| |
-Thorazine (THOZ)
-Throat Culture
-Thrombin Anti-Thrombin Complex (THANC)
-Thrombin Clotting Time
-Thrombin Time, Plasma (TT)
-Thrombin-Fibrindex
-Thrombocyte Count
-Thrombotic Risk Profile (TRPR)
-Thyroglobulin Autoantibody (ATGAB)
-Thyroglobulin Profile (THGLB)
-Thyroid Antibodies
-Thyroid Aspiration Cytology
-Thyroid Autoantibodies
-Thyroid Autoantibody Profile (ATA)
-Thyroid Binding Index
-Thyroid Peroxidase Antibody
-Thyroid Peroxidase Autoantibody (ATPO)
-Thyroid Stimulating Immunoglobulin (TSIG)
-Thyroid Stimulating Hormone, Serum (TSH)
-Thyrotropin Hormone
-Thyrotropin Stimulating Hormone
-Thyroxine
-Thyroxine Binding Globulin (TBG)
-TIBC
-Ticks
-Tissue Culture Routine
-Tissue Culture, Actinomycosis
-Tissue Examination
-Tissue Pathology
-Tissue Transglutaminase IgA Autoantibody (TTGAB)
-Tissue Transglutaminase IgG Autoantibody (TTIGG)
-Tobramycin Peak (TOBP)
-Tobramycin Random (TOBR)
-Tobramycin Trough (TOBT)
-Tocainide (TOCA)
-Tocopherol
-Tofranil®
-Tonocard®
-Topamax®
-Topiramate (TOPIR)
-TORCH Agents
-TORCH Battery
-TORCH IgG Antibody Profile (TORCG)
-TORCH IgM Antibody Profile (TORCM)
-TORCH Screen
-TORCH Titer
-Total Bilirubin
-Total Bilirubin, Neonatal
-Total Calcium
-Total CO2
|
|
|
|
Print |
| T. gondii Antibody IgM |
| |
| See Toxoplasma IgM Antibody |
Print |
| T. gondii IgG/IgM |
| |
| See Toxoplasma Antibody Profile |
Print |
| T. pallidum IgM |
| |
| See Treponema pallidum IgM Antibody |
Print |
| T. pallidum Antibody, IgM |
| |
| See Treponema pallidum IgM Antibody |
Print |
| T. pallidum Passive Agglutination |
| |
| See Treponemal Confirmation Assay by TP-PA |
Print |
| T. whipplei PCR |
| |
| See Tropheryma whipplei, PCR, Cerebrospinal Fluid |
Print |
| T3, Free, Serum |
| |
| CPT: |
| 84481 |
| |
| Alternate Name: |
Free T3; Free Triiodothyronine |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine; STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge transfer to plastic aliquot tube and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 2.30-4.20 pg/mL |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid function and thyroid disorders. |
| |
Print |
| T3 Total, Serum |
| |
| CPT: |
| 84480 |
| |
| Alternate Name: |
Total T3; Total Triiodothyronine |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube, and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 0.60-1.81 ng/mL |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid function and thyroid disorder. |
| |
Print |
| T3, Uptake, Serum |
| |
| CPT: |
| 84479 |
| |
| Alternate Name: |
TBI; Thyroid Binding Index |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube, and refrigerate tube in the upright position.Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 22.4 – 36.7 % |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid function and thyroid disorders. |
| |
Print |
| T4 Binding Capacity |
| |
| See Thyroxine Binding Globulin |
Print |
| T4, Free, Equilibrium Dialysis |
| |
| CPT: |
| 84439 |
| |
| Alternate Name: |
Free T4 by E.D.; Free T4 by Equilibrium Dialysis |
| |
| Methodology: |
MEIA, RIA |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
7-10 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
| |
| Container: |
Red top tube, (NO SST!) OR Gold Top (serum separator) |
| |
| Special Instructions and/or Comments: |
• Centrifuge, transfer to plastic vial and freeze • Once frozen, transport specimen submerged in dry ice |
| |
| Reference Range: |
| Result Name | Reference Range | Units | Result Code | | Thyroxine (T4) | < 3 days: Call Client Services < 2 months: 8-20 < 2 years: 6-14 <6 years: 4.5-11 <19 years: 4.5-10 >19 years: 4.5-12 | ug/dL | 30620 | | Thyroxine (T4) Free | 0.8 - 2.6 | ng/dL | 30623 |
|
| |
| Clinical Utility: |
| T4 and T3 circulate in the blood as equilibrium mixtures of free and protein-bound hormones. Changes in concentration or affinity of TBG or other transport proteins profoundly affect the total hormone concentration in serum. The free hormone is independent of these binding protein variations and remains almost constant. Direct dialysis is an equilibrium dialysis method in which undiluted serum specimens are dialyzed for 16 to 18 hours at 37C in a reusable dialysis chamber. The dialysis buffer provides for minimal changes in the serum matrix. The dialysate is then analyzed directly using a sensitive immunoassay. |
| |
Print |
| T4, Free, Serum |
| |
| CPT: |
| 84439 |
| |
| Alternate Name: |
Free T4; Free Thyroxine; Unbound T4 |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge transfer to plastic aliquot tube and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 0.89-1.76 ng/dL |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid function and thyroid disorders. |
| |
Print |
| T4, Total, Serum |
| |
| CPT: |
| 84436 |
| |
| Alternate Name: |
Thyroxine; Total T4 |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube, and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 4.5-10.9 mg/dL |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid function and thyroid disorders. |
| |
Print |
| T7 Profile |
| |
| Includes: |
•T3, Uptake •T4, Total •T7 (Calculated) |
| |
| CPT: |
| 84479, 84436 |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube, and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
T7: 1.12-4.38 T4, Total: 4.5-10.9 µg/dL T3, Uptake: 22.4-36.7% |
| |
| Clinical Utility: |
| The T7 Profile is a calculated indirect assessment of Free Thyroxine Status. Measurement of Free Thyroxine (FT4) provides a direct assessment. Used in the evaluation of thyroid function and thyroid disorders. |
| |
Print |
| Tacrolimus |
| |
| See FK506Taenia sp |
| See Parasite Identification |
Print |
| Tapeworm Identification |
| |
| See Parasite Identification |
Print |
| Tambocor™ |
| |
| See Flecainide |
Print |
| Tay Sachs Enzyme Screen |
| |
| CPT: |
| 83080 |
| |
| Methodology: |
Fluorometric Enzymatic Assay |
| |
| Testing Schedule: |
Routine, Monday-Friday only |
| |
| Report Available: |
10-14 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
10 mL whole blood |
| |
| Container: |
Yellow top (ACD Solution A) tubes |
| |
| Special Instructions and/or Comments: |
•Collect Monday-Friday ONLY before 1400, no holidays.Specimens must arrive in the laboratory no later than 1600. •Store as whole blood in original tube at room temperature. •DO NOT centrifuge, aliquot, refrigerate or freeze. •Must provide patient’s ethnic background, family history and diagnosis. |
| |
| Reference Range: |
| See report. |
| |
| Clinical Utility: |
| Couples who are pregnant or planning a pregnancy may opt to be tested to find out if they are carriers and at risk of having a baby with Tay-Sachs disease. |
| |
Print |
| TB Complex DNA PCR |
| |
| CPT: |
| 87556 |
| |
| Alternate Name: |
Myobacterium COmplex DNA PCR, TB PCR |
| |
| Methodology: |
Real Time Polymerase COmplex Reaction (PCR) |
| |
| Testing Schedule: |
Routine, MOn-Fri ONLY |
| |
| Report Available: |
7-10 Days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL Cerebrospinal Fluid |
| |
| Container: |
Sterile conical tube Special Instructions |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| Negative for Mycobacterium complex DNA |
| |
| Clinical Utility: |
| Useful for rapid detection of MYcobacterium complex and the diagnosis of tuberculosis if used in conjunction with mycobacterial culture. |
| |
Print |
| TB Culture |
| |
| See Culture, Mycobacteria |
Print |
| TB PCR |
| |
| See Mycobacterium tuberculosis, PCR, |
Print |
| TBG |
| |
| See Thyroxine Binding Globulin |
Print |
| TBI |
| |
| See T3, Uptake, Serum |
Print |
| TCT |
| |
| See Thrombin Time, Plasma |
Print |
| Tegretol® |
| |
| See Carbamazepine, Total |
Print |
| Tegretol®, Free |
| |
| See Carbamazepine, Free |
Print |
| Teichoic Acid Antibody |
| |
| CPT: |
| 86329 |
| |
| Methodology: |
Immunodiffusion |
| |
| Testing Schedule: |
Routine, 3 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| <1:1 = No antibody detected |
| |
| Clinical Utility: |
| Antibody titers of 14 and greater against Staphylococcal beta-ribitol teichoic acid are associated with deep-seated Staphylococcus aureus infections. Rising and falling titers are of prognostic value in the evaluation of treatment and detection of recurrence. |
| |
Print |
| Temazepam |
| |
| CPT: |
| 80154 |
| |
| Alternate Name: |
Restoril |
| |
| Methodology: |
LC/MS/MS |
| |
| Testing Schedule: |
Once per week |
| |
| Report Available: |
3-5 business days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL whole blood, serum or plasma Minimum volume: 1 mL |
| |
| Container: |
Gray top, red top or lavendar top Special Instructions |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
Temazepam Peak concentrations:.......200-1100 ng/mL within 1.5 hours post dose Oxazepam Therapeutic Range:........200-1400 ng/mL |
| |
| Clinical Utility: |
| Monitoring therapy or assessing toxicity |
| |
Print |
| Template Bleeding Time |
| |
| See Bleeding Time, Template |
Print |
| Testosterone, Free and Total |
| |
| Includes: |
•Testosterone, Total •Testosterone, Free, calculated •Testosterone, % Free •Testosterone, Bioavailable, calculated •Testosterone, % Bioavailable •Sex Hormone Binding Globulin |
| |
| CPT: |
| 84403, 84270 |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| See report. |
| |
| Clinical Utility: |
| Testosterone is important in the development of secondary sex characteristics, maturation, and normal function. Because the testosterone bound to albumin (weakly bound form) is as readily available to the tissues as free testosterone, the bioavailable testosterone (the biologically active form of testosterone) includes both the free and albumin-bound fractions. It does not include the testosterone that is bound to SHBG (sex hormone binding globulin) which is not biologically active. |
| |
Print |
| Testosterone, Total, Serum |
| |
| CPT: |
| 84403 |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
2-4 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge transfer to plastic aliquot tube and refrigerate tube in the upright position.Specimen should remain capped until time of testing. |
| |
| Reference Range: |
Females •<10 years 2-20 ng/dL •<12 years 5-25 ng/dL •<15 years 10-40 ng/dL •<18 years 5-40 ng/dL •>18 years*see note Males •<10 years 3-30 ng/dL •<12 years 5-50 ng/dL •<15 years 10-572 ng/dL •<18 years 220-800 ng/dL •>18 years 241-827 ng/dL *Females: >18 years •Ovulating: 63-120 ng/dL •Oral Contraceptive: 54-71 ng/dL •Postmenopausal: 49-113 ng/dL |
| |
| Clinical Utility: |
| Useful for diagnosis of hypogonadism in males and hirsutism and virilization in females. Total testosterone includes free testosterone, weakly bound testosterone (bound to albumin), and tightly bound testosterone (bound to SHBG or sex hormone binding globulin). |
| |
Print |
| Tetanus Antibody |
| |
| See Tetanus Antibody, Vaccine Response |
Print |
| Tetanus Antibody, Vaccine Response |
| |
| CPT: |
| 86774 |
| |
| Alternate Name: |
Tetanus Antibody; Tetanus Toxoid IgG Antibody |
| |
| Methodology: |
Enzyme Immunoassay (EIA) |
| |
| Testing Schedule: |
Routine, 3 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
Refrigerate •Please note if specimens are pre- or post- vaccination. |
| |
| Reference Range: |
Healthy immunized • >0.16 IU/mL |
| |
| Clinical Utility: |
| Useful for Assessment of an antibody response to tetanus |
| |
Print |
| Tetanus Toxoid IgG Antibody |
| |
| See Tetanus Antibody, Vaccine Response |
Print |
| Tetracycline Labeling |
| |
| See Histopathology, Bone Biopsy, Osteomalacia |
Print |
| TG |
| |
| See Thyroglobulin Profile TG Autoantibody |
| See Thyroglobulin Autoantibody |
| See Thyroglobulin Profile |
| See Thyroid Autoantibody ProfileTGs |
| See Triglycerides, Serum |
Print |
| THC |
| |
| See Cannabinoids, Qualitative, Urine |
Print |
| THC in Blood |
| |
| See Cannabinoids, Blood |
Print |
| Theophylline, Serum |
| |
| CPT: |
| 80198 |
| |
| Alternate Name: |
Aminophylline; Somophyllin®; Theo-Dur® |
| |
| Methodology: |
Endpoint |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Collection: |
•Peak 2 hours post dose for rapid dissolution preparation; 4-6 hours post sustained release preparations. • Trough immediately prior to next dose. |
| |
| Special Instructions and/or Comments: |
| Intake of caffeine should be avoided (caffeine is metabolized to theophylline). |
| |
| Reference Range: |
Therapeutic: 10.0-20.0 µg/mL |
| |
| Critical Values: |
| >25.0 µg/mL |
| |
| Clinical Utility: |
Used to measure the amount of theophylline in the blood and to determine if the drug concentration is within the therapeutic range. |
| |
Print |
| Thiamine |
| |
| See Vitamin B1 |
Print |
| Thin Needle Biopsy |
| |
| See Cytopathology, Needle Aspiration |
Print |
| ThinPrep® Test (Smear) |
| |
| See Cytolopathology, ThinPrep® Pap Test and ThinPrep® plus Imager |
Print |
| Thiocyanate |
| |
| Includes: |
| Measurement of thiocyanate to follow nitroprusside therapy. |
| |
| CPT: |
| 84430 |
| |
| Alternate Name: |
KCN; Nipride®; Nitroprusside |
| |
| Methodology: |
Colorimetry |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Reference Range: |
•Nonsmoker: <10 µg/mL •Smoker: <30 µg/mL With nitroprusside therapy levels should be <100 µg/mL |
| |
| Clinical Utility: |
| Useful for monitoring toxicity in patients on nitroprusside therapy. |
| |
Print |
| Thioridazine |
| |
| CPT: |
| 84022 X2 |
| |
| Alternate Name: |
Mellaril® |
| |
| Methodology: |
High Performance Liquid Chromatography with Ultra Violet Detection (HPLC-UV) with Fluorescence Detection |
| |
| Testing Schedule: |
Routine, 3 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Special Instructions and/or Comments: |
Refrigerate NOTE This test is not intended for therapeutic drug monitoring. Blood concentrations in appropriately treated patients are widely variable. Results must be interpreted in light of patient’s clinical state. Lower limit of detection is 20 ng/mL. Some adequately treated patients will have results lower than this limit. |
| |
| Reference Range: |
| Thioridazine: |
| |
| Clinical Utility: |
| Useful for, assessing toxicity in overdose situations. |
| |
Print |
| Thiothixene |
| |
| CPT: |
| 82491 |
| |
| Alternate Name: |
Navane® |
| |
| Methodology: |
High Performance Liquid Chromatography (HPLC) with Fluorescence Detection |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
7-10 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
3 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
Therapeutic 10.0-30.0 ng/mL |
| |
| Critical Values: |
| 100.0 ng/mL |
| |
Print |
| Thoracentesis Fluid Culture |
| |
| See Culture, Fluid, Aerobic |
Print |
| Thoracentesis Fluid Cytology |
| |
| See Cytopathology, Fluid |
Print |
| Thoracentesis Fluid pH |
| |
| See pH, Body Fluid |
Print |
| Thoracentisis Fluid Profile |
| |
| Includes: |
•Cell count •Glucose, Fluid •Lactate Dehydrogenase, Fluid •Protein, Total, Fluid |
| |
| CPT: |
| 89050 , 89051, 82945, 83615, 84157, 88107 |
| |
| Alternate Name: |
Fluid Analysis, Thoracentisis Fluid |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL thoracentisis fluid in each tube |
| |
| Container: |
Red top tube, no serum separator AND lavender top (EDTA) tube |
| |
| Reference Range: |
| See individual test listing |
| |
| Clinical Utility: |
Used to evaluate effusion and differentiate exudate from transudate. |
| |
Print |
| Thorazine |
| |
| CPT: |
| 84022 |
| |
| Alternate Name: |
Chlorpromazine |
| |
| Methodology: |
High Performance Liquid Chromatography (HPLC) |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| • Therapeutic: 50-500 ng/mL. |
| |
| Clinical Utility: |
| Useful to identify toxicity |
| |
Print |
| Throat Culture |
| |
| See Culture, Throat, Group A Beta-Hemolytic Streptococci Only |
Print |
| Thrombin Anti-Thrombin Complex |
| |
| CPT: |
| 83520 |
| |
| Methodology: |
Enzyme-Linked Immunosorbent Assay (ELISA) |
| |
| Testing Schedule: |
2 times per week |
| |
| Report Available: |
3-5 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL plasma split equally into 2 plastic aliquot tubes and FROZEN immediately. |
| |
| Container: |
2 Blue top (sodium citrate) tubes |
| |
| Collection: |
| See special handling instructions for “Coagulation Studies”, listed under Specimen Collection, Preparation, and Handling Section |
| |
| Special Instructions and/or Comments: |
•Testing is contraindicated for patients on Heparin or Coumadin therapy. •Immediately centrifuge at 1500-1700 X G for 10 minutes.Avoiding the buffy coat, carefully remove the plasma from the cells using a plastic aliquot pipette.Aliquot the plasma into the required number of plastic aliquot tubes and label with “citrated plasma” labels. •Freeze the aliquoted specimens at –40 to –60°C. Once frozen, transport the specimens submerged in dry ice. Causes for rejection •Extended transport time to laboratory •Clotted specimens •Hemolyzed specimens •Blue top sodium citrate tubes insufficiently filled •Aliquots not received frozen on dry ice •Frozen aliquots not clearly identified as “citrated plasma” |
| |
| Reference Range: |
| 0.0-5.0 mg/mL |
| |
| Clinical Utility: |
| Thrombin-Antithrombin (TAT) complex is a parameter of coagulation and fibrinolysis .Elevated concentrations have been associated with vascular complications associated with diabetes. |
| |
Print |
| Thrombin Clotting Time |
| |
| See Thrombin Time, Plasma |
Print |
| Thrombin-Fibrindex |
| |
| See Thrombin Time, Plasma |
Print |
| Thrombin Time, Plasma |
| |
| CPT: |
| 85670 |
| |
| Alternate Name: |
Thrombin Clotting Time; Thrombin-Fibrindex; TT |
| |
| Methodology: |
Mechanical Clot Detection |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL citrated plasma |
| |
| Container: |
Full blue top (sodium citrate) tube |
| |
| Collection: |
| See special handling instructions for “Coagulation Studies”, listed under Specimen Collection, Preparation, and Handling Section |
| |
| Special Instructions and/or Comments: |
•Transport to the laboratory immediately. •If testing cannot be performed within 4 hours of collection, centrifuge at 3000 rpm for 15 minutes, transfer plasma to plastic aliquot tube, and freeze.Once frozen, transport specimen submerged in dry ice. |
| |
| Reference Range: |
0-21.0 seconds* *Range varies with reagent lot. |
| |
| Clinical Utility: |
| Used to evaluate hypofibrinogenemia, dysfibrinogenemia, DIC, and fibrinolysis. |
| |
Print |
| Thrombocyte Count |
| |
| See Platelet Count, Whole Blood |
Print |
| Thrombotic Risk Profile |
| |
| Includes: |
•Antithrombin III Activity •APC Resistance •Beta-2-Glycoprotein-1 Autoantibody Profile (G/A/M) •Cardiolipin Autoantibody Profile (G/A/M) •dRVVT Screen* •Fibrinogen •Plasminogen Activity •Protein C •Protein S •PTT (Lupus Sensitive)* •Thrombin Time •Reflexed when appropriate: .....................Hexagonal Phase Phospholipid .....................PTT Mixing Study .....................Reptilase Time *When the Thrombin Time (TT) and Prothrombin Time (PT) are normal, at minimum, the PTT & dRVVT Screen are performed. |
| |
| CPT: |
| 85300, 85307, 86146(x3), 86147 (x3), 85613, 85384, 85420, 85303, 85306, 85730, 85670, Reflexed when appropriate 85597, 85732,85635 |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, 1 time per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
4 mL prepared “platelet poor plasma” split equally into 4 plastic aliquot tubes and FROZEN immediately AND 1 mL serum Container 4 Blue top (sodium citrate) tubes AND 1 Gold top (serum separator) tube |
| |
| Collection: |
| See special handling instructions for “Coagulation Studies”, listed under Specimen Collection, Preparation, and Handling Section |
| |
| Special Instructions and/or Comments: |
•Testing is contraindicated for patients on Heparin or Coumadin therapy. •Preparation and submission of “platelet poor plasma” is critical for accurate test performance and interpretation.See collection note above. Causes for rejection •Extended transport time to laboratory •Clotted specimens •Hemolyzed specimens •Blue top sodium citrate tubes insufficiently filled •Aliquots not received frozen on dry ice •Frozen aliquots not clearly identified as “platelet poor plasma” |
| |
| Reference Range: |
| See individual test listings. |
| |
| Clinical Utility: |
| See individual test listings. |
| |
Print |
| Thyroglobulin Autoantibody |
| |
| CPT: |
| 86800 |
| |
| Alternate Name: |
Anti-TG Antibody; Anti- Thyroglobulin Autoantibody; TG Autoantibody; Thyroid Antibodies |
| |
| Methodology: |
Chemiluminescent Immunoassay |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Reference Range: |
| <40 IU/mL |
| |
| Clinical Utility: |
| Useful in the differential diagnosis of congenital hypothyroidism and the management of nonmedullary differentiated thyroid carcinoma. Thyroglobulin and/or thyroid peroxidase autoantibodies occur in sera of most autoimmune thyroid disease patients. Individuals with thyroid peroxidase autoantibodies go on to develop hypothyroidism at a rate of about 3% per year. |
| |
Print |
| Thyroglobulin Profile |
| |
| Includes: |
•Thyroglobulin, Quantitative •Thyroglobulin Autoantibody |
| |
| CPT: |
| 84432, 86800 |
| |
| Alternate Name: |
Anti-TG Antibody; Anti- Thyroglobulin Autoantibody; TG; TG Autoantibody; Quantitative TG |
| |
| Methodology: |
Immunoenzymatic Assay |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Centrifuge, transfer to plastic aliquot tube and refrigerate. |
| |
| Reference Range: |
Thyroglobulin, Quantitative •Normal Thyroid: <33 ng/mL •Athyroidic Patient: <5 ng/mL •Thyroglobulin Autoantibody Screen: <2.3 IU/mL |
| |
| Clinical Utility: |
| Thyroglobulin testing is often used as a tumor marker to determine the effectiveness of thyroid cancer treatment. |
| |
Print |
| Thyroid Antibodies |
| |
| See Thyroid Peroxidase Autoantibody |
| See Thyroglobulin Autoantibody |
| See Thyroid Autoantibody Profile |
Print |
| Thyroid Aspiration Cytology |
| |
| See Cytopathology, Needle Aspiration |
Print |
| Thyroid Autoantibodies |
| |
| See Thyroid Autoantibody Profile |
Print |
| Thyroid Autoantibody Profile |
| |
| Includes: |
•Thyroglobulin Autoantibody •Thyroid Peroxidase Autoantibody |
| |
| CPT: |
| 86800, 86376 |
| |
| Alternate Name: |
Anti-TG Antibody; Anti- Thyroglobulin Autoantibody; Anti-Thyroid Antibodies; Anti-Thyroid Peroxidase Autoantibody; Anti-TPO Antibody; TG Autoantibody; Thyroid Antibodies; Thryoid Autoantibodies |
| |
| Methodology: |
Chemiluminescent Immunoassay |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Reference Range: |
| See individual test listings. |
| |
| Clinical Utility: |
| Thyroglobulin and/or thyroid peroxidase autoantibodies occur in sera of most autoimmune thyroid disease patients. Individuals with thyroid peroxidase autoantibodies go on to develop hypothyroidism at a rate of about 3% per year. |
| |
Print |
| Thyroid Binding Index |
| |
| See T3, Uptake, Serum |
Print |
| Thyroid Peroxidase Antibody |
| |
| See Thyroid Peroxidase Autoantibody |
Print |
| Thyroid Peroxidase Autoantibody |
| |
| CPT: |
| 86376 |
| |
| Alternate Name: |
Anti-TPO Antibody; Anti- Thyroid Peroxidase Antibody; Thyroid Antibodies; Thyroid Peroxidase Antibody; TPO ReplacesMicrosomal Autoantibody |
| |
| Methodology: |
Chemiluminescent Immunoassay |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
Minimum Volume1 mL serum ContainerGold top (serum separator) tube Reference Range<35 IU/mL Clinical Utility Thyroglobulin and/or thyroid peroxidase autoantibodies occur in sera of most autoimmune thyroid disease patients. Individuals with thyroid peroxidase autoantibodies go on to develop hypothyroidism at a rate of about 3% per year. |
| |
Print |
| Thyroid Stimulating Hormone, Serum |
| |
| CPT: |
| 84443 |
| |
| Alternate Name: |
Thyrotropin Hormone; Thyrotropin Stimulating Hormone; TSH |
| |
| Methodology: |
Direct Chemiluminescence |
| |
| Testing Schedule: |
Routine, STAT testing available 0600-2100 |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube, and refrigerate tube in the upright position. Specimen should remain capped until time of testing. |
| |
| Reference Range: |
| 0.35-4.00 mIU/mL |
| |
| Clinical Utility: |
| Used in the evaluation of thyroid disorders and thyroid replacement therapy; may also aid in evaluation of pituitary disorders. |
| |
Print |
| Thyroid Stimulating Immunoglobulin |
| |
| CPT: |
| 84445 |
| |
| Alternate Name: |
TSI |
| |
| Methodology: |
Recombinant BioAssay |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL frozen serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Centrifuge, transfer to plastic aliquot tube and freeze.Once frozen, transport specimen submerged in dry ice. |
| |
| Reference Range: |
| •All Ages <= 1.3 TSI Index |
| |
| Clinical Utility: |
Useful for, Second-order testing for autoimmune thyroid disease, including •Differential diagnosis of etiology of thyrotoxicosis in patients with ambiguous clinical signs and/or contraindicated (e.g., pregnant or breast-feeding) or indeterminate thyroid radioisotope scans •Diagnosis of clinically suspected Graves’ disease (e.g., extrathyroidal manifestations of Graves’ disease endocrine exophthalmos, pretibial myxedema, thyroid acropachy) but normal thyroid function tests •Determining the risk of neonatal thyrotoxicosis in a fetus of a pregnant female with active or past Graves’ disease •Differential diagnosis of gestational thyrotoxicosis versus first trimester manifestation or recurrence of Graves’ disease •Assessing the risk of Graves’ disease relapse after antithyroid drug treatment |
| |
Print |
| Thyrotropin Hormone |
| |
| See Thyroid Stimulating Hormone,Serum |
Print |
| Thyrotropin Stimulating Hormone |
| |
| See Thyroid Stimulating Hormone, Serum |
Print |
| Thyroxine |
| |
| See T4, Total, Serum |
Print |
| Thyroxine Binding Globulin |
| |
| CPT: |
| 84442 |
| |
| Alternate Name: |
T4 Binding Capacity; TBG |
| |
| Methodology: |
Chemiluminescent Assay |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
2-4 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serumContainerGold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Centrifuge, transfer to plastic aliquot tube and freeze.Once frozen, transport specimen submerged in dry ice. |
| |
| Reference Range: |
•Males12-26 µg/mL •Females11-27 µg/mL |
| |
| Clinical Utility: |
| Determination of TBG levels is particularly useful forcases in which total thyroid hormone levels do not correlate with the thyrometabolic status, most commonly with pregnancy or the use of contraceptive steroids |
| |
Print |
| TIBC |
| |
| See Total Iron Binding Capacity Profile |
Print |
| Ticks |
| |
| See Arthropod Identification |
Print |
| Tissue Culture, Actinomycosis |
| |
| See Culture, Actinomyces, Anaerobic |
Print |
| Tissue Culture Routine |
| |
| See Culture, Tissue, Aerobic |
Print |
| Tissue Examination |
| |
| See Histopathology |
Print |
| Tissue Pathology |
| |
| See Histopathology |
Print |
| Tissue Transglutaminase IgA Autoantibody |
| |
| CPT: |
| 83516 |
| |
| Alternate Name: |
tTG Antibody; tTG IgA Autoantibody |
| |
| Methodology: |
Enzyme Immunoassay (EIA) |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
3-5 days |
| |
| Specimen Requirements: |
Minimum Volume1 mL serum Special Instructions and/or CommentsRefrigerate Reference Range •Negative: <4.0 U/mL •Weak positive: 4.0-10.0 U/mL •Strong positive: >10.0 U/mL Clinical Utility Useful for, first-order screening test for celiac disease. Identifying individuals that should have a biopsy for celiac disease. Screening test for dermatitis herpetiformis, in conjunction with EMA antibody test. Monitoring adherence to gluten-free diet in patients with dermatitis herpetiformis and celiac disease. Evaluating children with failure to thrive |
| |
Print |
| Tissue Transglutaminase IgG Autoantibody |
| |
| See HLA-B27 |
| CPT: |
| 83516 |
| |
| Alternate Name: |
tTg IgG |
| |
| Methodology: |
Enzyme Immunoassay (EIA) |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
3-5 days |
| |
| Specimen Requirements: |
| Container: |
1 mL serum |
| |
| Special Instructions and/or Comments: |
• Centrifuge tube and transfer serum to plastic vial • Refrigerate |
| |
| Reference Range: |
| <6.0 U/mL |
| |
Print |
| Tobramycin Peak |
| |
| CPT: |
| 80200 |
| |
| Methodology: |
Immunoassay (IA) |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Red top or SST tube |
| |
| Collection: |
•Peak collect 60 minutes post I.M. injection OR 30 minutes post 30 minute I.V. infusion OR immediately post 60 minute I.V. infusion. •Trough collect immediately prior to next dose. |
| |
| Special Instructions and/or Comments: |
•Centrifuge, transfer to plastic aliquot tube and refrigerate or freeze.Once frozen, transport specimen submerged in dry ice. •If a ß-lactam antibiotic is present, sample must be FROZEN due to potential inactivation of aminogly coside. |
| |
| Reference Range: |
Therapeutic •Peak4-10 µg/mL •Trough <2 µg/mL Toxic •Peak >10.0 µg/mL •Trough >2.0 µg/mL |
| |
| Critical Values: |
•Peak >12.0 µg/mL •Trough>2.0 µg/mL |
| |
| Clinical Utility: |
| Useful for monitoring adequate drug clearance during therapy, adequacy of blood concentration and assessing toxicity. |
| |
Print |
| Tobramycin Random |
| |
| CPT: |
| 80200 |
| |
| Methodology: |
Immunoassay (IA) |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Red top or SST tube |
| |
| Collection: |
•Peak collect 60 minutes post I.M. injection OR 30 minutes post 30 minute I.V. infusion OR immediately post 60 minute I.V. infusion. •Trough collect immediately prior to next dose. |
| |
| Special Instructions and/or Comments: |
•Centrifuge, transfer to plastic aliquot tube and refrigerate or freeze.Once frozen, transport specimen submerged in dry ice. •If a ß-lactam antibiotic is present, sample must be FROZEN due to potential inactivation of aminogly coside. |
| |
| Reference Range: |
Therapeutic •Peak4-10 µg/mL •Trough <2 µg/mL Toxic •Peak >10.0 µg/mL •Trough >2.0 µg/mL |
| |
| Critical Values: |
•Peak >12.0 µg/mL •Trough>2.0 µg/mL |
| |
| Clinical Utility: |
| Useful for monitoring adequate drug clearance during therapy, adequacy of blood concentration and assessing toxicity. |
| |
Print |
| Tobramycin Trough |
| |
| CPT: |
| 80200 |
| |
| Methodology: |
Immunoassay (IA) |
| |
| Testing Schedule: |
Routine, STAT testing available |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Red top or SST tube |
| |
| Collection: |
•Peak collect 60 minutes post I.M. injection OR 30 minutes post 30 minute I.V. infusion OR immediately post 60 minute I.V. infusion. •Trough collect immediately prior to next dose. |
| |
| Special Instructions and/or Comments: |
•Centrifuge, transfer to plastic aliquot tube and refrigerate or freeze.Once frozen, transport specimen submerged in dry ice. •If a ß-lactam antibiotic is present, sample must be FROZEN due to potential inactivation of aminogly coside. |
| |
| Reference Range: |
Therapeutic •Peak4-10 µg/mL •Trough <2 µg/mL Toxic •Peak >10.0 µg/mL •Trough >2.0 µg/mL |
| |
| Critical Values: |
•Peak >12.0 µg/mL •Trough>2.0µg/mL |
| |
| Clinical Utility: |
| Useful for monitoring adequate drug clearance during therapy, adequacy of blood concentration and assessing toxicity. |
| |
Print |
| Tocainide |
| |
| CPT: |
| 80299 |
| |
| Alternate Name: |
Tonocard® |
| |
| Methodology: |
High Performance Liquid Chromatography (HPLC) |
| |
| Testing Schedule: |
Routine, batched |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
3 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| Therapeutic Concentration: 4-10ug/mL |
| |
| Clinical Utility: |
| Useful monitoring therapy and accessing toxicity. |
| |
Print |
| Tocopherol |
| |
| See Vitamin E |
Print |
| Tofranil® |
| |
| See Imipramine |
Print |
| Tonocard® |
| |
| See Tocainide |
Print |
| Topamax® |
| |
| See Topiramate |
Print |
| Topiramate |
| |
| CPT: |
| 80201 |
| |
| Alternate Name: |
Topamax® |
| |
| Methodology: |
Fluorescence Polarization Immunoassay (FPIA) |
| |
| Testing Schedule: |
Routine, Monday-Friday only |
| |
| Report Available: |
3-5 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Red top tube, no serum separator |
| |
| Special Instructions and/or Comments: |
•Centrifuge, transfer serum to plastic aliquot tube & freeze •Once frozen, transport specimen submerged in dry ice. |
| |
| Reference Range: |
Therapeutic •Peak 9.0-12.0 µg/mL •Trough2.0-4.0 µg/mL |
| |
| Clinical Utility: |
| Useful for monitoring dosage compliance and to guidedose adjustment during co-therapy with phenytoin or carbamazepine. |
| |
Print |
| TORCH Agents |
| |
| See TORCH IgG Antibody Profile |
| See TORCH IgM Antibody Profile |
Print |
| TORCH Battery |
| |
| See TORCH IgG Antibody Profile |
| See TORCH IgM Antibody Profile |
Print |
| TORCH Screen |
| |
| See TORCH IgG Antibody Profile |
| See TORCH IgM Antibody Profile |
Print |
| TORCH Titer |
| |
| See TORCH IgG Antibody Profile |
| See TORCH IgM Antibody Profile |
Print |
| TORCH IgG Antibody Profile |
| |
| Includes: |
IgG Antibodies to each of the following •Toxoplasma gondii •Rubella virus •Cytomegalovirus (CMV) •Herpes Simplex Virus (HSV) types 1 and 2 |
| |
| CPT: |
| 86644, 86695, 86696, 86762, 86777 |
| |
| Alternate Name: |
TORCH Agents; TORCH Battery; TORCH Screen; TORCH Titer |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
| |
| Container: |
Gold top (serum separator) tube NOTE Specimens submitted on newborns (up to 3 months of age) should be accompanied by a parallel specimen on the mother. |
| |
| Reference Range: |
| See individual test listings. |
| |
| Clinical Utility: |
| Screen for TORCH antibodies; aid in the diagnosis of congenital infection. |
| |
Print |
| TORCH IgM Antibody Profile |
| |
| Includes: |
•IgM Antibodies to each of the following •Toxoplasma gondii •Rubella virus •Cytomegalovirus (CMV) •Herpes Simplex Virus (HSV) types 1 and 2 |
| |
| CPT: |
| 86645, 86694 (x2), 86762, 86778 |
| |
| Alternate Name: |
TORCH Agents; TORCH Battery; TORCH Screen; TORCH Titer |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Reference Range: |
| See individual test listings. |
| |
| Clinical Utility: |
| Aid in diagnosis of acute or recent infection. |
| |
Print |
| Total Bilirubin |
| |
| See Bilirubin, Total (Infants 15 days to adults) |
Print |
| Total Bilirubin, Neonatal |
| |
| See Bilirubin, Total Neonatal (Infants <15 days old) |
Print |
| Total Calcium |
| |
| See Calcium, SerumTotal CK |
| See Creatine Phosphokinase, Total,Serum |
Print |
| Total CO2 |
| |
| See Carbon Dioxide, Total |
Print |
| Total Eosinophil Count |
| |
| See Eosinophil Count, Whole Blood |
Print |
| Total Hemolytic Complement |
| |
| See Complement, CH50 |
Print |
| Total Homocysteine |
| |
| See Homocysteine, Plasma |
Print |
| Total Iron Binding Capacity Profile |
| |
| Includes: |
•Iron, Serum •Transferrin •Calculation of Percent Saturation and TIBC |
| |
| CPT: |
| 83540, 84466 |
| |
| Alternate Name: |
Percent Saturation, PSAT; % Sat, TIBC |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, daily |
| |
| Report Available: |
1 day |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Collection: |
•Specimen should be collected prior to therapeutic iron dose or blood transfusion. •Iron determinations on patients who have had blood transfusions should be delayed for at least 4 days. |
| |
| Reference Range: |
•Total iron binding capacity (TIBC) 260-430 mg/mL •Percent saturation 20% to 50% |
| |
| Clinical Utility: |
| Increased total iron binding capacity is often seen in iron deficiency states, parental iron administration, pregnancy without iron supplements, and hepatitis or hepatic necrosis. Decreased concentrations are often seen in chronic inflammatory disorders, kwashiorkor, chronic iron overloading, and malignancies. |
| |
Print |
| Total Protein, Blood |
| |
| See Protein, Total, Serum |
Print |
| Total Protein, Urine |
| |
| See Protein, Total, Urine |
Print |
| Total Reducing Sugars, Urine |
| |
| See Reducing Substances, Semiquantitative, Urine |
Print |
| Total T3; Total Tridothryonine |
| |
| See T3, Total, Serum |
Print |
| Total T4 |
| |
| See T4, Total, Serum |
Print |
| Total WBC |
| |
| See WBC, No Differential |
| See WBC with Manual Differential |
Print |
| Toxic Shock Antibody Profile |
| |
| Includes: |
| TSST-1 antibody Enterotoxin B antibody |
| |
| CPT: |
| 86609 (x2) |
| |
| Alternate Name: |
TSST-1/Enterotoxin B |
| |
| Methodology: |
Latex Agglutination |
| |
| Testing Schedule: |
Routine, 1 time per week |
| |
| Report Available: |
7-10 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Special Instructions and/or Comments: |
| Refrigerate |
| |
| Reference Range: |
| Antibody detected. |
| |
| Clinical Utility: |
| This test is thus designed to identify antibody-negative individuals at risk for TSS; it should not be used as a tool for diagnosing TSS. |
| |
Print |
| Toxin A/B by EIA |
| |
| See Clostridium difficile Toxin A/B Assay |
Print |
| Toxin Assay |
| |
| See Clostridium difficile Toxin A/B Assay |
Print |
| Toxin Assay, Clostridium difficile |
| |
| See Clostridium difficile Toxin A/B Assay |
Print |
| Toxo Antibody |
| |
| See Toxoplasma IgG Antibody |
Print |
| Toxo IgG Antibody |
| |
| See Toxoplasma IgG Antibody |
Print |
| Toxo IgG, IgM |
| |
| See Toxoplasma Antibody Profile |
Print |
| Toxo IgM |
| |
| See Toxoplasma IgM AntibodyToxo Titer |
| See Toxoplasma IgG Antibody |
Print |
| Toxoplasma Antibody Profile |
| |
| Includes: |
| Toxoplasma gondii IgG and IgM antibodies for evaluation of current or recent infection. |
| |
| CPT: |
| 86777, 86778 |
| |
| Alternate Name: |
T. gondii IgG, IgM; Toxo IgG , IgM |
| |
| Methodology: |
See individual test listings. |
| |
| Testing Schedule: |
Routine, 2 times per week |
| |
| Report Available: |
5-7 days |
| |
| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
| |
| Container: |
Gold top (serum separator) tube |
| |
| Reference Range: |
See individual test listings and the following table. Toxoplasma Profile Interpretation | Toxo IgG | Toxo IgM | Comments | | N | N | No detectable antibody to Toxoplasma gondii and suggests no current, recent, or past infection. Such individuals are presumed to be susceptible to primary infection. Consideration of symptom onset with time of testing is important. Second specimen should be submitted if results do not correlate with clinical situation. | | N | P | May suggest very early acute infection with Toxoplasma gondii. This pattern warrants a second specimen to document seroconversion as well as to rule out possible cross-reacting antibodies. | | P | P | Suggests current or recent Toxoplasma gondii infection. Results should be interpreted in light of clinical presentation. IgM antibodies may persist for several months, or in rare cases, several years after infection. | | P | N | Suggest past infection with or exposure to Toxoplasma gondii. |
Clinical Utility Support the serodiagnosis of toxoplasmosis. |
| |
Print |
| Toxoplasma IgG Antibody |
| |
| CPT: |
| 86777 |
| |
| Alternate Name: |
Toxo Antibody; Toxo IgG Antibody; Toxo Titer |
| |
| Methodology: |
Enzyme-Linked Immunosorbent Assay (ELISA) |
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| Testing Schedule: |
Routine, 2 times per week |
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| Report Available: |
5-7 days |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Reference Range: |
ELISA antibody index •No antibody detected<0.90 •Equivocal0.91-1.09 •Antibody detected>1.10 |
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| Clinical Utility: |
| Support the serodiagnosis of toxoplasmosis. Toxoplasma |
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Print |
| TPN Profile, Neonatal |
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| Includes: |
| Albumin, Alanine aminotransferase (ALT), Alkaline Phosphatase, Total, Aspartate aminostransferase (AST), Bilirubin, Direct Neonatal, Creatinine, Magnesium, Phosphorus, Protein, Total, Triglyceride, Urea Nitrogen (BUN) |
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| CPT: |
| 82040, 84460, 84075, 84450,82248, 82565, 83735, 84100, 84155, 84478, 84520 |
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| Alternate Name: |
Neonatal Total Parenteral Nutrition Profile |
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| Methodology: |
See indicidual test listing |
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| Testing Schedule: |
Routine daily, STAT testing available |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube OR 1 full yellow or red B-D Microtainer™ tube |
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| Reference Range: |
| See individual test listing |
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| Critical Values: |
| See individual test listings |
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| TPO Antibody |
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| See Thyroid Peroxidase Autoantibody |
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| TPPA |
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| See Treponemal Confirmation Assay,TP-PA |
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| Tracheal Secretion Culture |
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| See Culture, Sputum |
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| Transferrin |
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| CPT: |
| 84466 |
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| Alternate Name: |
Siderophilin |
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| Methodology: |
Rate |
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| Testing Schedule: |
Routine, daily |
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| Report Available: |
1day |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Reference Range: |
| 215-380 mg/dL |
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| Clinical Utility: |
| Differential diagnosis of anemia; monitor its effectiveness of treatment for anemia. |
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| Transferrin Receptor (TRFR), Soluble |
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| CPT: |
| 84238 |
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| Alternate Name: |
Soluble Transferrin Receptor (sTFR) |
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| Methodology: |
Nephelometry |
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| Testing Schedule: |
Routine, Daily |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Special Instructions and/or Comments: |
• Centrifuge tube and transfer serum to plastic aliquot vial. • Refrigerate |
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| Reference Range: |
| 0.76 - 1.76 mg/mL |
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| Clinical Utility: |
| Soluable Transferrin Receptor (start) values can be within normal limits over a broad range of body iron stores and is elevated only when there is functional (ie, cellular) iron deficiency. It is usually not affected by chronic disease states. sTFR levels are about 6% higher in people who live in high altitudes (above 2500 ft/1600 m) and in African Americans. Reference values may not apply to pregnant females and recent or frequent blood donors. |
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Print |
| Trazodone |
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| CPT: |
| 80299 |
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| Alternate Name: |
Desyrel® |
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| Methodology: |
High Performance Liquid Chromatography (HPLC) |
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| Testing Schedule: |
Routine, Monday-Friday Only |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Container: |
3 mL serum ContainerRed top tube, no serum separator |
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| Special Instructions and/or Comments: |
•Collect 12 hours after the last dose following a minimum of 5 days on the drug. •Centrifuge, transfer to plastic aliquot tube and freeze.Once frozen, transport specimen submerged in dry ice. •Hemolyzed specimens are NOT acceptable. |
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| Reference Range: |
| 500-1,100 ng/mL |
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| Clinical Utility: |
| Useful for monitoring for optimal therapeutic concentrations. |
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| Treponema pallidum IgM Antibody |
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| Includes: |
| Qualitative assessment for an IgM specific Treponema pallidum antibody in newborns, as an aid in the diagnosis of congenital syphilis. |
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| CPT: |
| 86781 |
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| Alternate Name: |
T. pallidum Antibody, IgM; T. pallidum IgM; Treponemal IgM Antibody |
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| Methodology: |
Indirect Fluorescent Antibody (IFA) |
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| Testing Schedule: |
Routine, daily |
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| Report Available: |
1-3 days |
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| Specimen Requirements: |
| Minimum Volume: |
0.5 mL serum |
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| Container: |
Gold top (serum separator) tube OR 1 full yellow or red BD Microtainer™ tube |
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| Special Instructions and/or Comments: |
•Collected from newborns only. •DO NOT submit cord blood. |
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| Reference Range: |
•Nonreactive No evidence of IgM specific T. pallidum antibody. •Reactive IgM specific T. pallidum antibody present. |
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| Clinical Utility: |
| Confirmatory serologic test for syphilis. |
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| Treponemal Confirmation Assay, TP-PA |
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| CPT: |
| 86781 |
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| Alternate Name: |
T. pallidum Passive Agglutination; TPPA Replaces FTA-Abs; HATTS Test; MHA-Tp; Microhemagglutination Test for T. pallidum |
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| Methodology: |
Passive Agglutination |
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| Testing Schedule: |
Routine, 1 time per week |
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| Report Available: |
5-7 days |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Special Instructions and/or Comments: |
| •The Department of Health requires mandatory reporting of any reactive result. |
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| Reference Range: |
•Nonreactive Suggests no recent or past exposure to Treponema pallidum. •Reactive May indicate past or present infection with Treponema pallidum. NOTE Cross reactions may occur with other treponemal diseases such as pinta, yaws, or bejel.TP-PA results, like FTA-Abs results, cannot be used to monitor treatment efficacy or detect reinfection. Once reactive, the TP-PA remains reactive for life. |
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| Clinical Utility: |
| This assay detects Treponema pallidum antibodies as an aid in the diganosis of syphilis. |
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Print |
| Treponemal IgM Antibody |
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| See Treponema pallidum IgM Antibody |
Print |
| Triavil® |
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| See Amitriptyline |
Print |
| Trichomonas vaginalis Preparation |
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| Includes: |
| Examination of specimen for motile trichomonas. |
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| CPT: |
| 87210 |
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| Alternate Name: |
Cervical Trich Smear; Hanging Drop for Trichomonas Vaginalis; Trichomonas vaginalis Wet Preparation, Urine; Urethral Trich Smear; Urine Trich Wet Mount; Vaginal Trich Smear; Trichomonas vaginalis Wet Preparation; Wet Prep for Trichomonas vaginalis |
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| Methodology: |
Microscopic Examination |
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| Testing Schedule: |
Routine, STAT testing available |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
Vaginal, cervical, urethral swabs, prostatic fluid, OR urine sediment |
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| Container: |
Sterile tube containing 1 mL sterile saline (nonbacteriostatic saline) |
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| Collection: |
| The specimen should be collected using a speculum without lubricant.The mucosa of the posterior vagina may be swabbed or the secretions may be collected with a pipette. Express the swab into the saline for transport to the laboratory. |
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| Special Instructions and/or Comments: |
•Transport to the laboratory immediately. •DO NOT refrigerate. |
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| Reference Range: |
| No trichomonas seen. |
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Print |
| Trichomonas vaginalis Wet Preparation |
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| See Trichomonas vaginalis Preparation |
Print |
| Trichomonas vaginalis Wet Preparation, Urine |
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| See Trichomonas vaginalis Preparation |
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| Triglycerides, Body Fluid |
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| CPT: |
| 84478 |
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| Methodology: |
Colorimetry |
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| Testing Schedule: |
Routine, STAT testing available |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL body fluid |
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| Container: |
Red top tube, no serum separator |
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| Special Instructions and/or Comments: |
| Refrigerate |
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| Reference Range: |
| Not established, must be interpreted with clinical findings. |
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Print |
| Triglycerides, Serum |
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| CPT: |
| 84478 |
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| Alternate Name: |
TGs; Trigs |
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| Methodology: |
HNL: Colorimetry LPP: Bichromatic End Point |
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| Testing Schedule: |
Routine, STAT testing available |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Collection: |
•Patient should fast for 12-14 hour (nothing by mouth except water and any essential medications). •Prior to testing, diet should be stable for 3 weeks and alcohol should be avoided for 3 days. |
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| Reference Range: |
<150 mg/dL Special Note: Reference Ranges are reflective of the NCEP Adult Treatment Panel (ATP) III Guidelines published in JAMA, MAy 26, 2001 Borderline High 150-199 mg/dL High 200-499 mg/dL Very High >500 mg/dL NOTE: Values are reflective of the NCEP Adult Treatment Panel (ATP) III guidelines published in May 2001. |
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| Clinical Utility: |
| Useful for cardiovascular risk assessment. |
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Print |
| Trileptal |
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| CPT: |
| 80299 |
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| Alternate Name: |
Oxcarbazepine |
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| Methodology: |
High Tubulence Liquid Chromatography Mass Spectroscopy (HTLC- MS/MS) |
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| Testing Schedule: |
Routine, daily |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Red top tube, no serum separator |
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| Special Instructions and/or Comments: |
| Refrigerate |
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| Reference Range: |
•Trough concentration: 6-10 µg/mL •Peak concentration: <40 µg/mL |
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| Clinical Utility: |
| Useful for monitoring oxcarbazepine therapy. |
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Print |
| Trimipramine |
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| CPT: |
| 82491 |
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| Alternate Name: |
Surmontil® |
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| Methodology: |
High Performance Liquid Chromatography with Ultraviolet Detection (HPLC- UV) |
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| Testing Schedule: |
Routine, daily |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
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| Container: |
Red top tube, no serum separator |
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| Special Instructions and/or Comments: |
| Refrigerate |
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| Reference Range: |
Therapeutic 50-300 ng/mL |
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| Critical Values: |
| 1000 ng/mL |
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| Clinical Utility: |
| Useful for monitoring compliance and accessing toxicity. |
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| Triple Screen, Maternal Serum |
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| Includes: |
For use as a screen for Neural Tube defects, Down’s syndrome, and Trisomy 18 in pregnant women • MsAFP Total 0223 ß-hCG • uE3 Interpretive report |
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| CPT: |
| 82105 , 84702, 82677 |
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| Alternate Name: |
AFP3; Tri-Screen |
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| Methodology: |
See individual test listings. |
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| Testing Schedule: |
2 times per week |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Collection: |
•Acceptable time for testing is between the 15th and 20th week of gestation. Special Instructions and/or Comments •Must include Maternal Serum Prenatal Screening Demographic Form with the following information maternal age, maternal weight, race, diabetic status, multiple pregnancy, and gestational age. •Specimen must be obtained prior to amniocentesis. NOTE If this is an IVF pregnancy, include age of donor egg. |
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| Reference Range: |
•Reference ranges are reflective of gestational age and are expressed as “multiples of the median” (MOM). •Risks are routinely reported for NTD, Down syndrome and Trisomy 18. |
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| Clinical Utility: |
Screening for indication of fetal anomalities including Down syndrome (DS) and Neural Tube Defects (NTD). |
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Print |
| Tri-Screen |
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| See Triple Screen, Maternal Serum |
Print |
| Tropheryma whipplei, PCR, Cerebrospinal Fluid |
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| CPT: |
| 87798 |
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| Alternate Name: |
T. whippleiPCR |
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| Methodology: |
Polyermase Chain Reaction (PCR) |
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| Testing Schedule: |
Routine, 1 time per week |
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| Report Available: |
7-10 days |
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| Specimen Requirements: |
| Minimum Volume: |
0.5 mL cerebrospinal fluid |
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| Container: |
Sterile conical tube |
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| Special Instructions and/or Comments: |
| •Freeze or refrigerate |
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| Reference Range: |
| Negative for Tropheryma whipplei |
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| Clinical Utility: |
| Useful for diagnosis of Whipple’s disease, especially for identifying inconclusive or suspicious cases. |
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| Troponin |
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| CPT: |
| 84484 |
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| Methodology: |
Direct Chemiluminescence |
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| Testing Schedule: |
Routine, STAT testing available |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Special Instructions and/or Comments: |
•Transport to the laboratory immediately. •Testing must be performed within 4 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube and refrigerate for up to 24 hours. |
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| Reference Range: |
| <0.04 ng/mL |
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| Critical Values: |
| >0.78 ng/mL |
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| Clinical Utility: |
| Used in the evaluation of acute cardiac injury, MI. |
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Print |
| Troponin 1 |
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| CPT: |
| 84484 |
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| Alternate Name: |
Rule out Cardiac Trauma 1 |
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| Methodology: |
Direct Chemiluminescence |
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| Testing Schedule: |
Routine daily, STAT testing available |
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| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Collection: |
| Transport to laboratory immediately. |
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| Special Instructions and/or Comments: |
| If testing can not be performed within 4 hours of collection, centrifuge specimen, transfer serum to plastic aliquot tube and refrigerate for up to 24 hours. |
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| Reference Range: |
| <0.04 ng/mL |
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| Critical Values: |
| > 0.78 ng/mL |
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Print |
| Troponin 2 |
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| CPT: |
| 84484 |
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| Alternate Name: |
Rule out Cardiac Trauma 2 |
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| Methodology: |
Direct Chemiluminescence |
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| Testing Schedule: |
Routine daily, STAT testing available |
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| Specimen Requirements: |
| Minimum Volume: |
2 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Collection: |
| Transport to laboratory immediately. |
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| Special Instructions and/or Comments: |
| If testing can not be performed within 4 hours of collection, centrifuge specimen, transfer serum to plastic aliquot tube and refrigerate for up to 24 hours. |
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| Reference Range: |
| <0.04 ng/mL |
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| Critical Values: |
| > 0.78 ng/mL |
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Print |
| Trypanosoma cruzi Antibodies |
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| See Chagas Disease Antibody Profile |
Print |
| Tryptase |
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| CPT: |
| 83520 |
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| Methodology: |
Fluoroenzyme Immunoassay (FIA) |
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| Testing Schedule: |
Routine, daily |
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| Report Available: |
3-5 days |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Special Instructions and/or Comments: |
| Centrifuge, transfer to plastic aliquot tube and freeze.Once frozen, transport specimen submerged in dry ice. |
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| Reference Range: |
| <11.5 ng/mL |
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| Clinical Utility: |
| Useful for assessing mast cell activation, which may occur as a result of anaphylaxis, or allergen challenge, or in patients with systemic astocytosis or mast cellactivation syndrome. |
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Print |
| TSH |
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| See Thyroid Stimulating Hormone, Serum |
Print |
| TSH with Reflex to FT4 |
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| Includes: |
| TSH, FT4 (when TSH is abnormal) |
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| CPT: |
| 844843, 84439 |
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| Alternate Name: |
TSH Reflex to FT4 |
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| Methodology: |
Direct Chemiluminescence |
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| Testing Schedule: |
Routine, daily, STAT testing available 0600-2100 |
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| Report Available: |
1 day |
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| Specimen Requirements: |
| Minimum Volume: |
1 mL serum |
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| Container: |
Gold top (serum separator) tube |
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| Special Instructions and/or Comments: |
•Testing must be performed within 8 hours of collection. •If delay in transport, centrifuge, transfer to plastic aliquot tube and refrigerate tube, in the upright position. Specimen should remain capped until time of testing. |
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| Reference Range: |
| See individual test listings |
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| Clinical Utility: |
| See individual test listings. |
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Print |
| TSI |
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| See Thyroid Stimulating Immunoglobulin |
Print |
| TSST-1/Enterotoxin B |
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| See Toxic Shock Antibody Profile |
Print |
| T-Strain Mycoplasma Culture |
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| See Culture, Ureaplasma urealyticum |
Print |
| TT |
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| See Thrombin Time, Plasma |
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| tTG Antibody |
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| See Tissue Transflutaminase IgA Autoantibody |
Print |
| tTG IgA Autoantibody |
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| See Tissue Transflutaminase IgA Autoantibody |
Print |
| Tuberculosis Culture |
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| See Culture, Mycobacteria |
Print |
| TWAR |
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| See Chlamydia Antibody Profile |
Print |
| Type and Antibody Screen |
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| Includes: |
ABO Antibody Screen Rh (D) Reflexed when appropriate Antibody Identification Direct Antiglobulin Test Eluate Phenotype Antigen Test |
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| CPT: |
| 86850, 86900, 86901Reflexed when appropriate 86870, 86880,86860, 86905, 86906, 86886 |
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| Related Information: |
•Prenatal Testing •Type and Crossmatch |
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| Alternate Name: |
Antibody Identification, Antibody Screen; Red Blood Cells; Antibody Screening Test; Antiglobulin Test, Indirect; Atypical Antibody; Coombs Indirect; Indirect Antiglobulin Test; Indirect Anti-Human Globulin Test; Indirect Coombs; Irregular Antibodies; Type and Screen |
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| Methodology: |
Hemagglutination, Column Agglutination |
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| Testing Schedule: |
Routine, STAT testing available |
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| Report Available: |
1-3 days |
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| Specimen Requirements: |
| Minimum Volume: |
4 mL plasma |
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| Container: |
Pink top (EDTA) tube |
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| Special Instructions and/or Comments: |
| •Non-hospitalized patients Submit specimen with a completed Blood Bank Requisition (LAB-04) Form. |
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| Reference Range: |
•Negative: No atypical antibody detected. •Positive: Presence of an alloantibody and/or warm/cold autoantibody. |
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| Clinical Utility: |
Antibody identification procedures are performed to identify antibody specificity and to eliminate the presence of other underlying alloantibodies.The antibody screening test may not detect antibodies to low incidence antigens or antibodies which have undetectable titers by routine techniques. IgG alloantibodies reacting at 37°C and/or in the antiglobulin phase are generally considered clinically significant in transfusion and in hemolytic disease of the newborn (HDN). IgM alloantibodies reacting at room temperature and below are generally considered clinically insignificant in transfusion and in hemolytic disease of the newborn. Weak low titer antibodies or antibodies to low incidence antigens may not be detectable at the time of testing. |
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Print |
| Type and Rh |
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| See ABO and Rh (D) Type |
Print |
| Type and Screen |
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| See Type and Anitbody Screen |
Print |
| Tzank Smears |
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| See Cytopathology, Direct Smears |
Print |
| TP-PAFunctional Plasminogen |
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| See Plasminogen, Activity |
|