Fentanyl

Orderable EAP code:

LAB103796

Billable EAP Codes:

80005610 x 1

CPT Codes:

80307 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours 
Urgent: 1 Hour

Test Schedule:

24/7

Interpretation:

Negative

Specimen Requirements:

6 ml fresh urine.

Reference Range:

Negative

Hematocrit, Body Fluid

Orderable EAP code:

LAB00326

Billable EAP Codes:

80002639 x 1

CPT Codes:

85014 x 1

Lab Section:

Core Lab

Includes:

Measurement of the body fluid hematocrit using an automated cell counter.

Turnaround Time:

Routine: 90 Minutes
Urgent: 60 Minutes
Extreme emergency: 15 Minutes

Test Schedule:

24 hours, 7 days

Units:

%

Interpretation:

A pleural fluid hematocrit greater than 1% is usually associated with malignancy, pulmonary embolus or chest trauma. A result of greater than 50% of the peripheral blood hematocrit level is associated with a true hemothorax.

Critical Values:

None

Specimen Requirements:

Serous body fluid (pleural, peritoneal and pericardial) specimens received in an EDTA tube are preferred.
Other sources, containers or anticoagulants are suitable provided the sample is free from clots and/or debris.  
Room temperature. Refrigerate if greater than 2 hours before testing.
1 mL or more preferred.  Minimum volume 0.5 mL.

Pediatric Specimen Requirements:

0.5 mL

Reference Range:

Less than 1%

Synonyms:

HCT, BF
HCT, Body Fluid
Hematocrit, BF

HIT Antibody with Reflex to SRA Confirmation

Orderable EAP code:

LAB103661

Billable EAP Codes:

80005611 x 1

CPT Codes:

86022 x 1

Lab Section:

Core Lab

Includes:

Preliminary positives are reflexed to Serotonin Release Assay (Heparin Dependent Platelet Antibody), Unfractionated Heparin at ARUP.

Link to ARUP Test Directory (Opens in a new window) for the SRA confirmation reflex test.

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

Batched daily 7 days per week. Please call 503-494-5764 if STAT.

Critical Values:

Preliminary Positive, Confirmation Pending

Specimen Requirements:

One 2.7 mL Lt Blue Na Citrate tube and one 5 mL Gold SST tube.

Pediatric Specimen Requirements:

One 1.3 mL Lt Blue Na Citrate tube and two pediatric red top tubes.

Reference Range:

HIT Ab Negative

Comments:

Method: Immunoturbidimetric detection of anti-PF4/Heparin (PF4/H) antibodies.

Interferences:
The HIT Ab assay is not affected by hemoglobin up to 500 mg/dL, bilirubin up to 19 mg/dL, triglycerides up to 375 mg/dL, rheumatoid factor up to 100 IU/mL and human anti-mouse antibodies (HAMA) up to 1 microgram/mL.

No dose-response correlation between HIT results and heparin concentrations was shown in manufacturer studies; UFH (n=11) range from 0.04-1.08 IU/mL and LMWH (n=115) range from 0-2.47 IU/mL).

Testing on 40 samples from patients diagnosed with Antiphospholipid Syndrome (APS) showed no HIT Ab positive results indicating that the assay is not affected by APS antibodies.

Synonyms:

Heparin Induced Thrombocytopenia Antibody

Methotrexate

Orderable EAP code:

LAB00487

Billable EAP Codes:

80005561 x 1

CPT Codes:

80204 x 1

Lab Section:

Core Lab

Turnaround Time:

4 Hours

Test Schedule:

24 hours, 7 days.

Units:

micromoles/L

Specimen Requirements:

4 mL of blood in a RED top tube. Avoid exposure to light.

Reference Range:

Therapeutic Range
Low dose: 0.5 to 1.0 micromoles/L
High dose, 24 hours: Less than or equal to 5.0 micromoles/L
High dose, 48 hours: Less than or equal to 0.5 micromoles/L
High dose, 72 hours: Less than or equal to 0.10 micromoles/L

Comments:

This assay shows cross reactivity with DAMPA (2,4-Diamino-N10-methylpteroic acid). 
Specimens from patients who have received glucarpidase (carboxypeptidase G2) as a high dose methotrexate rescue therapy should not be tested with the EMIT Methotrexate assay. These specimens have increased serum levels of metabolite (DAMPA) that cross-reacts with the methotrexate antibody used in the assay. 

Synonyms:

Methopterin
Mexate
MTX

Iron and TIBC (including Transferrin)

Orderable EAP code:

LAB00032

Billable EAP Codes:

80003571 x 1
80001416 x 1

CPT Codes:

83540 x 1
84466 x 1

Lab Section:

Core Lab

Includes:

Transferrin

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Specimen Requirements:

4 mL blood in a GREEN top, lithium heparin tube.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top, lithium heparin tube.

B Natriuretic Peptide (BNP)

Orderable EAP code:

LAB00418

Billable EAP Codes:

80001765 x 1

CPT Codes:

83880 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

pg/mL

Specimen Requirements:

3.0 mL blood in a LAVENDER top tube.

Reference Range:

All ages and genders: Less than or equal to 100 pg/mL

Synonyms:

BNP
B-Type Natriuretic Peptide

LDL Cholesterol

Orderable EAP code:

LAB00048

Billable EAP Codes:

80001760 x 1

CPT Codes:

83721 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

U/L

Specimen Requirements:

4 mL blood in a GREEN top, lithium heparin tube.

Pediatric Specimen Requirements:

0.5 mL in a 1.0 mL GREEN top, lithium heparin tube.

Reference Range:

Males and Females, all ages:
 Optimal  Up to 100 U/L
 Near Optimal  100 to 129 U/L
 Borderline High  130 to 159 U/L
 High  160 to 189 U/L
 Very High  190 U/L and greater

Synonyms:

LDL, LDL CHOL, ME

High Sensitivity Troponin-I

Orderable EAP code:

LAB103455 (Random), Order Set O274414 (IP Panel or Random), Order Set O274416 (ED Panel or Random)

Billable EAP Codes:

80001794 x 1 (Random)
80001794 x 2 (IP Panel and ED Panel)

CPT Codes:

84484 x 1 (Random)
84484 x 2 (IP Panel and ED Panel)

Lab Section:

Core Lab

Turnaround Time:

Routine: 1 Hour
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

ng/L

Critical Values:

Female: greater than 75 ng/L
Male: greater than 100 ng/L
Unspecified: greater than 75 ng/L

Related Links:

Specimen Requirements:

4 mL blood in a GREEN lithium or sodium heparin tube ONLY.

Pediatric Specimen Requirements:

Only Lithium Heparin GREEN top peds tube is OK. RED top peds tube is NOT ACCEPTABLE.

Comments:

All troponins outside OHSU or in the ambulatory setting will be one-time, random high sensitivity troponin draws.

For OHSU IP and ED patients, random troponins are limited to the following clinical scenarios and populations:
o    Known pericarditis
o    Toxic drug monitoring
o    Known pulmonary embolism
o    Pediatrics
o    Ambulatory

Synonyms:

Troponin-I, HS Random
Troponin-I, HS Panel (0,2 Hr)

Blood Culture ID Panel PCR

Orderable EAP code:

LAB103116

Billable EAP Codes:

80005607 x 1

CPT Codes:

87150 x 1

Lab Section:

Core Lab

Includes:

Enterococcus faecalis
Enterococcus faecium
Listeria monocytogenes
Staphylococcus
Staphylococcus aureus
Staphylococcus epidermidis
Staphylococcus lugdunensis
Streptococcus
Streptococcus agalactiae (Group B)
Streptococcus pneumoniae
Streptococcus pyogenes (Group A)
Acinetobacter calcoaceticus-baumanii complex
Bacteroides fragilis
Enterobacterales
Enterobacter cloacae complex
Escherichia coli
Klebsiella aerogenes
Klebsiella oxytoca
Klebsiella pneumoniae group
Proteus
Salmonella
Serratia marcescens
Haemophilus influenzae
Neisseria meningitidis
Pseudomonas aeruginosa
Stenotrophomonas maltophilia
Candida albicans
Candida auris
Candida glabrata
Candida krusei
Candida parapsilosis
Candida tropicalis
Cryptococcus neoformans/gattii
CTX-M (ESBL resistance)
IMP (carbapenemase resistance)
KPC (carbapenem-resistance gene)
mcr-1 (colistin resistance)
mecA/C (methicillin-resistance gene)
mecA/C and MREJ (MRSA) resistance
NDM (carbapenemase resistance)
OXA-48-like (carbapenemase resistance)
van A/B (vancomycin-resistance gene)
VIM (carbapenemase resistance)

Turnaround Time:

Routine: 2 Hours
Urgent: 2 Hours

Specimen Requirements:

Blood culture vials

Synonyms:

BCID
Blood Culture Pathogen Panel PCR

HIV Rapid, HIV-1/2 Ab, HIV-1 p24 Ag w/Reflex Quant, ED/OB/Emp. Health Only

Orderable EAP code:

LAB103498

Billable EAP Codes:

80001825 x 1

CPT Codes:

86703 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week. Quants are batched twice weekly.

Specimen Requirements:

Fill two 6 mL LAVENDER top vacutainers. Purple top only for reflex to viral load testing. Refrigerated only; stability is 7 days. 
This test is not to be used for patients under 12 years of age.

Pediatric Specimen Requirements:

This test is not to be used for patients under 12 years of age.

Reference Range:

Non-reactive.

Comments:

This Rapid HIV test is for use by Employee Health, Emergency Dept., or Labor & Delivery ONLY. Other users should select the "HIV 1/2 AB/HIV-2 P24 Ag with Reflex to Quant" test (LAB103499).

This test is a rapid immunoassay used to qualitatively detect antibodies to Human Immunodeficiency Virus Type 1 (HIV-1), Type 2 (HIV-2), HIV-2 p24 antigen in human blood. It is not a diagnostic test for AIDS. Positive Rapid HIV results from patients with previously undocumented positive results will be reflexed to HIV-1 RNA Quant (LAB00779) and charges will be generated.

Synonyms:

AIDS Antibody
Acquired Immunodeficiency Syndrome
HIV
Human Immunodeficiency Virus

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