REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: DEOXYCO11 11-Deoxycortisol (Compound S) Test Number: 3601100 TEST COMPONENTS REV DATE: 07/14/2005 Test Name: Methodology: 11-Deoxycortisol (Compound S) RIA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 1 mL (0.2) Serum Clot Activator (Red Top, No-Gel) Refrigerated Special An early morning specimen is preferred. Please collect in a Red Non-Gel clot tube. Instructions: GENERAL INFORMATION Testing Schedule: Tues, Thur Expected TAT: 3-4 Days Cpt Code(s): 82634 Order Name: HYDRXY 17 17-Hydroxycorticosteroids, 24-Hour Urine Test Number: 3620750 TEST COMPONENTS REV DATE: 10/02/2009 Test Name: Methodology: 17-Hydroxycorticosteroids, 24-Hour Urine COUL SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 15 mL (5) Urine, 24-hour 24 hour Urine Container Refrigerated Special Collect urine with 10 grams of boric acid to maintain pH below 7.5. Record 24-hour urine volume on test request form and urine vial. Instructions: Random urine samples are acceptable, but reference ranges do not apply. GENERAL INFORMATION Testing Schedule: Mon - Fri Expected TAT: 3-5 Days Cpt Code(s): 83491 COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: HYDRXPRGS 17-Hydroxyprogesterone Test Number: 3602390 TEST COMPONENTS REV DATE: 01/25/2010 Test Name: Methodology: 17-Hydroxyprogesterone TMS SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 1 mL (0.25) Serum Clot Activator (Red Top, No-Gel) Frozen Alternate 1 mL (0.25) Plasma EDTA (Lavender Top) Frozen 1 mL (0.25) Plasma Lithium Heparin (Dark Green Top / No-GEL) Frozen Special The preferred specimen is Frozen Serum or Plasma. Specimen should be separated from cells ASAP! Instructions: Stability: After separation from cells: Ambient: 48hr; Refrigerated: 1 week; Frozen: 2 years. GENERAL INFORMATION Testing Schedule: Mon, Thu Expected TAT: 2-6 Days Cpt Code(s): 83498 Order Name: KETOSTER17 17-Ketosteroids, 24-Hour Urine Test Number: 3656050 TEST COMPONENTS REV DATE: 04/15/2011 Test Name: Methodology: 17-Ketosteroids, 24-Hour Urine COLO SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 20mL (10mL) Urine, 24-hour 24 hour Urine Container Refrigerated Special Collect urine with 10 grams of boric acid or or 25 mL 50% Acetic Acid or 30 mL 6N HCl during collection to maintain pH below 7.5. Instructions: Keep urine refrigerated during collection and after collection. Record 24-hour urine volume on test request form and urine vial. GENERAL INFORMATION Testing Schedule: Mon - Fri Expected TAT: 2-3 Days Notes: Methodology: Colorimetric with Modified Zimmerman Reaction. Cpt Code(s): 83586 COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: HYDRXY 18 18-Hydroxycorticosterone Test Number: 2011000 TEST COMPONENTS REV DATE: 05/26/2010 Test Name: Methodology: 18-Hydroxycorticosterone HPLC SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 3mL (1mL) Serum Clot Activator SST (Red/Gray or Tiger Top) Frozen Special Allow to clot then separate and freeze within one hour. Store and ship frozen in plastic vial. Minimum volume does not permit Instructions: repeat analysis. GENERAL INFORMATION Testing Schedule: Monday Expected TAT: 4-9 Days Cpt Code(s): 82542 Order Name: PT PTT AN Abnormal PT/PTT Analyzer Test Number: 1507500 TEST COMPONENTS REV DATE: 11/30/2012 Test Name: Methodology: Abnormal PT/PTT Analyzer SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 46 mL See Instructions See Instructions See Instructions Special Please indicate anticoagulant therapy and submit with specimen or fax "Coagulopathy Questionnaire Form" to 918-744-3236. Instructions: Please collect Twelve 3mL Sodium Citrate 3.2% (Blue Top) tubes and One 10mL Clot tube (Tiger Top) and One 5mL EDTA (Lavender Top). Each Sodium Citrate blue top tube must be filled to the proper level, no hemolysis. Improperly filled tubes can give erroneous results. Whole blood must be transported to lab immediately. If sending citrated plasma aliquots, they must be double spun then aliquot 1.5 ml plasma from each tube into individual plastic aliquot tubes and freeze. Do not pool aliquots together! GENERAL INFORMATION Testing Schedule: Individual Test Dependant Expected TAT: 5-10 Days Clinical Use: This analyzer is designed to evaluate patients with an unexplained prolonged PT or PTT in whom there is no clinical history or strong clinical suspicion of either bleeding or thrombolytic tendency. A pathologist interpretation and patient focused report with summation of test results will be issued with each order. Notes: For more information on this Analyzer, access our "Specialized Tests" section of this guide for a complete listing of tests and CPT codes. Cpt Code(s): See the Test Notes Section of this test. COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: ABORH ABO Group & Rh Type Test Number: 7301010 TEST COMPONENTS REV DATE: 01/04/2005 Test Name: Methodology: ABO Rh Interpretation HA Anti-A HA Anti-B HA Anti-D HA A1 Cells HA B Cells HA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 7 mL (3.5) Whole Blood EDTA (Pink Top) Room Temperature Alternate 7 mL (3.5) Whole Blood EDTA (Lavender Top) Room Temperature GENERAL INFORMATION Testing Schedule: Daily Expected TAT: 1 Day Clinical Use: Used to determine the patient's blood type. Notes: Extended Rh typing, Du typing, will be performed on all women of child bearing age. Cpt Code(s): 86900; 86901 COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: ABORHN ABORh Newborn Test Number: 7301020 TEST COMPONENTS REV DATE: 10/28/2011 Test Name: Methodology: Anti-A HA Anti-B HA Anti-A,B HA Anti-D HA Du HA ABO Rh Interpretation HA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 2 mL (1) Cord Blood No Additive Clot (Red Top, No-Gel, Plastic) Room Temperature Alternate 2 mL (1) Whole Blood EDTA (Lavender) Microtainer/Bullet Room Temperature GENERAL INFORMATION Testing Schedule: Daily Expected TAT: 1 day Clinical Use: Used to determine the patient's blood type Notes: For forward blood typing in patients less than 3 months old. Cpt Code(s): 86900, 86091 Order Name: ACETAMIN Acetaminophen Quantitative Test Number: 4000050 TEST COMPONENTS REV DATE: 11/12/2003 Test Name: Methodology: Acetaminophen Quantitative CEDIA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 1 mL (0.5) Plasma Lithium Heparin PST (Light Green Top) Refrigerated Alternate 1 mL (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special Specimen stability: Ambient 8 hours. Refrigerated 7 days. Instructions: GENERAL INFORMATION Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: Useful for monitoring toxicity in overdose cases. Cpt Code(s): 82003 COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: ACETAM SC Acetaminophen Screen Serum Test Number: 4302050 TEST COMPONENTS REV DATE: 05/12/2010 Test Name: Methodology: Acetaminophen Screen Serum CEDIA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 1 mL (0.5) Serum Clot Activator (Red Top, No-Gel) Refrigerated Special Recommended collection time is four hours after an oral dose. Instructions: Stability: Room temperature:8hrs. Refrigerated:7days. GENERAL INFORMATION Testing Schedule: Daily Expected TAT: 1-2 days Clinical Use: Useful for monitoring toxicity in overdose cases. Cpt Code(s): 80101 Order Name: ACETY BND Acetylcholine Receptor Binding Antibody Test Number: 5500010 TEST COMPONENTS REV DATE: 08/15/2011 Test Name: Methodology: Acetylcholine Receptor Binding Antibody RIA SPECIMEN REQUIREMENTS Specimen Specimen Type Specimen Container Transport Volume(min) Environment Preferred 1 mL (0.5) Serum Clot Activator (Red Top, No-Gel) Refrigerated Alternate 1 mL (0.5) Serum Clot Activator SST (Red/Gray or Tiger Top) Refrigerated Special SST Clot tubes acceptable, however it is best if collected in non-gel clot tubes. Specimen stability: Room temperature: 2 hours; Instructions: Refrigerated: 2 weeks; Frozen: 1 year. GENERAL INFORMATION Testing Schedule: Sun-Sat Expected TAT: 4-5 Days Clinical Use: Used to aid in the differential diagnosis of myasthenia gravis-like muscle weakness, in differentiating between generalized MG and ocular MG, and in monitoring therapeutic response. Cpt Code(s): 83519 COPYRIGHT REGIONAL MEDICAL LABORATORY 2013: VISIT US ONLINE AT: www.rmlonline.com REGIONAL MEDICAL LABORATORY 1923 SOUTH UTICA AVENUE TULSA, OKLAHOMA 74104-6502 Order Name: ACETY BLK Acetylcholine Receptor Blocking Antibody Test Number: 5500020 TEST COMPONENTS REV DATE: