHMC FOR CYTOLOGY 817 REFERENCE TEST TO SPECIALTY 817 REFERENCE TEST TO UNIVERSITY OF WASHINGTON 817 RENAL FUNCTION PANEL 817 RENAL FUNCTION PANEL WITH GFR 817 RENIN ACTIVITY 818 RENIN, PLASMA 818 RENIN, SAMPLE 1 819 RENIN, SAMPLE 2 819 RENIN, SAMPLE 3 820 RENIN, SAMPLE 4 820 RENIN, SAMPLE 5 821 RENIN, SAMPLE 6 821 REPTILASE (REFLEXIVE) 822 RESPIRATORY SYNCYTIAL VIRUS ANTIBODY, IGG & IGM 822 RESPIRATORY SYNCYTIAL VIRUS SCREEN 823 RESPIRATORY SYNCYTIAL VIRUS, STAT ONLY 823 RETICULIN ANTIBODY, TOTAL, IGA, IGG & IGM 824 RETICULOCYTE COUNT, AUTOMATED 824 RETICULOCYTE COUNT, AUTOMATED WITHOUT IRF 824 RETICULOCYTE COUNT, MANUAL 825 RETICULOCYTES, CELLULAR HEMOGLOBIN 825 RETINOL BINDING PROTEIN 825 2.1 www.paml.com 4/16/2013 page 974 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page RETT SYNDROME (MECP2 DNA ANALYSIS) 826 RH FACTOR 826 RH-COMPLETE CDE 826 RHEUMATOID ARTHRITIS PANEL (REFLEXIVE) 827 RHEUMATOID FACTOR 827 RHEUMATOID FACTOR (IGA, IGG, IGM) 827 RHEUMATOID FACTOR, BODY FLUID 828 RIBOSOMAL P AUTOANTIBODY, IGG 828 RICKETTSIA ANTIBODY PANEL (SPOTTED FEVER AND TYPHUS FEVER GROUPS) BY IFA 828 RICKETTSIA RICKETTSII (SPOTTED FEVER GROUP) IGG & IGM 829 RICKETTSIA TYPHI (TYPHUS FEVER GROUP), IGG & IGM 829 RISPERIDONE 830 RNA ISOLATION & STORAGE 830 RNA POLYMERASE III ANTIBODY, IGG 831 RNP AUTOANTIBODY, IGG 831 ROTAVIRUS 831 RUBELLA ANTIBODY, IGM 832 RUBELLA SCREEN, IGG 832 RUBELLA, IGM 832 RUBEOLA, IGG 833 RUBEOLA, MUMPS, RUBELLA IGG ANTIBODIES 833 RUFINAMIDE, SERUM/PLASMA 833 SACCHAROMYCES CEREVISIAE AB, IGG & IGA 834 SALICYLATES 834 SALMONELLA ANTIBODIES, EIA 835 SCHISTOSOMA ANTIBODY, IGG 835 SCL-70 AUTOANTIBODY, IGG 835 SEDIMENTATION RATE 836 SELENIUM, QUANTITATIVE, WHOLE BLOOD 836 SELENIUM, SERUM 836 SEMEN EXAMINATION 837 SEMEN MORPHOLOGY 837 SEQUENTIAL SCREEN 838 SEQUENTIAL SCREEN, COMPLETION 838 SEROTONIN, SERUM 838 SEROTONIN, WHOLE BLOOD 839 SERTRALINE 839 SERTRALINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 840 SERUM INTEGRATED SCREEN, COMPLETION 840 SERUM INTEGRATED SCREEN, INITIAL 840 SEX HORMONE BINDING GLOBULIN 841 SICKLE CELL SCREEN (REFLEXIVE) 841 SILICON, SERUM/PLASMA 841 SILVER 842 SILVER, URINE 842 SIROLIMUS, PARENT DRUG ONLY 842 SJOGRENS AUTOANTIBODIES 843 SM AUTOANTIBODY, IGG 843 SMEAR, AFB 843 SMEAR, STAIN & INTERPRETATION 844 SMRNP AUTOANTIBODY, IGG 844 SODIUM 844 SODIUM & POTASSIUM 845 SODIUM, FECAL 845 SODIUM, FLUID 845 SODIUM, URINE (RANDOM) 846 SODIUM, URINE 24HR 846 SOLUBLE LIVER ANTIGEN ANTIBODY, IGG 846 SOLUBLE TRANSFERRIN RECEPTOR 847 SPECIFIC GRAVITY 847 SPECIFIC GRAVITY, URINE 847 SPERM ANTIBODY IGA, IGG 848 SPERM COUNT POST VASECTOMY 848 SPINAL MUSCULAR ATROPHY CARRIER TESTING SMA 848 SPINAL MUSCULAR ATROPHY CARRIER TESTING SMA 849 SPINAL MUSCULAR ATROPHY, DIAGNOSTIC STUDY 849 SPIRONOLACTONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 850 SRP AUTOANTIBODIES 850 SSA AUTOANTIBODY, IGG 850 SSB AUTOANTIBODY, IGG 851 SSDNA ANTIBODY, IGG 851 2.1 www.paml.com 4/16/2013 page 975 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page STONE ANALYSIS WITH IMAGE 851 STONE ANALYSIS WITHOUT IMAGE 852 STREPTOCOCCAL ANTIBODY (DNASE B) 852 STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (14 SEROTYPES) 852 STREPTOCOCCUS PNEUMONIAE ANTIBODIES, IGG (23 SEROTYPES) 853 STREPTOCOCCUS PNEUMONIAE ANTIBODY, IGG PRE AND POST IMMUNIZATION 853 STREPTOCOCCUS PNEUMONIAE ANTIGEN, URINE 854 STREPTOLYSIN O ANTIBODY 854 STREPTOMYCIN SERUM LEVEL, HPLC 854 STREPTOZYME TITER, REFLEX TO ASO 855 STRIATED MUSCLE ANTIBODY, IGG WITH REFLEX TO TITER 855 STRONGYLOIDES ANTIBODY, IGG 856 STRYCHNINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 856 SULFATE, URINE 24HR 857 SULFONAMIDES 857 SULFONYLUREA HYPOGLYCEMICS PANEL (QUALITATIVE) SERUM OR PLASMA 857 SULINDAC 858 SYNOVIAL FLUID PROFILE 858 SYNTHETIC CANNABINOIDS SCREEN 858 T-CELL CLONALITY (GAMMA) SCREENING ASSAY BY PCR 859 T3 BY ICMA (TBG CORRECTED) 859 T3 UPTAKE 860 T3, FREE & TOTAL 860 T4 BY ICMA 860 TACROLIMUS BY LC-MS/MS 861 TEG MAPPING AND STANDARD TEG 861 TEICHOIC ACID ANTIBODY 862 TEMAZEPAM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 862 TESTICULAR FUNCTION PROFILE 862 TESTOSTERONE, FREE (ADULT MALES) 863 TESTOSTERONE, TOTAL & FREE (ADULT MALES) 863 TESTOSTERONE, TOTAL & FREE, SERUM BY EQUILIBRIUM DIALYSIS & LC & MS/MS 863 TESTOSTERONE, TOTAL (ADULT MALES) 864 TESTOSTERONE, TOTAL AND FREE + SHBG, ADULT MALE 864 TESTOSTERONE, TOTAL BY LC-MS/MS 864 TESTOSTERONE, TOTAL BY LC-MS/MS (FEMALES & CHILDREN) 865 TESTOSTERONE,FREE BY LC-MS/MS 865 TESTOSTERONE,TOTAL & FREE BY LC-MS/MS 866 TESTOSTERONE,TOTAL BY LC-MS/MS, & BIOAVAILABLE + SHBG 866 TESTOSTERONE,TOTAL BY LC-MS/MS, & BIOAVAILABLE + SHBG (WOMEN & CHILDREN) 867 TETANUS ANTIBODY, IGG 867 THALLIUM, BLOOD 868 THEOPHYLLINE 868 THEOPHYLLINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 868 THIOCYANATE 869 THIOPURINE METHYLTRANSFERASE, RBC 869 THIORIDAZINE & METABOLITE QUANTITATIVE 869 THIOTHIXENE 870 THROMBIN TIME & FIBRINOGEN (REFLEXIVE) 870 THROMBIN TIME (REFLEXIVE) 871 THROMBIN TIME TO FIBRINOGEN (REFLEXIVE) 871 THROMBIN-ANTITHROMBIN COMPLEX 872 THROMBOPHILIA RISK ASSESSMENT PANEL 872 THYROGLOBULIN (REFLEXIVE) 873 THYROGLOBULIN (TG) + TGAB 873 THYROGLOBULIN AUTOANTIBODIES 873 THYROGLOBULIN, FINE NEEDLE ASPIRATION (FNA) 874 THYROID CANCER MONITORING 874 THYROID CASCADE (REFLEXIVE) 875 THYROID PEROXIDASE ANTIBODY 875 THYROID PROFILE 876 THYROID STIMULATING HORMONE 876 THYROID STIMULATING HORMONE (REFLEXIVE) 876 THYROID STIMULATING HORMONE 3RD GENERATION 877 THYROID STIMULATING HORMONE RECEPTOR ANTIBODY (TRAB) 877 THYROID STIMULATING IMMUNOGLOBULINS 877 THYROXINE BINDING GLOBULIN 878 THYROXINE, FREE BY EQUILIBRIUM DIALYSIS/HPLC-TMS 878 TIAGABINE, SERUM/PLASMA 879 TISSUE TRANSGLUTAMINASE ANTIBODY, IGA 879 TISSUE TRANSGLUTAMINASE ANTIBODY, IGG 879 2.1 www.paml.com 4/16/2013 page 976 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page TOBRAMYCIN (PAIRED) 880 TOBRAMYCIN (SINGLE) 880 TOBRAMYCIN, PEAK 881 TOBRAMYCIN, TROUGH 881 TOCAINIDE 882 TOPIRAMATE 882 TOPIRAMATE BY GC 883 TORCH TEST, IGG 883 TORCH TEST, IGG & IGM (REFLEXIVE) 883 TORCH TEST, IGM (REFLEXIVE) 884 TOXIC SHOCK SYNDROME ANTIBODY 884 TOXIC-SHOCK SYNDROME TOXIN PANEL 884 TOXOCARA AB, IGG 885 TOXOCARA ANTIBODY 885 TOXOPLASMA ANTIBODY, IGG, CSF 885 TOXOPLASMA GONDII ANTIBODY, IGG 886 TOXOPLASMA GONDII ANTIBODY, IGG & IGM (REFLEXIVE) 886 TOXOPLASMA GONDII ANTIBODY, IGM (REFLEXIVE) 886 TOXOPLASMA GONDII BY PCR 887 TOXOPLASMA GONDII IGG & IGM, CSF 887 TRAMADOL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 887 TRAMADOL BY GC/MS 888 TRAMADOL SCREEN (REFLEXIVE) 888 TRANSFERRIN 888 TRANSPLANT IMMUNE CELL FUNCTION ASSAY 889 TRAZODONE 889 TRAZODONE/NEFAZODONE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 889 TREPONEMA PALLIDUM ANTIBODY , IGG BY IFA (CSF) 890 TREPONEMA PALLIDUM ANTIBODY BY EIA 890 TREPONEMA PALLIDUM ANTIBODY BY EIA (REFLEXIVE) 890 TREPONEMA PALLIDUM ANTIBODY BY TP-PA 891 TREPONEMAL CONFIRMATION PROFILE (REFLEXIVE) 891 TRH STIMULATION, 3 SAMPLES 892 TRH STIMULATION, 4 SAMPLES 892 TRIAMTERINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 893 TRICHINELLA ANTIBODY 893 TRICHOMONAS VAGINALIS BY AMPLIFIED DETECTION (TMA) 893 TRICHROME STAIN 894 TRICYCLIC ANTIDEPRESSANT DETECTION 894 TRIFLUOPERAZINE, SERUM/PLASMA 895 TRIGLYCERIDES 895 TRIHEXYPHENIDYL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 895 TRIIODOTHYRONINE, REVERSE 896 TRIMETHOPRIM (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 896 TRIMETHOPRIM, SERUM OR PLASMA 896 TRIMIPRAMINE & METABOLITE 897 TRIMIPRAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 897 TRIPELENAMINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 897 TROFILE CO-RECEPTOR TROPISM ASSAY 898 TROPHERYMA WHIPPLEI DNA QUALITATIVE RT-PCR 898 TROPONIN I 898 TROPONIN T 899 TRYPANOSOMA CRUZI ANTIGEN 899 TRYPSIN, FECAL 899 TRYPSIN-LIKE IMMUNOREACTIVITY 900 TRYPTASE 900 TUMOR NECROSIS FACTOR-ALPHA 900 TYSABRI ANTIBODIES 901 UDP GLUCURONOSYLTRANSFERASE 1A1 (UGT1A1) GENOTYPING 901 UNSATURATED IRON BINDING CAPACITY 902 UNSTABLE HEMOGLOBIN 902 UREA CLEARANCE 902 UREA NITROGEN 903 UREA NITROGEN/CREATININE RATIO 903 UREA, URINE (RANDOM) 903 UREA, URINE 24HR 904 URIC ACID 904 URIC ACID, FLUID 904 URIC ACID, URINE (RANDOM) 905 URIC ACID, URINE 24HR 905 URINALYSIS 906 2.1 www.paml.com 4/16/2013 page 977 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page URINALYSIS WITH MICROSCOPIC 906 URINALYSIS WITH MICROSCOPIC ANALYSIS 907 URINALYSIS, DIPSTICK 907 URINALYSIS, DIPSTICK ONLY 908 URINALYSIS, MICROSCOPIC ONLY 908 URINALYSIS, MICROSCOPIC ONLY(NEW) 909 URINE TIME AND VOLUME 909 UROBILINOGEN, URINE (QUALITATIVE) 909 VAGINAL PATHOGENS DNA DIRECT PROBE 910 VAGINITIS/VAGINOSIS PANEL 910 VALPROIC ACID 911 VALPROIC ACID, FREE, SERUM/PLASMA 911 VANCOMYCIN 912 VANCOMYCIN, PEAK 912 VANCOMYCIN, PEAK & TROUGH 913 VANCOMYCIN, TROUGH 913 VANILLYLMANDELIC ACID (VMA) & HOMOVANILLIC ACID (HVA), URINE 914 VANILLYLMANDELIC ACID, URINE (RANDOM) 914 VAP CHOLESTEROL TEST 915 VARICELLA ZOSTER & HERPES SIMPLEX ANTIGEN BY DFA, REFLEX TO VIRAL CULTURE (REFLEXIVE) 915 VARICELLA-ZOSTER ANTIBODY, IGG 916 VARICELLA-ZOSTER VIRUS ANTIBODY IGG, CSF 916 VARICELLA-ZOSTER VIRUS ANTIBODY, IGG & IGM 917 VARICELLA-ZOSTER VIRUS ANTIBODY, IGM 917 VARICELLA-ZOSTER VIRUS ANTIBODY, IGM BY ELISA, CSF 917 VARICELLA-ZOSTER VIRUS BY PCR 918 VASCULAR ENDOTHELIAL GROWTH FACTOR 918 VASOACTIVE INTESTINAL POLYPEPTIDE (VIP) 919 VDRL, CSF 919 VENLAFAXINE & METABOLITE, SERUM/PLASMA 920 VENLAFAXINE (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 920 VENOUS ACID BASE PROFILE 920 VERAPAMIL (URINE ONLY) TEST ALSO INCLUDED IN DRUG-SUR. 921 VERAPAMIL, SERUM/PLASMA 921 VIRAL CULTURE (REFLEXIVE) 921 VIRAL DFA STAIN, REFLEXIVE TO VIRAL CULTURE (REFLEXIVE) 922 VISCOSITY 923 VISCOSITY, FLUID 923 VITAMIN A 924 VITAMIN B 12 924 VITAMIN B-1 THIAMINE, PLASMA 925 VITAMIN B-1, (WHOLE BLOOD) 925 VITAMIN B-6 926 VITAMIN B12 & FOLATE 926 VITAMIN B12 BINDING CAPACITY 927 VITAMIN B2, (RIBOFLAVIN) 927 VITAMIN B5 (PANTOTHENIC ACID), SERUM 927 VITAMIN B7 (BIOTIN) 928 VITAMIN C, PLASMA 928 VITAMIN D, 1,25-DIHYDROXY 929 VITAMIN D, 25-HYDROXY 929 VITAMIN D2 D3, 25-HYDROXY BY LC-MS/MS 930 VITAMIN E 930 VITAMIN K1 931 VMA, URINE 24HR 931 VOLATILES 932 VOLTAGE GATED CALCIUM CHANNEL ANTIBODY 932 VON WILLEBRAND FACTOR ACTIVITY 933 VON WILLEBRAND FACTOR ANTIGEN 933 VON WILLEBRAND MULTIMERIC ANALYSIS 934 VON WILLEBRAND MULTIMERIC PANEL 934 VON WILLEBRAND PANEL 935 VON WILLEBRAND PANEL COAGULATION CONSULT 935 VORICONAZOLE LEVEL, HPLC 936 WARFARIN, SERUM OR PLASMA 936 WEST NILE VIRUS 937 WEST NILE VIRUS AB PANEL, IGG & IGM 937 WEST NILE VIRUS ANTIBODIES (IGG, IGM), CSF 937 WEST NILE VIRUS RNA BY RT-PCR 938 WET MOUNT 938 WHITE CELL COUNT 938 2.1 www.paml.com 4/16/2013 page 978 i 800.541.7891 509.755.8600 Fax 509.921.7107 Test Directory i Test Page WOMENS CARRIER SCREEN PANEL (REFLEXIVE) 939 XYLOSE ABSORPTION TEST [CHILD], URINE 24HR 939 XYLOSE ABSORPTION TEST, ADULT 25 GM 940 XYLOSE ABSORPTION TEST, ADULT 5 GM 940 YERSINIA SPECIES ANTIBODY, IGA & IGG 941 YO ANTIBODY SCREEN WITH REFLEX TO TITER AND WESTERN BLOT 941 ZINC 942 ZINC PROTOPORPHYRINS 942 ZINC, RBC 943 ZINC, SERUM/PLASMA 943 ZINC, URINE 24HR 944 ZIPRASIDONE, SERUM/PLASMA 944 ZONISAMIDE 945

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