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:

ED OHSU High Sensitivity Troponin Protocol IP OHSU High Sensitivity Troponin Protocol

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)

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

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

Orderable EAP code:

LAB00427

Billable EAP Codes:

80003574 x 1

CPT Codes:

86141 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mg/L

Critical Values:

None

Specimen Requirements:

 1 mL blood in a lithium heparin tube.

Pediatric Specimen Requirements:

 1 mL blood in a lithium heparin tube.

Reference Range:

Low risk: less than 1.0

Average risk: 1.0 to 3.0

High risk: 3.1 to 9.9

Recommend repeat if greater than 9.9

Synonyms:

C-Reactive Protein

CRP high sensitivity

hsCRP

Orderable EAP code:

LAB100791

Billable EAP Codes:

80084145 x 1

CPT Codes:

84145 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 1 Hour

Urgent: 1 Hour

Interpretation:

Concentrations under 0.5 ng/mL do not exclude local infections or systemic infections in their initial stages (e.g. under six hours from onset of illness). 

Procalcitonin concentrations between 0.5 and 2.0 ng/mL should be interpreted with consideration of the patient’s history. In this range, it is recommended to retest within 6 to 24 hours. 

Elevated Procalcitonin levels may be seen in conditions other than systemic bacterial infection. These may include but are not limited to polytrauma, burns, major surgery, and prolonged or cardiogenic shock. In addition, certain patient characteristics including, renal insufficiency or failure, may impact procalcitonin levels and should be considered as potentially confounding clinical factors when evaluating procalcitonin results.

Specimen Requirements:

Full 4 mL RED (Serum) or GREEN top (Lithium Heparin) tube.

Must be spun and separated from cells within 2 hours.

Pediatric Specimen Requirements:

Full 1mL RED (Serum) or GREEN (Lithium Heparin) tube.

Must be spun and separated from cells within 2 hours. 

Reference Range:

Reference range: Less than 0.5 ng/mL

Less than 0.50 ng/mL: Low risk of severe sepsis and/or septic shock. 

Greater than 2.00 ng/mL: High risk of severe sepsis and/or septic shock. 

Orderable EAP code:

LAB103425

Billable EAP Codes:

80005531 x 1

CPT Codes:

0202U x 1

Lab Section:

Core Lab

Includes:

Adenovirus

Coronavirus 229E

Coronavirus NL63

Coronavirus OC43

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)

Human Metapneumovirus

Human Rhinovirus/Enterovirus

Influenza A

Influenza B

Parainfluenza Virus 1

Parainfluenza Virus 2

Parainfluenza Virus 3

Parainfluenza Virus 4

Respiratory Syncytial Virus

Bordetella pertussis

Chlamydophila pneumoniae

Mycoplasma pneumonia

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Specimen Requirements:

Preferred specimen is nasopharyngeal swab in red-capped viral transport medium.

Also acceptable: nasal aspirates, nasal washes, bronchial alveolar lavages (BAL), and nasal swabs.

Synonyms:

Respiratory Virus Panel

Orderable EAP code:

LAB103377 (not available in all areas), O235684 (includes options for Covid, Flu, and RSV)

Billable EAP Codes:

80005522 x 1 (Covid Rapid PCR)

CPT Codes:

87635 x 1 (Covid Rapid PCR)

Lab Section:

Core Lab

Includes:

O235684 should be used when ordering. It has the options to include:

COVID-19, RAPID PCR [LAB103377]

INFLUENZA A/B PCR, RAPID [LAB100504]

RSV BY PCR, RAPID [LAB101755]

Turnaround Time:

Routine: 1 Day

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Critical Values:

DETECTED results are critical values.

Specimen Requirements:

Nasal aspirates, nasal washes or nasopharyngeal swabs in viral transport media (red capped swab kit) or phosphate buffered saline (orange capped swab kit).

BAL and tracheal aspirates in sterile, leak proof container.

Reference Range:

SARS-CoV-2 is NOT DETECTED in normal individuals.

Synonyms:

COVID

COVID-19

SARS-CoV-2

Orderable EAP code:

LAB103285

Billable EAP Codes:

80001717 x 1 (Creatinine) 80001779 x 1 (Protein)

CPT Codes:

82570 x 1 (Creatinine) 84156 x 1 (Protein)

Lab Section:

Core Lab

Turnaround Time:

Routine: 1 Day

Urgent: N/A

Test Schedule:

Batched daily, 9 am to 2 pm.

Orderable EAP code:

LAB102520

Billable EAP Codes:

80087483 x 1

CPT Codes:

87483 x 1

Lab Section:

Core Lab

Includes:

Meningitis/Encephalitis PCR includes: C.neoformans/gattii, CMV, Enterovirus, E. coli (K1), H. influenza, HSV-1, HSV-2, HHV-6, Human parechovirus, L. monocytogenes, N. Meningitidis, S. agalacteiae, S. pneumoniae, VZV

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Interpretation:

Meningitis/Encephalitis PCR is not a replacement for CSF bacterial and/or fungal culture and Cryptococcal Ag testing for at risk patients. Non-K1 E. coli serotypes and non-encapsulated strains of N. meningitidis are NOT detected. The panel does NOT differentiate active from latent HSV infections.

Critical Values:

Any detected organism

Specimen Requirements:

CSF only; STAT to lab

Stable at RT 2 hours

Stable in Refrigerator 7 days

Minimum volume for MEP PCR 0.5 ml

Reference Range:

MEP PCR: Not Detected

Comments:

Synonyms:

Meningitis Pathogen Panel; Meningitis Panel; MEP; Meningitis; Encephalitis Panel; Meningitis PCR

Orderable EAP code:

LAB00044

Billable EAP Codes:

80001688 x 1

CPT Codes:

81025 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

Pos/Neg

Interpretation:

Detects the presence of greater than or equal to 20 mlU/mL hCG as positive and less than 20 mlU/mL hCG as negative.

Specimen Requirements:

1 mL of fresh urine.

Reference Range:

50% of healthy, normal, pregnant females should have an hCG of 20 mIU/mL or greater at the time of the first missed period.

Healthy males and non-pregnant females should be negative for urine hCG.

Synonyms:

Urine HCG, Pregnancy Test