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LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 1 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ANTI-CENTOMERE AB ANTI-PHOSPHOLIPID ANTIBODY PANEL

LABCORP TEST #

LCA

LIS MNEMONIC CARDGAM PHOSPHSER (You must order both tests)

MIS STANDARDIZED NAME

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT

NO LONGER ORDERABLE, INCLUDED IN THE ANA

LCA SEE CLUSTER LISTS ON BOTH TESTS CLUSTER 3.5 ml serum

(This includes the following LabCorp tests: CARDOLIPIN IGG, IGA, IGM LabCorp Test # 161950 and PHOSPHATIDYLSERINE ANTIBODIES (G, A, AND M) LabCorp Test # 117994)

BENCE JONES PROTEIN (See Immunofixation urine #123034) BLOOD PARASITES (MALARIA)

NO LONGER SENT TO LABCORP PLEASE SEND TO STATE LAB

BLDPARA

SMEAR BLOOD PARASITE

837298

87207

(For detailed instructions, please see Microbiology Procedure manual) Fingerstick the patient and make 3 sets of thick and thin smears. Stain one set in Hematology, review and report as either negative or positive. Both results have canned text attached stating "specimen sent to ref lab for confirmation, this Wright's is considered a prelim result." A negative has additional text stating a single negative does not rule out a diagnosis of blood parasites. A positive result is a critical value with a call box attached and you need to quantitate number of parasites present. File as PRELIMINARY VERIFIED if pathologist has not yet reviewed. File as FINAL VERIFIED once one of the Belli's has reviewed. Under Path Review, do not enter any result until Pathologist has reviewed. Send other two sets of smears in a plastic slide mailer to TDH. See Micro manual for specific instructions.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 2 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME BORDATELLA PERTUSSIS BY PCR

LABCORP TEST #

LCA

LIS MNEMONIC PERT

MIS STANDARDIZED NAME BORD PERTUSSIS AMP PR

PROCEDURE CODE

CPT CODE 87798

SPECIMEN REQUIREMENT A nasopharyngeal swab is the specimen of choice but a nasopharyngeal wash can be submitted in no other sample is available. Specimens must not contain blood or heavy mucous secretions. Collections with cotton or calcium alginate swabs, wooden sticks or metal wires are unacceptable specimens. MUST USE KIT AND INSTRUCTIONS PROVIDED BY TDSHS 5 gm meconium (See Medtox information sheet for all instructions)

NO LONGER SENT TO LABCORP PLEASE SEND TO STATE LAB

894684

DRUG SCREEN MECONIUM MEDTOX TEST # 4022 HERPES ZOSTER -- (SEE

NO LONGER SENT TO LABCORP PLEASE SEND TO MEDTOX

Test not built in Lab module

DRUG SCR COMPREHENSIVE

826599

80100

VARICELLA ZOSTER)

DEOXYCORTISOL 11 001131 LCA DEOXY DEOXYCORTISOL 11 826340 82634 2 ml serum or Na Heparin plasma from a NaHep green top tube

T4 RIA T3 RESIN UPTAKE FECAL FAT QUANTITATIVE (CANNOT SEND WITH STOOL FOR ELECTROLYTES)

001149 001156 001354

LCA LCA

T4R T3RESIN FATQUAN

T4 TOTAL T3 UPTAKE FECAL FAT QUANT

844360 893974 827101

84436 84479 82710

IMMUNOFIXATION/ ELECTROPHORESIS CSF

001438

Test not built in Lab module

SEE CLUSTER LIST

CLUSTER

2 ml serum 2 ml serum Special weighed container: 72-hour stool collection. Request form must state collection time in hours. (Collections of 24-48 hours are not recommended since results are subject to greater variability.) Keep specimen cold during collection. LabCorp will not accept leaking container. 2 ml CSF

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 3 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VITAMIN C

LABCORP TEST #

LCA

LIS MNEMONIC VITC

MIS STANDARDIZED NAME VIT C (ASCORBIC ACID)

PROCEDURE CODE

CPT CODE 82180

SPECIMEN REQUIREMENT 2 ml serum or EDTA plasma from a purple top tube, or heparinized plasma from a green top tube. (FROZEN and YOU MUST WRAP IN FOIL TO PROTECT FROM LIGHT. PLEASE PLACE LABEL ON TUBE AND OUTSIDE OF FOIL WRAP.) 2 ml serum, frozen, YOU MUST WRAP IN FOIL TO PROTECT FROM LIGHT. PLEASE PLACE LABEL ON TUBE AND OUTSIDE OF FOIL WRAP. Patients must fast a minimum of 8 hours. No foods containing carotene should be ingested in the previous 48 hours by patients older than 6 months. For those who are younger than 6 months, the period is 24 hours. 0.5 ml serum, Draw in chilled tube. Separate serum from cells. Keep specimen on ice, refrigerate immediately. 4 ml serum 4 ml serum 2 ml serum, No SST 2 gm stool 3 ml serum

001479

821800

CAROTENE, BETA

001529

Test not built in Lab module

CAROTENE

884531

82380

CERULOPLASMIN

001560

LCA

CER

CERULOPLASMIN

823903

82390

COPPER SERUM ALK PHOS ISOENZYMES HAPTOGLOBIN FECAL FAT QUALITATIVE IMMUNOFIXATION SERUM 5-NUCLEOTIDASE NUCLEOTIDASE 5 PHOSPHOLIPIDS, SERUM THYROXINE BINDING GLOBULIN IMMUNOGLOBULINS IGG,A,M IMMUNOGLOBULIN G IMMUNOGLOBULIN A IMMUNOGLOBULIN M

001586 001612 001628 001677 001685 001701 001701 001727 001735 001768 001776 001784 001792

LCA LCA LCA LCA LCA LCA LCA

COP ALKPISO HAPT FATQUAL IMM-SER NUC5 NUC5

COPPER BLD SEE CLUSTER LIST HAPTOGLOBIN FECAL FAT QUAL SEE CLUSTER LIST NUCLEOTIDASE 5 NUCLEOTIDASE 5 PHOSPHOLIPIDS SPECTRO

825256 CLUSTER 830105 827054 CLUSTER 884374 884374 856153 884823 862280 835191 863309

82525 83010 82705

83915 83915 84311 84442 82784 82784 82784

2 ml serum 2 ml serum 2 ml serum, (patient must be fasting 12-14 hours prior to drawing specimen) 1 ml serum 1 ml serum 1 ml serum 1 ml serum 1 ml serum

LCA LCA LCA LCA

TBG IGGAM IGG IGA IGM

THYROXINE BG (TBG) SEE CLUSTER LIST IGG IGA IGM

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 4 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ZINC

LABCORP TEST #

LCA

LIS MNEMONIC ZINC

MIS STANDARDIZED NAME ZINC

PROCEDURE CODE

CPT CODE 84630

SPECIMEN REQUIREMENT 2 ml serum, Royal blue-top (sodium EDTA) tube, red-top tube, or royal blue-top (heparin) tube. Plasma is preferred. Send at Room Temperature 2 ml serum, Allow to clot at room temp for 15-30 minutes, then centrifuge. 3 ml serum (Please send at room temperature) 4 ml EDTA whole blood from a purple top tube (Must send 2 purple top tubes) Please send in initial tubes blood was collected in. 1 ml serum (frozen) 10 slides from green top tube whole blood 1 ml serum 3 ml EDTA plasma (frozen) 2 ml serum 2 ml CSF 2 ml serum 1 ml serum 2 ml serum 1 ml serum 2 ml serum or EDTA plasma from a purple top tube 5 ml CSF 2 ml serum 2 ml serum or EDTA plasma 2 ml serum 30 ml aliquot of a 24-hour urine specimen, no additive and 1 ml serum 1 ml amniotic fluid in sterile container. Must state Gestational age and by what method determined: (LMP, EDD, Ultrasound)

001800

846308

COMPLEMENT C4 LDH ISOENZYMES GLUCOSE 6-PHOSPHATE DEHYDROGENASE QUANT (G-6-PD) COMPLEMENT TOTAL CH50 LEUKOCYTE ALKALINE PHOSPHATASE ALPHA-1-ANTITRYPSIN RENIN ALDOLASE CHLORIDE CSF CK ISOENZYMES IMMUNOGLOBULIN D IMMUNOGLOBULIN E T3 BY RIA T3 REVERSE PROTEIN ELECTROPHORESIS CSF ALPHA FETO PROTEIN TUMOR MARKER CARBOHYDRATE ANTIGEN 19-9 CANCER ANTIGEN 125 UREA NITROGEN CLEARANCE ALPHA FETO PROTEIN AMNIOTIC FLUID

001834 001842 001917

LCA

COMC4 LDHISO G6PDQUANT

COMPLEMENT C4 LDH ISOENZYMES G-6-PD QUANT

861421 836259 884348

86160 83625 82955

001941 001966 001982 002006 002030 002063 002154 002162 002170 002188 002212 002246 002253 002261 002303 002329 002428

LCA LCA LCA LCA LCA

CH50 LAP ALPH1TR RENIN ALDO CSFCL CKISO

COMPLEMENT TOT (CH50) LEUKO ALK PHOS STAIN A-1-ANTITRYPSIN TOTAL RENIN ALDOLASE CHLORIDE CSF CK-ISOENZYMES IGD IGE T3 TOTAL T3 REVERSE SEE CLUSTER LIST ALPHA FETOPROTEIN CA 19-9 CA 125 UREA CLEARANCE ALPHA FETOPROT AMN FL

894179 855401 860670 842332 820853 824361 825500 894237 884611 834416 834411

86162 85540 82103 84244 82085 82438 82552 82784 82785 84480 84482

LCA LCA LCA LCA LCA LCA LCA LCA

IGD IGE T3R T3REV PRELCSF AFPTUMOR CA19-9 CA125 Test not built in Lab module. Test not built in lab module

863296 842312 842310 845208 863299

82105 86301 86304 84520 82106

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 5 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME PORPHOBILINOGEN QN RANDOM URINE

LABCORP TEST #

LCA LCA

LIS MNEMONIC

UPORPHRAN

MIS STANDARDIZED NAME PORPHOBILINOGEN UR QUANT

PROCEDURE CODE

CPT CODE 84110

SPECIMEN REQUIREMENT 5 ml aliquot of 24 hour spec, Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape)., add acetic acid Plastic urine container with 0.5 mL of 33% glacial acetic acid. 10 ml urine 50 ml aliquot of 24 hour spec, Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape)., add acetic acid, send frozen 50 ml aliquot of 24 hour spec, Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape)., no preservative 10 ml aliquot of a 24-hour urine, add 6 N HCL to acidify pH 10 ml aliquot of a 24-hour urine, add 6 N HCL to acidify pH 50 ml aliquot of 24 hour spec, 6N HCL, pH must be 4.0 or less. Maintain specimen at room temperature. 5 ml aliquot from a 24-hour specimen or a random specimen. 24-hour specimen must state collection volume. NO PRESERVATIVES, keep specimen at room temperature

003053

841110

URINE MYOGLOBIN PORPHOBILINOGEN QN 24HOUR URINE

003079 003103

LCA

UMYO UPORPH24

MYOGLOBIN URINE PORPHOBILINOGEN UR QUANT

838740 841110

83874 84110

URINE PORPHYRINS, FRACTIONATED

003194

LCA

PORPHY24

PORPHYRINS UR QUANT

824911

84120

PHOSPHORUS URINE 24 HOUR URINE PHOSPHORUS 24 HOUR URINE URINE CALCIUM 24HOUR

003251 003251 003269 UCA

PHOSPHORUS URINE PHOSPHORUS URINE CALCIUM UR QUANT

841050 841050 823146

84105 84105 82340

URINE COPPER

003343

Test not built in Lab module

COPPER URINE

825303

82525

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 6 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME URINE CYSTINE 24HOUR GLUCOSE, QUANTITATIVE, URINE 24 HOUR URINE GLUCOSE, QUANTITATIVE, 24 HOUR URINE URINE MAGNESIUM 24 HOUR URIC ACID 24 HOUR URINE UREA NITROGEN 24 HOUR URINE OSMOLALITY URINE (RANDOM OR 24-HOUR URINE)

LABCORP TEST #

LCA

LIS MNEMONIC URCYST Test not built in lab module. Test not built in lab module. MAG24U URICU Test not built in Lab module OSMOU Or OSMOU24 (If 24-hour specimen) UOXAL

MIS STANDARDIZED NAME CYSTINE QUANT GLUCOSE BODY FLD QN GLUCOSE BODY FLD QN MAGNESIUM URINE URIC ACID UR URINE UREA NITROGEN OSMOLALITY URINE

PROCEDURE CODE

CPT CODE 82131 82945 82945 83735 84560 84540 83935

SPECIMEN REQUIREMENT 25 ml aliquot of a 24-hour urine specimen, 6N HCL send frozen Aliquot of a 24 hour urine, send refrigerated. 1 gram boric acid for preservative. Aliquot of a 24 hour urine, send refrigerated. 1 gram boric acid for preservative. 25 ml aliquot of a 24-hour urine specimen, 6N HCL 50 ml aliquot of a 24-hour urine specimen, no additive 20 ml aliquot of a 24-hour urine specimen, no additive 2 ml of random urine or aliquot from 24-hour urine. Make sure to record total urine volume on 24-hour urines. Centrifuge urine and put in plastic transport tube. 50 ml aliquot of a 24-hour urine specimen, 6N HCL 100 ml aliquot of a 24-hour urine specimen, 6N HCL, or Boric Acid 100 ml aliquot of a 24-hour urine specimen, 6N HCL, or Boric Acid 50 ml aliquot of 24 hour spec, no preservative 50 ml aliquot of a 24-hour urine, (add 0.5 gm boric acid) 2 ml EDTA plasma or 2 ml serum, refrigerated 50 ml aliquot of 24 hour spec, 6N HCL 50 ml aliquot of 24 hour spec, 6N HCL 50 ml aliquot of 24 hour spec, 6N HCL 50 ml aliquot of 24 hour spec, 6N HCL

003350 003376 003376 003400 003418 003541 003442 LCA

826202 829473 829473 837354 845600 845401 839310

OXALATE QUANT 24-HOUR URINE 17-KETOGENIC STEROIDS 24HR URINE 17-KETOSTEROIDS TOTAL (U) 5HIAA (See also Serotonin) FSH URINE 24 HOUR DEHYDROEPIANDROSTERONE (DHEA) VMA 24-HOUR URINE URINE CATECHOLAMINES FRACTIONATED METANEPHRINES, FRAC QUANT 24HR URINE URINE METANEPHRINES, FRACTIONATED

003970 004010 004028 004069 004085 004101 004143 004176 004234 004234 LCA LCA LCA LCA LCA LCA LCA

OXALATE UR KETOGENIC STEROID FRAC 17 KETOSTEROIDS TOTAL 5 HIAA FSH URINE DHEA VMA URINE CATECHOL FRACTION UR METANEPHRINES FRACT METANEPHRINES FRACT

841262 832551 843050 842633 884361 894272 831403 884268 831463 831463

83945 83582 83586 83497 83001 82626 84585 82384 83835 83835

17KETGU 17KETOU 5HIAA FSHU24 Test Not built in lab module VMAU CATFU METAUR METAUR

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 7 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME 17 -HYDROXYCORTICOSTEROIDS 24 HOUR URINE GROWTH HORMONE (HUMAN) ALDOSTERONE, URINE 24-HOUR PROGESTERONE INSULIN ALDOSTERONE, SERUM GASTRIN

LABCORP TEST #

LCA

LIS MNEMONIC 17HCS

MIS STANDARDIZED NAME 17 HYDROXYCORT (17OH) GROWTH HORMONE ALDOSTERONE PROGESTERONE INSULIN TOTAL ALDOSTERONE GASTRIN

PROCEDURE CODE

CPT CODE 83491 83003 82088 84144 83525 82088 82941

SPECIMEN REQUIREMENT 100 ml aliquot of a 24-hour urine specimen, 6N HCL, or Boric Acid 1 ml serum 20 ml aliquot of a 24-hour urine specimen, 10 gm Boric Acid 2 ml serum 2 ml serum 2 ml serum 1 ml serum (send frozen) (If

004242 004275 004291 004317 004333 004374 004390 LCA LCA LCA LCA LCA

831856 833803 860131 841412 835122 860131 884337

HGH Test not built in Lab PROG INSULIN ALDOST GASTRIN

this test is sent with a serotonin, YOU MUST SEND A TUBE FOR EACH TEST)

2 ml serum 2 ml serum 50 ml aliquot of a 24 hour urine, 1 gm of boric acid 2 ml EDTA plasma from a purple top tube, (frozen) 2 ml EDTA plasma from a purple top tube, (frozen) 1 ml serum 3 ml serum 3 ml serum 7 ml serum 3 ml serum 2 ml EDTA plasma from a purple top tube: Draw in a chilled lavender stopper tube. Find the special Trasylol® Kit in Chemistry refrigerator. Using one of the sterile Beral pipettes inserted under the grey foam, add 0.5 ml Trasylol® to the tube and mix well. Centrifuge the sample and remove the plasma. Freeze the plasma immediately. SHIP FROZEN 1 ml serum (frozen)

BETA HCG TUMOR MARKER HCG (BETA ) TUMOR MARKER CORTISOL FREE 24-HOUR URINE ACTH PLASMA ADRENOCORTICOTROPIC HORMONE (SEE ACTH, ABOVE) PROLACTIN ESTROGEN TOTAL ESTRONE ESTROGEN FRACTIONATED SERUM ESTRIOL GLUCAGON

004416 004416 004432 004440 004440 004465 004549 004564 004606 004614 004622

LCA LCA

HCGTUMOR HCGTUMOR

HCG QUANT TUMOR HCG QUANT TUMOR CORTISOL FREE URINE ACTH ACTH PROLACTIN ESTROGEN TOTAL ESTRONE ESTROGENS FRACT ESTRIOL TOTAL GLUCAGON

884439 884439 825340 866532 866532 870171 832303 826701 826706 884613 829430

84702 84702 82530 82024 82024 84146 82672 82679 82671 82677 82943

CORT24 LCA LCA LCA LCA LCA LCA LCA LCA ACTH ACTH PROLAC ESTROGEN ESTRONE ESTFRAC ESTRI GLUCAGON

C1 ESTERASE INHIBITOR, SERUM

004648

LCA

C1EST

COMPLEMENT C1 EST INHIB

861580

86160

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 8 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VITAMIN B6

LABCORP TEST #

LCA

LIS MNEMONIC VITB6

MIS STANDARDIZED NAME VITAMIN B6

PROCEDURE CODE

CPT CODE 84207

SPECIMEN REQUIREMENT 1 ml EDTA plasma, (frozen) Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 1 ml serum 2 ml serum 1 ml serum or 1 ml Na Heparin plasma from a NaHep green top tube 0.5 ml serum 1 ml plasma from a gray top tube 1 gray top tube, add perchloric acid to tube and mix. Send supernatant refrigerated. Unopened SST 5 ml serum 3 ml serum (frozen) 10 ml urine (frozen) 2 ml serum 2 ml serum 7 ml whole blood from EDTA purple top tube Please send in initial tubes blood was collected in. 2 ml serum 5 ml plasma from green top tube 3 ml serum , No SST, AND 1 5 ml whole blood from a purple top tube. Please send in initial tube blood was collected in. 1 ml serum

004655

842071

DEHYDROEPIANDROSTERONE, SULFATE ANDROSTENEDIONE 17-ALPHAHYDROXYPROGESTERONE PROSTATIC ACID PHOSPHATASE LACTIC ACID PYRUVIC ACID CALCIUM IONIZED VISCOSITY, SERUM CALCITONIN CYCLIC AMP URINE TRANSFERRIN HIV ­ 1 P24 ANTIGEN SICKLE CELL SCREEN (HEMOGLOBIN SOLUBILITY) HIV ­ 1 AB CONFIRM BY WESTERN BLOT PLASMA FREE HEMOGLOBIN ANTIBODY IDENTIFICATION ( RED CELL AB ID) SM & RNP ANTIBODIES (ANTIEXTRACTABLE NUCLEAR AG ANTIBODIES)

004697 004705 004713 004747 004770 004788 004804 004861 004895 004903 004937 005140 005223 005462 005595 006213

LCA

DHEAS Test not Built in Lab Module

DHEA-S ANDROSTENEDIONE HYDROXYPROG 17D ACID PHOSPHATASE PROST LACTIC ACID PYRUVIC ACID (PYRUVATE) CALCIUM IONIZED VISCOSITY CALCITONIN CYCLIC AMP TRANSFERRIN HIV-1 AG EIA SICKLE CELL SCREEN HIV AB WESTERN BLOT HEMOGLOBIN PLASMA ANTIBODY ID EA

894271 821570 831857 840608 836055 836057 800019 825396 824819 894260 844763 863111 856606 863140 894566 860241

82627 82157 83498 84066 83605 84210 82330 85810 82308 82030 84466 87390 85660 86689 83051 86870

LCA LCA LCA

HYDROXYPRO

PAP LA Test not built in Lab module. CAION VISC CALC CYAMPU TRANSF HIV1P24 SICKSCR HIVCON

LCA LCA LCA LCA

LCA

PFHGB ABIDLC

006338

LCA

SMRNPAB

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 9 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME COLD AGGLUTININ TITER, QUANTITATIVE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module

MIS STANDARDIZED NAME COLD AGGLUTININ TITER

PROCEDURE CODE

CPT CODE 86157

SPECIMEN REQUIREMENT 1 ml serum (Transport blood immediately to lab. Incubate at 37o C and allow to clot at 37o C. Do not refrigerate prior to separation of serum from red cells. 1 ml serum; FTA antibodies should not be used to follow disease activity or response to treatment since fluorescence has no relation to disease activity. Antibody levels remain elevated for life.

006353

821304

TP -- T PALLIDUM AB (FTA-ABS)

006379

LCA

TPFTA

FTA AB CONFIRM

866507

86781

(THIS IS THE REFLEXED CONFIRMATORY TEST FOR REACTIVE RPR'S It will automatically reflex with a reactive RPR or CAN BE ORDERED DIRECTLY BY THE PHYSICIAN)

HEP B SURF AB, QUANT FOR (INFECTION CONTROL) HEPATITIS B SURFACE ANTIBODY QUANT CSF VDRL COMPLEMENT C3 TOXOPLASMA GONDII IGG QN PARIETAL CELL ANTIBODIES CYTOMEGALOVIRUS IGG ANTIBODY RA (RHEUMATOID ARTHRITIS FACTOR) QUANTITATIVE (Send if physician requests a quantitative after our screen test is positive) HEPATITIS B SURFACE AG ­ PRENATAL (SENT TO LAB CORP ONLY WHEN CONFIRMATION IS NEEDED) (POSITIVE TEST RESULT AUTOMATICALLY REFLEXES TO ORDER THE SEND-OUT CONFIRMATORY TEST) 006395 006395 006445 006452 006478 006486 006494 006502 LCA LCA LCA LCA LCA LCA LCA HEPBSABQN HEPBSAB VDRL COMC3 TOXOG PARIAB CMVG Test not built in Lab module. LCA

PREHEPBAGCON

HB S AB QUAN HB S AB QUAN VDRL CSF QUAL COMPLEMENT C3 TOXO IGG QUANT PARIETAL AB QUAL CMV IGG QUAL RA QUANT

862901 862901 893963 861410 862565 862359 893925 864300

86317 86706 86592 86160 86317 86255 86644 86431

3 ml serum 3 ml serum 1 ml CSF 1 ml serum, Allow to clot at room temp for 15-30 minutes, then centrifuge. 4 ml serum 2 ml serum 1 ml serum 1 ml serum

006510

(BILLED AS A PART OF THE PRENATAL PROFILE)

1 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 10 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HEPATITIS B SURFACE ANTIGEN (SENT TO LAB CORP ONLY WHEN CONFIRMATION IS NEEDED) (POSITIVE TEST RESULT AUTOMATICALLY REFLEXES TO ORDER THE SEND-OUT CONFIRMATORY TEST) CRYPTOCOCCAL AG SERUM HEPATITIS BE ANTIGEN C REACTIVE PROTEIN HEPATITIS BE ANTIBODY SMOOTH MUSCLE ANTIBODY (ACTIN) MITOCHONDRIAL M2 ANTIBODIES MICROSOMAL ANTIBODIES (See Thyroid Peroxidase Ab, this list) THYROID PEROXIDASE ANTIBODIES (Microsomal Ab) THYROGLOBULIN ANTIBODIES THYROID ANTI-THYROGLOBULIN ANTIBODIES HEP B CORE AB TOTAL HEPATITIS B CORE ANTIBODY HEPATITIS A ANTIBODY, TOTAL HEPATITIS A IGM ANTIBODY MUCIN CLOT, SYNOVIAL FLUID ROTOVIRUS ANTIGEN DETECTION BY EIA AMOEBIC ANTIBODIES BACTERIAL ANTIGENS (CSF) (DIRECTOGEN)

LABCORP TEST #

LCA LCA

LIS MNEMONIC HEPBAGCON

MIS STANDARDIZED NAME HEP B S AG EIA

PROCEDURE CODE

CPT CODE 87340

SPECIMEN REQUIREMENT 1 ml serum

006510

884371

006551 006619 006627 006635 006643 006650 006676 006676 006692 006692 006718 006718 006726 006734 006841 006866 006874 006890

LCA LCA LCA LCA LCA LCA

CRYPTAG HEPBEAG CRP HEPBEAB SMTHAB MITOAB

THYROPEROX

CRYPTOCOCCAL AG LATEX HEP B E AG EIA C REACTIVE PROTEIN HB E AB QUAL ANTI SM MUSCLE AB QL MITOCHOND AB TITER THYROID PEROXIDASE AB THYROGLOB AB QUAL THYROGLOB AB QUAL HEP B CORE AB TOTAL HEP B CORE AB TOTAL HEP A AB TOTAL HEP A AB IGM QUAL MUCIN CLOT SYNOVIAL ROTAVIRUS AG EIA AMOEBIC AB SEE CLUSTER LIST

860673 862930 860328 862950 860555 884484 863762 868000 868000 862890 862890 862960 884366 838720 879991 810045

86403 87350 86140 86707 86255 86256 86376 86800 86800 86704 86704 86708 86709 83872 87425 86753

2 ml serum 1 ml serum or EDTA plasma from a purple top tube 2 ml serum 1 ml serum or EDTA plasma from a purple top tube 1 ml serum 2 ml serum 1 ml serum 1 ml serum 1 ml serum 2 ml serum 2 ml serum 2 ml serum 2 ml serum 2 ml Synovial fluid in a NaHep green top tube , or 2 ml Synovial fluid in an EDTA purple top tube 2 gm stool, no preservative 2 ml serum 3 ml CSF, 3 ml serum, or 10 ml urine. (CSF is preferred specimen)

LCA

LCA LCA LCA LCA LCA LCA LCA LCA

THYROGLOB THYROGLOB

HEPBCAB HEPBCAB HEPAAB HEPAM MUCIN ROTA AMOEAB BACTAG

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 11 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HLA-B27 DISEASE ASSOCIATION ANTIGEN (our cost is $22.50)

LABCORP TEST #

LCA LCA

LIS MNEMONIC HLAB27

MIS STANDARDIZED NAME HLA B27

PROCEDURE CODE

CPT CODE 86812

SPECIMEN REQUIREMENT 7 ml whole blood from an EDTA purple top tube Please send in initial tube blood was collected in. (Send at room temp) HLA-B27 is strongly associated with ankylosing spondylitis (MarieStrumpell Disease) 2 ml serum 25 ml aliquot of a random or 24-hour urine. NO PRESERVATIVES, Maintain specimen at room temperature. Do not prepare venipuncture site with alcohol or remove stopper from tube! 7 ml blood in a red top tube. DO NOT OPEN TUBE,

006924

821296

LIDOCAINE (XYLOCAINE) ARSENIC URINE

007013 007039

LCA

LIDO Test not Built in Lab Test not Built in Lab module

LIDOCAINE (XYLOCAINE) ARSENIC URINE

837191 821757

80176 82175

VOLATILES, BLOOD

007062

VOLATILES, QN

846002

84600

SUBMIT ORIGINAL TUBE.

BARBITURATE SERUM TOBRAMYCIN RANDOM 007088 007153 LCA LCA BARBQT TOB BARBITURATES QL SQN TOBRAMYCIN QUANT 822061 884279 80101 80200 4 ml serum 1 ml serum or 1 ml plasma from a green top lithium heparin tube, please label tube as a RANDOM level; no SST 1 ml serum or 1 ml plasma from a green top lithium heparin tube, please label tube as a PEAK level; no SST, Draw 30 minutes after IM dose or completion of IV dose. 1 ml serum or 1 ml plasma from a green top lithium heparin tube, please label tube as a TROUGH level; no SST, Draw 30 minutes prior to dose. 1 ml serum or EDTA plasma, No SST, Draw Peak 30-60 minutes after IM dose, and 30 minutes after IV dose is completely infused. 1 ml serum or EDTA plasma, No SST, please draw 30 minutes prior to IM or IV dose. 2 ml serum, separate immediately

TOBRAMYCIN PEAK

007154

LCA

TOBP

TOBRAMYCIN PEAK

884283

80200

TOBRAMYCIN TROUGH

007155

LCA

TOBT

TOBRAMYCIN TROUGH

884283

80200

AMIKACIN PEAK

007204

LCA

AMIKP

AMIKACIN QUANT

821425

80150

AMIKACIN TROUGH CHOLINESTERASE, SERUM

007205 007211

LCA

AMIKT Test not built in Lab module

AMIKACIN QUANT PSEUDOCHOLINESTERASE

821425 893952

80150 82480

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 12 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ARSENIC BLOOD PROCAINAMIDE (PRONESTYL) WITH NAPA METABOLITE ($16.06)

LABCORP TEST #

LCA LCA LCA

LIS MNEMONIC ARS PROC

MIS STANDARDIZED NAME ARSENIC BLOOD PROCAIN WITH NAPA

PROCEDURE CODE

CPT CODE 82175 80192

SPECIMEN REQUIREMENT 5 ml whole blood from Dark Royal Blue top tube. Please send in initial tubes blood was collected in. 1 ml serum or 1 ml heparinized plasma, no SST tubes Peak blood levels are reached within 1 hour. Optimal sampling time after oral dosage is 1-2 hours. Optimal sampling time after I.V. administration of dose is 30 minutes. The drug is converted by the liver to its active metabolite, NAPA. The half-life of procainamide is 2-6 hours and for NAPA is 8 hours. 5 ml EDTA whole blood, purple top tubes Please send in initial tubes blood was collected in. 2O ml aliquot of a random urine, (Add .5ml of 33% acetic acid, send frozen, freeze ASAP), Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 1 ml serum, No SST 3 ml serum, No SST 2 ml serum or EDTA plasma, No SST 2 ml serum, No SST Random or 24 hour urine, no preservative, Maintain specimen at room temperature. 3 ml serum, no SST, (COLLECT SPECIMEN IMMEDIATELY PRIOR TO NEXT DOSE UNLESS SPECIFIED OTHERWISE) 3 ml serum, No SST

007245 007252

821756 893368

CHOLINESTERASE RBC ALA DELTA (AMINO LEVULINIC ACID) RANDOM

007286 007351

LCA

CHOLINR Test not built in Lab

CHOLINESTERASE RBC AMINOLEVULINIC ACID ALA

824824 884315

82482 82135

NORTRIPTYLINE ETHOSUXIMIDE (ZARONTIN) IMIPRAMINE AMITRIPTYLINE HEAVY METALS EVALUATION PROFILE I URINE MEPERIDINE (DEMEROL)

007393 007443 007468 007476 007492 007534

LCA LCA LCA LCA

NORTRY ETHOS IMIP AMITR URHEAVY Tests Not built in Lab Module Test not built in Lab module. DOXT

NORTRIPTYLINE (AVENTYL) ETHOSUXIMIDE (ZARONTIN) IMIPRAMINE (TOFRANIL) AMITRIPTYLINE (ELAVIL) QL SEE CLUSTER LIST MEPERIDINE DEMEROL

884393 894088 893996 821381

80182 80168 80174 80152

801038

83925

DRUG ANALYSIS OF UNKNOWN SUBSTANCE DOXEPIN (SINEQUAN)

007575 007609

WILL BILL UPON RECEIPT OF REPORT DOXEPIN (SINEQ ADAPINE)

? 894668

? 80166

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 13 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME LEAD BLOOD (ADULT)

LABCORP TEST #

LCA LCA

LIS MNEMONIC LEAD

MIS STANDARDIZED NAME LEAD BLOOD

PROCEDURE CODE

CPT CODE 83655

SPECIMEN REQUIREMENT 5 ml whole blood from Dark Royal Blue top tube Please send in initial tube blood was collected in. found in large drawer in middle lab storage area. 20 ml aliquot of a random or a 24hour urine (minimum volume: 2.5 ml) Maintain specimen at room temperature. 2 ml serum, no SST and Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 1 ml serum from red top tube or plasma from green top tube. No SST 1 ml serum from red top tube or plasma from green top tube. No SST 2 ml serum, no SST 5 ml of random urine from a specimen taken at the end of a shift for industrial exposure. Metabolites with timing "end of shift" (meaning the last 2 ours of exposure) are rapidly eliminated with a half-life less than 5 ours. Such metabolites do not accumulate in the body, and therefore the timing of the specimen collection is critical in relation to the exposure period. (Maintain specimen at room temperature.) To monitor exposure to benzene. Phenol is the primary metabolite of benzene. 3 ml serum, no SST 3 ml serum, or 3 ml EDTA plasma, no SST

007625

836555

LEAD URINE

007633

Test not built in Lab module Test not built in Lab module.

LEAD URINE

836561

83655

METHOTREXATE

007658

METHOTREXATE RHEUMATREX

800301

80299

CHLORDIAZEPOXIDE HCL (LIBRIUM) LIBRIUM (CHLORDIAZEPOXIDE HCL TRICYCLIC ANTIDEPRESSANTS BENZENE METABOLITE PROFILE URINE

007682 007682 007690 007732

Test not built in Lab module. Test not built in Lab module. Test not built in Lab module. Test not built in Lab Module

CHLORDIAZEPOXIDE QN CHLORDIAZEPOXIDE QN TRICYCLIC QL SQN

800309 800309 800331 846004

80154 80154 80101 84600

DESIPRAMINE (NORPRAMIN) METHADONE (DOLOPHINE) SERUM

007765 007781

LCA

DES Test not built in Lab module.

DESIPRAMINE (NORPRAMIN) METHADONE QUANT

884570 838400

80160 83840

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 14 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME QUINIDINE (CARDIOQUIN; DURAQUIN) ($13.20)

LABCORP TEST #

LCA LCA

LIS MNEMONIC QUIN

MIS STANDARDIZED NAME QUINIDINE

PROCEDURE CODE

CPT CODE 80194

SPECIMEN REQUIREMENT 1 ml serum or 1 ml heparinized plasma, no SST tubes Peak: (quinidine sulfate) 1 ½ hours after dose, (quinidine gluconate) 4 hours after dose; trough: immediately prior to next dose; after change in dose: 1-2 days 1 ml serum or 1 ml EDTA plasma, no SST 3 ml serum, no SST 1.2 ml serum, Serum must be separated from cells within 45 minutes of venipuncture. NO SST Zonisamide is an antiepileptic drug belonging to the sulfonamide class and is chemically unrelated to o6her antiepileptic drugs. 3 ml serum or 3 ml EDTA plasma, no SST 3 ml serum, no SST Stool or stool swab, no preservative 10 ml sterile urine, 14 ml blood in 2 green top (heparinized) tubes, OR VIRAL TRANSPORT TUBE for throat, cervical, biopsy specimens. (IN BACTI FRIG) Specify source Viral transport media, (specify source.) (FOR SKIN) skin scrapings in sterile container. Keep at room temperature. 2 slides no fixative Lung/ Bronchial washings, no sputum, Chlamydia transport media (IN BACTI FRIG)

007831

842304

PRIMIDONE (MYSOLINE) DISOPYRAMIDE (NORPACE) ZONISAMIDE (ZONEGRAN)

007856 007864 007915

LCA LCA

PRIMIDONE DISOP Test not Built in Lab module

PRIMIDON (MYSOLINE) DISOPYRAMIDE NORPACE HPLC MS QUANTITATIVE

884203 884549 801031

80188 80299 82542

CLORAZEPATE (TRANXENE) DIAZEPAM (VALIUM) CLOSTRIDIUM DIFFICILE CULTURE CMV CULTURE

007930 007989 008045 008201

LCA LCA

CLORA DIAZ CDIFFC CMVCC

CLORAZEPATE TRANXENE DIAZEPAM QUANT CULTURE C DIFF ANAEROBIC CULT CMV

824180 884564 893985 872521

80154 80154 87081 87252

HERPES SIMPLEX VIRUS (HSV) CULTURE AND TYPING FUNGUS (MYCOLOGY) CULTURE (This will be different if sending anything but skin scraping, must look in LabCorp computer for detailed description of specimen requirements.) HERPES SIMPLEX VIRUS BY DFA CHLAMYDIA PSITTACI CULTURE

008250 008482

HERPC Test not built in lab module.

CULT HERPES SIMP I&II CULT FUNGUS SKIN

872508 871010

87254 87101

008508 008532

LCA

HSVDFA INACTIVE

HERPES SIMPLES 1 AG IFT CULT CHLAMYDIA

835306 894490

87274 87110

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 15 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CHLAMYDIA TRACHOMATIS CULTURE CULTURE, VIRAL GENERAL VIRAL CULTURE GENERAL

LABCORP TEST #

LCA

LIS MNEMONIC INACTIVE

MIS STANDARDIZED NAME CULT CHLAMYDIA

PROCEDURE CODE

CPT CODE 87110

SPECIMEN REQUIREMENT Lung/ Bronchial washings, no sputum, Chlamydia transport media (IN BACTI FRIG) Viral transport media, specify source. (IN BACTI FRIG) Viral transport media, specify source. (Can not send sputum in viral transport media; send specimen in separate container and order viral culture) (IN BACTI FRIG) Submit in a Parasite preservative kit. Please inoculate both the PVA and the formalin tubes. Send at room temp. If ordered with a Giardia antigen, one set of bottles is acceptable. Send plate, indicate source of original specimen Pure isolate, (state source of original specimen) 1 ml CSF 3 ml serum (frozen) 2 ml serum 5 ml EDTA whole blood, purple top tubes or 7 ml Royal Blue top tubes Please send in initial tubes blood was collected in. (Send at Room Temperature) 10 ml urine (Do not acidify) refrigerate. Urine pH should be adjusted to between 6 and 8 with 1 mol/L Sodium hydroxide. 1 ml serum 2 ml serum (frozen)

008565

894486

008573 008573

VIRC VIRC

CULT VIRUS CPE CULT VIRUS CPE

881747 881747

87252 87252

OVA AND PARASITES

008623

LCA

OP

SEE CLUSTER LIST

CLUSTER

IDENTIFICATION OF ORGANISM, AEROBIC SUSCEPTIBILITY AEROBIC BETA-2-MICROGLOBULIN CSF C-PEPTIDE ANGIOTENSIN-I-CONVERTING ENZYME PROTOPORPHYRINS, FREE ERYTHROCYTE (FEP/ ZZP)

008664 008680 010090 010108 010116 010165 LCA LCA

IDAERREF SUSAER CSFBETA2 CPEP ACE PROTPOR

AEROBIC ORG ID SUSC MIC BETA 2 MICROGLOBULIN C-PEPTIDE ANGIOTENSIN CONV ENZ PROTOPORPHYRIN RBC QUANT

879992 871862 822320 822964 800085 842021

87077 87186 82232 84681 82164 84202

ZINC PROTOPORPHYRIN (ZZP) BETA ­ 2 ­ MICROGLOBULIN URINE

010165 010173 Test not built in Lab Module

LCA

(SEE PROTOPORPHYRINS, FREE ERYTHROCYTE) BETA 2 MICROGLOBULIN

822320

82232

BETA ­ 2 - MICROGLOBULIN OSTEOLCALCIN

010181 010249

LCA

B2MG OSTEOCAL

BETA 2 MICROGLOBULIN OSTEOCALCIN

822319 823110

82232 83937

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 16 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME THYROTROPIN RECEPTOR ANTIBODY TRYPSIN INSULIN-LIKE GROWTH FACTOR-I (SOMATOMEDIN C or IGF-1) T3 (TRIIODOTHYRONINE) FREE VASOACTIVE INTESTINAL PEPTIDE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module Test not built in Lab module. INSULINGFI T3FREE VIP

MIS STANDARDIZED NAME THYROTROPIN REC AB RIA

TRYPSIN LIKE IMMUNOREACT

PROCEDURE CODE

CPT CODE 83519 83519 84305 84481 84586

SPECIMEN REQUIREMENT 1 ml serum 1 ml serum or EDTA plasma (send frozen) 1 ml serum, or EDTA plasma 1 ml serum 2 ml EDTA plasma from a purple top tube: Draw in a chilled lavender stopper tube. Find the special Trasylol® Kit in Chemistry refrigerator. Using one of the sterile Beral pipettes inserted under the grey foam, add 0.5 ml Trasylol® to the tube and mix well. Centrifuge the sample and remove the plasma. Freeze the plasma immediately. SHIP FROZEN 1 ml serum 3 ml serum 5 ml of a 24-hour specimen. No special preservatives are required. Please send frozen. Patient should not be on any steroid, ACTH, or gonadotropin medication, if possible for at least 48 hours prior to start of urine collection. Pregnancy greatly increases urinary Progesterone levels. Estrogen therapy may also increase urinary progesterone levels. 2 ml serum Stool specimen 2 ml serum 2 ml CSF 1 ml CSF 2 ml serum 2 ml serum

010314 010355 010363 010389 010397 LCA LCA LCA

884820 823100 835200 844810 842311

SOMATOMEDIN C IGF-1 T3 FREE VASO INTEST PEPTIDE

MYOGLOBIN INTRINSIC FACTOR ANTIBODY PROGESTERONE URINE

010405 010413 010470

LCA LCA

MYOG INTRFACAB Test not built in Lab module.

MYOGLOBIN QUANT INTRINSIC FACT AB PROGESTERONE

825552 863400 841413

83874 86340 84144

ALPHA FETO PROTEIN MATERNAL SERUM PH STOOL PARATHYROID HORMONE CTERMINAL IGG CSF ALBUMIN CSF HISTONE ANTIBODY SJOGRENS ANTIBODIES (SSA & SSB)

010801 010991 011650 012211 012229 012518 012708 LCA LCA LCA LCA LCA

AFPMAT Test not built in Lab module. PTHCT IGGCSF CSFALB HISTONE SJOAB

AFP SERUM MATERNAL PH FECES PTH C TERMINAL IGG CSF ALBUMIN URINE OR OTHER HISTONE AB EIA SEE CLUSTER LIST

863280 839860 834862 862226 800021 862566

82105 83999 83970 82784 82042 83520

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 17 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME URIC ACID RANDOM URINE URINE CALCIUM RANDOM PLATELET ANTIBODIES

LABCORP TEST #

LCA

LIS MNEMONIC URICUR Test not built in Lab module PLTAB

MIS STANDARDIZED NAME URIC ACID UR CALCIUM UR QUANT PLATELET ANTIBODIES

PROCEDURE CODE

CPT CODE 84560 82340 86022

SPECIMEN REQUIREMENT 30 ml urine Random urine after collection pH must be adjusted to 1.5-2.0 with 6N HCL 1 ml serum-- (If a newborn child has a significantly low platelet count and the physician suspects neonatal allommune thrombocytopenia purpura (NAIT), a serum platelet antibody test should be ordered on both the mother and the child. 7 ml whle blood from lavender top (EDTA) tube. Specimen must be

012898 013706 014086

845503 823146 869991

PLATELET ASSOCIATED AUTOANTIBODY PANEL

014102

Test not built in Lab Module

SEE CLUSTER LIST

received within 24 hour of collection/ should be drawn Monday through Thursday only and must be drawn

before courier arrives for that day. Send at Room

Temperature. This platelet

autoantibody panel is designed to detect IgG antibodies that are bound to platelet-specific glycoproteins 11b/111a, 1b/IX or 1a/11a. Antibodies directed against endogenous platelet membrane antigens have been associated with AITP by several laboratories. 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml serum 2 ml citrated plasma from blue top tube, IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, send in 4 different tubes and send frozen 2 ml serum (frozen)

THROMBIN TIME

015230

TT

THROMBIN

856700

85670

LYME DISEASE ANTIBODIES BY EIA ANTITHROMBIN III PANEL

015271 015594

LCA LCA

LYME

THROMBIN3

LYME DISEASE AB QUAL SEE CLUSTER LIST

894587 CLUSTER

86618

PARATHYROID HORMONE INTACT

015610

LCA

PTHINTACT

PTH INTACT

834863

83970

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 18 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HLA A,B,C PHENOTYPING MURINE TYPUS IGG ANTIBODY (If need IgM, order Test # 138727) ROCKY MOUNTAIN SPOTTED FEVER IGG QUANT ROCKY MOUNTAIN SPOTTED FEVER IGM FECAL REDUCING SUBSTANCES Q FEVER AB IGG COMPLEMENT C1Q CITRIC ACID URINE APOLIPOPROTEIN A1 HEP B CORE AB IGM HEPATITIS B CORE IGM ANTIBODY PREALBUMIN AFP TETRA (maternal screening for open neural tube defects: detects 80% open spina bifida, 90% anencephaly, 7580% Downs and 60% Trisomy 18)

LABCORP TEST #

LCA

LIS MNEMONIC HLAABC (inactivated)

MIS STANDARDIZED NAME HLA PHENOTYPING MURINE TYPHUS AB QUANT ROCKY MTN SF AB QN IGG ROCKY MTN SF AB QN IGM SUGARS, MULTI, QUAL Q FEVER AB IGG COMPLEMENT C1 Q CITRATE URINE APOLIPOPROTEIN A1 HEP B CORE AB IGM QL HEP B CORE AB IGM QL PREALBUMIN SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 86813 86317 86317 86317 84377 86638 86160 82507 82172 86705 86705 84134

SPECIMEN REQUIREMENT 14 ml ACD whole blood (yellow top tube) Please send in initial tubes blood was collected in. 1 ml serum 2 ml serum 2 ml serum 4 gm stool, no preservative 3 ml serum 2 ml serum (frozen) 25 ml aliquot of a 24-hour urine specimen, 6N HCL 1 ml serum , No SST 1 ml serum 1 ml serum 1 ml serum 5 ml serum draw in Serum separator tube (SST) Send the complete specimen in the original tube. Do not pour off. Requires specific patient demographic information in order to report results.

016139 016188 016592 016667 016766 016774 016824 016865 016873 016881 016881 016931 017319 LCA LCA LCA LCA LCA LCA LCA LCA LCA LCA LCA

894385 866099 866108 866109 855975 866382 863291 825071 860334 862891 862891 841650 CLUSTER

MURINE-IGG RMSF-IGG RMSF-IGM REDSTL QFEVERG COMC1Q CIT APOA1 HEPBCM HEPBCM PREALB TETSCR

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 19 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME TETRA (AFP) MATERNAL SCREENING (maternal screening for open neural tube defects: detects 80% open spina bifida, 90% anencephaly, 75-80% Downs and 60% Trisomy 18)

LABCORP TEST #

LCA LCA

LIS MNEMONIC TETSCR

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 5 ml serum draw in Serum separator tube (SST) Send the complete specimen in the original tube. Do not pour off. Requires specific patient demographic information in order to report results. Because this test is based partially on calculations derived from gestational age, etc., it is absolutely necessary that the test be done BETWEEN 15-21 WEEKS GESTATION. The test will not be calculated otherwise. Optimal age is BETWEEN 16-18 WEEKS GESTATION. SPECIMEN MUST BE COLLECTED PRIOR TO AMNIOCENTESIS.

017319

CLUSTER

VITAMIN A

017509

VITA

VITAMIN A

845900

84590

METHYL ALCOHOL

017699

LCA

METHANOL

METHANOL

846001

84600

SCLERODERMA 70 ANTIBODY STREPTOCOCCUS PNEUMONIAE AG (our cost is $85.50)

018705 018788

LCA

SCLERAB Test not Built in Lab module

SCLERODERMA 70 AB STREPT PNEUMO AG OIA

863312 864299

86235 87899

4 ml serum, (frozen) Draw in chilled tube. Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Patients must fast a minimum of 8 hours. No food containing Vitamin A shold be ingested in the previous 48 hours by patients older than 6 months. For patients younger than 6 months, the period is 24 hours. 5 ml whole blood from a gray top tube, Do not open tube. Please send in initial tube blood was collected in. 1 ml serum 1 ml Serum, 0.5 ml CSF, or 5 ml urine

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 20 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME MYELIN BASIC PROTEIN CSF

LABCORP TEST #

LCA LCA

LIS MNEMONIC MYELCSF

MIS STANDARDIZED NAME MYELIN BASIC PROT CSF

PROCEDURE CODE

CPT CODE 83873

SPECIMEN REQUIREMENT 2 ml CSF (frozen) Centrifuge CSF at 2000xg at refrigerated temperature for 5 minutes. Withdraw 2 mL of supernatant and freeze in a plastic tube. To avoid delays in turnaround time when requesting multiple tests on frozen samples, Please submit separate specimens for each test requested. 5 ml CSF (frozen) & 2ml serum (FROZEN) 2 ml Synovial (joint) fluid 100 ml aliquot of a 24-hour urine specimen, 6N HCL, or Boric Acid For use when performing the Gastrin Stimulation Test after Secretin if there will be 7 specimens. Please see the Collection Manual under Individual procedures for information. These specimens are drawn fasting, and then at ordered intervals post medication It is administered over 30 seconds. 1 ml serum for each specimen.

019208

841652

OLIGOCLONAL BANDING (CSF) URIC ACID BODY FLUID 17 -HYDROXYCORTICOSTEROIDS & 17-KETOSTEROIDS TOTAL 24 HOUR URINE GASTRIN (SERUM 7 SPECIMENS) (Use this test when sending the specimens for the Gastrin Stimulation Test after Secretin ­ See Collection Manual for Procedure.

019216 019505 020966 034934

OLIGOCSF Test not built in Lab module. Test not built in lab module. Test not built in Lab Module

OLIGOCLONAL BANDS URIC ACID BODY FLUID SEE CLUSTER LIST SEE CLUSTER LIST

894124 817226 CLUSTER

83916 84560

TORCH IGG AB PANEL (PRENATAL INFECTIOUS ANTIBODIES IGG QUANT DRUG SCREEN OD PROFILE SERUM

038109 041780

TORCHG

DRUGSCROD

SEE CLUSTER LIST SEE CLUSTER LIST

CLUSTER

2 ml serum or EDTA plasma from a purple top tube. 7 ml whole blood from an unopened Sodium oxalate gray top tube Please send in initial tubes blood was collected in. AND 4 ml serum No SST) 7 ml whole blood from a Dark Royal Blue top tube Please send in initial tube blood was collected in.

HEAVY METALS EVALUATION PROFILE I BLOOD (ARSENIC, LEAD, MERCURY) Use this one if Heavy Metals, Blood is ordered unless Cadmium specifically ordered

042580

LCA

HVYMET

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 21 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME THYROGLOBULIN QUANTITATIVE (Includes both the Thyroglobulin and Antithyroglobulin antibodies) ANTIDIURETIC HORMONE

LABCORP TEST #

LCA

LIS MNEMONIC

THYROGLQN

MIS STANDARDIZED NAME SEE CLUSTER LIST ADH (VASOPRESSIN)

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 1 ml serum or EDTA plasma from a purple top tube.

042846 046557

ADH

845880

84588

FECAL FAT/ MUSCLE FIBERS, QUAL

049684

Test not built in lab module

MUSCLE FIBERS FECES

827111

89160

CHROMOSOME ANALYSISHEMATOLOGICAL DISORDERS LEUKEMIA/LYMPHONA (Send for Philadelphia Chromosome) (State specimen is whole blood) (PATHOLOGY WILL SEND) CHROMOSOME ANALYSISHEMATOLOGICAL DISORDERS LEUKEMIA/LYMPHONA (Send for Philadelphia Chromosome) (State specimen is bone marrow) (PATHOLOGY WILL SEND) CHROMOSOME ANALYSIS- BIRTH DEFECTS (BLOOD-ROUTINE) (PATHOLOGY WILL SEND) CHROMOSOME ANALYSISAMNIOTIC FLUID (PATHOLOGY WILL SEND)

052001

CHROMHD

SEE CLUSTER LIST

052001

CHROMO

SEE CLUSTER LIST

5 ml EDTA plasma draw 2-5 ml purple top tubes AND 3 ml serum, (Both specimens frozen and label as to serum or plasma) 3 gm random stool in a screw-capped plastic vial. Do not overfill container. Patient is required to eat adequate amounts of red meat for 24-72 hours prior to collection. Cannot obtain specimen with mineral oil, bismuth or magnesium compounds. Barium procedures or laxatives should be avoided for 1 week prior to collection of the specimen. 3 ml whole blood in a Sodium heparin green top tube Please send in initial tube blood was collected in. (State specimen is whole blood) Maintain specimen at room temperature. Must collect and send only Monday-Thursday. 3 ml bone marrow in a Sodium heparin green top tube (State specimen is bone marrow) Maintain specimen at room temperature. Must collect and send only Monday-Thursday. 5 ml Na Heparin whole blood from a NaHep green top tube. Maintain specimen at room temperature. Please send in initial tube blood was collected in. Must collect and send only Monday-Thursday. 30 ml amniotic fluid Must collect and send only Monday-Thursday.

052019

CHROMA

SEE CLUSTER LIST

052050

CHROMAF

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 22 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CHROMOSOME, HIGH RESOLUTION (G-BANDING, PROPHASE ANALYSIS) (PATHOLOGY WILL SEND) CHROMOSOME ANALYSIS, TISSUE BIOPSIES (MISCARRIAGE-- PLACENTA) (PATHOLOGY WILL SEND) 052068 Test not built in the lab module SEE CLUSTER LIST CLUSTER

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in the lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 10 ml whole blood from a green top tube (2 ml for pediatric specimen). Must collect and send same day, only Monday-Thursday, send at room temperature. Pertinent medical findings must accompany request for chromosome analysis. Aseptically obtain a small piece of tissue with subepidermal layers. Best results are obtained from placental villi which remain viable much longer than fetal tissue. This is especially true in stillborn cases in which both cord blood and tissue samples are often not viable. If specimen is a product of conception, submit specimen in a sterile tube with Ringer's lactate or Hank's balanced salt solution. DO NOT PLACE IN FORMALIN DO NOT FREEZE. Do not use urine containers for shipping. Must collect and send only Monday-Thursday. 2 ml serum: (Place 1 ml in each of 2 separate tubes and send frozen) 4 ml serum

052027

IMMUNE COMPLEX PANEL SYSTEMIC LUPUS PROFILE A (Please do not send this test unless SPECIFICALLY ORDERED THIS WAY BY PHYSICIAN, AND DO NOT ENCOURAGE THE USE OF THIS PROFILE) MEASLES/MUMPS/RUBELLA IMMUNITY ALLERGEN PROFILE, MOLD PEANUT RAST CEDAR, MOUNTAIN RAST (T006) HOUSE DUST (HOLLISTER -- H002)

054494 056499

Test not built in Lab module Test not built in Lab Module

SEE CLUSTER LIST SEE CLUSTER LIST

CLUSTER

058495 062448 068379 068650 069450

Tests Not built in Lab Module Test not built in Lab module Test not built in Lab module. Test not built in Lab module Test not built in Lab Module

SEE CLUSTER LIST SEE CLUSTER LIST ALLERGEN IGE EACH ALLERGEN IGE EACH ALLERGEN EACH CLUSTER 879982 879982 863372 86003 86003 86003

3 ml serum 2 ml serum 0.2 ml serum 0.2 ml serum 0.2 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 23 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HALOPERIDOL (HALDOL) PHENYTOIN, FREE AND TOTAL CARBAMAZEPINE FREE PHENYTOIN, FREE VALPROIC ACID, FREE LSD SCREEN URINE CAFFEINE, SERUM BENZODIAZEPINE CONFIRMATION, URINE BENZODIAZEPINE CONFIRMATION, URINE CHROMIUM CHROMIUM URINE ALUMINUM NICKEL, PLASMA

LABCORP TEST #

LCA LCA

LIS MNEMONIC HALDOL Test not Built in Lab Module CARBF Test not built in Lab module. VALPF Test not built in Lab module. Test not built in Lab Module Test not built in Lab Module Test not built in Lab Module

MIS STANDARDIZED NAME HALOPERIDOL HALDOL SEE CLUSTER LIST CARBAMAZEPINE FREE PHENYTOIN FREE VALPROIC ACID FREE LSD QL SQN CAFFEINE NO DOZ CHR BENZODIAZEPINES QUANT BENZODIAZEPINES QUANT CHROMIUM CHROMIUM ALUMINUM NICKEL

PROCEDURE CODE

CPT CODE 80173

SPECIMEN REQUIREMENT 4 ml serum or EDTA plasma, No SST 3 ml serum or Heparinized plasma from a green top tube. No SST 3 ml serum, no SST 3 ml serum or EDTA plasma from a purple top tube. No SST 3 ml serum, no SST 10 ml urine 1 ml serum ( or for pediatric .3 ml minimum) 20 mls urine in plastic urine container. Maintain specimen at room temperature. 20 mls urine in plastic urine container. Maintain specimen at room temperature. Requires special tube, must contact LabCorp. 25 ml urine. Maintain specimen at room temperature. 2 ml serum, separate immediately, no SST 2 ml plasma from ROYAL blue-top (Sodium EDTA) tube. Separate plasma immediately and transfer to a platic transport bue. Maintain specimen at room temperature. 1 Royal blue top tube, send at room temperature 20 ml random urine in a Plastic urine container, no preservatives, send at room temperature 20 ml aliquot of a 24- hour urine or random urine, (no preservative) 20 ml aliquot of a 24- hour urine or random urine, (no preservative) Maintain specimen at room temperature. Gel barrier (SST) tube, Must send in initial tube blood was collected in..

070482 070706 070748 070763 070789 071159 071258 071308 071308 071522 071530 071548 071571

849994

LCA

884210 884198 884386 801028 822990 801541 801541 824901 824950 837975 836615

80157 80186 80164 80101 82491 80154 80154 82495 82495 82108 83885

LCA

CHROM CHROMU

LCA

ALUM Test not built in the lab module

MANGANESE MANGANESE URINE ANTIMONY SELENIUM URINE

071589 071597 071605 071613 LCA

Test not built in Lab module Test not built in Lab module ANTIMONY Test not built in Lab module. LCA ETHYLGL

MANGANESE MANGANESE HEAVY METAL QN SELENIUM

837850 837850 849986 842550

83785 83785 83018 84255

ETHYLENE GLYCOL

071654

ETHYLENE GLYCOL

824860

82693

DO NOT OPEN TUBE.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 24 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME TRAZODONE (DESYREL) CLONAZEPAM DRUG SCREEN COMPREHENSIVE URINE OR GASTRIC

LABCORP TEST #

LCA LCA LCA

LIS MNEMONIC TRAZ

CLONAZEPAM

MIS STANDARDIZED NAME TRAZADONE DESRYL CHR CLONAZEPAM QUANT SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 82491 80154

SPECIMEN REQUIREMENT 3 ml serum, no SST 3 ml serum, no SST 60 ml urine or 20 ml gastric (State whether urine or gastric)

071688 071712 072033

894293 801540

DRUGCOMP

***This test can reflex, see reference test reflex list for billing information.

072132 072132 074435 080176 080283 LCA LCA LCA

CHLORPROMAZ CHLORPROMAZ CANNABINOID

CHLORPROMAZINE (THORAZINE) THORAZINE (CHLORPROMAZINE) CANNABINOID SCREEN URINE HEMOGLOBIN, FREE, QUALITATIVE, URINE MAGNESIUM RBC

CHLORPROMAZINE CHLORPROMAZINE THC CANNABINOIDS QL SQN BLOOD URINE AUTO MAGNESIUM RBC

800314 800314 844080 810007 837355

84022 84022 80101 81003 83735

Test not built in lab module Test not built in Lab Module

2 ml serum or EDTA plasma from a purple top tube. 2 ml serum or EDTA plasma from a purple top tube. 25 ml urine Freshly voided random urine, refrigerated. 1 ml RBC's from green top or purple top (EDTA) tube. Centrifuge tube within 45 minutes of collection and separate plasma from the red blood cells. Discard the plasma. Using the original collection tube, submit only the RBC's. 2 ml citrated plasma, blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 30 ml aliquot of a random 1st morning specimen 2 ml serum (frozen) 7 ml whole blood from a Dark Royal Blue top tube Please send in initial tubes blood was collected in. 4 ml serum 3 ml serum Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape).

PROTEIN C ANTIGEN (SEND IN SEPARATE TUBE JUST FOR THIS ONE TEST) URINE HEMOSIDERIN STAIN LYSOZYME, SERUM (MURAMIDASE) STRONTIUM BLOOD THALLIUM BLOOD VITAMIN E

080465

LCA

PROTC

PROTEIN C AG

853025

85302

080473 080713 080903 080952 081000 LCA LCA

UHEMOS Test not built in Lab module STRONTIUM THALL VITE

HEMOSIDERIN QUAL MURAMIDASE HEAVY METAL QN THALLIUM BLOOD AA VITAMIN E

884586 844857 830180 844100 844460

83070 85549 83018 82190 84446

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 25 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME SELENIUM BLOOD VITAMIN D 1,25 DIHYDROXY VITAMIN B 12 , UNSATURATED BINDING CAPACITY FATTY ACIDS, FREE (NONESTER) (NEFA)

LABCORP TEST #

LCA LCA

LIS MNEMONIC SEL VITD1 VITB12UBC Test not built in lab module

MIS STANDARDIZED NAME SELENIUM VITAMIN D 1 25 DIHY VITAMIN B12 BIND CAP FATTY ACIDS

PROCEDURE CODE

CPT CODE 84255 82652 82608 82725

SPECIMEN REQUIREMENT 5 ml EDTA whole blood Please send in initial tube blood was collected in. 4 ml serum or plasma from a purple top tube (EDTA) or green top tube 2 ml serum or EDTA plasma from a purple top tube. 1 ml serum, frozen. Sample should be collected in the early morning after a 12-hour fast. If the patient has not properly fasted, the determined level of NEFA will be elevated and not directly comparable to a normal range derived from a fasting normal control. 1 ml serum or EDTA plasma from a purple top tube 5 ml Whole blood from lavender top (EDTA) tube. Please send in initial tube blood was collected in. 1 ml serum. Must be serum. Decreased levels of SHBG are frequently seen in hirsutism, virilization, obese postmenopausal women, and in women with diffuse hair loss. Increased levels may be present in cases of Hperthyroidism, testicular feminization, cirrhosis, male hypogonadism, pregnancy, women using oral contraceptives, and prepubertal children. 2 ml serum 1 ml serum 2 ml serum

081034 081091 081869 081893

842550 826520 826080 827104

VITAMIN D, 25, HYDROXY GALACTOSE 1-PHOS URIDYLTRANSFERASE SEX HORMONE BINDING GLOBULIN, SERUM (TESTOSTERONE BINDING GLOBULIN)

081950 081968 082016

LCA

VITD Test not built in lab module. Test not built in Lab module.

VITAMIN D3 25-OH GALACTOSE 1 PUT QUANT SEX HORMONE BG

823060 827572 884427

82306 82775 84270

ANTIADRENAL ANTIBODIES QUANT GLOMERULAR BASEMENT MEMBRANE ANTIBODY CRYPTOCOCCAL AB BLOOD

082024 082719 082891

LCA LCA

ADRENAB GLOMAB Test not Built in Lab module Test not Built in Lab module

ADRENAL AB TITER GLOMERULAR AB EIA CRYPTOCOC AB BLD QUAL

862505 862551 860676

86256 83520 86641

CRYPTOCOCCAL AB CSF

082891

CRYPTOCOC AB CSF QUAL

860677

86641

2 ml CSF

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 26 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HIV-1-ANTIBODIES RABIES AB TITER, SERUM CATECHOLAMINES PLASMA

LABCORP TEST #

LCA

LIS MNEMONIC HIV

MIS STANDARDIZED NAME HIV-1 AB QUAL VIRAL NEUTRALIZATION CATECHOLAMINES FRACTIONATED BLD GALACTOKINASE RBC

PROCEDURE CODE

CPT CODE 86701 86382 82384

SPECIMEN REQUIREMENT 2 ml serum 2 ml serum 4 ml plasma from Heparinized green top tube, or EDTA purple top tube (send frozen) 5 ml whole blood from a green top tube. Send specimen on wet ice, not formed kool paks. Send only Monday-Thursday. 4 ml plasma from a Sodium Heparin green top tube or a 4 ml serum (send at room temperature) 3- 2ml aliquots of citrated plasma from blue top tubes. IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in three separate tubes 3- 2ml aliquots of citrated plasma from blue top tubes. IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in three separate tubes 7 ml whole blood from a Dark Royal Blue top tube Please send in initial tube blood was collected in. (send at room temp) Sputum, lung biopsy, or exudate in sterile container 2 ml serum or Sodium heparinized plasma from a NaHep green top tube , no SST 1 ml serum 3 ml serum

083824 083885 084152 LCA LCA

894044 863822 884272

RABIES CATF

GALACTOKINASE

084558

Test not built in lab module. Test not built in Lab module. LCA FAC8-VW

827573

82759

PESTICIDE SCREEN COAG FACTOR VIII VONWILLEBRAND PANEL

084624 084715

CHL HYDROCARBONS QUAL SEE CLUSTER LIST

801018

82441

FACTOR VIII VON WILLEBRAND PANEL

084715

LCA

FAC8-VW

SEE CLUSTER LIST

MERCURY BLOOD

085324

Test not built in Lab module. LEGDFA LCA LCA LCA FLEC ACHRBI MYOABS

MERCURY BLD QUANT

838252

83825

LEGIONELLA BY DIRECT FA FLECAINIDE (TAMBOCOR) ACETYLCHOLINE RECEPTOR ABS (BINDING) MYOCARDIAL ANTIBODIES

085506 085662 085902 085910

LEG PHEUMOPHILIA AG IFT FLECAINIDE TAMBOCOR ACETYLCHOL RCPT AB BIND SEE CLUSTER LIST

862561 824867 842382

87278 80299 84238

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 27 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ACHR BLOCKING AB

LABCORP TEST #

LCA LCA

LIS MNEMONIC ACHRBL

MIS STANDARDIZED NAME ACETYLCHOL RCPT AB BLK

PROCEDURE CODE

CPT CODE 84238

SPECIMEN REQUIREMENT 2 ml serum No isotopes administered 24 hours prior to venipuncture. This assay measures antibodies that inhibit the binding of radiolabeled alphabungarotoxin (aBTX) to solubilized muscle AchR. This assay is a secondary test for confirming the diagnosis of acquired myasthenia gravis. 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 4 ml citrated plasma from a blue top tubes IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in two separate tubes 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen

085926

842383

FACTOR II

086231

LCA

FAC2

FACTOR 2 ASSAY

852100

85210

FACTOR V

086249

LCA

FAC5

FACTOR 5 LABILE

852201

85220

FACTOR VIII

086264

LCA

FAC8

FACTOR 8 AHG

853300

85240

FACTOR VIII INHIBITOR

086272

LCA

FAC8INHIB

FACTOR 8 INHIBITOR

852901

85335

VON WILLEBRAND FACTOR ANTIGEN FACTOR IX

086280

LCA

VWFAG

FACTOR 8 VW AG

853294

85246

086298

LCA

FAC9

FACTOR 9 ASSAY

852500

85250

FACTOR X

086306

LCA

FAC10

FACTOR 10 ASSAY

852600

85260

FACTOR XI

086314

LCA

FAC11

FACTOR 11 ASSAY

852701

85270

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 28 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FACTOR XII

LABCORP TEST #

LCA LCA

LIS MNEMONIC FAC12

MIS STANDARDIZED NAME FACTOR 12 ASSAY

PROCEDURE CODE

CPT CODE 85280

SPECIMEN REQUIREMENT 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 1 ml serum 4 ml EDTA whole blood from a lavender top tube or heparin whole blood from a green top tube. Transfer entire whole blood specimen to plastic transport tube before freezing.

086322

852800

FACTOR X111

086330

LCA

FAC13

FACTOR 13 SOLUBILITY

852900

85291

TEICHOIC ACID ANTIBODY VITAMIN B2 (RIBOFLAVIN)

086702 086751

TEICHAB Test not built in Lab module

TEICHOIC ACID ANTOBODY VITAMIN B2 (RIBOFLAVIN)

894613 849950

86329 84252

Freeze immediately and protect from light by covering

plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Ship cold within 24 hours, PLF, TTA, Lung tissue Throat swabs, sputum, bronchial washings, lung tissue, tracheal aspiration collected and put in viral transport immediately. Do not use swabs with wooden sticks. Use viral, chlamydia, or Mycoplasma culture transport medium. Place specimen in viral transport media. Indicate source of specimen 2 ml serum 2 ml serum

LEGIONELLA SPECIES CULTURE MYCOPLASMA PNEUMONIAE CULTURE (cost $82.75)

086868 086876

LEGC Test not built in lab module

CULT LEGIONELLA SCR CULT MYCOPLASMA

881753 870832

87081 87109

UREA PLASMA/MYCOPLASMA HOMINIS CULTURE MALARIA IFA (4 SPECIES) FUNGAL ANTIBODY PANEL (SERUM)

086884 088302 091454

Test not built in Lab module. Test not built in Lab module. FUNGP

CULTURE UREAPLASMA SEE CLUSTER LIST SEE CLUSTER LIST

870604

87109

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 29 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME L/S RATIO, PG, CREATININE

LABCORP TEST #

LCA

LIS MNEMONIC

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml amniotic fluid (frozen and Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 1-4 ml of heparinized plasma from a green top tube (Send Frozen) 10 ml aliquot of 24 hour urine, frozen 2 ml serum

092742

AMINO ACID PROFILE QUANTITATIVE PLASMA AMINO ACID 24 HOUR URINE QUANTITATIVE ALPHA­1­ANTITRYPSIN PHENOTYPE ADENOVIRUS ANTIBODIES QUANTITATIVE SERUM INFLUENZA VIRUS TYPE A AB INFLUENZA VIRUS TYPE B AB RSV AB QUANT CHLAMYDIA ANTIBODIES, IGG VARICELLA ZOSTER IGG AB (our cost is $5.40) EPSTEIN BARR VIRUS IGG AB VCA COXSACKIE B AB (1-6) (TOTAL) ANTI-DNASE B (STREPTOCOCCAL) ANTIBODIES (Replaces Anti-Hyaluronidase) DNA DOUBLE STRANDED ANTIBODIES (NATIVE) ALA DELTA (AMINO LEVULINIC ACID) 24HR

095638 095646 095653 096065 096073 096081 096131 096180 096206 096230 096263 096289 096339 096354 LCA LCA LCA LCA LCA

Test not built in Lab module Test not built in Lab module

ALPH1TR PHENO

AMINO ACIDS 6 OR MORE AMINO ACIDS 6 OR MORE UR SEE CLUSTER LIST ADENOVIRUS AB QUAL

880000 879998 CLUSTER 866030 861715 861716 870012 863119 862582 869992 884623 884622 884315

82139 82139

86603 86710 86710 86756 86631 86787 86665 86215 86225 82135

1 ml serum 1 ml serum 2 ml serum 2 ml serum 1 ml serum 1 ml serum 1 ml serum 3 ml serum 1 ml serum 1 ml serum 25 ml aliquot of a 24- urine specimen, ( add 30 ml acetic acid, send frozen) Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Female or Male Gen-Probe, state source

INFLUAAB INFLUBAB Test not built in Lab module. Test Not built in lab module VARZOSG EBVG COXBAB Test not built in Lab module DNADAB ALA24

INFLUENZA A AB QUAL INFLUENZA B AB QUAL RSV AB QUAL CHLAMYDIA GROUP AB SCR VARIC ZOSTER IGG EBV CAPSID IGG QUAL SEE CLUSTER LIST DNASE ANTIBODY DNA ANTIBODY DOUBLE AMINOLEVULINIC ACID ALA

LCA LCA

CHLAMYDIA GC GEN PROBE

096479

LCA

CHLGC

DETECT AGNT MULT, DNAD

871788

87800

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 30 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME INFLUENZA VIRUS AB TYPE A&B RUBELLA IGM ANTIBODY MUMPS IGG AB RUBEOLA IGG ANTIBODY TOXOPLASMA GONDII IGM QN CANDIDA ANTIBODY CYTOMEGALOVIRUS IGM ANTIBODY EPSTEIN BARR VIRUS IGM AB VCA VARICELLA ZOSTER IGM AB RICKETTSIAL IGG AB PANEL GC (NEISSERIA GONORRHOEAE BY DNA PROBE (GEN) CHLAMYDIA BY DNA (GEN) PROBE HEPATITIS B CORE ANTIBODY IGG/IGM DIFFERENTIATION IGA CSF IGM CSF LDH BODY FLUID SODIUM CSF GLOMERULAR FILTRATION RATE, ESTIMATED

LABCORP TEST #

LCA LCA LCA LCA LCA

LIS MNEMONIC INFLUAB RUBM MUMPG RUBEOG TOXOM CANDAB CMVM EBVM VARZOSM RICKG GCGEN CHLGEN Test not built in Lab module. IGACSF IGMCSF Test not built in Lab module. CSFNA Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST RUBELLA IGM MUMPS IGG QUAL RUBEOLA IGG TOXOPLASMA IGM QUAL CANDIDA AB QUAL CMV IGM QUAL EBV CAPSID IGM QUAL VARIC ZOSTER IGM IFT SEE CLUSTER LIST GC DIR PROBE CHLAMYDIA T DIR PROBE SEE CLUSTER LIST IGA IGM CSF LDH (LD) BODY FLUID SODIUM OTHER CREATININE BLD

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 1 ml serum (Send at room temperature) 1 ml serum 1 ml serum 1 ml serum 4 ml serum 1 ml serum 1 ml serum 2 ml serum 1 ml serum 1 ml serum Female or Male Gen-Probe, state source Female or Male Gen-Probe, state source 2 ml serum, or EDTA or heparinized plasma 2 ml CSF 2 ml CSF 0.5 ml body fluid or CSF. Separate from cells immediately. Maintain specimen at Room Temperature. 1 ml CSF or fluid, state source 1 ml serum, separate from cells within 45 minutes; maintain specimen at room temperature; no hemolysis. The eGRF has been shown to be more accurate in estimating the glomerular filtration rate than a 24-hour urine collection for creatinine clearance. 2 ml serum or 2 ml plasma from a gray top tube 2 ml serum 30 ml of urine, (Submit test Monday-Friday, only; must be sent within 24 hours of collection)

096487 096537 096552 096560 096651 096719 096727 096735 096776 096990 098004 098012 098418 100115 100123 100156 100248 100768

867620 867354 867650 884517 863321 866450 869993 862562 871782 871781 CLUSTER 835185 863308 841751 842956 825654

86762 86735 86765 86778 86628 86645 86665 86787 87590 87490

LCA LCA LCA LCA LCA

LCA LCA

82784 82784 83615 84999 82565

FRUCTOSAMINE AMYLASE ISOENZYMES URINE EOSINOPHIL

100800 102590 115055

LCA

FRUCT AMYISO UEOSIN

FRUCTOSAMINE SEE CLUSTER LIST UA MICRO ONLY

849909 CLUSTER 853502

82985

81015

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 31 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FIBRIN DEGRADATION PRODUCTS

LABCORP TEST #

LCA LCA

LIS MNEMONIC FSP

MIS STANDARDIZED NAME FDP SEMIQUANT

PROCEDURE CODE

CPT CODE 85362

SPECIMEN REQUIREMENT 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in two separate tubes 2.0 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen Used to monitor unfractionated heparin or low molecular weight heparins such as Lovenox® 2.0 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen Used to monitor unfractionated heparin or low molecular weight heparins such as Lovenox® 2 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 4 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 3 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 3 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen

115402

853854

LUPUS ANTICOAGULANT PROFILE

117069

LCA

LUPCOAG

SEE CLUSTER LIST

***This test can reflex, see reference test reflex list for billing information.

FACTOR Xa (HEPARIN ANTI-XAUNFRACTIONATED) (Heparin Assay) Used to monitor unfractionated heparin or low molecular weight heparins such as Lovenox® HEPARIN ANTI-XAUNFRACTIONATED (Heparin Assay) Used to monitor unfractionated heparin or low molecular weight heparins such as Lovenox® PROTEIN C ACTIVITY (FUNCTIONAL) (SEND IN SEPARATE TUBE JUST FOR THIS ONE TEST) PLASMINOGEN 117101 LCA HEP-XA HEPARIN ANTI XA PLASMA 855201 85520

117101

LCA

HEP-XA

HEPARIN ANTI XA PLASMA

855201

85520

117705

LCA

PR0TEINC

PROTEIN C ACTIVITY

853020

85303

117713

LCA

PLASMINOGE

PLASMINOGEN

853751

85420

ACTIVATED PROTEIN C (APC) RESISTANCE APC RESISTANCE (PROTEIN C RESISTANCE, ACTIVATED)

117762

LCA

PROTCRESIS

APC RESISTANCE

857303

85732

117762

LCA

PROTCRESIS

APC RESISTANCE

857303

85732

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 32 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME PROTEIN C RESISTANCE, ACTIVATED (APC RESISTANCE) PROLONGED PROTHROMBIN TIME PROFILE (our cost is $420.00) (Synonym: Extrinsic factors)

LABCORP TEST #

LCA LCA

LIS MNEMONIC

PROTCRESIS

MIS STANDARDIZED NAME APC RESISTANCE

PROCEDURE CODE

CPT CODE 85732

SPECIMEN REQUIREMENT 3 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 3 ml of citrated plasma from two blue top tubes IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, place

117762

857303

117788

Test not built in Lab module.

SEE CLUSTER LIST

CLUSTER

1.5 ml in each of two plastic transport tubes and freeze, send both tubes frozen.

PTT, PROLONGED RUSSELL VIPER VENOM TEST 117796 117887 LCA Test not built in Lab module. VIPER SEE CLUSTER LIST RUSSELL VIPER DILUTED CLUSTER 856130 85613 3 ml plasma from a blue top tube. (send frozen, and send 1.5 ml into each of two transport tubes) 2 ml of citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen For research only! The chromogenic factor X activity test can be useful in monitoring patients where baseline PT is prolonged. Overdosing of warfarin can increase. 1 ml serum 15 ml liquid stool (Send frozen) 2 ml serum or 2 ml EDTA plasma from a purple top tube 2 ml serum (frozen) If this test is ordered and sent with a Gastrin, YOU MUST SEND

FACTOR X a CHROMOGENIC (Stuart Factor)

117904

Test not built in lab module

FACTOR 10 ASSAY

852600

85260

(For Lovenox therapy, order Heparin Anti-Xa test #117101)

PHOSPHATIDYLSERINE ANTIBODIES (G, A, AND M) OSMOLALITY STOOL LIPOPROTEIN A SEROTONIN 117994 120071 120188 120204 LCA LCA LCA LCA PHOSPHSER OSMOSTL LIPOA SER SEE CLUSTER LIST OSMOLALITY OTHER LIPOPROTEIN A EIA SEROTONIN 848000 894412 884440 84999 83520 84260

(Serum test for 5HIAA)

A SEPARATE TUBE FOR EACH TEST.

C1 ESTERASE INHIBITOR, FUNCTIONAL 120220 Test not built in Lab Module COMPLEMENT C1 EST ACT 893894 86161 1 ml EDTA plasma from a purple top tube, or 1 ml serum, Send frozen

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 33 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HOMOVANILLIC ACID, RANDOM URINE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME HOMOVANILLIC ACID UR

PROCEDURE CODE

CPT CODE 83150

SPECIMEN REQUIREMENT 10 ml of a random urine, adjust pH to 1-3 with 6N HCL. Patient should avoid aspirin, disulfiram, reserpine, and pyridoxine, if possible at least 48 hours prior to collection of the specimen. Levodopa should be avoided for 2 weeks before collection. Send refrigerated. 50 ml urine of a 24 hour collection ( 25 ml 6N HCL) 0.5 ml serum Patients can be fasting or non-fasting. Separate serum from cells within 45 minutes of collection. 1 ml body fluid, specify body fluid as the source on the request form. 1 ml serum 4-5 ml serum (Specimen should be drawn in a prewarmed tube (WRAP TUBES IN HEEL WARMER BEFORE DRAWING) and maintain at 37 degrees while clotting. Separate serum from cells immediately after clot formation and transfer serum to plastic tube. Send at room temperature) 25 ml urine in a plastic urine container, no preservatives. (Cover plastic container completely, top and bottom, with aluminum foil. Put patient label on the tube, AND ON THE OUTSIDE OF THE FOIL. Secure with tape) 0.5 ml serum; separate serum immediately after clotting to prevent hemolysis. Stable at room temperature for 7 days, longer of frozen at -20 degrees C or lower. 0.5 ml serum; separate serum immediately after clotting to prevent hemolysis. Stable at room temperature for 7 days, longer of frozen at -20 degrees C or lower.

120246

831500

URINE HOMOVANILLIC ACID LDL CHOLESTEROL (DIRECT) (VLDL-- CALCULATION= Triglycerides/5) VISCOSITY, BODY FLUID C REACTIVE PROTEIN (CARDIAC) CRYOGLOBULINS

120253 120295

HVAU Test not built in Lab module. Test not built in Lab module CRPHSCAR CRYOG

HOMOVANILLIC ACID UR LDL CHOLESTEROL DIRECT

884270 837210

83150 83721

120584 120766 120956 LCA

VISCOSITY C-REACTIVE PROTEIN HS CRYOGLOBULINS QL SQN

825396 860327 825950

85810 86141 82595

PORPHYRINS, QUANTITATIVE RANDOM URINE

120980

LCA

UPORPHYRAN

PORPHYRINS UR QUANT

824911

84120

FREE KAPPA/LAMBDA LIGHT CHAINS, SERUM

121137

Test not built in Lab module.

SEE CLUSTER LIST

KAPPA/LAMBDA LIGHT CHAINS, FREE SERUM

121137

Test not built in Lab module.

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 34 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VITAMIN B1 (THIAMINE)

LABCORP TEST #

LCA

LIS MNEMONIC VITB1

MIS STANDARDIZED NAME VITAMIN B1 THIAMINE

PROCEDURE CODE

CPT CODE 84425

SPECIMEN REQUIREMENT 2 ml EDTA plasma from a purple top tube, spin and separate immediately (frozen) Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 1 ml urine from random or 24-hour urine. 1 ml whole blood EDTA (purple top tube) Please send in initial tube blood was collected in. State patient's name and any known hematological data, refrigerate 2ml EDTA plasma, send frozen, It is preferable but not essential that you draw the specimen without the use of a tourniquet since stress from the venipuncture can increase the metanephrines. 0.5 ml CSF 100 ml aliquot of urine, random or 24-hour specimen 10 ml urine adjust pH to 1-3 with 6 N HCL 10 ml aliquot of a 24-hour urine collection. Plastic container, no preservative, refrigerate during collection and storage.

121178

849990

KAPPA/LAMBDA LIGHT CHAINS, FREE URINE QUANTITATIVE HEMOGLOBINOPATHY PROFILE (FRACTIONATION performed by HPLC, ELECTROPHORESIS no longer available) METANEPHRINES FRACTIONATED FREE, PLASMA

121228 121679 LCA

Test not built in Lab module. HGBELE

SEE CLUSTER LIST HEMOGLOBIN ELECTRO 830208 83020

121806

Test not built in Lab module

METANEPHRINES

831464

83835

LACTIC ACID CSF IMMUNOFIXATION URINE VMA RANDOM URINE SULFATE, URINE, QUANTITATIVE

122408 123034 123208 123307

LCA LCA

CSFLACTIC IMM-UR VMAURAN Test not built in the lab module

LACTIC ACID VMA URINE SULFATE URINE

836055 863252 831403 856134

83605 86334 84585 84392

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 35 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FETAL LUNG MATURITY (FLM-TDx)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module.

MIS STANDARDIZED NAME FETAL LUNG MAT FLUOR POL

PROCEDURE CODE

CPT CODE 83663

SPECIMEN REQUIREMENT 3 ml amniotic fluid in 2 brown plastic screw top tubes. Must send frozen; wirte STAT and call results to (325) 649-3116. Amnitotic fluid for testing should be collected via transabdominal amniocentesis or from a free flowing or carefully tapped vaginal sample. Do NOT centrifuge samples; Must be tested within 72 hours. Send same day collected (before courier run) 2 ml random urine. Adjust final pH to <3 with 6 N HCL. (Rinse plastic container with acid prior to collecting.) 2 ml random urine. Adjust final pH to <3 with 6 N HCL. (Rinse plastic container with acid prior to collecting.) 0.5 ml CSF or 5 ml EDTA whole blood from purple top tubes, Please send in initial tubes blood was collected in. or 5 ml bone marrow in purple top EDTA tube Send refrigerated: 1 ml urine, 1 ml ACD yellow top tube plasma, 1 ml EDTA lavender-top tube plasma, or 1 ml CSF in sterile container. For tissue, send 200 mg tissue, freeze immediately. .5 gm stool in a sterile collection cup. Refrigerate for 1-3 days, after 3 days, FREEZE. ½ ml CSF, or a swab in viral media 1 ml serum, send refrigerated

125617

840964

CALCIUM/CREATININE RATIO

134908

Test not built in Lab Module Test not built in Lab Module Test not Built in Lab module

SEE CLUSTER LIST

URINE CALCIUM/CREATININE RATIO EPSTEIN-BARR (EBV) DNA BY PCR REAL TIME

134908

SEE CLUSTER LIST

138230

EBV AMP PROBE

862010

87798

JC/BK VIRUS (POLYOMAVIRUS) DNA PCR

138293

Test not built in Lab module.

SEE CLUSTER LIST

NOROVIRUS, RT-PCR (Snow Mountain Agent, Norwalk virus, Human calcivirus) VARICELLA ZOSTER VIRUS (CSF) REAL TIME PCR BABESIA MICROTI ANTIBODY PANEL COCCIDIODES ANTIBODIES Q FEVER AB IGM

138307 138313 138315 138396 138503 LCA

Not built in Lab module CSFVARZOS Test not built in Lab Module Test not built in Lab module QFEVERM

INFECT AGENT AMP PROBE VARICELLA ZOST AMP PROBE SEE CLUSTER LIST COCCIDIOD AB QUAL Q FEVER AB IGM

894681 862585

87798 87798

863316 866383

86635 86638

1 ml serum 1 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 36 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FEBRILE AGGLUTININS TRICHINELLA IGG ANTIBODY TOXOPLASMA DNA BY PCR CMV QUANT PCR ENTEROVIRUS RT-PCR (FREEZE IF TISSUE)

LABCORP TEST #

LCA LCA

LIS MNEMONIC FEB TRICHG TOXODNA Test not Built in Lab module Test not built in lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST TRICHINELLA AB QUAL INFECT AGENT AMP PROBE CMV DNA QUANT ENTEROVIRUS AMP PROBE

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 2 ml serum (send at room temperature) (Sent to ViroMed Lab Inc.) 1 ml serum send frozen 0.5 ml CSF or 5 ml whole blood from a purple top tube 4 ml plasma from a lavender top tube (EDTA) refrigerated. 0.5 ml of uncentrifuged CSF, 250 mg tissue, Viral transport medium for nasopharyngeal swab, rectal swab, throat swab; (freeze tissue, refrigerate all other specimens.) 1 ml CSF or viral transport medium (vesicle swab), send refrigerated. or tissue (send frozen). 2 ml serum 1 ml serum

138552 138578 138602 138610 138636

CLUSTER 839187 894680 872524 800980 86784 87798 87497 87798

HERPES SIMPLEX 1, 11 (HSV) BY PCR CSF, vesicle swab, or tissue (If tissue, send frozen) RICKETTSIAL FEVER GROUP IGG/IGM TYPHUS FEVER ABS IGG/IGM (SERUM) ECHINOCOCCUS ANTIBODY QUAL WEST NILE VIRUS ANTIBODY (SERUM) WEST NILE VIRUS ANTIBODY (CSF) PNEUMOCOCCAL POLYSACCHARIDE IGG AB IMMUNITY 7 TYPE PANEL (POST VACCINATION) URINE MICROALBUMIN 24 HOUR URINE INSULIN-LIKE GROWTH FACTORBINDING PROTEIN 3 (IGF-BP3) (our cost $57.75)

138651 138743 138750 138768 138842 138966 139080

LCA LCA

HSV12PCR RICKGM Test not built in Lab module ECHIAB WESTNILE

WESTNILECSF

HERPES SIMP AMP PROBE SEE CLUSTER LIST SEE CLUSTER LIST ECHINOCOCCUS AB SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST

894356

87529

LCA LCA LCA

862801

86682

1 ml serum, FROZEN 2 ml serum 0.5 ml CSF, do not centrifuge. 1 ml serum

Test not built in Lab module LCA MICALB24 Test not built in Lab module

140050 140152

MICROALBUMIN QUANT INSULIN-LIKE GF BIND PRO

822321 835197

82043 83519

10 ml aliquot of urine, 24-hour specimen 1 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 37 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME PTH RELATED PROTEIN (PEPTIDE)

LABCORP TEST #

LCA

LIS MNEMONIC PTHREPRO

MIS STANDARDIZED NAME PTH RELATED PROTEIN RIA

PROCEDURE CODE

CPT CODE 83519

SPECIMEN REQUIREMENT Please see special kit in chemistry fridge. Specimen should be

140194

835192

drawn with the chilled EDTA 7 ml lavender top tube provided in the kit. After draw, add 0.25ml of Trasylol provided in the kit to the tube of whole blood. Mix specimen well, centrifuge and transfer the plasma into a plastic SCREW-TOP TUBE and FREEZE IMMEDIATELY.

ALPHA 1 SUB-UNIT (FREE) PITUITARY GLYCOPROTEIN ERYTHROPOIETIN MICROALBUMIN, RANDOM URINE CANCER ASSOCIATED BREAST ANTIGEN, (CABA) CA 27.29 NEOPTERIN 140269 140277 140285 140293 140335 LCA LCA LCA LCA Test not built in Lab module ERY MICALBU CABA NEOPTERIN ALPHA 1 GLYCOPROTEIN ERYTHROPOIETIN QUANT MICROALBUMIN QUANT CA 27-29 NEOPTERIN 849910 870148 822321 863160 835190 82985 82668 82043 86300 83520 1 ml serum (performed only 1 time a week) 1 ml serum 30 ml aliquot from a random urine specimen 1 ml serum 1 ml serum or EDTA plasma from a purple top tube, Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 3 ml serum. Patient should fast for 12-14 hours before specimen is collected. Patient should not have had any recently administered isotopes (performed by RIA) 0.5 ml serum, centrifuge and transfer the serum into a plastic SCREW-TOP TUBE and FREEZE IMMEDIATELY. Baseline proinsulin levels should be collected after a 12-hour fast.

INSULIN FREE AND TOTAL

140350

Test not built in Lab module

SEE CLUSTER LIST

PROINSULIN

140533

Test not built in Lab module.

PROINSULIN

842060

84206

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 38 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HEP C BY PCR (ULTRA) QUAL

LABCORP TEST #

LCA LCA

LIS MNEMONIC HEPCPCRQL

MIS STANDARDIZED NAME HEP C AMP PROBE PCR

PROCEDURE CODE

CPT CODE 87521

SPECIMEN REQUIREMENT 2 ml serum or 2 ml EDTA plasma (purple top tube) frozen. Send plasma or serum in plastic screw

140609

881809

top tube, remove plasma or

serum within 6 hours of collection and freeze within 24 hours of collection. 2 ml serum Send plasma or serum in plastic screw top tube (frozen) 1 ml serum. NSE is a useful adjunct in the monitoring of patients with small cell lung cancer. 1 ml serum (separated within one hour from drawing) 2 ml serum, Send frozen, No

HEPATITIS B VIRUS DNA BY PCR (Our cost is $90.00) NEURON-SPECIFIC ENOLASE (NSE) VOLTAGE-GATED CALCIUM IGG ABS PREGNENOLONE

140615

HEPBDNA

HEP B DNA QUANT

881821

87517

140624 140640 140707 LCA

Test not built in the lab module Test not Built in Lab module PREG

NEURON SPECIFIC ENOLASE VOLTAGE GATED CA CHAN AB PREGNENOLONE

863157 823106 841385

86316 83519 84140

radioisotopes administered 24 hours prior to venipuncture.

17-HYDROXYPREGNENOLONE 140715 Test not built in lab module. 17 HYDROXYPREGNEN 831858 84143 2.5 ml of serum. No radioisotopes should be administered 24 hours prior to venipuncture, as test is a RIA procedure. Send Frozen. 1 ml serum, Refrigerate 3 ml serum, (minimal 0.3 ml serum, does not allow for any repeat testing.) (If this test is being used for serial monitoring, we suggest the specimen type be maintained throughout the testing period) 0.2 ml serum or EDTA plasma from a purple top tube, or heparinized plasma from a green top tube. Separate and transfer to a plastic transfer tube. Store refrigerated for 1 week, or after freeze up to 6 months. .3 ml plasma from a purple top EDTA tube. Spin within 4 hours, refrigerate. 1 ml serum

PSA ULTRASENSITIVE THYROID STIMULATING IMMUNOGLOBULIN CHROMOGRANIN A

140731 140749 140848

Test not built in Lab module. Test not built in Lab module Test not built in Lab Module

PROS SPEC AG (PSA) THYROID STIM IMMUNO TSI CHROMOGRANIN A QN

884505 884282 863163 84445 86316

LP-PLA2 HEPATITIS C VIRUS AB BY IMMUNOBLOT ASSAY

141275 141408

Test not built in Lab module. HEPCRIBA

LIPOPROTEIN A EIA HEPATITIS C CONFIRM

894413 863168

83520 86704

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 39 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME INSULIN ANTIBODIES INSULIN-LIKE GROWTH FACTOR-II GAD-65 AUTOANTIBODY (GLUTAMIC ACID DECARBOXYLASE) TESTOSTERONE FREE AND TOTAL CANCER ANTIGEN 15-3 HEPATITIS C (If positive reflexes to a Hep C Confirm (RIBA))

LABCORP TEST #

LCA

LIS MNEMONIC Not built in Lab Module Test not built in Lab module Test not built in lab module. TESTF&TOT

MIS STANDARDIZED NAME INSULIN AB SOMATOMEDIN A IGF-2 GLUT ACID DECARBOX AB SEE CLUSTER LIST CA 15-3 HEPATITIS C AB QUAL

PROCEDURE CODE

CPT CODE 86337 84305 83519

SPECIMEN REQUIREMENT 0.5 ml serum 1 ml serum (frozen) 0.5 ml serum (Patient must not be given radioisotopes within 24 hrs prior to specimen collection.) 2 ml serum 2 ml serum 1 ml serum

141598 141770 143008 143255 143404 143991 LCA LCA

863371 835199 863369

CA15-3 HEPCAB

849996 863170

86300 86803

***This test can reflex, see reference test reflex list for billing information.

144600 144618 150075 150409 LCA HIST UHIST Test not built in Lab module. Test not built in the lab module HISTAMINE BLOOD HISTAMINE URINE PLT AB HEPARIN INDUCED SEE CLUSTER LIST 830881 830880 869980 83088 83088 86022 2 ml EDTA plasma from a purple top tube (frozen) 25 ml aliquot of a 24-hour specimen, no preservative (send frozen) 3 ml serum (send frozen) If submitting bone marrow: 2 ml in pediatric NaHep green top tube and 1 ml in EDTA purple top tube. If submitting peripheral blood, 3 ml in NaHep green top tube and 5-6 ml in EDTA purple top tube. Maintain specimen at room temperature and should arrive within 48 hours of collection. 2 ml EDTA plasma or 5 ml EDTA whole blood , purple top tube 2 ml serum 1 ml CSF 3 ml serum 1 ml serum 4 ml serum or EDTA plasma from a purple top tube 1 ml serum

HISTAMINE BLOOD URINE HISTAMINE , 24-HOUR HEPARIN INDUCED PLATELET ANTIBODIES MYELOGENOUS LEUKEMIA, CHRONIC (Please state whether specimen is bone marrow or blood) (FOR PHILADELPHIA CHROMOSOME BY CYTOGENETICS) CHOLINESTERASE, PLASMA RUBEOLA IGM ANTIBODY LYME IGG AB WESTERN BLOT CSF MUMPS IGM AB IMMUNOGLOBULIN G SUBCLASS 2 ANTIPANCREATIC ISLET CELLS AB EPSTEIN BARR VIRUS EARLY ANTIGEN ANTIBODY PROFILE

160200 160218 160457 160499 160515 160721 160739 LCA

Test not built in Lab module RUBEOM LYMECSF MUMPM Test not built in Lab module ISLET Test not Built in Lab module

PSEUDOCHOLINESTERASE RUBEOLA IGM LYME AB WESTERN BLOT MUMPS IGM QUAL IGG SUBCLASSES EA ISLET CELL AB SEE CLUSTER LIST

893952 869988 870000 867353 827868 863375

82480 86765 86617 86735 82787 86341

LCA

LCA

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 40 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CRYPTOCOCCAL AG CSF HSV-6 IGG COMPLEMENT C2 DNA ANTIBODIES SINGLESTRANDED EVALUATION ANTI JO ­ 1 ANTIBODY JO ­ 1 ANTIBODY RA (RHEUMATOID ARTHRITIS FACTOR) QUANTITATIVE ON BODY FLUID RETICULIN ANTIBODY IGA CARDIOLIPIN IGG ANTIBODY CARDIOLIPIN IGM ANTIBODY CARDIOLIPIN IGA ANTIBODY CARDOLIPIN IGG, IGA, IGM ARBOVIRUS ANTIBODIES IGG SERUM (ENCEPHALITIS PANEL) ENCEPHALITIS PANEL SERUM ARBOVIRUS ANTIBODIES IGG HIV 1 DNA BY PCR

LABCORP TEST #

LCA LCA LCA LCA LCA

LIS MNEMONIC CRYAG Test not built in Lab module. COMC2 Test not built in Lab module JO1AB JO1AB Test not built in Lab module.

MIS STANDARDIZED NAME CRYPTOCOCCAL AG LATEX HERPES 6 HUMAN IGM COMPLEMENT C2 DNA ANTIBODY SINGLE JO-1 ANTIBODY JO-1 ANTIBODY RA QUANT

PROCEDURE CODE

CPT CODE 86403 86790 86160 86226 86235 86235 86431

SPECIMEN REQUIREMENT 2 ml CSF 2 ml serum 2 ml serum (frozen) 1 ml serum 1 ml serum, (send at room temperature) 1 ml serum, (send at room temperature) 1 ml synovial (joint) fluid; Heterophil antibodies may cause false-positive results. 2 ml serum 2 ml serum 2 ml serum 2 ml serum 2.5 ml serum 2 ml serum 2 ml serum

160747 161075 161414 161422 161455 161455 161463

860672 861741 863290 884621 862351 862351 864310

161760 161810 161828 161836 161950 162008 162008 162050

LCA LCA LCA LCA LCA LCA LCA

RETAB CARDG CARDM CARDA CARDGAM ARBOG ARBOG HIV1DNA

RETICULIN AB QUAL CARDIOLIPIN AB IGG CARDIOLIPIN AB IGM CARDIOLIPIN AB IGA SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST HIV VIRAL LOAD

862549 856152 856141 856151 CLUSTER CLUSTER 826534

86255 86147 86147 86147

87536

HELICOBACTER PYLORI AB IGG QUANT ARBOVIRUS ANTIBODIES IGM SERUM (ENCEPHALITIS PANEL) ENCEPHALITIS PANEL SERUM ARBOVIRUS ANTIBODIES IGM)

162289 162305 162305

LCA LCA LCA

HPYLORIQN ARBOM ARBOM

H PYLORI AB QN SEE CLUSTER LIST SEE CLUSTER LIST

863192 CLUSTER CLUSTER

86317

Children younger than 2 years: 1.5 ml ACD (yellow-top tube) whole blood and 2 ml serum in unopened SSt tube. Adults: 5 ml ACD whole blood from yellow top tube and 4 ml serum in unopened SST tube. Mix well, specimens with clots will be rejected. Maintain whole blood and ship at Room Temperature. Refrigerate the spun unopened SST tube PLEASE SEND IN INITIAL TUBES BLOOD WAS COLLECTED IN. 1 ml serum 2 ml serum 2 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 41 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ANCA NEUTROPHIL CYTOPLASMIC AB (Includes C-ANCA & P-ANCA) (Our cost is $9.00) HTLV I AND HTLV II DNA BY PCR

LABCORP TEST #

LCA LCA

LIS MNEMONIC ANCA Test not built in Lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST INFECT AGENT AMP PROBE

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 1 ml serum

162388 162420

894680

87798

HERPES SIMPLEX I & II IGG (Our cost $13.42)

163014

LCA

HSV12IGG

HERPES SIMPLEX AB QUAL

835307

86694

BORDATELLA PERTUSSIS ANTIBODIES HERPES SIMPLEX II IGG AB (Our cost $18.70) (Type Specific) BARTONELLA ANTIBODIES CAT SCRATCH FEVER CATSCRATCH FEVER (See Bartonella) HELICOBACTER PYLORI IGA AB HELICOBACTER PYLORI IGM AB TETANUS/DIPHTHERIA ANTIBODIES PARVOVIRUS B19 ANTIBODIES (IGG & IGM) GLIADIN IGG, IGA ANTIBODIES HIV-2 ANTIBODIES, EIA LYME DISEASE ANTIBODIES BY WESTERN BLOT (IgG & IgM) HELICOBACTER PYLORI AB IGG, IGA, IGM

163030 163147 163162 163162 163170 163204 163253 163303 163402 163550 163600 163683

LCA LCA LCA

BPERTUS HSV2G BART

SEE CLUSTER LIST HERPES SIMPLEX 2 AB QL SEE CLUSTER LIST

CLUSTER 861739 CLUSTER 86696

whole blood from an ACD yellow top tube Please send in initial tube blood was collected in. Children younger than 2 years: 1.5 mL; adults: 5mL 1 ml serum Maintain specimen at room temperature. (This test cannot be used to differentiate HSV I from HSV II infection. It only detects IgG antibodies to either HSV-I or HSV-II) 2 ml serum 1 ml serum 2 ml serum

LCA LCA LCA LCA

HPYLOIGA HPYLOIGM Test not built in Lab Module PARVAB GLIAB Test not built in Lab Module

H PYLORI AB QUAL H PYLORI IGM SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST HIV-2 AB QUAL SEE CLUSTER LIST SEE CLUSTER LIST

863194 863195

86677 86677

2 ml serum 2 ml serum 2 ml serum 1 ml serum 1 ml serum

894047

86702

1 ml serum 1 ml serum 2 ml serum, Maintain specimen at room temperature. (Current studies suggest that H. pylori IgM testing should be performed concomitantly with H. pylori IgA and/or IgG tests for accurate diagnosis of Helicobacter pylori.)

LCA

LYMEGM Test not built in Lab module.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 42 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME MYCOPLASMA PNEUMO IGG ANTICHROMATIN IgG ANTIBODIES

LABCORP TEST #

LCA LCA

LIS MNEMONIC MYCOG Test not built in Lab module

MIS STANDARDIZED NAME MYCOPLASMA AB IGG QL EXTRACTABLE NUC AG SCR

PROCEDURE CODE

CPT CODE 86738 83516

SPECIMEN REQUIREMENT 1 ml serum 1 ml serum Maintain specimen at room temperature. Help diagnose drug-incuded SLE. Antibodies to both chromatin and histones have been found in patinents with procainamide-induced lupus. 1 ml serum 1 ml serum 1 ml serum 1 ml serum

163741 163766

861713 862253

ANTI-MYELOPEROXIDASE (MPO) ANTIBODIES MYELOPEROXIDASE (MPO) ANTIBODIES ANTI-PROTEINASE 3 (PR-3) ANTIBODIES BETA-2-GLYCOPROTEIN I ANTIBODIES IGG, IGA, IGM LIVER-KIDNEY MICROSOMAL AB HTLV I/II AB BY WB COCCIDIOIDES ANTIBODIES QUANT DID HISTOPLASMA ANTIBODIES QUANT DID RISTOCETIN COFACTOR (VWF ACT)

163840 163840 163857 163915 163980 164129 164301 164319 164509 LCA LCA LCA LCA

Test not built in Lab module Test not built in Lab module Test not built in Lab module Test not built in Lab Module LIV-KIDAB Test not built in Lab module. COCCAB HISTOAB RISTO

MYELOPEROXIDASE AB MYELOPEROXIDASE AB PROTEINASE-3 AB SEE CLUSTER LIST LIVER-KIDNEY MICRO AB SEE CLUSTER LIST COCCIDIOID AB QUAL HISTOPLASMA FACTOR 8 RISTOCETIN

862587 862587 862586 CLUSTER 863763

86021 86021 86021

86376

1 ml serum 1 ml serum or 1 ml EDTA plasma from a purple top tube 1 ml serum 1 ml serum 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen 2 ml serum 1 ml serum 1 ml serum

894099 861704 855760

86635 86698 85245

PROTEIN S ANTIGEN PANEL (SEND IN SEPARATE TUBE JUST FOR THIS ONE TEST) PROTEIN S ACTIVITY-FUNCTIONAL (SEND IN SEPARATE TUBE JUST FOR THIS ONE TEST) BORDATELLA PERSUSSIS ANTIBODIES IGG/A/M BRUCELLA ABORTUS IGG ANTIBODIES LEGIONELLA ANTIBODIES TOTAL (IGA, IGG, IGM

164517

SEE CLUSTER LIST

164525

LCA

PROTEINS

PROTEIN S ANTIGEN FREE

853000

85306

164541 164608 164616 LCA LCA

Test not Built in Lab module BRUCG LEGAB

SEE CLUSTER LIST BRUCELLA AB QL IGG LEGIONELLA AB QUAL

CLUSTER 860100 894146 86622 86713

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 43 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME BRUCELLA ABORTUS IGM ANTIBODIES ENDOMYSIAL AB IGA (Now named T-TRANSGLUTAMASE AB IGA see listing by that name) T-TRANSGLUTAMASE AB IGA (used to be named Endomysial AB IgA) CROHN'S DISEASE (See Saccharomyces cerevisiae Panel)

LABCORP TEST #

LCA LCA LCA

LIS MNEMONIC BRUCM T-TRANS

MIS STANDARDIZED NAME BRUCELLA AB QL IGM TRANSGLUTAMIN AB IGA QL

PROCEDURE CODE

CPT CODE 86622 83516

SPECIMEN REQUIREMENT 1 ml serum 1 ml serum

164624 164640

866221 863191

164640 164657

LCA

T-TRANS Test not Built in Lab module

TRANSGLUTAMIN AB IGA QL SEE CLUSTER LIST

863191

83516

1 ml serum 0.4 ml serum (This assay may be considered by Medicare and other payers as investigational and, may not be payable as a covered benefit for patients.) 0.4 ml serum (This assay may be considered by Medicare and other payers as investigational and, may not be payable as a covered benefit for patients.) 1 ml serum

SACCHAROMYCES CEREVISIAE PANEL CROHN'S DISEASE (See Saccharomyces cerevisiae Panel) EHRLICHIA CHAFFENSIS ANTIBODIES IFA (HUMAN GRANULOCYTIC IGG AND IGM AND HUMAN MONOCYTIC IGG AND IGM) HUMAN GRANULOCYTIC IGG AND IGM AND HUMAN MONOCYTIC IGG AND IGM (EHRLICHIA CHAFFENSIS ANTIBODIES IFA) HERPES SIMPLEX IGM I/II COMBINATION ANTIBODIES CENTROMERE B ANTIBODIES INFLAMMATORY BOWEL DISEASE IBD CCP (CYCLIC CITRULLINATED PEPTIDE) ANTIBODY

164657

Test not Built in Lab module

SEE CLUSTER LIST

164722

LCA

EHRLICAB

SEE CLUSTER LIST

164722

LCA

EHRLICAB

SEE CLUSTER LIST

1 ml serum

164806 164814 164830 164871

LCA

HSV12M Test not built in Lab module IBD Test not built in Lab module

HERPES SIMPLEX AB QUAL CENTROMERE AB TIT SEE CLUSTER LIST CCP ANTIBODY

835307 862540

86694 86256

2 ml serum 1 ml serum 1.5 ml serum (No hemolysis or lipemia) 0.3 ml serum. I f testing will not be completed within 48 hours, freeze.

LCA

862352

86200

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 44 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HERPES SIMPLEX I IGG AB (our cost is 16.17)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME HERPES SIMPLEX I AB IGG

PROCEDURE CODE

CPT CODE 86695

SPECIMEN REQUIREMENT 1 ml serum (Send at Room temperature) Detects IgG antibodies specific to HSV type I infection; confirm or rule out possible infection with herpes simplex type I virus in prenatal patients in whom HSV infection can cause serious prenatal disease; identify those who are subclinical carriers of HSV I . This assay is based on purified recombinant glycoprotein G-1 and is specific for type I antibodies. Moreover, this assay is highly sensitive and specific and will not detect antibodies to HSV II. 2 ml serum 0.4 ml serum Refrigerate up to 7 days, freeze for longer storage. 0.4 ml serum, Detection of antibodies to aid in the diagnosis of gluten-sensitive enteropathy (GSE), such as celiac disease and dermatitis herpetiformis. 3 ml serum (Ship at Room Temperature) 1-3 ml serum, ship at room temperature, can store refrigerated for up to 48 hours. This panel is recommended for children under 3 years of age or patients with IgA deficiency. 1 ml serum, No SST

164897

861680

ANTINUCLEAR ANTIBODIES LEPTOSPIRAL IGM ANITBODIES T-TRANSGLUTAMASE AB IGG

164947 164970 164988

LCA LCA

ANA LEPTOAB Test not built in Lab module

ANA QUAL SCREEN LEPTOSPIRA AB QUAL IMMUNOASSAY OTHER

860500 860008 863202

86038 86720 83516

CELIAC DISEASE AB PROFILE CELIAC DISEASE AB PROFILE (PEDIATRIC)

165126 165167

LCA

CELIAC Test not built in lab module

SEE CLUSTER LIST SEE CLUSTER LIST

APOLIPOPROTEIN B

167015

LCA

APOB

APOLIPOPROTEIN B

860335

82172

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 45 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CELIAC DISEASE HLA DQ ASSOCIATION

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 3 ml whole blood from a lavender-top EDTA tube. Please send in initial tube blood was collected in. Maintain specimen at room temperature. HLA DQ2 and DQ8 are statistically associated with Celiac Disease and are sometimes used as a test in support of that diagnosis. More than 95% of celiac patients are positive for either DQ2 or DQ8; however, these antigens may also be present in patients who do not have celiac disease. 7 ml whole blood from 2 lavender-top EDTA tubes (or ACD whole blood is acceptable) Maintain whole blood at room temperature. Please send in initial tubes blood was collected in. 7 ml EDTA whole blood from purple top tube, Please send in initial tubes blood was collected in. (Send at room temperature, Send MondayThursday) 7 ml EDTA whole blood from purple top tube, Please send in initial tubes blood was collected in. (Send at room temperature) Pure isolate in anaerobic media, (state source of original specimen) Stool in sterile container, no preservative. 5 gm stool (No preservatives) 2 gm stool or 2 ml liquid stool. Place in sterile screw-cap vial or Para-pak clean vial. Specimen should be stored refrigerated and sent to LabCorp within 24 hours of collection.

167082

DR SPECIFIC (DISEASE ASSOCIATION, HLA TYPING)

167312

Test not Built in Lab module

SEE CLUSTER LIST

HLA ­A SPECIFIC (BY PCR & SEQUENCE SPECIFIC OLIGONUCLEOTIDE PROBE) HLA ­B SPECIFIC (BY PCR & SEQUENCE SPECIFIC OLIGONUCLEOTIDE PROBE) SUSCEPTIBILITY ANAEROBIC ENTEROHEMORRHAGIC E COLI CULT (Send only if can not send Shiga Toxi to State Lab. The Shiga Toxin is the preferred test) C DIFF TOXIN B/CYTOTOXIN H PYLORI STOOL ANTIGEN

167320

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

167338

Test not built in Lab Module SUSANA Test not built in lab module CDIFB Test not built in Lab module

SEE CLUSTER LIST

180349 180356

SUSC MIC CULT STL E COLI PLATE

866310 870454

87186 87046

180448 180764

C DIFFICILE TOXIN H PYLORI AG EIA

872300 863198

87230 87338

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 46 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME GIARDIA LAMBLIA DIRECT DETECTION BY EIA

LABCORP TEST #

LCA LCA

LIS MNEMONIC GIAR

MIS STANDARDIZED NAME GIARDIA ANTIGEN EIA

PROCEDURE CODE

CPT CODE 87328

SPECIMEN REQUIREMENT 2 gm stool in O/P transport (Found in Micro in cabinet underneath hood) FORMALIN VIAL ONLY; IF SENT WITH O/P ONLY ONESET OF VIALS IS NEEDED, Send pure yeast culture 25 ml urine Stool in C&S transport Pure culture yeast isolate (mycology or bacterial culture medium packaged as an etiologic agent (Sabouraud dextrose, SABHI, BHI, or chocolate) Maintain specimen at room temperature. Send specimen in anaerobic media, indicate source of original specimen STOOL: Parasite preservative kit; Formalin only ship at room temperature. Pure culture yeast isolate (mycology or bacterial culture medium packaged as an etiologic agent (Sabouraud dextrose, SABHI, BHI, or chocolate) Maintain specimen at room temperature. Stool in C&S transport Pure culture yeast isolate (mycology or bacterial culture medium packaged as an etiologic agent (Sabouraud dextrose, SABHI, BHI, or chocolate) Maintain specimen at room temperature. Pure culture yeast isolate (mycology or bacterial culture medium packaged as an etiologic agent (Sabouraud dextrose, SABHI, BHI, or chocolate) Maintain specimen at room temperature.

182204

835165

IDENTIFICATION OF ORGANISM, YEAST LEGIONELLA URINE AG VIBRIO CULTURE SUSCEPTIBILITY FUNGUS, (AMPHOTERICIN)

182212 182246 182311 182329

IDYSTREF LEGAGU VIBC Test not built in Lab module

YEAST ID LEGIONELLA AG EIA CULT VIBRIO SCR SUSC MIC

871064 861730 870451 866310

87106 87449 84045 87186

IDENTIFICATION OF ORGANISM, ANAEROBIC CRYPTOSPORIDIUM SMEAR, STOOL SUSCEPTIBILITY FUNGUS, (CASPOFUNGIN)

182345 182378 182394 LCA

IDANAREF CRYPTOSM Test not built in Lab module

ANAEROBIC ORG ID SEE CLUSTER LIST SUSC MIC

870759 CLUSTER 866310

87076

87186

YERSINIA CULTURE SUSCEPTIBILITY FUNGUS, (VORICONAZOLE)

182410 182469

YERC Test not built in Lab module

CULT YERSINIA SCR SUSC MIC

870770 866310

87081 87186

SUSCEPTIBILITY FUNGUS, (POSACONAZOLE)

182824

Test not built in Lab module

SUSC MIC

866310

87186

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 47 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CYCLOSPORA SMEAR, STOOL CHLAMYDIA GC BY LCR (NUCLEIC ACID AMPLIFICATION

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module Test not Built in Lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 5 gm STOOL: Parasite preservative kit; Formalin only ship at room temperature. 20 ml urine (5 ml minimum) or endocervical/urethral swab specimen placed in viral, Chlamydia culture media (IN BACTI FRIG) or can use a Gen-Probe PACE swab

183145 183194

CLUSTER

VARICELLA ZOSTER BY DFA

185009

Test not built in Lab module

VARICELLA ZOSTER AG IFT

862581

87290

ADENOVIRUS DIRECT DETECTION (TYPE 40/41) EIA VARICELLA ZOSTER, RAPID CULTURE VIRAL CULTURE, RAPID ON A LESION

185041 186031 186056

ADENOAG Test not built in Lab module Test not built in Lab module

ADENOVIRUS CULT VIRUS SHELL VIAL SEE CLUSTER LIST

866031 872506 CLUSTER

87301 87254

Impression smears of tissues, lesion scraping and swabs, or upper respiratory tract swabs. Plain glass slides. Two thinly made air dried slides. Do not spray fix. 2 gm stool Vesicle fluid/vesicle scrapings in a viral, Chlamydia, or Mycoplasma culture transport media. Vesicular fluid, ulcerated lesions, vesicular scrapings, pharyngeal and throat swabs, vaginal swabs. Viral, Chlamydia, or Mycoplasma transport media. Specimen is best collected within the first 3 days after appearance of lesion but no more than 7 days. Do not prepare the collection site with alcohol or iodophors. (IN BACTI FRIG) Viral transport media, (specify source) (IN BACTI FRIG) Could be vesicular fluid, ulcerated lesions, pharyngeal and throat swabs, urine, CSF, biopsy material, eye exudates, and vaginal swabs. Specimen is best collected within the first 3 days following the appearance of a lesion but no more than 7 days. CANNOT SEND SPUTUM!!!

HERPES SIMPLEX VIRUS (HSV) CULTURE (WITHOUT TYPING)

186072

Test not built in Lab module.

CULT VIRUS SHELL VIAL

872506

87254

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 48 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME P CARINII PNEUMONIA, STAIN SPERM ANTIBODIES AMOXAPINE BENZTROPINE (CONGENTIN) CONGENTIN (BENZTROPINE) BUPROPION (WELLBUTRIN) (our cost $ 94.00) IBUPROFEN (MOTRIN® or ADVIL®) NEFAZODONE (SERZONE) MELLARIL (THIORIDAZINE AND METABOLITE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module. Test not built in Lab module AMOXA Test not built in Lab Module Test not built in Lab Module Test not Built in Lab module Test not built in Lab Module Test not built in the lab module MELLARIL

MIS STANDARDIZED NAME PATH G SILVER STAIN SPERM ANTIBODIES AMOXAPINE ASENDIN BENZTROPINE CONGENTIN CHR BENZTROPINE CONGENTIN CHR BUPROPION WELLBUTRIN CHR IBUPROFEN ADVIL CHR NEFAZODONE SERZONE CHR THIORIDAZINE MELLARIL QN

PROCEDURE CODE

CPT CODE 88313 89325 80299 82491 82491 82491 82491 82491 84022

SPECIMEN REQUIREMENT 1 ml sputum, Bronchial Washings, body fluid, final needle aspirate, or CSF send at room temperature 2 ml serum or 1 ml seminal fluid 30 ml urine 4 mls Serum (Send at Room Temperature) 4 mls Serum (Send at Room Temperature) 5 mls serum (send frozen, unstable at room temperature centrifuge immediately) No SST 1 ml serum, no SST, keep at room temperature 2 ml serum, or 2 ml EDTA plasma from a purple top tube, No SST 3 ml serum, no SST and Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 4 ml serum

190256 201828 202134 202151 202151 202161 202235 202279 202350 LCA LCA

883133 893250 849908 800420 800420 800336 851360 893999 894522

SYSTEMIC LUPUS PROFILE B (Please do not send this test unless SPECIFICALLY ORDERED THIS WAY BY PHYSICIAN, AND DO NOT ENCOURAGE THE USE OF THIS PROFILE) IGG SYNTHESIS & INDEX (CSF and serum)

203752

Test not built in Lab Module

SEE CLUSTER LIST

203836

IGGSYN

SEE CLUSTER LIST

1 ml CSF and 2 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 49 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME GASTRIN (SERUM 6 SPECIMENS) (Use this test when sending the specimens for the Gastrin Stimulation Test after Secretin ­ See Collection Manual for Procedure.

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT For use when performing the Gastrin Stimulation Test after Secretin if there will be 6 specimens. Please see the Collection Manual under Individual procedures for information. These specimens are drawn fasting, and then at ordered intervals post medication It is administered over 30 seconds. 1 ml serum for each specimen.

204644

COPPER TISSUE

206023

Test not built in Lab Module

COPPER OTHER

825304

82525

INHALANT SOLVENT PANEL METHSUXIMIDE AS METABOLITE

206208 206228

Test not built in lab Module Test not built in Lab module. LCA

PHENOLFECES

VOLATILES METHSUXIMIDE

846002 828251

84600 83858

PHENOLPHTHALEIN, FECES (our cost is $51.80) ACID HEMOLYSIS (HAM TEST)

206399 206403

PHENOLPHTHALEIN HAM TEST

849992 854750

84311 85475

0.5 mm X 1.0 cm from a needle biopsy of the liver; large section needed from a wedge biopsy. Send in Mayo metal-free specimen vial (blue label)or plastic vial leached with 10% nitric acid for 2 days., rinsed with redistilled water, and dried in clean air. Send refrigerated. Or Send paraffin block. Include suspected diagnosis and clinical info. 2 ml whole blood gray top tube Please send in initial tubes blood was collected in. 2.0 ml of serum or plasma from a redtop tube, EDTA lavender-top tou or gray-top tube. No SST, send at room temperature 1 gm random stool specimen, frozen 3 ml serum and 5 ml whole blood from an EDTA purple top tube. Please send whole blood in initial tube blood was collected in. Send at room temperature. Send only Monday through Wednesday. 1 ml serum or 1 ml CSF

Test not built in lab module

ASPERGILLUS PRECIPITANS by Immunodiffusion (No longer available, order Test # 660712)

207312

Test not Built in Lab

SEE CLUSTER LIST

CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 50 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME NIFEDIPINE (PROCARDIA) IMMUNOGLOBULIN G SUBCLASSES (1-4) HERPES SIMPLEX VIRUS I/II IGG/IGM EPSTEIN BARR VIRUS ACUTE INFECTION BOTULINUM TOXIN TYPE A, AB TEST BY WESTERN BLOT TETANUS ANTIBODY ENTOAMOEBA HISTOLYTICA AB Test no longer available ANGIOTENSIN-I-CONVERTING ENZYME CSF TORCH IGG/IGM AB PANEL CMV AB IGG/IGM CYTOMEGALOVIRUS IGG & IGM ANTIBODIES SERUM ALPHA FETO PROTEIN FLUID XANAX (ALPRAZOLAM) LORAZEPAM (ATIVAN) PROTEIN ELECTROPHORESIS SERUM (with interpretation) ANTIHISTAMINE SERUM

LABCORP TEST #

LCA LCA LCA

LIS MNEMONIC NIFEDIPINE IGGSUB

MIS STANDARDIZED NAME NIFEDIPINE PROCARDIA CHR SEE CLUSTER LIST SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 82491

SPECIMEN REQUIREMENT 2 ml serum, or 2 ml EDTA plasma from a purple top tube, No SST and (send frozen) 2 ml serum 3 ml serum 2 ml serum

207607 209601 213884 216655 216670 216690 216745 216839

893998

LCA

EBV Test not Built in Lab module TETANUS EHIST

SEE CLUSTER LIST BOTULINUM TOX AB WBLOT TETANUS AB QUAL AMOEBIC AB ANGIOTENSIN CONV ENZ CSF 863142 867740 867531 866543 84182 86774 86753 82164

2 mls serum (Send at room temperature) 1 ml serum 2 ml serum 1.0 ml CSF, Transfer specimen to plastic transport tube before freezing. Send frozen. Sent to ARUP. 6 ml serum; screen for TORCH antibodies; aid in the diagnosis of congenital infection. 1 ml serum 1 ml serum 2 ml fluid in a sterile container. 4 ml serum, or 4 ml EDTA plasma from a purple top tube, No SST 1 ml serum (send at room temperature) 3 ml serum 4 mls serum from a red top tube. No SST and Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). AND SEND AT ROOM TEMPERATURE.

LCA

CSFATCE

221051 221085 221085 221772 224450 224512 225920 229877 LCA LCA LCA

Test not built in Lab module CMVGM CMVGM Test not built in lab module XANAX Test not built in Lab module. PREL Test not built in Lab module

SEE CLUSTER LIST SEE CLUSTER SEE CLUSTER LIST ALPHA FETO PROT OTHER ALPRAZOLAM (XANAX) QN LORAZEPAM (ATIVAN) QN SEE CLUSTER LIST ANTIHISTAMINES CHR 801036 82491 863285 800315 800319 82105 80154 80154

(**POSSIBLE REFLEX**)

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 51 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ANTIHISTAMINE URINE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME ANTIHISTAMINES CHR

PROCEDURE CODE

CPT CODE 82491

SPECIMEN REQUIREMENT 4 ml urine in a plastic urine container. Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape).AND SEND AT ROOM TEMPERATURE. 2 ml serum (Test used for Investigational Purposes only) 2 ml serum 20 ml urine

230416

801036

(**POSSIBLE REFLEX**)

MYASTHENIA GRAVIS EVALUATION VARICELLA ZOSTER ANTIBODIES IGG AND IGM URINE PROTEIN ELECTROPHORESIS 24HOUR (with interpretation) FOLIC ACID, RBC

234419 235945 261511 266015 LCA VARZOSGM UPREL RBCFOL

SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST FOLATE RBC 827460 82747

2 ml frozen EDTA whole blood, and 3 ml refrigerated EDTA whole blood (must draw 2 purple top tubes) Send one whole blood

in initial tube collected and refrigerate. Pour off one EDTA whole blood specimen into a transport tube and Freeze.

MIRTAZAPINE (REMERON) REMERON (See MIRTAZAPINE) DIHYDROTESTOSTERONE PROTRIPTYLINE (VIVACTIL) 17-KETOSTEROIDS, FRACTIONATED URINE 17 KETOSTEROIDS FRACTIONATED 24HOUR THIOCYANATE 273098 273098 273123 273900 273911 LCA Test not built in lab module. Test not built in lab module.

DIHYDROTES

MIRTAZAPINE REMERON CHR MIRTAZAPINE REMERON CHR DIHYDROTESTOSTERONE PROTRIPTYLINE VIVACTIL 17 KETOSTEROIDS FRACT

853022 853022 826510 842050 832802

82491 82491 82651 80299 83593

Test not built in Lab module 17KET24

273911 274119

17KET24

THIOCYANATE

17 KETOSTEROIDS FRACT THIOCYANATES

832802 844300

83593 84430

3 ml serum, No SST, send room temperature 3 ml serum, No SST, send room temperature 1 ml serum, (separate serum within one hour of collection and FREEZE) 3 ml EDTA plasma from a purple top tube, or 3 ml serum, No SST 50 ml aliquot of a 24-hour urine specimen, 50% acetic acid to achieve a pH of 2.0-4.0. Send at room temperature. 100 ml aliquot of a 24-hour urine specimen, (add 30 ml acetic acid) 3 ml serum, No SST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 52 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME DIBUCAINE NUMBER KIDNEY STONE, URINE/SATURATION

LABCORP TEST #

LCA LCA

LIS MNEMONIC DIB Test not built in Lab module.

MIS STANDARDIZED NAME DIBUCAINE INHIBITOR SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 82638

SPECIMEN REQUIREMENT 5 ml EDTA whole blood from a purple top tube; Please send in initial tubes blood was collected in. Collect a single 24-hour urine collection without preservative. Take two 100 ml aliquots of this urine and freeze. Write total volume on aliquot with other clinical information. Graphic analyses of results are mailed to client. Submit total volume of random urine specimen (requires 30 ml urine) 4 ml serum

302107 306266

826379

URINE 5HIAA RANDOM (For 24-hr specimen, see page 1, test # 004069) ACUTE HEPATITIS PANEL

316205 322744 LCA

5HIAAR HEP

5 HIAA ACUTE HEPATITIS PANEL

842633 862963

83497 80074

***This test can reflex, see reference test reflex list for billing information.

HEPATITIS ACUTE PANEL CHLORIDE STOOL (RANDOM SPECIMEN ONLY, CANNOT SEND WITH QUANT STOOL TESTS) SODIUM STOOL (RANDOM SPECIMEN ONLY, CANNOT SEND WITH QUANT STOOL TESTS) POTASSIUM STOOL (RANDOM SPECIMEN ONLY, CANNOT SEND WITH QUANT STOOL TESTS) ELECTROLYTES STOOL (RANDOM SPECIMEN ONLY, CANNOT SEND WITH QUANT STOOL TESTS) REDUCING SUBSTANCES, URINE 322744 323134 LCA HEP STLCL ACUTE HEPATITIS PANEL CHLORIDE OTHER 862963 824356 80074 82438 4 ml serum 4 gm stool, no preservatives MUST BE RANDOM SPECIMEN 4 gm stool, no preservatives MUST BE RANDOM SPECIMEN

323146

LCA

STLNA

SODIUM FECES AA

842952

82190

323158

LCA

STLK

POTASSIUM FECES AA

841406

82190

4 gm stool, no preservatives MUST BE RANDOM SPECIMEN

323170

Test not built in lab module Test not built in lab module.

SEE CLUSTER LIST

4 gm stool, no preservatives MUST BE RANDOM SPECIMEN 855973 81005 1 ml urine. No special preparation is required, however a mid-stream collection is recommended. Refrigerate if not tested within on hour.

333070

REDUCING SUBST UR

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 53 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME URINE PROTEIN ELECTROPHORESIS (RANDOM) BIOTINIDASE DEFICIENCY, SERUM

LABCORP TEST #

LCA LCA

LIS MNEMONIC URANPREL Test not Built in Lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST BIOTINIDASE

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 30 ml urine

354928 402362

840304

82261

LEUKEMIA/LYMPHOMA IMMUNOPHENOTYPING PROFILE

480100

LEUKA

SEE CLUSTER LIST

CLUSTER

FLOW CYTOMETRY, IMMUNOPHENOTYPING (BLOOD OR BONE MARROW, ONLY)

PATHOLOGY WILL SEND

3 ml serum (1 ml minimal) Separate serum from cells within 30 minutes of venipuncture. Freeze. Diagnosis of biotinidase deficiency. This test is appropriate for the confirmation of newborn screening positive biotinidase deficiency results. 3 ml of whole blood or bone marrow in a green top (SODIUM HEPARIN) tube Please send in initial tube blood was collected in. (Must receive within 24 hours of draw, so suggest drawing Monday ­ Thursday only) Send at room temp (State whether Bone Marrow or Whole Blood) For peds, you can send 1 ml but does not allow for any repeats. SEND A COPY OF RECENT CBC results with the specimen. If CBC is not ordered by physician, order in system, perform, credit and comment that CBC was performed at no charge to complete reference lab requirements for panel)

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 54 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME T & B GENE REARRANGEMENT, SB

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 20 ml EDTA whole blood (minimum 10 ml) from 4 purple top tubes, Please send in initial tubes blood was collected in. 2 ml bone marrow, or lymph node or other tissue in a Lymph node transport kit (1 gm) Keep at room temperature. This assay is not suitable for skin biopsies, fine needle aspirates, and formalin-fixed paraffin-embedded tissue, where DNA recovery is usually insufficient. SPECIMEN SHOULD ARRIVE IN LAB WITHIN 48 HOURS OF COLLECTION. This test is used to determine the clonality and lineage of suspected neoplastic lymphoid cell populations by detecting gene rearrangements that occur normally during the maturation of lymphoid cells into T- or B-lymphocytes. 7 ml whole blood, Please send in initial tubes blood was collected in. 1-2 ml bone marrow in lavender stopper (EDTA) tubes. Submit at room temperature using Leukemia/ Lymphoma Specimen Transport Kit from LabCorp. Specimens should arrive in the laboratory within 48 hours of collection. Indicate date and time of collection on test request form. Maintain specimen at room temperature. Send Monday-Thursday. 10 ml blood from 2 ­ EDTA purple top tubes; Please send in initial tubes blood was collected in. (Room Temperature) (Must send patient questionnaire. These are found in the top drawer in chemistry under the label printer for the LCM)

480388

BCR-ABL1 RT-PCR, QUAL CML/ALL PHILADELPHIA CHROMOSOME

480473

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

CYSTIC FIBROSIS PANEL

480533

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 55 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME BCL-2 TRANSLOCATION, LYMPHOMA

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml whole blood, Please send in initial tubes blood was collected in. 1-2 ml bone marrow in lavender stopper (EDTA) tubes. Or Lymph node or tissue in lymph node transport bottle. Specimens should arrive in the laboratory within 48 hours of collection. Indicate date and time of collection on test request form. Maintain specimen at room temperature. 7 ml whole blood Please send in initial tubes blood was collected in. or 3 ml bone marrow from an EDTA purple top tube. Tissue in RPMI or frozen. Paraffin block may be sent. Maintain whole blood or bone marrow at room temperature. 7 ml EDTA whole blood (3 ml minimum) from 3 purple top tubes, Please send in initial tubes blood was collected in. 2 ml bone marrow from purple-top tube, or lymph node or other tissue(.5-1 gm) in a Lymph node transport kit (1 gm) Must send specimen same day collected. 7 ml EDTA whole blood (3 ml minimum) from 3 purple top tubes, Please send in initial tubes blood was collected in. 2 ml bone marrow from purple-top tube, or lymph node or other tissue(.5-1 gm) in a Lymph node transport kit (1 gm) Must send specimen same day collected.

480566

CLUSTER

T-CELL GENE REARRANGEMENT, PCR

480708

Test not built in Lab Module

SEE CLUSTER LIST

B-CELL GENE REARRANGEMENTS, IG HEAVY CHAIN

480715

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

IG HEAVY CHAIN GENE REARRANGEMENTS (See B-CELL)

480715

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 56 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME B-CELL GENE REARRANGEMENTS PCR

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml EDTA whole blood from 3 purple top tubes, Please send in initial tubes blood was collected in. 3 ml bone marrow from green top tube. Tissue should be placed in "RPMI medium or shipped frozen on dry ice. Paraffin-embedded tissue, 5-ten-micron sections Maintain whole blood/bone marrow at room temperature. Must send specimen same day collected. 7 ml EDTA whole blood (3 ml minimum) from 3 purple top tubes, Please send in initial tubes blood was collected in. 2 ml bone marrow from purple-top tube, or lymph node or other tissue(.5-1 gm) in a Lymph node transport kit (1 gm) Must send specimen same day collected. 7 ml EDTA whole blood (3 ml minimum) from 3 purple top tubes, Please send in initial tubes blood was collected in. 2 ml bone marrow from purple-top tube, or lymph node or other tissue(.5-1 gm) in a Lymph node transport kit (1 gm) Must send specimen same day collected. 2 ml serum (frozen) Formalin fixed paraffin embedded breast tissue, (Maintain specimen at room temperature)

480716

B-CELL GENE REARRANGEMENTS, IG LIGHT CHAIN

480723

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

IG LIGHT CHAIN GENE REARRANGEMENTS (See B-CELL)

480723

Test not built in Lab Module

SEE CLUSTER LIST

CLUSTER

PSA FREE AND TOTAL BREAST CANCER PROGNOSIS PROFILE III (see path list for more information)

480947 485409

LCA

PSATF

BCP

SEE CLUSTER LIST SEE CLUSTER LIST

CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 57 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME NMP-22 (NUCLEAR MATRIX PROTEIN 22)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME BLADDER TUMOR AG QN

PROCEDURE CODE

CPT CODE 86316

SPECIMEN REQUIREMENT Voided urine in special NMP22

488411

863158

Urine Collection Kit. Follow the directions with the special kit. Once the urine is stabilized with the reagents in the kit the specimen is stable at room temperature. SEND AT ROOM TEMPERATURE. This test aids

in the management of patients with transitional cell carcinoma of the urinary tract; differential diagnosis in persons with symptoms or risk factors for transitional cell carcinoma of the bladder. 10 ml whole blood OR BONE MARROW --1 green top SODIUM HEPARIN tube and 1 purple top EDTA tube. Please send in initial tubes blood was collected in. Store and ship at room temp. Please state date and time of collection on the test request form. Must ship

ZAP-70 IN B-CLL (Path to send, so they can track) (Our cost is $575.00)

489000

Test not Built in Lab module

SEE CLUSTER LIST

Monday-Wednesday to make sure arrives at final location withing 48 hours of collection.

LEUKEMIA PROFILE, CHRONIC 489088 LEUKC SEE CLUSTER LIST CLUSTER

FLOW CYTOMETRY, IMMUNOPHENOTYPING (TISSUE OR FLUIDS ONLY)

PATHOLOGY WILL SEND

2 ml body fluid in Leukemia/Lymphoma transport kit supplied by LabCorp. Fresh tissue or Lymph node is placed in Lymph node Transport Kit (Must receive within 24 hours of draw, so suggest drawing Monday ­ Thursday only) Send at room temp SEND A COPY OF RECENT CBC results with the specimen. If CBC is not ordered by physician, order in system, perform, credit and comment that CBC was performed at no charge to complete reference lab requirements for panel)

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 58 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME JAK2 V617F MUTATION DETECTION

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 5-7 ml whole blood Please send in initial tubes blood was collected in. or 1-2 ml bone marrow in lavender top EDTA tube. Submit at room temperature, Please draw and send Monday through Thursday only. The JAK2 V617F mutation analysis can be used in conjunction with bone marrow histology and cytogenetic analysis to assist in the diagnosis of myeloproliferative disorders (MPGDs) such as polycythemia vera, essential thrombocythemia, and idiopathic myelofibrosis. Sterile, non-necrotic tumor tissue (fine needle biopsy may also be submitted). Submit at room temperature using the Lymph Node Transport Kit Should arrive within 48 hours of collection. Maintain specimen at room temperature. Must collect and send only Monday-Thursday. (Refrigerate if sterility is questionable.) 1.5 ml serum, FROZEN 5 ml heparinzied whole blood or bone marrow from green top tube or EDTA whole blood from a purple top tube (send with cool pack) Please send in initial tube blood was collected in. Collect Mondy-Thursday, only. 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen This test is used to diagnose subtype (7-10) performed by Western blot.

489200

CLUSTER

CHROMOSOME ANALYSIS ­ SOLID TUMOR (PATHOLOGY WILL SEND)

490060

Test not built in the lab module

SEE CLUSTER LIST

CLUSTER

500116 PAROXYSMAL NOCTURNAL HGB 500132

Test not built in Lab module. Test not Built in Lab Module

VITAMIN D3 25-OH SEE CLUSTER LIST

823060

82306

FACTOR VIII VON WILLEBRAND FACTOR MULTIMERS

500148

Test not built in lab module

FACTOR 8 VONWILLEBRAND

853292

85247

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 59 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VON WILLEBRAND FACTOR MULTIMERS FACTOR VIII

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module

MIS STANDARDIZED NAME FACTOR 8 VONWILLEBRAND

PROCEDURE CODE

CPT CODE 85247

SPECIMEN REQUIREMENT 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen This test is used to diagnose subtype (7-10) performed by Western blot. 1 ml of fresh saliva in a sterile conical capped tube. Send frozen 3 ml citrated plasma from blue top tubes IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen

500148

853292

CORTISOL, SALIVARY VON WILLEBRAND DISEASE PROFILE

500179 500247

Test not Built in Lab module Test not Built in Lab module

CORTISOL SEE CLUSTER LIST

825333 CLUSTER

82533

Send in (3) separate tubes. Differentiates different types of

HPV HYBRID CAPTURE II (DETECTION AND TYPING) 500306 HPVREF SEE CLUSTER LIST VW disease. Collected in Thin Prep container (cervical) or CERVICAL SAMPLER found in Supply Cabinet or large drawer in middle lab storage area. 2- ml aliquots of citrated plasma from blue top tubes. IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in THREE separate tubes. DO NOT DRAW FROM AN ARM WITH A HEPARIN LOCK OR HEPARINIZED CATHETER. 2- ml aliquots of citrated plasma from blue top tubes. IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen in THREE separate tubes. DO NOT DRAW FROM AN ARM WITH A HEPARIN LOCK OR HEPARINIZED CATHETER.

(MUST BE ORDERED IN PATHOLOGY MODULE)

FACTOR IX INHIBITOR PANEL 500390 Test not built in Lab Module SEE CLUSTER LIST

FACTOR XI INHIBITOR PANEL

500396

Test not built in Lab Module

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 60 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FACTOR II INHIBITOR ASSAY

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 6 ml citrated plasma from 2 blue top tubes. Please send 2 mls in each of 3 transport tubes. IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, freeze immediately, and send frozen in 3 LabCorp frozen purple tubes with screw caps. 50 ml aliquot from a 24-hour urine. Indicate 24-hour volume SEND FROZEN 7 ml EDTA whole blood and 7 ml ACD-A (yellow top tube) whole blood, and a peripheral blood smear from the EDTA purple top tube. Please send in initial tubes blood was collected in. Specimen must arrive in laboratory Monday through Thursday within 24 hours of collection. Please indicate the date and time of the collection on the request copy and specimen tubes. Maintain specimens at room temperature. Test is used to monitor patient's helper/inducer Tcell status. 7 ml EDTA whole blood and 7 ml ACD-A (yellow top tube) whole blood, Please send in initial tubes blood was collected in. and a peripheral blood smear from the EDTA purple top tube. Specimen must arrive in laboratory Monday through Thursday within 24 hours of collection. Please indicate the date and time of the collection on the request copy and specimen tubes. Maintain specimens at room temperature. Test is used to monitor patient's helper/inducer Tcell status.

500500

CLUSTER

MICROALBUMIN, 24- HOUR URINE WITH EXCRETION CD4 HELPER T-LYMPH

500870 505008

Test not built in Lab module Test not built in Lab module

MICROALBUMIN QUANT T CELLS CD4 COUNT

822321 881802

82043 86361

HELPER T-LYMPH-CD4

505008

Test not built in Lab module

T CELLS CD4 COUNT

881802

86361

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 61 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CD57 PANEL (HNK1)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml ACD whole blood (yellow top tube) and 7 ml EDTA (purple top tube) whole blood Please send in initial tubes blood was collected in. and one peripheral blood smear from the EDTA whole blood. Maintain at Room Temperature. To monitor patient's helper/suppressor T-cell status; access other changes in T-cell surface markers that may indicate immune stimulation. Must

505026

be sent only MondayThursday to arrive within 24 hours of venipuncture.

HNK1 (CD57) PANEL 505026 Test not built in Lab Module SEE CLUSTER LIST 7 ml ACD whole blood (yellow top tube) and 7 ml EDTA (purple top tube) whole blood Please send in initial tubes blood was collected in. and one peripheral blood smear from the EDTA whole blood. Maintain at Room Temperature. To monitor patient's helper/suppressor T-cell status; access other changes in T-cell surface markers that may indicate immune stimulation. Must

be sent only MondayThursday to arrive within 24 hours of venipuncture.

CD4/CD8 RATIO (SEND FOR T CELL SUBSET PANEL) 505271 CD4-CD8 SEE CLUSTER LIST 10 ml ACD whole blood from a yellow top tube AND 5 ml EDTA whole blood from a purple top tube; Please send in initial tubes blood was collected in. (Send at room temperature) 10 ml ACD whole blood from a yellow top tube AND 5 ml EDTA whole blood from a purple top tube (Send at room temp) Please send in initial tubes blood was collected in.

T CELL SUBSET PANEL (SEE CD4 8 RATIO PANEL page 6 this list)

505271

Test not built in Lab Module

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 62 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FRAGILE X CYTOGENETIC/DNA ANALYSIS (MARTIN-BELL SYNDROME) F.I.S.H. PARAFFIN BLOCK 6 MP (THIPURINE METHYLTRANS, RBC)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 5 ml whole blood in green top tube, AND 5 ml whole blood in purple top tube. Maintain and send at room temperature. Please send in initial tubes blood was collected in. Paraffin block Send at room temperature

510115

510545 510750

Test not built in lab module Test not built in lab module.

SEE CLUSTER LIST THIOPURINE METHTRAN NRAS

CLUSTER 850203 82657

6 MP (THIPURINE METHYLTRANS, RBC)

510750

Test not built in lab module.

THIOPURINE METHTRAN NRAS

850203

82657

(For Profile send Pro-Predictor Metabolites Test # 838748) See that test for specimen requirements

TPMT (THIPURINE METHYLTRANS, RBC) (6-MP) 510750 Test not built in lab module. THIOPURINE METHTRAN NRAS 850203 82657

5 ml whole blood from a green top tube either sodium or lithium heparin, or lavender top EDTA tube. Please send in initial tube blood was collected in. DO NOT FREEZE: collect and send only MondayThursday. Used to determine levels that may be associated with toxicity of anti-cancer and anti-inflammatory drugs. 5 ml whole blood from a green top tube either sodium or lithium heparin, or lavender top EDTA tube. Please send in initial tube blood was collected in. DO NOT FREEZE: collect and send only MondayThursday. Used to determine levels that may be associated with toxicity of anti-cancer and anti-inflammatory drugs. 5 ml whole blood from a green top tube either sodium or lithium heparin, or lavender top EDTA tube. Please send in initial tubes blood was collected in. DO NOT FREEZE; collect and send only MondayThursday. Used to determine levels that may be associated with toxicity of anti-cancer and anti-inflammatory drugs.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 63 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME N-TELOPEPTIDE, URINE (SERIAL)

LABCORP TEST #

LCA

LIS MNEMONIC UNTELDP

MIS STANDARDIZED NAME N TELOPEPTIDE UR

PROCEDURE CODE

CPT CODE 82523

SPECIMEN REQUIREMENT 2 ml urine. Collect the second void of the morning. When monitoring therapy, baseline samples should be collected prior to initiation of therapy. Subsequent specimens should be collected at the same time of day as baseline specimens. Refrigerate 10 ml urine, Freeze if transit time is over 72 hours. First morning void, specimen must arrive within 72 hours after collection. 5 ml EDTA whole blood; Please send in initial tube blood was collected in. 5 ml EDTA whole blood from a purple top tube Please send in initial tube blood was collected in. (Send at room temperature) 5 ml whole blood from an EDTA purple top tube. Please send in initial tube blood was collected in. Maintain and send at room temperature. 5 ml whole blood from an EDTA purple top tube. Please send in initial tube blood was collected in. Maintain and send at room temperature. 7 ml whole blood in a lavender-top EDTA tube or yellow-top (ACD) tube, or 10 ml amniotic fluid in sterile plastic conical tubes or 2 confluent T25 flasks for fetal testing, or Labcorp buccal swab. Can maintain at room temperature or refrigerate. Carrier testing, prenatal diagnosis, and prognosis to predict clinical severity for proper treatement of beta-thalassemia (Cooley's Anemia)

511097

823112

DEOXYPYRIDINOLINE (SERIAL)

511105

Test not built in Lab module. Test not built in Lab module. LCA LEIDON

COLLAGEN CROSS LINKS

823111

82523

CMV ANTIGEN DNA DETECTION/QUANTITATION LEIDON FACTOR V MUTATION

511121 511154

CMV DIR PROBE SEE CLUSTER LIST

872523

87495

FACTOR II PROTHROMBIN DNA ANALYSIS (GENE 20210-A MUTATION) GENE 20210-A MUTATION (FACTOR II PROTHROMBIN DNA ANALYSIS)

511162

Test not built in Lab Module

SEE CLUSTER LIST

511162

Test not built in Lab Module

SEE CLUSTER LIST

BETA THALASSEMIA

511174

Test not Built in Lab module

SEE CLUSTER LIST

CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 64 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME RETT SYNDROME, DNA ANALYSIS

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml whole blood from an EDTA lavender top tube, Please send in initial tubes blood was collected in. or 10 ml amniotitc fluid in a sterile plastic conical tube or two confluent T25 flasks for fetal testing, 20 mg CVS. Maintain at room temperature. Please provide pertinent findings, family or person, of mental retardation, autistic behaviors and developmental delay, include gender and age. 7 ml whole blood from a lavender top EDTA tube, Please send in initial tubes blood was collected in. or 10 ml amniotic fluid (Sterile plastic conical tube or two confluent T-25 flasks for fetal testing), or buccal swab kit. Maintain specimen at room temperature. Please provide pertinent findings, family or personal or mental retardation, autistic behaviors, developmental delay and obesity. Detects all major causes of Angelman Syndrome and Prader-Willi syndrome, including deletions at 15q11-13, uniparental disomy, and imprinting/methylation mutations. 7 ml whole blood from a lavender-top EDTA tube or 2 buccal swabs from LabCorp buccal swab kit. Maintain at room temp or refrigerate. DO NOT FREEZE. Follow-up eval in individuals with hyperhomocysteinemia, or patients with venous thrombosis.

511180

ANGELMAN/PWS METHYLATION ASSAY

511210

Test not Built in Lab Module

SEE CLUSTER LIST

MTHFR (HYPERHOMOCYSTEINEMIA, C677T AND AL298C MUTATIONS in MTHFR GENE)

511238

Test not built in the lab module

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 65 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME MICROSATELLITE INSTABILITY

LABCORP TEST #

LCA

LIS MNEMONIC

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT One paraffin-embedded tumor and either whole blood (lavender EDTA) Please send in initial tubes blood was collected in. or paraffinembedded normal tissue from the same patient. Please send at room temperature. High frequency microsatellite instability (MSI-H) is associated with hereditary nonpolyposis colorectal cancer (HNPCC). The presence of MSI-H is associated with a more favorable prognosis. 14 ml EDTA whole blood from purple top tubes Please send in initial tubes blood was collected in. (draw 3 ­ 5 ml purple top tubes, send at room temp) 14 ml EDTA whole blood from purple top tubes (draw 3 ­ 5 ml purple top tubes, send at room temp) Please send in initial tubes blood was collected in. 7 ml whole blood from an EDTA purple top tube . Please send in initial tubes blood was collected in. This is test is only for patients who have had a family member who tested positive for a BRCA1 or BRCA2 mutation from a full BRCA analysis. Only that single, family mutation will be analyzed in this test. Maintain specimen at room temperature. There may be limited portions of the BRCA1 and BRCA2 genes for which sequence determination can be performed only in the forward or reverse direction. There are additional mutations that are associated with hereditary breast and ovarian cancers that are not detected by this test.

511311

PATHOLOGY WILL SEND

PATHOLOGY WILL SEND

C282Y (SEE HEREDITARY HEMOCHROMATOSIS)

511345

LCA

HEMOCHROM

HEREDITARY HEMOCHROMATOSIS DNA PCR (HFE Gene) (INCLUDES C282Y) BRCA ANALYSIS LIMITED

511345

LCA

HEMOCHROM

SEE CLUSTER LIST

511923

Test not Built in Lab module

SEE CLUSTER LIST

CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 66 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME INFERTILITY-MALE, Y CHROMOSOME DNA

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 7 ml whole blood from a lavender-top (EDTA) tube or yellow-top (ACD) tube. Please send in initial tubes blood was collected in. Maintain specimen at room temperature. The patient's name, age, and relevant clinical history should be included on the test request form. Determines the genetic basis for oligospermia or azoospermia, primarily the 5-T allele. Genes associated with normal spermatogenesis are located on the proximal long arm of the Y chromosome. The loss of the proximal Y long arm has been reported in approximately 7% of infertile men. These de novo deletions occur during paternal meiosis. 2 ml serum (frozen) 5 ml ACD whole blood (yellow top tube), Please send in initial tube blood was collected in. or 1 ml CSF (state source on tube and requisition) Tissue in 10% formalin or 1 tissue paraffin block 2 ml frozen serum or EDTA plasma (purple top tube) Send plasma or serum in plastic screw

512053

ALKALINE PHOSPHATASE BONE LYME PCR, BORRELIA BURGDORFERI

513002 550012

Test not built in Lab LYMEPCR

ALK PHOS (ALP) BORRELIA AMP PROBE

840757 870004

84075 87467

HUMAN PAPILLOMAVIRUS DNA TEST HEP C QUANT SURE PLUS (VIRAL LOAD)

550020 550033 LCA

HPV HEPCPCRQN

HPV DIR PROBE HEP C RNA QUANT

871783 881799

87620 87522

top

tube, remove plasma or serum

within 6 hours of collection and freeze within 24 hours of collection.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 67 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HEP C (HCV) FIBROSURE (Quest calls this test HEPTIMAX QUANT)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 3 ml Serum separated within one hour of draw. Must enter age and sex of patient. Protect from light

(This test is used for the 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. This is a non--invasive assessment of liver status in patients who are at increased risk of liver biopsy)

550123

FATTY LIVER DISEASE, NONALCOHOLIC FIBROSURE

550140

Test not built in lab module

SEE CLUSTER LIST

3 ml serum, separate from cells within 1 hour. Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Patient should fast for at least 8 hours, must give age, sex, height, and weight of patient. This test is recommended for patients with suspected alcoholic fatty liver disease (AFLD). It is not recommended for patients with other liver diseases.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 68 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME FATTY LIVER DISEASE, ALCOHOLIC FIBROSURE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 3 ml serum, separate from cells within 1 hour. Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Patient should fast for at least 8 hours, must give age, sex, height, and weight of patient. This test is recommended for patients with suspected nonalcoholic fatty liver disease (NAFLD). It is not recommended for patients with other liver diseases. 3 ml EDTA plasma from a purple top tube (frozen) Send plasma in plastic

550180

HIV 1 RNA BY REAL TIME PCR (Viral Load) (Graph)

550420

HIV1RNA

HIV VIRAL LOAD

826534

87536

screw top tube, remove

plasma within 6 hours of collection and freeze within 24 hours of collection. 1 ml serum, 1 ml EDTA plasma from a purple top tube, or 1 ml ACD plasma from a yellow top tube (frozen) Send plasma in plastic

HEPATITIS C GENOTYPE

550475

HEPCGENO

HEP C GENOTYPE

826535

87902

screw top tube, remove

plasma within 6 hours of collection and freeze within 24 hours of collection. 2.5 ml serum from SST or EDTA plasma from purple top tube. Centrifuge within 6 hours of collection; send frozen 2.5 ml serum from SST or EDTA plasma from purple top tube. Centrifuge within 6 hours of collection; send frozen

HEPATITIS B GENOTYPE, INNOLiPA HEPATITIS B PRECORE MUTATION INNO-LiPA

551520

Test not built in Lab module. Test not built in Lab module.

SEE CLUSTER LIST

551530

SEE CLUSTER LIST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 69 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HIV-1-GENOTYPE (GENOSURE)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME HIV 1 GENOTYPE

PROCEDURE CODE

CPT CODE 87901

SPECIMEN REQUIREMENT 4 ml of EDTA plasma from 2 purple top tubes (Send Frozen) Send plasma in plastic screw

551697

826533

top

tube, remove plasma within 6

ALLERGENS, MULTIPLE INHALANT ALLERGEN TEST RAST, MINI-PROFILE ENVIRONMENTAL PANEL LATEX-SPECIFIC IGE ASPERGILLUS NIGER AB ASPERGILLUS FLAVUS AB ALLERGEN PROFILE, BASIC FOOD RAST FOOD PROFILE ASPERGILLUS QUAL AB PANEL ALLERGENS, ZONE 7 (PANEL OF 30 ALLERGENS) ($352.50) OPIATES, URINE HEAVY METALS EVALUATION PROFILE II BLOOD (ARSENIC, LEAD, MERCURY, CADMIUM) TACROLIMUS (PROGRAF) CLOZAPINE (CLOZARIL) SERUM VALPROIC ACID FREE AND TOTAL 611095 649749 650390 660050 660068 660423 660423 660712 676577 701789 706200 706242 706440 706499 LCA LCA LCA LCA LCA LCA LCA LCA Test not built in Lab module RAST LATEX ASPNIGER ASPFLAV FOOD RASTFOOD

ASPERGILLUS

ALLERGEN MULTI PANEL SEE CLUSTER LIST ALLERGEN IGE EACH ASPERGILLUS NIGER AB ASPERGILLUS FLAVUS AB SEE CLUSTER LIST SEE CLUSTER LIST?? SEE CLUSTER LIST SEE CLUSTER LIST OPIATES QL SQN SEE CLUSTER LIST TACROLIMUS QUANT CLOZAPINE CLOZARIL CHR SEE CLUSTER LIST

863376

86005

hours of collection and freeze within 24 hours of collection. 1 ml serum 3 ml serum

863372 800081 800080 CLUSTER

86003 86606 86606

1 ml serum 1 ml serum 1 ml serum 2 ml serum 2 ml serum 2 ml serum 5 ml serum

CLUSTER CLUSTER 849925 80101

Test not built in Lab module UOPIATES Test not built in Lab module. PROGRAF Test not built in Lab Module VALF&T

LCA

849977 846006

80197 82491

30 ml urine 7 ml whole blood from a Dark Royal Blue top tube Please send in initial tube blood was collected in. 5 ml whole blood EDTA (purple top tube) Please send in initial tubes blood was collected in. 3 ml serum, no SST 3 ml EDTA plasma from a purple top tube or 3 ml serum, No SST

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 70 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CARNITINE, TOTAL AND FREE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME CARNITINE QN

PROCEDURE CODE

CPT CODE 82379

SPECIMEN REQUIREMENT 2.5 ml serum (Separate and Freeze within 30 minutes of venipuncture. Can use SST, send frozen) Carnitine concentrations are altered in patients with acute muscular necrosis, kidney disease, systemic carnitine deficiency, and diabetes mellitus. It is essential for the transport of free fatty acids into mitochondria and hence to the site of fatty acid oxidation for energy production from fat. Carnitine deficiency has been associated with several cases of myopathy and may play an important role in at lest some disorders of lipid metabolism. 5 ml whole blood EDTA (purple top tube) Please send in initial tube blood was collected in. 4 ml serum , 4 ml Sodium Heparin plasma from a NaHep green top tube, or 4 ml EDTA plasma from a purple top tube, No SST 2 ml serum, no SST 2 ml serum or Sodium heparin plasma from a NaHep green top tube 1 ml EDTA plasma from a purple top tube. Draw tube and place on ice. Spin immediately and send refrigerated. Plasma is preferred, can send serum if collected and kept chilled. After 1 hour at room temperature as much as 10% increase is seen. 30 ml urine 2 ml serum, or 2 ml EDTA plasma from a purple top tube, No SST (send frozen) 2 ml serum , or 2 ml EDTA plasma from a purple top tube, No SST

706500

849907

CYCLOSPORINE AMIODARONE (CORDARONE)

706556 706705

LCA LCA

CYCLOSP AMIO

CYCLOSPORINE QUANT AMIODARONE CORDARONE CHR FLUOXETINE PROZAC CHR METHYLMALONIC ACID HOMOCYSTINE QN

801000 824869

80158 82491

PROZAC FLUOXETINE METHYLMALONIC ACID (SERUM) HOMOCYST (E) INE

706838 706961 706994 LCA LCA

PROZAC METHYLM HOMOCY

849980 839182 862620

82491 83921 83090

PHENYLCYCLIDINE (PCP) CONFIRM RITALIN MEXILETINE

712588 715300 716076

LCA LCA

PCP RIT MEXILETINE

PHENCYCLIDINE QUANT METHYLPHENIDATE RITA CHR MEXILETINE MEXITIL CHR

839920 823050 824868

83992 82491 82491

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 71 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME TOPIRAMATE METHYLMALONIC ACID (URINE) FELBAMATE COTININE (NICOTINE METABOLITE), URINE

LABCORP TEST #

LCA LCA LCA

LIS MNEMONIC

TOPIRAMATE

MIS STANDARDIZED NAME TOPIRAMATE QUANT METHYLMALONIC ACID FELBAMATE FELBATOL CHR NICOTINE COTININE QL SQN

PROCEDURE CODE

CPT CODE 80101 83921 82491 80101

SPECIMEN REQUIREMENT 1 ml serum, no SST 5 ml urine in a plastic urine container, random specimen no preservatives 2 ml serum or EDTA plasma, (purple top tube) 5 ml Random urine, refrigerate. Not intended for medical-legal use. Cotinine is the major metabolite of nicotine and may be detected for as long as 7 days after exposure. Cutoff is set high to rule out passive inhalation. 5 ml Random urine, refrigerate. Not intended for medical-legal use. Cotinine is the major metabolite of nicotine and may be detected for as long as 7 days after exposure. Cutoff is set high to rule out passive inhalation. 2 ml serum 3 ml serum 3 ml EDTA whole blood Please send in initial tube blood was collected in. 3 ml EDTA whole blood Please send in initial tube blood was collected in. 10 ml urine (frozen) 1.2 ml serum from a red top tube. Do NOT USE AN SST tube. 1.2 ml serum from a red top tube. Do NOT USE AN SST tube. 1 ml serum or Sodium heparin plasma from a NaHep green top tube 1 ml serum, no SST

716285 716365 716530 716555

Test not built in lab module. FELBAMATE Test not built in the lab module

894294 839182 824910 838871

NICOTINE METABOLITE, URINE (COTININE)

716555

Test not built in the lab module

NICOTINE COTININE QL SQN

838871

80101

RISPERIDONE (RISPERDAL) OLANZAPINE (ZYPREXA) RAPAMYCIN (SIROLIMUS) SIROLIMUS (RAPAMYCIN) ORGANIC ACID URINE CELLCEPT (MYCOPHENOLIC ACID AND METABOLITE (MOFETIL) ) MYCOPHENOLIC ACID AND METABOLITE (MOFETIL) (CELLCEPT) NEURONTIN (GABAPENTIN)

716563 716571 716712 716712 716720 716795 716795 716811 LCA LCA

Test not built in Lab module. Not built in Lab module Test not built in Lab module. SIROLIMUS Test not built in Lab module. Test not built in lab module Test not built in lab module NEURONTIN

RISPERIDONE RISPERID CHR OLANZAPINE ZYPREXA CHR HPLC MS QUANTITATIVE HPLC MS QUANTITATIVE ORGANIC ACIDS QL MYCOPHENYLATE MOFETIL MYCOPHENYLATE MOFETIL GABAPENTIN NEURONTIN CHR OXCARBAZEPINE TRILEPTAL

823055 801542 801031 801031 850362 823051 823051 802995

82491 82491 82492 82492 83919 82491 82491 82491

TRILEPTAL OXCARBAZEPINE (our cost is $15.40)

716928

LCA

TRILEPTAL

826613

80299

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 72 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME KEPPRA (LEVETIRACETAM) (our cost $75.00) LEVETIRACETAM (KEPPRA) (our cost $75.00) LAMOTRIGINE (LAMICTAL) LEAD BLOOD (PEDIATRIC)

LABCORP TEST #

LCA LCA LCA LCA LCA

LIS MNEMONIC KEPPRA KEPPRA LAMICTAL LEADP

MIS STANDARDIZED NAME LEVETIRACETAM KEPPRA LEVETIRACETAM KEPPRA LAMOTRIGINE LAMICTAL CHR LEAD BLOOD

PROCEDURE CODE

CPT CODE 82491 82491 82491 83655

SPECIMEN REQUIREMENT 1 ml EDTA plasma from a purple top tube or 1 ml serum, no SST, send at room temperature 1 ml EDTA plasma from a purple top tube or 1 ml serum, no SST, send at room temperature 1.5 ml serum or EDTA plasma (no SST) Store at room temperature 2 ml whole blood from Dark Royal Blue top tube Please send in initial tube blood was collected in. found in large drawer in middle lab storage area. 45 ml urine, send refrigerated, can send with chain of custody 45 ml urine, send refrigerated, can send with chain of custody 15 ml of random urine from a specimen taken at the end of a shift for industrial exposure. Metabolites with timing "end of shift" (meaning the last 2 ours of exposure) are rapidly eliminated with a half-life less than 5 ours. Such metabolites do not accumulate in the body, and therefore the timing of the specimen collection is critical in relation to the exposure period. (Maintain specimen at room temperature.) To monitor exposure to toluene. 5 ml of urine from a specimen taken at the end of a workweek for industrial exposure. Such metabolites accumulate during the workweek; therefore the timing of the specimen collection is critical in relation to previous exposures. (Maintain specimen at room temperature.) To monitor exposure to ethylbenzene.

716936 716936 716944 717009

800328 800328 802999 836555

ECTASY (MDMA METHYLENEDIOXYMETHAMPHETAMINE) MDMA METHYLENEDIOXYMETHAMPHETAMINE (ECSTASY) TOLUENE METABOLITE PROFILE, URINE

722118 722118 723221

Test not built in Lab Module Test not built in Lab Module Test not built in Lab Module

MDMA ECSTASY MDMA ECSTASY

810100 810100 846007

80101 80101 84600

ETHYLBENZENE METABOLITE URINE

723486

Test not built in lab module

846005

84600

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 73 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CADMIUM STD PROFILE, BLOOD/URINE

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab Module

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 2 ml whole blood from a Dark Royal Blue top tube, Please send in initial tube blood was collected in. and 30 ml urine from random specimen (adjust pH to 6-8 with 0.1 NaOH if necessary.) (store and ship at room temp unless shipment delayed more than 2 days, then refrigerate) Whole blood from gray top tube Please send in initial tubes blood was collected in. (can do on serum, but must write send to National Medical Services in comments) 20 ml Sodium Oxalate whole blood (draw 4 gray top tubes) Please send in initial tubes blood was collected in. 20 ml Sodium Oxalate whole blood (draw 4 gray top tubes) Please send in initial tubes blood was collected in. 20 ml whole blood from a gray top tube Please send in initial tubes blood was collected in. 45 ml random urine

724344

CLUSTER

DRUG PROFILE BLOOD 7 DRUGS

766477

DRUGCOMPBL

DRUG SCR COMPREHENSIVE ***This test can reflex, see

801003

80100

reference test reflex list for billing information.

AMPHETAMINE 767608 AMPH AMPHETAMINES QUANT 806028 82145

BENZODIAZEPINE SCREEN BLOOD

767624

BENZO

BENZODIAZEPINES QL SQN

826602

80101

OPIATES, SERUM DRUGS OF ABUSE URINE (WITH GC/MS CONFIRMATION INCLUDED AT NO CHARGE) SULFONYLUREA HYPOGLYCEMIA SCREEN SERUM NMO-IgG CEPHALEXIN (CEPHALOTHIN/KEFLEX) FACTOR VII

767640 794388

OPIATES Test not built in Lab module. Test not built in Lab module Test not built in Lab Module Test not built in Lab module FAC7

OPIATES QL SQN DRUG SCR DRUGS OF ABUSE (send if physician asks for confirmation after our in-house DOA screen) SULFONYLUREA CHR IMMUNO FLUOR IND EA AB

849925 826599

80101 80100

800193 800337 800466 800599 LCA

835123 862507 810110

82491 88347 82491 85230

2-4 ml serum 2 ml serum. Serum must be separated from cells within 45 minutes of venipuncture. 1 ml serum; Send frozen, Do not draw in SST. 2 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen

FACTOR 7 STABLE

852300

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 74 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ZYPREXA (OLANZAPINE) CYANIDE SCREEN, BLOOD SILVER

LABCORP TEST #

LCA

LIS MNEMONIC Not built in Lab module Test not built in Lab module Test not built in Lab module.

MIS STANDARDIZED NAME OLANZAPINE ZYPREXA CHR CYANIDE MASS SPEC QUAL

PROCEDURE CODE

CPT CODE 82491 82600 83788

SPECIMEN REQUIREMENT 2 ml serum, NO SST, send frozen 4 ml whole blood from a gray top tube. Please send in initial tubes blood was collected in. 2 ml whole blood from a Dark Royal Blue top tube; Please send in initial tube blood was collected in. ship at room temperature Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape)., 50 ml of a random urine specimen 4 ml serum (send at room temperature) No SST 30 ml urine wrap in foil 10 ml urine 2 ml serum, no SST (send at room temp) 2 ml serum or CSF

802137 802219 802268

801542 821770 830182

ANABOLIC STEROIDS BUSPIRONE (BUSPAR) (our cost is $66.00) THIAZIDE DIURETIC SURVEY SULFONYLUREA HYPOGLYCEMIA SCREEN URINE METHAMPHETAMINE (Order on manual form) RABIES ANTIBODY END-POINT TITER

803007 803304 803312 804385 804393 807503

Test not built in lab module. Test not Built in Lab module Test not built in Lab module. Test not built in Lab module Test not built in Lab module. Test not built in Lab Module

ANABOLIC STEROIDS SCR BUSPIRONE BUSPAR CHR CHROMATOGRAPHY MULTI SULFONYLUREA CHR METHAMPHETAMINE QN RABIES AB QN

826615 800337 801015 835123 820103 863821

80100 82491 82492 82491 82145 86317

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 75 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME ALA-DEHYDRATASE & UROPORPHYRINOGEN (PBG-DEAMINASE)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab

MIS STANDARDIZED NAME ALA DEHYDRATASE

PROCEDURE CODE

CPT CODE 84311

SPECIMEN REQUIREMENT Have the patient fast for 12-14 hours. Collect Monday- Thursday (Patient should be off of all medications, if possible for at least 1 week, no alcohol for 24 hours) * Draw 5 ml of Na heparin green top tube whole blood. * Place on wet ice immediately * Transfer to a 12- ml graduated centrifuge tube * Centrifuge for 10 minutes at 2,000 rpm * RECORD VOLUME OF PACKED CELLS * Discard supernatant plasma * Wash red cells 3 times with cold 0.9% saline * Resuspend packed cells to a volume of 5.0 ml with cold 0.9% saline * Send washed RBC suspension FROZEN in plastic vial on dry ice 4 ml serum (send room temperature) 1 ml serum 1 ml serum 1 ml serum Send at room temperature 1 ml CSF Sterile capped container (Maintain at room temperature) 1 ml CSF Sterile capped container (Maintain at room temperature) 1 ml serum (Maintain at room temperature) 1 ml serum (Maintain at room temperature) 5 ml serum Send frozen, cells must be separated from serum within 45 minutes of draw.

807818

824915

BACLOFEN ASIALO GM1 ANTIBODIES GQ1b IgG ANTIBODY GM1 ANTIBODIES IGG, IGM ANTI-YO AB (PURKINJE CELL) CSF PURKINJE CELL (ANTI-YO) AB CSF ANTI-YO ANTIBODY (PURKINJE CELL) PURKINJE CELL (ANTI-YO) ANTIBODY SPERM ANTIBODIES

807842 808589 808602 808631 808657 808657 808664 808664 808813 LCA LCA LCA LCA LCA

Test not built in Lab Module

ASIALOGM1AB

BACLOFEN LIORESAL CHR SEE CLUSTER LIST GQ1b AB QUANT SEE CLUSTER LIST ANTI YO AB WESTERN BLOT ANTI YO AB WESTERN BLOT PURKINJE CELL (YO) AB QL PURKINJE CELL (YO) AB QL SPERM ANTIBODIES

800419 CLUSTER 863199

82491

Test not built in Lab module. GM1ABS CSFPURAB CSFPURAB PURAB PURAB Test not built in Lab module

83520

869986 869986 870010 870010 893250

84182 84182 86255 86255 89325

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 76 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME MYELIN ASSOCIATED GLY AB IGM MAG ANTIBODY ARIPIPRAZOLE SERUM (ABILIFY) ZOLPIDEM (AMBIEN) ORGANOPHOSPHATE PESTICIDES

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module Test not built in Lab Module Test not Built in Lab module Test not built in Lab module.

MIS STANDARDIZED NAME FLUORESCENT AB SCREEN HPLC MS QUALITATIVE ZOLPIDEM AMBIEN CHR HPLC MS QUALITATIVE

PROCEDURE CODE

CPT CODE 86255 82541 82491 82541

SPECIMEN REQUIREMENT 1 ml serum 2 ml serum, no SST 2 ml serum (send at room temperature) 10 ml whole blood from a NaHep green top tube Please send in initial tube blood was collected in. or a 20 ml 1st morning urine specimen state source 4 ml EDTA plasma from purple top tube separate and freeze immediately send frozen 0.5 ml body fluid, (nasal, otic, etc.) If direct collection is not feasible, samples may be collected using cotton swabs. The fluid must be expressed from the swabs and placed into a microcollection container. Specimens which are extremely small (<0.05 ml) may be eluted from the swab by adding 0.1 ml of normal saline. Indicate specimen type, if the specimen has been diluted, and record the volume of saline added on the request. Send specimen in plastic vial frozen. 1 ml serum, Send FROZEN (serum must be separated from cells within 45 minutes of venipuncture) 1.5 ml serum If positive will automatically reflex to the Nab assay (814028) at additional charges. The specific drug (Betaseron, Rebif, Avonnex) being used to treat the patient must be provided on the requisition form. 1 ml CSF 1 ml serum

808973 810216 810317 810515

863187 801034 800322 801030

SOMATOSTATIN

812420

Test not built in Lab module Test not built in Lab module

SOMATOSTATIN

835198

84307

BETA-2 TRANSFERRIN BF (Detection of Spinal Fluid in other body fluids) ($257.00)

813063

BETA-2 TRANSFERRIN IF

863208

86334

HEPATITIS E VIRUS (HEV) IGM ANTIBODY INTERFERON-BETA IgG, ELISA

813513 814019

Test not Built in Lab module Test not built in Lab module

HEPATITIS AB QL IGM INTERFERON BETA AUTO AB

862944 835206

86790 83520

***This test can reflex, see reference test reflex list for billing information.

CYTOMEGALOVIRUS IGG & IGM ANTIBODIES CSF ANTI-NEURONAL (HU) NUCLEAR ANTIBODIES 814087 814160 Test not built in Lab module

ANTI HU-NE

SEE CLUSTER LIST NEURONAL AB HU IGG 863161 86256

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 77 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HERPES SIMPLEX I/II (HSV) BY PCR SERUM SCLERODERMA PM ANTIBODY CYSTICERCUS AB ELISA CSF HEPATITIS DELTA ANTIGEN ANTIBODY SUSCEPTIBILITY FUNGUS 4 DRUGS SUSCEPTIBILITY FUNGUS 1 DRUG RIBOSOMAL P PROTEIN AB COXSACKIE A VIRUS ANTIBODIES 2, 4, 7, 9, 10, 16 BY CF (TOTAL) COXIELLA BURNETTI AB PANEL IGA, G, & M 1&2 (Q FEVER) DENGUE FEVER IGM AB CSF OR SERUM HEPATITIS E VIRUS (HEV) IGG ANTIBODY ENCEPHALITIS PANEL CSF ARBOVIRUS ANTIBODIES BY IFA STRONGYLOIDES ANTIBODY IGG URINE TETRAHYDRO ALDOSTERONE (TH-A)

LABCORP TEST #

LCA

LIS MNEMONIC

MIS STANDARDIZED NAME HERPES SIMP AMP PROBE

PROCEDURE CODE

CPT CODE 87529 86331 86682 86692 87186 87186 83520

SPECIMEN REQUIREMENT 1 ml SERUM (send frozen) 1 ml serum 1 ml CSF (minimum 0.1ml0 1 ml serum, Send at room temperature Pure culture plate or swab (state source of original specimen) Pure culture plate or swab (state source of original specimen) 1 ml serum, draw in SST 2 ml serum 1 ml serum, Serum should be separated from cells within 45 minutes of collection. 1 ml serum or CSF 1 ml serum, Send FROZEN (serum must be separated from cells within 45 minutes of venipuncture) 3 ml CSF 2 ml serum, draw in SST 5 mls urine from a 24-hour collection, FROZEN, The patient should be on a normal sodium diet for 24 hours prior to start of urine collection. Diuretic medications and ACTH supplements should be discontinued, if possible, for at least 48 hours prior to collection. 5 mls of a 24-hour urine collection. Freeze immediately after collection, and send frozen. 5 mls urine, FROZEN, The patient should not be on any corticosteroid or ACTH medications, if possible, for at least 48 hours prior to collection.

814459 814673 814681 814694 814863 814897 814988 815019 815068 815282 815315 815571 815621 819163 LCA LCA LCA LCA Test not built in Lab module. Test not built in Lab module HEPBD Test not built in Lab module SUSFLC1 RIBAB COXAAB QFEVERGAM Test Not built in lab module Test not Built in Lab module ARBOCSF STRONG Test not built in Lab module.

894356 863313 862805 869995 871863 871862 800923

PM SCLERODERMA AUTOAB CYSTICERCUS AB HEPATITIS DELTA AB QUAN SUSC MIC SUSC MIC RIBOSOMAL P AB IA SEE CLUSTER LIST SEE CLUSTER LIST DENGUE VIRUS AB HEPATITIS AB QL IGG SEE CLUSTER LIST HELMINTH AB IMMUNOASSAY RIA

863324 862943 CLUSTER 866820 835197

86790 86790

86682 83519

DEHYDROEPIANDROSTERONE URINE (DHEA) URINE TETRAHYDRO CORTISONE

819319 819334

Test Not built in lab module Test not built in Lab module.

DHEA IMMUNOASSAY RIA

894273 835197

82626 83519

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 78 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME PCNA APOLIPOPROTEIN E

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module. Test not built in Lab module

MIS STANDARDIZED NAME PCNA AB SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 86235

SPECIMEN REQUIREMENT 1 ml serum, send at room temperature. 10 ml whole blood from 3 purple top tubes. Please send in initial tubes blood was collected in. Ship within 24 hours of drawing, SundayThursday only, room temperature. Stable for 72 hours. Send Athena request signed by physician with blood and requisition. (In folder in top drawer labeled LabCorp forms) 2 ml serum Liver biopsy specimen (Done at Cambridge Biomed) Can be shipped refrigerated, frozen or at room temperature. 1 ml urine (frozen) Note: Provide patient's date of birth on request form. Send in plastic urine cup 1 ml serum (frozen) Note: Provide patient's date of birth on request form. 2 ml serum Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Send Frozen. Patient should be off all medication for one week prior to sampling. If this is not possible, please note medications on requisition. 24-hour stool specimen (frozen) Avoid red meat 24 hours prior to collection period and during collection. 2 ml serum, Send frozen 3 ml serum

820834 822098

863332 CLUSTER

SULFATIDE ANTIBODIES IRON LIVER BIOPSY

822270 823179

SULFATIDE Test not built in Lab module Test not built in Lab module. Test not built in Lab module. Test not built in Lab module

SEE CLUSTER LIST IRON

835408

83540

HISTOPLASMA ANTIGEN, URINE HISTOPLASMA ANTIGEN, SERUM PORPHYRINS, SERUM TOTAL

823203 823228 823246

HISTOPLASMA AG EIA HISTOPLASMA AG EIA PORPHYRINS TOT BLD SPEC

863330 863330 824913

87385 87385 84311

PORPHYRIN FECAL

823248

PORPHSTL

PORPHYRINS FECES QUANT

893929

84126

TULARENSIS, FRANCISELLA AB IgG & IgM IGA SUBCLASSES

823263 823270

LCA

TULAR Test not built in Lab module

SEE CLUSTER LIST SEE CLUSTER LIST

CLUSTER CLUSTER

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 79 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME CANDIDA ANTIBODIES IgG, IgA, IgM HEAVY METALS EVALUATION HAIR

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module. Test not built in Lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 1 ml serum, Send frozen Hair; 500 mg Pencil-Thick Hair. Bundle, cut at roots and wrap with foil at root end. Tape foil to card.

823293 825075

GAMMA-HYDROXYBUTYRIC (GHB) FORENSIC THIOTHIXENE (NAVANE) INHALANTS PANEL GABITRIL (TIAGABINE) QUETIAPINE (SEROQUEL) (our cost is $ 54.00) SEROQUEL (QUETIAPINE) (our cost is $ 54.00) TRYPTASE LEVEL STACHYBOTRYS CHARTARUM ANTIBODIES MUSK ANTIBODY

825704

Test not built in Lab Module Test not built in Lab module. Test not built in lab Module LCA GABITRIL Test not Built in Lab module Test not Built in Lab module TRYPTASE Test not Built in Lab module Test not built in lab module

GAMMA H7YDROXY BUTYRA CHR THIOTHIXENE NAVANE CHR VOLATILES TIAGABINE GABITRIL CHR QUETIAPINE SEROQUEL QUETIAPINE SEROQUEL TRYPTASE IA SEE CLUSTER LIST MUSK ANTIBODY RIA (This procedure code will stay inactivated until needed for billing until it is standardized on the Laboratory Chargemaster) TEST CANNOT BE SENT FROM BRMC

810101

82491

825806 825877 825893 825976 825976 826008 826404 826519 LCA

849906 846003 800305 800338 800338 823101

82491 84600 82491 82491 82491 83520

4 mls of a random urine, Send at room temperature and prefer sent with chain of custody, if not, mark on request. 4 ml serum, No SST 7 ml whole blood gray top tube Please send in initial tubes blood was collected in. 2 ml serum or EDTA plasma from a purple top tube, no SST 1 ml serum (Send at room temperature) No SST 1 ml serum (Send at room temperature) No SST 1 ml serum 2 ml serum

842390

83519

2 ml serum (Sent to Athena Diagnostics S8#470) Used to aid in diagnosis of Myasthenia Gravis WOULD NOT MAKE IT TO THE LAB IN TIME

LYMPHOCYTE ACTIVATION

826963

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 80 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VITAMIN K 1

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME VITAMIN K

PROCEDURE CODE

CPT CODE 84597

SPECIMEN REQUIREMENT 3 mls serum frozen) Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). Draw patient after a 12-hour fast. Patient should not consume alcohol for one day prior to blood draw. A ml body fluid. (Specify type of body fluid) stable 1 week refrigerated. Do not freeze 5 ml plasma from green top tube. (Send frozen--additional information may be needed for appropriate interpretation, such as age, gender, diet, drug therapy, and family history. Plasma must be separated from cells within 45 minutes of collection.) Random stool specimen (frozen) 5 gm aliquot in clean unpreserved transport vial. 10 ml aliquot of a 24-hour urine specimen, add 1 gm Boric Acid/100 ml urine. Samples previously preserved with HCL are acceptable. Can just freeze immediately. Send Frozen. 3 ml whole blood from an EDTA, purple top tube. Transfer

827508

844461

CHYLOMICRON SCREEN, BODY FLUID ORGANIC ACID PLASMA

827542 827557

Test not built in the lab module Test not built in Lab module.

CHYLOMICRON SCREEN ORGANIC ACIDS TOTAL QN

894409 850363

82664 83918

ALPHA-1-ANTITRYPSIN FECES TESTOSTERONE, TOTAL URINE 24HOUR

827558 827583

ALPH1TRSTL TESTUR24

A-1-ANTITRYPSIN TOTAL TESTOSTERONE URINE

821030 884417

82103 84403

PBG DEAMINASE, ERYTHROCYTE (our cost is $194.50)

827632

Test not built in Lab module.

RBC ENZYME ACTIVITY

850201

82657

specimen to plastic transport tube and freeze.

ECHOVIRUS AB CSF or SERUM Types 6,7,9,11,30 ARBOVIRUS ANTIBODIES CSF IGG (ENCEPHALITIS PANEL) 827662 827906 LCA ECHOAB ARBOCSFG SEE CLUSTER LIST SEE CLUSTER LIST CLUSTER 3 ml serum or CSF. Serum must be separated from cells within 45 minutes of venipuncture. 2 ml CSF

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 81 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME DENGUE FEVER ANTIBODIES IGG & IGM COCCIDIODES AB PANEL CF & ID, IgG / IgM CSF ARBOVIRUS ANTIBODIES CSF IGM (ENCEPHALITIS PANEL) LYMPHOCYTIC CHORIOMENINGITIS (LCM) CMV IGG,IGM CSF CHLAMYDIA DIFFERENTIATION PANEL IGM CHLAMYDIA DIFFERENTIATION PANEL IGG HANTAVIRUS AB IGG IGM HERPES SIMPLEX I/II IGG/IGM CSF MYCOPLASMA PNEUMO IGM CSF MYCOPLASMA PNEUMO IGG CSF TYPHUS FEVER ABS IGG/IGM CSF TRYPANOSOMA CRUZI IgM ANTIBODY TRYPANOSOMA CRUZI IgG ANTIBODY TOXOPLASMA IGM CSF TOXOPLASMA IGG CSF FUNGAL ANTIBODY PANEL CSF TOXOCARA ANTIBODIES MICROSPORIDIA, STAIN MALARIA ANTIBODIES TOTAL

LABCORP TEST #

LCA

LIS MNEMONIC Test Not built in lab module COCCSF ARBOCSFM Test not Built in Lab module Test not Built in Lab module CHLDP CHLDPG Test not built in Lab module Test not built in Lab module

MIS STANDARDIZED NAME SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST LYMPH CHORIOMENINGIT SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST SEE CLUSTER LIST MYCOPLASMA AB IGM QL MYCOPLASMA AB IGG QL SEE CLUSTER LIST

TRYPANOSOMA CRUZI AB IGM

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 1 ml serum

828391 828403 828413 828445 828486 828487 828492 828538 828551 828675 828677 828715 828735 828737 828739 828741 828784 828743 828795 829004 LCA LCA LCA LCA LCA LCA LCA LCA LCA

CLUSTER 894099 CLUSTER 867070 86727 86635

Send TWO - 1 ml aliquots CSF in sterile capped tube, send at room temperature. 2 ml CSF 2 ml serum 1 ml CSF 1 ml serum, Serum must be separated from cells within 45 minutes of venipuncture. 1 ml serum, Serum must be separated from cells within 45 minutes of venipuncture. 1 ml serum 1 ml CSF, refrigerate within 8 hours

MYCOMCSF

MYCOGCSF

867380 821303 867521 867520 884517 862552 866821 872072 870154

86738 86738 86753 86753 86778 86777 86682 87207 86750

TYPHGMCSF Test not built in Lab module. Test not built in Lab module. T0XMCSF T0XGCSF FUNGPCSF TOXOCARA Test not built in mic module. Test not built in Lab module.

TRYPANOSOMA CRUZI AB IGG

TOXOPLASMA IGM QUAL TOXOPLASMA IGG QUAL SEE CLUSTER LIST TOXOCARA C IGG SMEAR MICROSPORIDIUM PLASMODIUM AB

0.5 ml CSF 0.5 ml CSF 1 ml CSF 1 ml serum, serum must be separated withing 45 minutes of venipuncture. 1 ml serum, serum must be separated withing 45 minutes of venipuncture. 1 ml CSF 1 ml CSF 1 ml CSF 2 ml serum (draw in SST tube) or CSF 4 gm fresh stool collected in a sterile container, (placed in 10% formalin, within one hour of collection) 1 ml serum

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 82 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME NEURON-SPECIFIC ENOLASE (NSE) CSF HUNTINGTON'S DISEASE MUTATION by DNA

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in lab module Test not built in Lab Module

MIS STANDARDIZED NAME NEURON SPECIFIC ENOLASE SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE 86316

SPECIMEN REQUIREMENT 0.5 ml CSF, Send frozen 5 ml of EDTA whole blood from a purple top tube. Please send in initial tubes blood was collected in. (Child 1ml,) Patient Huntington Disease questionnaire /consent form must accompany specimen. In chemistry top drawer. Clients must call ARUP's genetics counselor at 800-242-2787, extension 2946 before submitting specimens. 5 ml whole blood from green top Sodium heparin tube. Please send in initial tubes blood was collected in. Draw only Monday -Wednesday and send same day. Preferable to draw around noon to 2pm in order to send soon with courier. Maintain specimen at room temperature.

829032 829044

863157 CLUSTER

NEUTROPHIL OXIDATIVE BURST FOR CHRONIC GRANULOMATOUS DISEASE--(NITROBLUE TETRAZOLIUM REDUCTION IN NEUTROPHILS)

829194

Test not built in the lab module

FLU, ENZ. ACTIVITY

850204

82657

NITROBLUE TETRAZOLIUM REDUCTION IN NEUTROPHILS (See NEUTROPHIL OXIDATIVE BURST) VERY LONG CHAIN FATTY ACID CYSTICERCUS AB IGG BY WESTERN BLOT ENTOAMOEBA HISTOLYTICA AG DETECTION ACHR MODULATING AB NEURONAL NUCLEAR (HU) AB CSF

829194

831503 833038 833467 834127 834135 LCA LCA

Test not built in Lab Module CYSTGAB EHISTO ACHRMOD CSFNEURON

VERY LONG CHAIN FATTY AC

893196 863184 867532 842385 863161

82726 84182 87337 84238 86256

CYSTERCERCUS AB WBLOT E HISTOLYTICA AG EIA ACETYLCHOL RCPT AB MOD NEURONAL AB HU IGG

3 ml EDTA plasma from a purple top tube, Send at Room temperature 1 ml serum 1 gm stool (send frozen) 2 ml serum 1 ml CSF

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 83 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME COENZYME Q10 (UBIQUINONE)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module

MIS STANDARDIZED NAME COENZYME Q10 UBIQUIN CHR

PROCEDURE CODE

CPT CODE 82491

SPECIMEN REQUIREMENT 1 ml plasma from a green top tube. (Send Frozen and Protect from light by covering plastic container completely, top and bottom, with aluminum foil. (Identify specimen with patient name directly on the container AND on the outside of the aluminum foil. Secure with tape). 5 ml whole blood from a lavender top (EDTA) tube. Please send in initial tubes blood was collected in. This blood is stable fore 8 days refrigerated. Ship only Monday thru Thursday only. DO NOT FREEZE. 3 ml serum. Send at room temperature. (In cases of autoimmune inner ear disease, a Western Blot Immunoassay has been recommended to identify serum antibodies that may be reacting against inner ear antigens. There is a chance that an immune etiology underlies pregressive hearing loss. 1 ml serum, (frozen) 2 ml serum , or 2 ml EDTA plasma from a purple top tube, (frozen) HEPARINIZED PLASMA WILL BE REJECTED 1 ml serum (For research use only) 1 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen Please provide the following information: Collection date and time Patient DOB Test number and test name Patient's full name Patient's gender

835876

800327

PRO-PREDICTOR 6MP METABOLITES PP6MP (Our cost is $285.00)

838748

Test not Built in Lab module

MHPG HPLC

800300

82491

ANTI-68KD (hsp-70) WB

840439

Test not built in Lab module

WESTERN BLOT PROBE

869904

84182

COMPLEMENT C5 FUNCTIONAL HEPATITIS G VIRUS, RT-PCR

840710 840827

LCA

COMC5 Test not built in Lab module. Test not built in Lab module. Test not built in Lab module.

COMPLEMENT C5 HEP G DIR PROBE

863292 862942

86160 87525

HEPATITIS DELTA VIRUS ANTIGEN ADAMTS13 (VON WILLEBRAND FACTOR CLEAVING PROTEASE)

841924 844200

HEP DELTA AG EIA FACTOR 8 VW AG

884373 853294

87380 85246

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 84 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME VON WILLEBRAND FACTOR CLEAVING PROTEASE (ADAMTS13)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module.

MIS STANDARDIZED NAME FACTOR 8 VW AG

PROCEDURE CODE

CPT CODE 85246

SPECIMEN REQUIREMENT 1 ml citrated plasma from a blue top tube IMMEDIATELY Spin at 3500 for at least 15 minutes, separate plasma, and send frozen Please provide the following information: Colelction date and time Patient DOB Test number and test name Patient's full name Patient's gender 14 ml EDTA whole blood , (draw 4 purple top tubes) send at room temperature, for child draw 2 or 3 purple top tubes (3 ml), and for infant, draw 1 Please send in initial tubes blood was collected in. 1 ml serum or plasma from a lavender-top EDTA tube, send frozen 2 ml serum, or 2 ml EDTA plasma from a purple top tube, No SST 4 ml serum from a red top tube

844200

853294

MYOTONIC DYSTROPHY MUTATION

844773

Test not built in the lab module

SEE CLUSTER LIST

BETA-HYDROXYBUTRIC ACID NISOLDIPINE PAROXETINE (PAXIL)

845260 845543 846782

Test not built in Lab Module Not built in Lab module Test not Built in Lab Module LCA BROM VERAPAMIL LCA BERYLLIUM Test not built in Lab module

ACETONE QUANT MHPG HPLC PAROXETINE PAXIL CHR

810099 801013 826618

82010 82491 82491

(Store and send at room temperature)

BROMIDES VERAPAMIL ISOPTIN CHR HEAVY METAL QN SEE CLUSTER LIST 822902 800317 830180 84311 82491 83018 1 ml serum (send at room temperature) 4 ml EDTA plasma from a purple top tube or 4 ml serum, no SST 4 ml whole blood from a Dark Royal Blue top tube. Please send in initial tube blood was collected in. 3 ml serum (no SST, send at room temperature)

BROMIDE VERAPAMIL (ISOPTIN) BERYLLIUM VICODINE (INCLUDES HYDROCODONE AND ACETAMINOPHEN) ACYLCARNITINE PROFILE, PLASMA ($135.00)

846832 846840 846931 846949

852202

Test not built in Lab module

ACYLCARNITINE QN

866531

82017

0.5 ml of EDTA plasma from a purple top tube. Transfer to plastic tube, freeze, and send frozen.

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 85 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME HEPATITIS DELTA ANTIGEN ANTIBODY CARBOHYDRATE DEFICIENT TRANSFERRIN MAGNESIUM, FECAL

LABCORP TEST #

LCA

LIS MNEMONIC HEPBD

MIS STANDARDIZED NAME HEPATITIS DELTA AB QUAN

PROCEDURE CODE

CPT CODE 86692

SPECIMEN REQUIREMENT 1 ml serum, Send at room temperature (serum must be separated from cells within 45 minutes of venipuncture) 1 ml serum, (frozen) Screening for glycosylation 5 gm stool. From a well-mixed 14hour or random stool collection, Stool MUST BE LIQUID. DO NOT add saline or water to liquefy sample. If 24-hour collection indicate time and weight. Refrigerate. 5 ml whole blood heparinized (green top tube), Please send in initial tube blood was collected in. send patient control Send at room temp, Monday-Wednesday, only and 2 unfixed smears 1 ml serum 1 ml serum, Send at room temperature. 1 ml serum 1 ml CSF (frozen) or 3 mls whole blood from a yellowtop tube (ACD) or EDTA purple top tube Please send in initial tubes blood was collected in. (send at room temperature) 2 ml serum FROZEN 5 ml whole blood (3 ml min) from a green top (Sodium heparin) tube. Please send in initial tube blood was collected in. Keep at Room Temperature Sent to Biochemical Genetic Lab at Baylor.

870150

869995

873059 875209

Test not built in Lab module Test not built in Lab module.

CARBO DEF TRANSFERRIN MAGNESIUM OTHER

844764 837356

82373 83735

OSMATIC FRAGILITY

875238

OSMOFR

OSMOTIC FRAGILITY INCUB

856209

85557

SOLUBLE LIVER AG (IGG AB) TULARENSIS, FRANCISELLA AB DA CAMPYLOBACTER JEJUNI TOTAL ABS TROPHERYMA WHIPPELII

878233 878276 878728 878749 LCA

Test not built in Lab module TULAR Test not built in Lab module. Test not built in Lab module.

SOLUBLE LIVER AG IGG AB FRAN TULAREN AB QUAL CAMPYLOBACT AB QUAL T WHIPPELII AMP PROBE

856133*** 894248 863115 862201

83520 86668 86625 87798

ITRACONAZOLE PMP22, F.I.S.H. (CHARCOT-MARIE TOOTH DISEASE (CMT))

878793 884801

Test not built in Lab module. Test not built in Lab module.

ITRACONAZOLE SPORNONO CHR SEE CLUSTER LIST

871032

82491

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 86 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME NEOCEREBELLAR DEGENERATION PARANEOPLASTIC PROFILE WITH RECOMBX ASPERGILLUS FUMIGATUS IGA ASPERGILLUS FUMIGATUS IGG URINE TETRAHYDRO CORTISOL (TH-F)

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in the lab module Test not Built in Lab Test not Built in Lab Test not built in Lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST ASPERGILLUS FUMI IGA ASPERGILLUS FUMI IGG IMMUNOASSAY RIA

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 2 ml serum; Must ship MondayThursday and the same day drawn. Maintain at room temperature. 1 ml serum (send room temperature) 1 ml serum (send room temperature) 5 mls urine, FROZEN, The patient should not be on any corticosteroid or ACTH medications, if possible, for at least 48 hours prior to collection. Draw in special InterScience TRH preservative tube., found in the chemistry fridge; draw in chilled tube and spin immediately, freeze plasma immediately, ship frozen 2 ml plasma from heparinized green top tube. (Remove plasma from cells, transfer to plastic transfer tube, and FREEZE

898517 903720 903753 909202

861682 861681 835197

86606 86606 83519

THYROTROPIN RELEASING HORMONE (Manual request) TYROSINE, QN PLASMA (our cost is $74.25) this is an amino acid PHENYLALANINE QUANT PLASMA URINE HYDROXYPROLINE 24 HOUR URINE AMINO ACID PROFILE QUANTITATIVE (CSF)

909206

Test not built in Lab module.

THYROTROPIN REL HORMONE

884824

83519

911065

Test not built in Lab module

TYROSINE

845100

84510

immediately within 1 hour of

911073 911321 912139 LCA PHENYLAL HYDRPROL Test not built in Lab Module PHENYALANINE QUANT HYDROXYPROLINE TOTAL AMINO ACIDS 6 OR MORE 884503 835054 880000 82131 83505 82139 collection and send FROZEN) 4 ml plasma from green top tubes (draw 2 and send frozen) 10 ml aliquot of a 24-hour specimen, no preservative (send frozen) CSF 2 ml (Send frozen) State patient's age and brief clinical history on request form. If ruling out nonketotic hyperglycinemia, submit a plasma specimen, drawn within 2 hours of CSF collection, for quantitative plasma glycine (test # 910968) in addition to the CSF specimen. 10 ml of a random urine FROZEN, State patient's age, sex, and brief clinical history on the request form.

AMINO ACID PROFILE QUANTITATIVE RANDOM URINE

912147

Test not built in Lab module

AMINO ACIDS 6 OR MORE

879998

82139

LABCORP TEST LIST SORTED NUMERICALLY BY LAB CORP TEST NUMBER Page 87 of 87 Effective 6/3/2011 C:\Documents and Settings\jwpeters\Desktop\Lab Corp Test LIst Numeric.doc REFERENCE TEST NAME METHEMOGLOBIN & SULFHEMOGLOBIN

LABCORP TEST #

LCA

LIS MNEMONIC Test not built in Lab module.

MIS STANDARDIZED NAME SEE CLUSTER LIST

PROCEDURE CODE

CPT CODE

SPECIMEN REQUIREMENT 5 ml EDTA whole blood, Please send in initial tubes blood was collected in. refrigerate and must reach MAYO Lab in 72 hours, draw only Monday-Wednesday. ML #81032. Patient age must be on request and specimen can not be frozen.

912572

Information

REFERENCE TEST NAME

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