Cocaine Screen, Urine

Orderable EAP code:

LAB00570

Billable EAP Codes:

80001661 x 1

CPT Codes:

80307 x 1

Lab Section:

Core Lab

Includes:

Cocaine

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Specimen Requirements:

6 mL urine cup.

Pediatric Specimen Requirements:

6 mL urine in sample cup or in 10 mL RED top tube.

Reference Range:

Negative

Comments:

Cocaine detected in urine at levels greater than or equal to 300 ng/mL is considered "positive."

"Positive" results are not confirmed by alternate method. See: Summary of Compounds that may be detected by OHSU Drugs of Abuse Screening Methods. (Opens in a new window)

Synonyms:

Drugs of Abuse, Drug Screen, Urine Drug Screen

Coagulopathy Panel

Orderable EAP code:

LAB00229

Billable EAP Codes:

80001820 x 1 (INR) 80001823 x 1 (APTT) 80001817 x 1 (Fibrinogen Level)

CPT Codes:

85610 x 1 (INR) 85730 x 1 (APTT) 85384 x 1 (Fibrinogen Level)

Lab Section:

Core Lab

Includes:

PT (INR), PTT, FIB

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

PT: INR; APTT: Seconds; Fibrinogen: mg/dL

Interpretation:

See individual tests.

Critical Values:

See individual tests

Specimen Requirements:

3.2% sodium citrate tubes are acceptable provided they are filed to the line on the manufacturers label. Tubes must be full (see comments below). Test stability: see individual tests.

Pediatric Specimen Requirements:

Add blood to 1.3 mL mark of Pediatric BLUE top tube, 3.2% sodium citrate. Test stability: see individual tests.

Reference Range:

See individual tests.

Comments:

Draw volume is critical due to the liquid anticoagulant. Allow tubes to fill by vacuum.

  • Tubes with rubber stopper: fill to line on label.
  • Tubes with plastic (Hemogard) cap: the fill level is above the top of the label.
  • Syringe: do not remove the vacutainer stopper. Insert the needle through the stopper and allow the tube to fill by vacuum. Do not overfill the vacutainer.
  • Pediatric tubes have no vacuum. Remove the cap and add blood to the 1.3 mL mark. Do not overfill.

Synonyms:

Coagulation Panel

Coagulation Studies

Carbon Dioxide, Total, Plasma

Orderable EAP code:

LAB00004

Billable EAP Codes:

80001705 x 1

CPT Codes:

82374 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/L

Critical Values:

Less than or equal to 12 mmol/L and greater than or equal to 40 mmol/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:

21 to 32 mmol/L

Synonyms:

Bicarbonate

CO2, Total, Plasma

Electrolytes

C. difficile Toxin

Orderable EAP code:

LAB00653

Billable EAP Codes:

80003046 x 1

CPT Codes:

87324 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Specimen Requirements:

Freshly passed, loose or watery stool in a leakproof container. Not appropriate for formed stool.

Pediatric Specimen Requirements:

0.5 mL stool

Reference Range:

Negative

Comments:

Keep refrigerated if transport is delayed.

Indeterminate results by this lateral flow enzyme immunoassay method will be confirmed by PCR method with an additional charge.

Synonyms:

C difficile Toxin

C. diff

C. difficile Toxin Assay

Clostridium difficile toxin

Creatine Kinase, Total, Serum

Orderable EAP code:

LAB00019

Billable EAP Codes:

80001715 x 1

CPT Codes:

82550 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:


 Female  Male  Unspecified
 Up to 6 Months  0 to 379 U/L  0 to 379 U/L  None
 6 Months up to 5 Years  0 to 278 U/L  0 to 278 U/L  None
 5 Years up to 20 Years  0 to 223 U/L  0 to 223 U/L  0 to 223 U/L
 20 Years up to 150 Years  33 to 206 U/L  43 to 349 U/L  33 to 349 U/L

Synonyms:

CK

Cpk

Chloride, Urine

Orderable EAP code:

LAB00015

Billable EAP Codes:

80001710 x 1

CPT Codes:

82436 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/col time

Specimen Requirements:

Total collection, 24 hr urine container. Refrigerate during collection.

Pediatric Specimen Requirements:

0.5 mL in a 4 mL RED top tube or urine sample cup

Reference Range:

110 to 250 mmol/d

Synonyms:

Electrolytes, Urine, Cl

Chloride, Plasma

Orderable EAP code:

LAB00013

Billable EAP Codes:

80001709 x 1

CPT Codes:

82435 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 2 Hours

Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Units:

mmol/L

Critical Values:

None

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:

97 to 108 mmol/L

Comments:

Specimen Stability: Plasma/serum separated from the cells by a gel barrier or stored in an aliquot tube is stable for 7 days.

Synonyms:

Electrolytes, Plasma, Cl

Cell Count And Differential, Synovial Fluid

Orderable EAP code:

LAB00700

Billable EAP Codes:

80001837 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

WBC greater than or equal to 25,000/cu mm; Intracellular Bacteria; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

3 mL synovial fluid in a LAVENDER top tube

Pediatric Specimen Requirements:

1 mL synovial fluid in a 3 mL LAVENDER top tube

Reference Range:

WBC less than or equal to 200 cu mm. Neutrophils less than or equal to 25%.

Comments:

See also Synovial Fluid, Crystals and/or Synovial Fluid Examination.

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).

Synonyms:

Synovial Fluid, Cell Count And Differential

Cell Count And Differential, Cerebral Spinal Fluid

Orderable EAP code:

LAB00267

Billable EAP Codes:

80001835 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

Adults: WBC greater than or equal to 20/cu mm; Intracellular Bacterial; Malignant Cells; Atypical Cells if no previous.

Neonates: greater than or equal to 30/cu mm: Intracellular Bacterial; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

2 mL CSF in a CSF vial.

Pediatric Specimen Requirements:

0.5 mL CSF in a CSF vial or sterile container.

Reference Range:

Adults: WBC 0 to 5/cu mm

Neonates (younger than 60 days): WBC 0 to 29/cu mm

Comments:

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).

Synonyms:

CSF, Cell Count and Differential, CSF

Cell Count And Differential, Body Fluids

Orderable EAP code:

LAB00243

Billable EAP Codes:

80001833 x 1

CPT Codes:

89051 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours

Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

Intracellular Bacteria; Malignant Cells; Atypical Cells if no previous.

Specimen Requirements:

Body Fluids (i.e., ascites, pleural, peritoneal):

2 mL body fluid in a LAVENDER top tube or 2 mL body fluid in a sterile container with EDTA added.

Pediatric Specimen Requirements:

1 mL body fluid in a LAVENDER top tube or sterile tube

Reference Range:

WBC 0 to 1000/cu mm

Comments:

Cell counts will be attempted on all fluids sent. However, specimen volume and quality may affect or prevent testing (i.e. specimens with small clots will be tested and results reported with a disclaimer that results may be affected, but specimens that are fully clotted cannot be counted). 

CSF and body fluid specimens should be examined within 1 hour of collection; if it can't be examined within 1 hour, refrigerate. Stable for 8 hours at 2 to 8 C (although there can be cell deterioration).