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 Only, Cerebral Spinal Fluid

Orderable EAP code:

LAB00268

Billable EAP Codes:

80001832 x 1

CPT Codes:

89050 x 1

Lab Section:

Core Lab

Turnaround Time:

Routine: 4 Hours
Urgent: 2 Hours

Test Schedule:

24 hours, 7 days a week.

Critical Values:

Adult WBC greater than or equal to 20 cu/mm
Neonate WBC greater than or equal to 30/cu mm

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:

Adult WBC 0 to 5/cu mm
Neonate 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).

Cell Count Only, Body Fluid

Orderable EAP code:

LAB00241

Billable EAP Codes:

80001831 x 1

CPT Codes:

89050 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 1000/cu mm

Specimen Requirements:

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

Pediatric Specimen Requirements:

1 mL body fluid in a 3 mL 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).

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).

CBC with Differential

Orderable EAP code:

LAB00681

Billable EAP Codes:

80001809 x 1

CPT Codes:

85025 x 1

Lab Section:

Core Lab

Includes:

RBC; Hematocrit; Hemoglobin; Platelet; WBC; WBC Differential

Turnaround Time:

Routine: 2 Hours
Urgent: 1 Hour

Test Schedule:

24 hours, 7 days a week.

Critical Values:

WBC (K/mm3): less than 2.0, greater than 40.0
HGB (g/dL): less than 6.6, greater than 20.0
HCT (%): less than 19.8, greater than 60.0
PLT (K/mm3): less than or equal to 10, greater than or equal to 1000

Presence of 5% or more atypical cells with no previous on smears

Specimen Requirements:

3.0 mL blood in a LAVENDER top tube.

Pediatric Specimen Requirements:

0.5 mL in a 0.5 mL LAVENDER top tube.

Reference Range:

HEMATOLOGY

 Age

 Male

 Female

WBC - White Blood Count (K/mm3)

            (Equivalent units: 103/microliters)

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

5.5 to 19.9
7.4 to 16.3
6.3 to 14.8
5.0 to 13.2
4.8 to 11.8
4.9 to 15.5
3.5 to 10.8

5.5 to 19.9
7.4 to 16.3
6.3 to 14.8
5.0 to 13.2
4.8 to 11.8
4.9 to 15.5
3.5 to 10.8

RBC - Red Blood Count (M/mm3)

            (Equivalent units: 106/microliters)

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

3.1 to 5.3
2.7 to 5.4
3.7 to 5.3
3.9 to 5.3
4.0 to 5.2
4.5 to 5.3
4.5 to 6.0

3.1 to 5.3
2.7 to 5.4
3.7 to 5.3
3.9 to 5.3
4.0 to 5.2
4.1 to 5.1
4.0 to 5.2

Hemoglobin g/dL

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

10.0 to 18.0
9.5 to 14.0
10.5 to 13.5
11.5 to 13.5
11.5 to 15.5
13.0 to 16.0
13.5 to 17.5

10.0 to 18.0
9.5 to 14.0
10.5 to 13.5
11.5 to 13.5
11.5 to 15.5
12.0 to 16.0
12.0 to 16.0

Hematocrit %

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

31.0 to 55.0
28.0 to 42.0
33.0 to 39.0
34.0 to 40.0
35.0 to 45.0
37.0 to 49.0
41.0 to 53.0

31.0 to 55.0
28.0 to 42.0
33.0 to 39.0
34.0 to 40.0
35.0 to 45.0
36.0 to 46.0
36.0 to 46.0

MCV - Mean Red Cell Volume (fL)

0 to 3 days
3 to 30 days
30 days to 2 months
2 to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 years and older

95 to 121
85 to 126
77 to 115
74 to 108
70 to 86
75 to 87
77 to 95
78 to 100
80 to 100

95 to 121
85 to 126
77 to 115
74 to 108
70 to 86
75 to 87
77 to 95
78 to 100
80 to 100

MCH - Mean Cell Hemoglobin (pg)

0 to 2 weeks
2 weeks to 6 months
6 months to 14 years
14 years and older

29 to 39
26 to 35
25 to 30
27 to 34

29 to 39
26 to 35
25 to 30
27 to 34

MCHC - Mean Cell Hemoglobin Conc (g/dL)

0 to 2 weeks
2 weeks to 6 months
6 months to 6 years
6 years and older

28 to 36
29 to 36
30 to 36
32 to 36

28 to 36
29 to 36
30 to 36
32 to 36

RDW-SD - Red Cell Distribution Width (fL)

0 to 150 years

35.1 to 46.3

35.1 to 46.3

Platelet Count (K/mm3)

            (Equivalent units: 103/microliters)

0 to 30 days
30 days to 2 years
2 to 12 years
12 years and older

250 to 450
250 to 600
200 to 450
150 to 400

250 to 450
250 to 600
200 to 450
150 to 400

MPV - Mean Platelet Volume (fL)

0 to 150 years

7.2 to 12.3

7.2 to 12.3

NRBC – Nucleated Red Blood Cells (%)

0 to 150 years

0 to 0.3

0 to 0.3

NRBC – Nucleated Red blood Cells (#)

0 to 150 years

0 to 0.02

0 to 0.02

Neutrophil %

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

14 to 58
14 to 54
21 to 67
30 to 74
36 to 77
41 to 76
50 to 70

14 to 58
14 to 54
21 to 67
30 to 74
36 to 77
41 to 76
50 to 70

Neutrophil Number (K/mm3)

            (Equivalent units: 103/microliters)

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

1.6 to 11.4
1.2 to 8.4
1.4 to 9.0
2.0 to 7.1
2.0 to 7.8
2.8 to 11.1
1.8 to 7.7

1.6 to 11.4
1.2 to 8.4
1.4 to 9.0
2.0 to 7.1
2.0 to 7.8
2.8 to 11.1
1.8 to 7.7

Lymphocytes %

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

10 to 59
30 to 70
30 to 70
20 to 70
13 to 45
20 to 41
18 to 42

10 to 59
30 to 70
30 to 70
20 to 70
13 to 45
20 to 41
18 to 42

Lymphocytes Number (K/mm3)

            (Equivalent units: 103/microliters)

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

0.8 to 8.5
1.2 to 8.8
1.1 to 7.5
0.5 to 5.0
0.8 to 3.4
0.4 to 3.2
1.0 to 4.8

0.8 to 8.5
1.2 to 8.8
1.1 to 7.5
0.5 to 5.0
0.8 to 3.4
0.4 to 3.2
1.0 to 4.8

Monocyte %

0 to 30 days
30 days to 6 months
6 months to 2 years
2 to 6 years
6 to 12 years
12 to 18 years
18 to 150 years

1 to 23
2 to 20
3 to 16
4 to 14
3 to 13
3 to 13
3.5 to 9.0

1 to 23
2 to 20
3 to 16
4 to 14
3 to 13
3 to 13
3.5 to 9.0

Monocyte Number (K/mm3)

            (Equivalent units: 103/microliters)

0 to 30 days
30 days to 2 years
2 to 18 years
18 to 150 years

0.1 to 5.0
0.2 to 2.7
0.3 to 1.3
0.1 to 0.9

0.1 to 5.0
0.2 to 2.7
0.3 to 1.3
0.1 to 0.9

Eosinophil %

0 to 18 years
18 to 150 years

0 to 6
1 to 3

0 to 6
1 to 3

Eosinophil Number (K/mm3)

            (Equivalent units: 103/microliters)

0 to 6 months
6 months to 18 years
18 to 150 years

0.0 to 0.9
0.0 to 0.3
0.0 to 0.5

0.0 to 0.9
0.0 to 0.3
0.0 to 0.5

Basophil %

0 to 18 years
18 to 150 years

0 to 2
0 to 2

0 to 2
0 to 2

Basophil Number (K/mm3)

            (Equivalent units: 103/microliters)

0 to 18 years
18 to 150 years

0.0 to 0.2
0.0 to 0.1

0.0 to 0.2
0.0 to 0.1

IG%

0 to 14 days
14 to 30 days
30 days and older

0.0 to 1.9
0.0 to 1.3
0.0 to 1.0

0.0 to 1.9
0.0 to 1.3
0.0 to 1.0

IG# (K/mm3)

            (Equivalent units: 103/microliters)

0 to 14 days
14 to 30 days
30 days and older

0 to 0.28
0 to 0.22
0 to 0.10

0 to 0.28
0 to 0.22
0 to 0.10

Metamyelocytes %

0 to 150 years

less than 1

less than 1

Myelocytes %

0 to 150 years

0

0

Promyelocytes %

0 to 150 years

0

0

Atypical Cells %

0 to 150 years

0

0

Comments:

Clotted specimens are unacceptable. Manual slide review will be performed and resulted if indicated by automated instrument report.

Specimen stability: less than or equal to 24 hours at room temperature.

Synonyms:

CBC with Diff
Complete Blood Cell Count with Differential

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