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

C-Reactive Protein, High Sensitivity

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

Procalcitonin

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 GREEN top (Lithium Heparin) tube.

Two hour stability from collection.

Pediatric Specimen Requirements:

Full 1 mL GREEN top (Lithium Heparin) tube.

Two hour stability from collection.

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. 

Respiratory Pathogen Panel with COVID-19, PCR

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

COVID-19, Rapid PCR

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).

Pediatric 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).

Reference Range:

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

Comments:

It is preferred to use the existing lab test COVID-19 by PCR [LAB103362] for most COVID testing. The turnaround time for LAB103362 is about 24 hours.

This test has not been evaluated for patients without signs and symptoms of respiratory tract infection.

The Xpert Xpress SARS-CoV-2/Flu/RSV PLUS test is a rapid, multiplexed real-time RT-PCR test intended for the detection and differentiation of SARS-CoV-2, influenza A, influenza B, and respiratory syncytial virus (RSV) viral RNA in specimens collected from individuals suspected of respiratory viral infection consistent with COVID-19.

Negative results do not preclude infection and should not be used as the sole basis for treatment or other patient management decisions. Combine results with clinical observations, patient history, and epidemiological information.

Synonyms:

COVID
COVID-19
SARS-CoV-2

Protein/Creatinine Ratio, Urine

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.

Meningitis/Encephalitis PCR

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:

Turnaround time:
MEP, PCR 4 hours from receipt

Synonyms:

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

HCG Qual, Urine

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

Vitamin D, 25-Hydroxy

Orderable EAP code:

LAB00539

Billable EAP Codes:

80002985 x 1

CPT Codes:

82306 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 12 Hours
Urgent: N/A

Test Schedule:

Daily, 8 am to 8 pm.

Units:

ng/mL

Specimen Requirements:

4 mL blood in a RED top tube.

Pediatric Specimen Requirements:

0.6 mL blood in a RED top tube.

Reference Range:

0 up to 18 years:
Deficiency: Less than 20 ng/mL

Optimum level: 20 to 80 ng/mL
Toxic: Greater than or equal to 150 ng/mL

18 years and older:
Deficiency: Less than 20 ng/mL

Insufficiency: 20 to 29 ng/mL
Optimum: 30 to 80 ng/mL
Toxic: Greater than 150 ng/mL

Comments:

Use to diagnose vitamin D insufficiency and monitor response to vitamin D therapy. Testing is recommended only for patients at risk for vitamin D insufficiency.

Synonyms:

25-Hydroxyvitamin D, 25-OH Vitamin D, Vitamin D, Total

Vitamin B-12

Orderable EAP code:

LAB00094

Billable EAP Codes:

80002032 x 1

CPT Codes:

82607 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:

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:

193 to 986 pg/mL

Comments:

Aids in detection of vitamin B-12 deficiency in individuals with macrocytic or unexplained anemia, or unexplained neurologic disease.

Samples are stable for 8 hours at room temperature, on the cells and not protected from light. Samples stored longer than 8 hours must have plasma separated from cells, protected from light, and stored refrigerated.

Synonyms:

VB12, Vit B12, B-12

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