Orderable EAP code:

LAB00109

Billable EAP Codes:

80002038 x 1

CPT Codes:

86706 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 days

Test Schedule:

7 days a week 

Interpretation:

Nonreactive = Individual is considered not immune to HBV infection.

Equivocal = The immune status of the individual should be further assessed by considering other factors, such as clinical status, follow-up testing, associated risk factors, and the use of additional diagnostic information.

Reactive = Individual is considered immune to HBV infection.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:

Room Temperature (21 - 30°C) – 3 days

Refrigerated (2-8 C) - 7 days

Specimen may be stored on or off the clot, or separator gel

Frozen -20°C or colder – 3 freeze/thaw cycles

Remove specimen from clot or separator gel prior to storage

Pediatric Specimen Requirements:

Minimum testing age >28 days

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:

Room Temperature (21 - 30°C) – 3 days

Refrigerated (2-8 C) - 7 days

Specimen may be stored on or off the clot, or separator gel

Frozen -20°C or colder – 3 freeze/thaw cycles



Remove specimen from clot or separator gel prior to storage

Reference Range:

Nonreactive

Comments:

To be used for qualitative measurement of antibody response following hepatitis B virus (HBV) vaccination, determination of HBV immune status, and for the laboratory diagnosis of HBV disease associated with HBV infection when used in conjunction with other laboratory results and clinical information.



A reactive Hepatitis B Surface Ab, Qual will reflex to a confirmation.

Additional charges may apply.

This test is not intended for use in patient ≤ 28 days of age.

This test is not intended for use in screening blood, plasma or tissue donors.

 

Synonyms:

HBV Immune Status, HBs AB, HBVs AB, Anti-HBs

Orderable EAP code:

LAB00513

Billable EAP Codes:

80001526 x 1

CPT Codes:

86705 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 Days 

Test Schedule:

7 days a week 

Interpretation:

Nonreactive = IgM anti-HBc antibodies not detected. 
Equivocal = Antibodies to IgM anti-HBc may or may not be present. 
Reactive = Presumptive evidence of HBC; anti-HBc antibodies were detected which may suggests either on-going or previous HBV infection.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.
Minimum volume = 250 uL

Stability: 
Room Temperature (24 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

Minimum testing age: >28 days. 

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability: 
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Reference Range:

Nonreactive

Comments:

To be used as an aid in the diagnosis of acute, chronic, or resolved hepatitis B virus (HBV) infection in conjunction with other laboratory results and clinical information

This test is not intended for use in screening blood, plasma or tissue donors.

Synonyms:

HBV Core IgM

Orderable EAP code:

LAB00107

Billable EAP Codes:

80002036 x 1

CPT Codes:

86704 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 days

Test Schedule:

7 days a week

Interpretation:

Nonreactive = Anti-HBc antibodies not detected; it is possible that the individual is not infected with HBV.

Reactive = Presumptive evidence of HBV.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability: 
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

Minimum testing age: >28 days

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability: 
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Reference Range:

Nonreactive 

Comments:

For detection of IgM and IgG antibodies to Hepatitis B Core antigen (anti-HBc). to be used as an aid in the diagnosis of acute, chronic, or resolved hepatitis B virus (HBV) infection in conjunction with other laboratory results and clinical information.

This test is not intended for use in screening blood, plasma or tissue donors.

Synonyms:

HB Core AB, Anti-HBcore

Orderable EAP code:

LAB00110

Billable EAP Codes:

80002039 x 1

CPT Codes:

86709 x 1

Lab Section:

Immunology

Turnaround Time:

2 Days

Test Schedule:

7 days a week. 

Interpretation:

Specimen Requirements:

2 mL blood in a Gold (SST) top tube.  Send 0.5 mL serum aliquot. Minimum volume = 250 uL

Stability = 7 days refrigerated 2-8°C, Frozen -20°C or colder – 3 freeze thaw cycles

Pediatric Specimen Requirements:

1 mL blood in a Gold (SST) top tube.  Send 0.5 mL serum aliquot. Minimum volume = 250 uL

Stability = 7 days refrigerated 2-8°C, Frozen -20°C or colder – 3 freeze thaw cycles

Reference Range:

Nonreactive

Comments:

Use this test for diagnosis of acute Hepatitis A infection. 

Synonyms:

Hepatitis A Ab IgM, Serum

Orderable EAP code:

LAB00763

Billable EAP Codes:

80005543 x 1

CPT Codes:

83020 x 1

Lab Section:

Immunology

Test Schedule:

Performed twice per week on Tuesday and Friday.

Specimen Requirements:

3 mL blood in a LAVENDER top (EDTA) tube. Minimum of 1 mL blood.

Pediatric Specimen Requirements:

0.5 mL blood in a LAVENDER top (EDTA) tube.

Minimum age for testing is 28 days.

Reference Range:

HBA: N/A 

HbF: <2.0%

HbS: 0.0

HbC: 0.0

HbE: 0.0

HbA2: 2.0% - 3.3%

Comments:

Performed by capillary zone electrophoresis. Confirmation of abnormal hemoglobin variants performed by acid gel electrophoresis.

Synonyms:

Hemoglobin Electrophoresis

Hemoglobin Evaluation

Hemoglobin Fractionation

Hemoglobin Separation

Hemoglobin Stability Screen

Hemoglobinopathy Evaluation

Isopropanol

Quantitative Hgb A2

Orderable EAP code:

LAB00093

Billable EAP Codes:

80002031 x 1

CPT Codes:

83036 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 1 to 3 days

Test Schedule:

Monday through Friday.

Units:

%

Interpretation:

Less than 5.7%: Normal

5.7 to 6.4%: Consistent with pre-diabetes

Greater than 6.4%: Consistent with diabetes

Specimen Requirements:

2.0 mL blood in a LAVENDER top tube (EDTA). Specimen is stable for up to 7 days refrigerated (2 to 8 C).

Pediatric Specimen Requirements:

0.5 mL blood in a pediatric LAVENDER top tube (EDTA). Specimen is stable for up to 7 days refrigerated (2 to 8 C). 

Reference Range:

5.6% or less.

Comments:

Monitors and/or diagnoses diabetes mellitus. Monitors prediabetes. Diagnosis should be confirmed by repeating the Hb A1c test.

Alternate forms of testing such as fructosamine should be considered for monitoring long term glycemic control in patients with: Increased red cell turnover, certain hemoglobinopathies (e.g., HbS, HbE, HbC and thalassemia syndromes), anemias, blood loss, chronic liver disease and hemochromatosis (artefactually low HbA1c); iron deficiency anemia (artefactually high HbA1c due to enhanced glycation of hemoglobin).

Synonyms:

Glycated Hemoglobin

Glycosylated Hemoglobin

HA1C

HBA1C

Orderable EAP code:

LAB00014

Billable EAP Codes:

80001711 x 1

CPT Codes:

82438 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 1 day

Test Schedule:

Monday through Friday, 8:00 am to 4:00 pm.

To schedule the collection for this test, contact Peds Pulmonary at Doernbecher (503-494-7682).

Units:

mmol/L

Critical Values:

30 mmol/L or greater.

Specimen Requirements:

50 uL sweat in a sealed, labeled micro-cup. TIGHTLY cap the specimen. Stability: 72 hours at room temperature; 72 hours refrigerated (2 to 8 C).

Pediatric Specimen Requirements:

30 uL sweat in a sealed, labeled micro-cup. TIGHTLY cap the specimen. Stability: 72 hours at room temperature; 72 hours refrigerated (2 to 8 C).

Reference Range:

29 mmol/L of less: CF unlikely.

30 through 59 mmol/L: Intermediate.

60 mmol/L or greater: Indicative of CF.

Comments:

Sample must be received in lab by 4:00 pm. Note total sweat volume on requisition.

Synonyms:

Cl

Cystic Fibrosis

Sweat Chloride

Orderable EAP code:

LAB104173

Billable EAP Codes:

80001446 x 1

CPT Codes:

86200 x 1

Lab Section:

Immunology

Turnaround Time:

5 Days 

Test Schedule:

Monday - Friday; 2 times a week

Units:

U/mL

Interpretation:

Less than 5.0 U /mL – Negative
5.0 U/mL or greater – Positive

Specimen Requirements:

Specimen Type: Serum
 
Specimen preparation:
Blood collected in serum separator tube (SST/Gold top). Allow to clot, centrifuge and aliquot serum off cells/gels
Minimum test volume: 1.0 mL serum
 
Storage/transport conditions: Refrigerated 
 
Stability:
Ambient: 22 hours
Refrigerated: 7 days
Frozen (-20 °C or colder): 3 months
 
Unacceptable conditions:
Grossly hemolyzed specimen

Pediatric Specimen Requirements:

Specimen Type: Serum
 
Specimen preparation:
Blood collected in serum separator tube (SST/Gold top). Allow to clot, centrifuge and aliquot serum off cells/gels.
Minimum test volume: 1.0 mL serum
 
Storage/transport conditions: Refrigerated
 
Stability:
Ambient: 22 hours
Refrigerated: 7 days
Frozen (-20 °C or colder): 3 months
 
Unacceptable conditions:
Grossly hemolyzed specimen

Reference Range:

< 5.0 U/mL- Negative

Comments:

Methodology: Semi-quantitative Immunoassay

Synonyms:

Anti-CCP

Orderable EAP code:

LAB00049

Billable EAP Codes:

80002025 x 1 84165 x 1 (Profee) 80002029 x 1 (if ISUB or IFE) 86334 x 1 (Profee for ISUB or IFE) 80002029 x 2 (if both ISUB and IFE) 86334 x 1 (Profee for both ISUB and IFE)

CPT Codes:

84165 x 1 84165 x 1 (Profee) 86334 x 2 (if ISUB or IFE) 86334 x 3 (if both ISUB and IFE)

Lab Section:

Immunology

Includes:

Protein Electrophoresis

Reflex to Immunotyping

Reflex to Immunofixation 

 

Turnaround Time:

Routine: 6 days

Test Schedule:

Monday through Friday.

Units:

g/dL

Specimen Requirements:

2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. Send 1 mL aliquot refrigerated. 

Stability: 7 days refrigerated 2-8°C

Pediatric Specimen Requirements:

Minimum volume: 0.5 mL serum

Reference Range:

Albumin: 3.5 - 5.2 g/dL

Alpha-1: 0.2 - 0.5 g/dL

Alpha-2: 0.5 - 1.1 g/dL

Beta: 0.5 - 1.1 g/dL

Gamma: 0.6 - 1.5 g/dL

Comments:

Protein electrophoresis and Immunotyping (immunosubtraction) are performed by capillary electrophoresis. Confirmation of monoclonal proteins performed by immunofixation gel electrophoresis if needed.

Synonyms:

Electrophoresis, Protein

IFE Reflex

Immunofixation Electrophoresis

MGUS study

Monoclonal Protein Detection

Monoclonal Protein Study

Multiple Myeloma Study

Protein Electrophoresis with Interpretation

Protein Electrophoresis, Serum with Reflex to IFE

Protein Electrophoresis, with Interpretation Serum

Reflex to IFE, Serum

Reflex to IFE and QNTIG

SPEP

Orderable EAP code:

LAB101756

Billable EAP Codes:

80004215 x 1

CPT Codes:

82274 x 1

Lab Section:

Immunology

Turnaround Time:

5 Days

Test Schedule:

Monday through Friday; 2 times a week. 

Interpretation:

For positive results only: A positive FIT test indicates occult blood was identified in the lower GI tract. Follow up testing to rule out source of lower GI bleeding is indicated. 
This testing does not detect upper GI tract bleeding. 

Related Links:

Polymedco FIT Kit Collection Instruction

Specimen Requirements:

Specimen Type: Stool

Specimen preparation: 
Provide the patient with appropriate Polymedco fecal collection instructions (see link above).
A small amount of patient collected stool is placed in the specific fecal sampling container (Polymedco).
Patient mails specimen in pre-addressed mailer, or they may drop off at laboratory site.

Transport/Storage temperature: Ambient/Refrigerated

Stability:
Ambient: 14 days
Refrigerated: 30 days
Frozen: Unacceptable

Unacceptable conditions:
Specimen submitted in container other than the Fecal Sampling Bottle (Polymedco).
Sampling container overfilled with stool.
Specimen unlabeled by patient.
Expired sampling container.

Pediatric Specimen Requirements:

Not approved for pediatric patients.

Reference Range:

Negative

Synonyms:

FIT
iFOBT