ACMH Laboratory LAB Test Catalog

ACMH LAB TEST CATALOG UPDATED AUGUST 2014

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How to Use this Catalog

1. NAME = procedure NAME in the laboratory system Please be aware that this may vary in other systems. 2. Mnemonic = test abbreviation used to place orders in the lab system 3. ABBR – abbreviation of test NAME [lab use] 4. Department – the lab department responsible for performing and reporting the test. 5. Site codes – defines where tests are performed.

a) ML - Main Lab [ACMH] b) Mayo – Mayo Medical Laboratories c) AKMC - Allegheny Valley Hospital d) UPMC Renal – University of Pittsburgh Medical Center – Renal Testing Division

6. CPT – Current Procedural Terminology [AMA] billing codes. 7. Charge – this amount will be applied to responsible financial party for the test or procedure. Charges are Subject to change on a random basis and should be verified each time the need arises. 8. Billing code – the ACMH code that is linked to the CPT for the test. 9. Questions regarding this catalog may be directed to Sandy Geibel at [724] 543-8885. NAME: 1 HR GLUCOSE MNEMONIC: 1GLU ABBR: 1 HR GLU DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82952 CPT TYPE: CPT-4 CHARGE: 34.00 BILLING CD: 00203 CONTAINER: YEL-SST NAME: 5 HYDROXYINDOLEACETIC ACID,U MNEMONIC: 5HIAA ABBR: 5HIAA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83497 CPT TYPE: CPT-4 CHARGE: 92.00 BILLING CD: 65006 CONTAINER: UR24-ACE ALIQUOT: URINE MIN ML: 5.0 MAX ML: 10.0 COMPONENTS HIAA 5-HIAA,QUANTITATIVE 24 HOUR CPT-4 5CD COLLECTION DURATION 5VOL TOTAL VOLUME NAME: 5' NUCLEOTIDASE, S MNEMONIC: 5NU ABBR: 5NU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83915 CPT TYPE: CPT-4 CHARGE: 87.00 BILLING CD: 65275 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 1.0

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NAME: 6 MONOACETYLMORPHINE,URINE MNEMONIC: 6MAM ABBR: 6-MAM,U DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83925 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 65453 CONTAINER: STC ALIQUOT: URINE MIN ML: 2.1 MAX ML: 20.0 COMPONENTS ADRGU ADULTERANTS SURVEY R6MAM RESULT 6MAM I6MAM INTERPRETATION 6 MAM COC6MAM CHAIN OF CUSTODY 6MAM NAME: 11-DEOXYCORTISOL MNEMONIC: 11DC ABBR: 11DC OTHER MNEMONIC: COMPOUND S DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82634 CPT TYPE: CPT-4 CHARGE: 186.00 BILLING CD: 65003 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 0.3 NAME: 14-3-3 PROTIEN,CSF MNEMONIC: CSF1433 ABBR: CSF1433 OTHER MNEMONIC: CJD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65672 CONTAINER: CSF#4 COLLECTION INSTRUCTION REFERIGERATE ASAP ALIQUOT: CSF#4 MIN ML: 1.0 MAX ML: 1.0 NAME: 17-HYDROXYPROGESTERONE, SERUM MNEMONIC: 17HYD ABBR: 17HYD OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83498 CPT TYPE: CPT-4 CHARGE: 208.00 BILLING CD: 65013 CONTAINER: RED10 ALIQUOT: TT MIN ML: 0.6 MAX ML: 1 NAME: 17-KETOSTEROID FRACTIONATION,URINE MNEMONIC: U17KET ABBR: U17KET OTHER MNEMONIC: DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83593 CPT TYPE: CPT-4 CHARGE: 482.00 BILLING CD: 65259 CONTAINER: UR24 ALIQUOT: FRZ-URINE MIN ML: 2.6 MAX ML: 5.0 [CONTINUED]

17KDUR DURATION 17-KETOSTEROID FRACTIONATION,URINE COMPONENTS

17KV VOLUME U11OHET 11-HYDROXYETIOCHOLANOLONE, UR U11OHAN 11-HYDROXYANDROSTERONE, URINE U11KETOET 11-KETOETHIOCHOLANONE, URINE [CONTINUED]


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NAME: 17-KETOSTEROID FRACTIONATION,URINE CONTINUED U11KETOAN 11-KETOANDROSTERONE, URINE UPREGTRI PREGNANETRIOL, URINE UETIOCH ETIOCHOLANOLONE, URINE UANDRO ANDROSTERONE, URINE NAME: 18-HYDROXYCORTICOSTERONE, S MNEMONIC: 18HYD ABBR: 18HYD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 65434 CONTAINER: RED10 COLLECTION INSTRUCTION SEPARATE SERUM FROM CELLS WITHIN 1 HR /FREEZE ALIQUOT: FRZ-SERUM

MIN ML: 2.0 MAX ML: 3.0

NAME: A1AT CLEARANCE FECES & BLOOD MNEMONIC: A1AC ABBR: A1AC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82103 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65438 CONTAINER: ST24 COLLECTION INSTRUCTION

ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 FREEZE STOOL AND SERUM

FRZ-SERUM 0.5 1.0 COMPONENTS A1ACL A1A CLEARANCE A1A24F ALPHA 1 ANTITRYPSIN,24HR,FECES A1A ALPHA-1-ANTITRYPSIN, SERUM 82103 CPT-4 192.00 65347 SST10 A1AF ALPHA 1 ANTITRYPSIN,RANDOM,F 82103 CPT-4 192.00 65347 STC NAME: ABILIFY LEVEL MNEMONIC: ABF ABBR: ABF OTHER MNEMONIC: ARIPIPRAZOLE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66856 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.2 MAX ML: 2.0 NAME: ACETAMINOPHEN LEVEL MNEMONIC: ACTM ABBR: ACTM DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 82003 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 30674 CONTAINER: RED3 NAME: ACETOACETATE, SERUM MNEMONIC: ACTA ABBR: ACTA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82486 CPT TYPE: CPT-4 CHARGE: 320.00 BILLING CD: 65283 CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 3.0


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NAME: ACETONE LEVEL MNEMONIC: ACET ABBR: ACETONE OTHER MNEMONIC: KETONE DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82009 CPT TYPE: CPT-4 CHARGE: 31.00 BILLING CD: 30677 CONTAINER: YEL NAME: ACETYLCHOLINE (MYASTHENIA) PNL MNEMONIC: MGP ABBR: MG EVALUATION OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 2.0 MAX ML: 3.0 COMPONENTS ACER ACETYLCHOLINE REC. BINDING AB 83519 CPT-4 146.00 65326 ACERM ACETYLCHOLINE REC MODULATING A 83519 CPT-4 146.00 52972 STMA STRIATIONAL (MUSCLE) AB 83520 CPT-4 103.00 58557 NAME: ACETYLCHOLINE REC. BINDING AB MNEMONIC: ACER ABBR: ACER DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 65326 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 NAME: ACETYLCHOLINESTERASE,AF MNEMONIC: ACETAM ABBR: ACEATM OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82013 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 65215 CONTAINER: STC COLLECTION INSTRUCTION 1.0 ML AMNIOTIC FLUID REFRIGERATED ALIQUOT: STC MIN ML: 1.0 MAX ML: 1.0 NAME: ACETYLCHOLINESTERASE,RBC MNEMONIC: ACRBC ABBR: ACRBC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82482 CPT TYPE: CPT-4 CHARGE: 41.00 BILLING CD: 19667 CONTAINER: LAV COLLECTION INSTRUCTION MUST ARRIVE AT MAYO WITHIN 72 HOURS MON-THURS ONLY ALIQUOT: LAV MIN ML: 2.5 MAX ML: 4.0 NAME: ACYLCARNITINES,QN,PLASMA MNEMONIC: ACARN ABBR: ACARN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82017 CPT TYPE: CPT-4 CHARGE: 177.00 BILLING CD: 65570 CONTAINER: GREEN COLLECTION INSTRUCTION: DRAW BEFORE NEXT MEAL CONTINUED


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NAME: ACYLCARNITINES,QN,PLASMA CONTINUED ALIQUOT: FRZ-PLASMA MIN ML: 0.1 MAX ML: 1.0 NAME: ADDITIONAL BACTERIAL ID PROC [LAB USE ONLY] MNEMONIC: ABIDM ABBR: ABIDM OTHER MNEMONIC: 87077 DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: 87077 CPT TYPE: CPT-4 CHARGE: 84.00 BILLING CD: 55169 NAME: ADENINE NUCLEOTIDES MNEMONIC: ADN ABBR: ADN DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 82030 CPT TYPE: CPT-4 CHARGE: 201.00 BILLING CD: 66696 CONTAINER: BLUE ALIQUOT: BLUE MIN ML: 1 MAX ML: 1 COMPONENTS ATP ATP ADP ADP ATPADP ATP/ADP ANITP AD NUC INTERPRETATION NAME: ADENOSINE DEAMINASE,BLOOD MNEMONIC: ADSD ABBR: ADSD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66066 CONTAINER: YEL-ACDB ALIQUOT: YEL-ACDB MIN ML: 1.0 MAX ML: 4.0 NAME: ADENOVIRUS ANTIBODY MNEMONIC: ADEN ABBR: ADEN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86603 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65485 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 1.0

NAME: ADRENOCORTICOTROPIC HORMONE MNEMONIC: ACTH ABBR: ACTH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82024 CPT TYPE: CPT-4 CHARGE: 296.00 BILLING CD: 65299 CONTAINER: LAV COLLECTION INSTRUCTION DRAW BLOOD INTO ICE COOLED LAV.SPIN/FREEZE PLASMA IMMEDIATE ALIQUOT: FRZ-PLASMA


NAME: ADULTERANTS SURVEY MNEMONIC: ADRGU ABBR: ADULTERANTS OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: COMPONENTS ACRE CREATININE,U ASG SPECIFIC GRAVITY APH PH CONTINUED


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NAME: ADULTERANTS SURVEY CONTINUED AOX OXIDANTS ANIT NITRITES ACOM COMMENT NAME: AFB CULTURE MNEMONIC: AFBC ABBR: AFB CULTURE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87116 CPT TYPE: CPT-4 CHARGE: 230.00 BILLING CD: 65191 CONTAINER: STC COLLECTION INSTRUCTION *ORDER AFBS WITH ALL CULTURES*ALIQUOT: STC MIN ML: 1 MAX ML: 1

BLOOD & BONE MARR NOT ACCEPTED

COMPONENTS AFBCSS AFB CULTURE SOURCE AFBCR AFB CULTURE RESULT AFBCSI AFB CULT SPECIAL INFORMATION AFBCRS AFB CULTURE REPORT STATUS NAME: AFB SMEAR MNEMONIC: AFBS ABBR: AFB SMEAR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87206 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65170 CONTAINER: STC COLLECTION INSTRUCTION ORDER AFBC ALSO!! ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS AFBSS AFB SMEAR SPECIMEN SOURCE AFBR AFB SMEAR RESULT AFBSI AFB SMEAR SPECIAL INFORMATION AFBRS AFB SMEAR REPORT STATUS NAME: AFP AMNIOTIC FLUID MNEMONIC: AFPA ABBR: AFPA OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82106 CPT TYPE: CPT-4 CHARGE: 93.00 BILLING CD: 65355 CONTAINER: STC ALIQUOT: OTHER MIN ML: 1.0 MAX ML: 1.0 NAME: AFP SINGLE MARKER SCREEN,S MNEMONIC: AFP1 ABBR: AFP1 OTHER MNEMONIC: MAFP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82105 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 65394 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 COMPONENTS RMSS RECALCULATED MATERNAL SCREEN COLLD COLLECTION DATE BD BIRTHDATE CONTINUED NAME: AFP SINGLE MARKER SCREEN,S CONTINUED


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AGE CALCULATED AGE AT EDD MW MATERNAL WEIGHT (LB) MWKG MATERNAL WEIGHT (KG) INSULIN INSULIN DEPENDENT DIABETES? RACE RACE NUMF NUMBER OF FETUSES IVF IVF PREGNANCY ? GAUS GESTATION BY U/S USDATE ULTRASOUND DATE EDDUS EDD BY U/S LMP LAST MENST PERIOD EDDLMP EDD BY LMP GADATE GESTATION BY DATES DATEE DATE OF ESTIMATE GAPE GA ON DATE OF PHYSICAL EXAM DATEPE DATE OF PHYSICAL EXAM GACDUS GA BY U/S SCAN GACDD GA BY DATES GACDPE GA BY PHYSICAL EXAM GAU GA USED IN RISK ESTIMATE AFPR AFP AFPIN INTERPERATION AFPCOM ADDITIONAL COMMENTS FOLLOWUP RECOMMMENDED FOLLOW UP AFPTESTINF GENERAL TEST INFORMATION AFPOINFO AFP OTHER INFORMATION NAME: AFP, FOUR MARKER SCREEN MNEMONIC: AFP4 ABBR: AFP4 OTHER MNEMONIC: AFP3 QUAD DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 81511 CPT TYPE: CPT-4 CHARGE: 141.00 BILLING CD: 66659 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 3.0 COMPONENTS RMSS RECALCULATED MATERNAL SCREEN COLLD COLLECTION DATE BD BIRTHDATE AGE CALCULATED AGE AT EDD MW MATERNAL WEIGHT (LB) MWKG MATERNAL WEIGHT (KG) INSULIN INSULIN DEPENDENT DIABETES? RACE RACE NUMF NUMBER OF FETUSES IVF IVF PREGNANCY ? GAUS GESTATION BY U/S USDATE ULTRASOUND DATE EDDUS EDD BY U/S LMP LAST MENST PERIOD EDDLMP EDD BY LMP GADATE GESTATION BY DATES DATEE DATE OF ESTIMATE GAPE GA ON DATE OF PHYSICAL EXAM CONTINUED NAME: AFP, FOUR MARKER SCREEN CONTINUED


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DATEPE DATE OF PHYSICAL EXAM GACDUS GA BY U/S SCAN GACDD GA BY DATES GACDPE GA BY PHYSICAL EXAM GAU GA USED IN RISK ESTIMATE AFPR AFP UE3 UE3 HCGAFP HCG TOTAL INHIBIN INHIBIN DOWNR DOWN SCREEN RISK ESTIMATE DOWNA DOWN MATERNAL AGE RISK TRIR TRISOMEY 18 RISK ESTIMATE AFPIN INTERPERATION AFPCOM ADDITIONAL COMMENTS FOLLOWUP RECOMMMENDED FOLLOW UP AFPTESTINF GENERAL TEST INFORMATION AFPOINFO AFP OTHER INFORMATION ESTR ESTRIOL,PREGNANT FEMALES ONLY 82677 CPT-4 142.00 65118 NAME: AFP,TUMOR MARKER,CSF MNEMONIC: AFPTMCSF ABBR: AFPTMCSF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86316 CPT TYPE: CPT-4 CHARGE: 160.00 BILLING CD: 65474 CONTAINER: CSF#1 COLLECTION INSTRUCTION SEND 1 ML FROZEN CSF ALIQUOT: FRZ-CSF MIN ML: 0.5 MAX ML: 0.5 NAME: ALBUMIN MNEMONIC: ALB ABBR: ALB OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82040 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00319 CONTAINER: MINT-PST NAME: ALBUMIN,PERICARDIAL FLUID MNEMONIC: ALBPC ABBR: ALB PERIC OTHER MNEMONIC: DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82042 CPT TYPE: CPT-4 CHARGE: 12.00 BILLING CD: 63512 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: ALBUMIN,PERITONEAL FLUID MNEMONIC: ALBPT ABBR: ALB PERIT OTHER MNEMONIC: DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82042 CPT TYPE: CPT-4 CHARGE: 12.00 BILLING CD: 63512 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: ALBUMIN,PLEURAL FLUID


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MNEMONIC: ALBPL ABBR: ALB PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CONTINUED NEXT PAGE NAME: ALBUMIN,PLEURAL FLUID CONTINUED CPT: 82042 CPT TYPE: CPT-4 CHARGE: 12.00 BILLING CD: 63512 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: ALBUMIN,SYNOVIAL FLUID MNEMONIC: ALBSY ABBR: ALB SYN DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82042 CPT TYPE: CPT-4 CHARGE: 12.00 BILLING CD: 63512 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: ALCOHOL SCREEN, URINE MNEMONIC: ALCU ABBR: ALCU OTHER MNEMONIC: VOLATILE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84600 CPT TYPE: CPT-4 CHARGE: 174.00 BILLING CD: 65411 CONTAINER: STC ALIQUOT: URINE MIN ML: 10.0 MAX ML: 10.0 NAME: ALDOLASE MNEMONIC: ALDO ABBR: ALDO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82085 CPT TYPE: CPT-4 CHARGE: 69.00 BILLING CD: 65315 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 1.0 NAME: ALDOSTERONE, 24 HR URINE MNEMONIC: ALDOU ABBR: ALDOU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82088 CPT TYPE: CPT-4 CHARGE: 227.00 BILLING CD: 65331 CONTAINER: UR24-ACE COLLECTION INSTRUCTION: MUST BE 24 HOUR URINE. RANDOM URINE UNACCEPTABLE ALIQUOT: UR24 MIN ML: 11.0 MAX ML: 11.0 NAME: ALDOSTERONE, SERUM MNEMONIC: ALDOS ABBR: ALDOS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82088 CPT TYPE: CPT-4 CHARGE: 227.00 BILLING CD: 65323 CONTAINER: RED10 ALIQUOT: FREEZE MIN ML: 2.5 MAX ML: 2.5 NAME: ALK PHOSHATASE ISOENZYMES MNEMONIC: ALPISO ABBR: ALPISO DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 COMPONENTS ALPT ALK PHOS,TOTAL 84075 CPT-4 39.00 66044


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APIB ALK PHOS ISO-BONE 84080 CPT-4 115.00 65339 CONTINUED NAME: ALK PHOSHATASE ISOENZYMES [CONTINUED] APIML ALK PHOS ISO MACRO HEPATIC APII ALK PHOS ISO-INTESTINE APIL ALK PHOS ISO-LIVER APIP ALK PHOS ISO-PLACENTA NAME: ALKALINE PHOSPHATASE MNEMONIC: ALKP ABBR: ALKP OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84075 CPT TYPE: CPT-4 CHARGE: 39.00 BILLING CD: 00323 CONTAINER: MINT-PST NAME: ALLERGEN IGG MNEMONIC: ALLIGG ABBR: ALLIGG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86001 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 66377 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: ALLERGEN SPECIFIC IGE ANTIBODY MNEMONIC: RASTIV ABBR: RAST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86003 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 54649 CONTAINER: RED10 COLLECTION INSTRUCTION SEND TO MAYO USE ALLERGEN REQUEST FORM ALIQUOT: TT MIN ML: 1 MAX ML: 1 NAME: ALPHA 1 ANTITRYPSIN,RANDOM,FECES MNEMONIC: A1AF ABBR: A1AF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82103 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65347 CONTAINER: STC COLLECTION INSTRUCTION: RANDOM FECAL COLLECTIONS ONLY ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: ALPHA FETOPROTEIN TUMOR MARKER MNEMONIC: AFPT ABBR: AFPT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82105 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 65394 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1 NAME: ALPHA-1-ACID GLYCOPROTEIN MNEMONIC: A1GLY ABBR: A1GLY OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83883 CPT TYPE: CPT-4 CHARGE: 107.00 BILLING CD: 65239 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: ALPHA-1-ANTITRYPSIN PHENOTYPE


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MNEMONIC: A1AP ABBR: A1AP DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.25 COMPONENTS A1A ALPHA-1-ANTITRYPSIN, SERUM 82103 CPT-4 192.00 65347 A1APH ALPHA-1-ANTITRYPSIN PHENOTYPE 82104 CPT-4 113.00 65270 NAME: ALPHA-1-ANTITRYPSIN PROFILE MNEMONIC: A1ATP ABBR: A1ATP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: BOTH BLOOD AND SERUM REQUIRED ALIQUOT: LAV MIN ML: 0.5 MAX ML: 2.5 SERUM 0.5 1.0 COMPONENTS INTA1A INTERPRETATION A1ATP 81332 CPT-4 314.00 66994 A1A ALPHA-1-ANTITRYPSIN, SERUM 82103 CPT-4 192.00 65347 HYB HYBRIDIZATION 83896 CPT-4 30.00 55065 EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 AMP AMPLIFICATION 83898 CPT-4 212.00 65588 AMP2 AMPLIFICATION 2 83898 CPT-4 212.00 65588 NAME: ALPHA-1-ANTITRYPSIN, SERUM MNEMONIC: A1A ABBR: A1A DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82103 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65347 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: ALPHA-SUBUNIT PITUITARY MARKER MNEMONIC: APGH ABBR: APGH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 66406 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.35 MAX ML: 1.0 NAME: ALPRAZOLAM, SERUM MNEMONIC: ALPRA ABBR: ALPRA OTHER MNEMONIC: XANAX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 66074 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 3.0 NAME: ALT/SGPT MNEMONIC: ALT ABBR: ALT OTHER MNEMONIC: SGPT DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84460 CPT TYPE: CPT-4 CHARGE: 29.00 BILLING CD: 00329 CONTAINER: MINT-PST


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NAME: ALUMINUM, 24 HOUR URINE MNEMONIC: ALU ABBR: ALU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82108 CPT TYPE: CPT-4 CHARGE: 195.00 BILLING CD: 65370 CONTAINER: UR24 COLLECTION INSTRUCTIONNO PRESERVATIVE. RECORD TOTAL VOLUME ALIQUOT: URINE MIN ML: 2.0 MAX ML: 10 NAME: ALUMINUM, SERUM MNEMONIC: AL ABBR: AL OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82108 CPT TYPE: CPT-4 CHARGE: 195.00 BILLING CD: 65370 CONTAINER: RYLBLPLAIN COLLECTION INSTRUCTION: USE METAL FREE ALIQUOT ALIQUOT: METAL FREE MIN ML: 0.5 MAX ML: 2.0 NAME: AMIKACIN LEVEL TROUGH MNEMONIC: AMIKT ABBR: AMIKT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80150 CPT TYPE: CPT-4 CHARGE: 163.00 BILLING CD: 65363 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: AMIKACIN PEAK LEVEL MNEMONIC: AMIKP ABBR: AMIKP OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80150 CPT TYPE: CPT-4 CHARGE: 163.00 BILLING CD: 65363 CONTAINER: RED10 COLLECTION INSTRUCTION: SPIN WITHIN 2 HR OF DRAW. FREEZE. ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: AMINO ACID QUANT,PLASMA MNEMONIC: AAS ABBR: AAS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82139 CPT TYPE: CPT-4 CHARGE: 459.00 BILLING CD: 65011 CONTAINER: GREEN COLLECTION INSTRUCTION: FASTING REQUIRED FREEZE ALIQUOT: FRZ-PLASMA MIN ML: 0.5 MAX ML: 0.5 NAME: AMINO ACIDS, QUANT, RANDOM ,U MNEMONIC: AAPD ABBR: AAPD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82139 CPT TYPE: CPT-4 CHARGE: 459.00 BILLING CD: 84745 CONTAINER: STC ALIQUOT: FRZ-URINE MIN ML: 1.0 MAX ML: 13.0 COMPONENTS: AAPDR AMINO ACID QUANT. RESULT NAME: AMINOLEVULINIC ACID, 24 HR UR


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MNEMONIC: ALAU ABBR: ALAU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82135 CPT TYPE: CPT-4 CHARGE: 128.00 BILLING CD: 65307 CONTAINER: UR24 COLLECTION INSTRUCTION: PROTECT FROM LIGHT ALIQUOT: FRZ-URINE MIN ML: 10 MAX ML: 10 NAME: AMINOLEVULINIC DEHYDRATASE,RBC MNEMONIC: ALAD ABBR: ALA-D OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65461 CONTAINER: GRN ON ICE ALIQUOT: GREEN MIN ML: 3.0 MAX ML: 3.0 NAME: AMIODARONE, SERUM MNEMONIC: AMIO ABBR: AMIO OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 53138 CONTAINER: RED10 COLLECTION INSTRUCTION: COLLECT NO SOONER THAN 12 HOURS AFTER LAST DOSE. ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 3.0 NAME: AMITRIPTYLINE/NORTRIP & TOTAL MNEMONIC: AMIP ABBR: AMIP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0 COMPONENTS AMITRP AMITRIPTYLINE 80152 CPT-4 138.00 65371 NORT NORTRIPTYLINE 80182 CPT-4 103.00 65119 NORAM AMITRIP/NORTRIPTYLINE TOTAL NAME: AMLIFICATION, SIGNAL MNEMONIC: AMFT ABBR: AMFT OTHER MNEMONIC: 83908 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83908 CPT TYPE: CPT-4 CHARGE: 157.00 BILLING CD: 65788 NAME: AMMONIA MNEMONIC: NH3 ABBR: AMM OTHER MNEMONIC: AMM DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 82140 CPT TYPE: CPT-4 CHARGE: 87.00 BILLING CD: 00351 CONTAINER: GREEN COLLECTION INSTRUCTION: COLLECT ON ICE AT MAIN CAMPUS NAME: AMOXAPINE LEVEL MNEMONIC: AMO ABBR: AMO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65023 CONTINUED NAME: AMOXAPINE LEVEL CONTINUED


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CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 2.0 NAME: AMOXICILLIN,SERUM MNEMONIC: AMXN ABBR: AMXN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: AMPHETAMINE CONFIRM,URINE MNEMONIC: AMPHU ABBR: AMPHU OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS APCF GC/MS CONFIRMATION-AMPHETAMINE IAAM IMMUNOASSAY AMPHETAMINES APHT AMPHETAMINE 82145 CPT-4 147.00 65027 PHT PHENTERMINE BY GC/MS 82145 CPT-4 147.00 65027 MPHT METHAMPHETAMINE BY GC/MS PEHD PSEUDOEPHEDRINE/EPHEDRIN GC/MS PHPL PHENYLPROPANOLAMINE MDA MDA (ECSTASY METABOLITE) GC/MS MDMA MDMA (ECSTASY) BY GC/MS IAMPH INTERPRETATION AMPHETAMINES CMAMP COMMENT AMPHETAMINE CONFIRM COCAMP CHAIN OF CUSTODY NAME: AMPHETAMINE,SERUM MNEMONIC: AMPH ABBR: AMPH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66012 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.2 MAX ML: 5.0 NAME: AMPHETAMINES,CONFIRM,MECONIUM MNEMONIC: AMMEC ABBR: AMMEC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: STOOL MIN ML: 1 MAX ML: 1 COMPONENTS AMMC AMPHETAMINE MECONIUM 82145 CPT-4 147.00 66299 MAMMC METHAMPHETAMINE MECONIUM 82145 CPT-4 147.00 19563 MDAMC MDA MECONIUM MDEAMC MDEA MECONIUM MDMAMC MDMA MECONIUM AMPIMC AMPHETAMINE MECONIUM INTERP COCAMPMC CHAIN OF CUSTODY AMP MEC CONF


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NAME: AMPLICATION 2 [REFLEX TEST] MNEMONIC: AMPL2 ABBR: AMPL2 OTHER MNEMONIC: 8390191 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8390191 CPT TYPE: CPT-4 CHARGE: 149.00 BILLING CD: 66082 NAME: AMPLICATION, FIRST 2 SEQUENCES [REFLEX TEST] MNEMONIC: AMP12 ABBR: AMP12 OTHER MNEMONIC: 83900 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83900 CPT TYPE: CPT-4 CHARGE: 311.00 BILLING CD: 65667 NAME: AMPLIFICATION MNEMONIC: AMPL ABBR: AMPLIFICATION OTHER MNEMONIC: 83901 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 83901 CPT TYPE: CPT-4 CHARGE: 149.00 BILLING CD: 59287 NAME: AMPLIFICATION [REFLEX TEST] MNEMONIC: AMP ABBR: AMP OTHER MNEMONIC: 83898 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83898 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 65588 NAME: AMPLIFICATION 2 MNEMONIC: AMP2 ABBR: AMP2 OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83898 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 65588 NAME: AMYLASE LEVEL MNEMONIC: AMY ABBR: AMY OTHER MNEMONIC: AML DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: MINT-PST NAME: AMYLASE, URINE RANDOM MNEMONIC: UAMR ABBR: UR AMY DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: AMYLASE,PERICARDIAL FLUID MNEMONIC: AMYPC ABBR: AMY PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1

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NAME: AMYLASE,PERITONEAL FLUID MNEMONIC: AMYPT ABBR: AMY PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: AMYLASE,PLEURAL FLUID MNEMONIC: AMYPL ABBR: AMY PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: AMYLASE,SYNOVIAL FLUID DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00324 CONTAINER: ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: ANA, HEP-2 SUBSTRATE MNEMONIC: ANAH ABBR: ANAH OTHER MNEMONIC: ANA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 0.5 COMPONENTS ANAHR ANA, HEP-2 , RESULT 86038 CPT-4 94.00 65154 NAME: ANA,BODY FLUID MNEMONIC: ANAFL ABBR: ANAFL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86038 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 65154 CONTAINER: VIAL ALIQUOT: VIAL MIN ML: 0.5 MAX ML: 1.0 COMPONENTS ANAFS ANA FLUID SOURCE ANAFR ANA FLUID TITER ANAFP ANA FLUID PATTERN NAME: ANCA PANEL FOR VASULITIS,S MNEMONIC: ANCAV ABBR: ANCAV OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS PR3 PROTEINASE 3 ANTIBODY 83516 CPT-4 124.00 65391 RED10 MYAB MYELOPEROXIDASE ANTIBODIES 83520 CPT-4 103.00 65688 SST10

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NAME: ANDROSTENEDIONE, SERUM MNEMONIC: AND ABBR: AND DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82157 CPT TYPE: CPT-4 CHARGE: 225.00 BILLING CD: 65387 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: ANGIOTENSIN CONVERTING ENZYME MNEMONIC: ACE ABBR: ACE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82164 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 65395 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: ANGIOTENSIN CONVERTING EZ(CSF) MNEMONIC: ACEF ABBR: ACEF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82164 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 65395 CONTAINER: CSF#4 ALIQUOT: FRZ-CSF MIN ML: 0.5 MAX ML: 1.0 NAME: ANTI-CARDIOLIPIN ABS MNEMONIC: ACA ABBR: ACA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE COLLECTION INSTRUCTION: 2 BLUE ON ICE/SPIN & FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 2.0 MAX ML: 2.0 COMPONENTS ACAG ANTI-CARDIOLIPIN IgG 86147 CPT-4 199.00 65602 ACAM ANTI-CARDIOLIPIN IgM 8614791 CPT-4 199.00 65456 NAME: ANTI-CARDIOLIPIN IgA MNEMONIC: ACAA ABBR: ACAA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 86147 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65571 CONTAINER: BLUE COLLECTION INSTRUCTION: SEPARATE AND FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 3.0 NAME: ANTI-DNASE B MNEMONIC: ADNASE ABBR: ADNASE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86215 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 19642 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 NAME: ANTI-GLIADIN IGA ANTIBODY MNEMONIC: GLIADA ABBR: GLIADA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65416 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1


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NAME: ANTI-GLIADIN IGG ANTIBODY MNEMONIC: GLIADG ABBR: GLIADG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 66342 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 NAME: ANTI-GLOMERULAR BASEMENT MEMBRANE MNEMONIC: GB ABBR: GB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65765 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.35 MAX ML: 0.5 NAME: ANTI-JO 1 MNEMONIC: AJO ABBR: AJO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86235 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 84734 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: ANTI-MITOCHONDRIAL ANTIBODY MNEMONIC: AMA ABBR: AMA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65489 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: ANTI-PARIETAL CELL ANTIBODY MNEMONIC: APCAB ABBR: APCAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65770 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: ANTI-PHOSPHOLIPID AB IGG & IGM MNEMONIC: APA ABBR: APA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 2.0 MAX ML: 2.0 COMPONENTS APAG ANTI-PHOSPHOLIPID IGG 86147 CPT-4 199.00 53048 APAM ANTI-PHOSPHOLIPID IGM 8614791 CPT-4 199.00 65531 NAME: ANTI-STREPTOLYSIN O TITER MNEMONIC: ASOT ABBR: ASOT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86060 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 00421 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0


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NAME: ANTIMONY, URINE MNEMONIC: ANTU ABBR: ANTU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83018 CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: STC ALIQUOT: METAL FREE MIN ML: 0.2 MAX ML: 10.0 NAME: ANTITHROMBIN III, ACTIVITY MNEMONIC: AT3 ABBR: AT3 OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85300 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 65055 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 COMPONENTS ATR3 ANTITHROMBIN 3, ACTIVITY AT3C ANTI-THROMBIN III COMMENT NAME: APC RESISTANCE MNEMONIC: APC ABBR: APC DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85307 CPT TYPE: CPT-4 CHARGE: 162.00 BILLING CD: 65408 CONTAINER: BLUE C OLLECTION INSTRUCTION: FREEZE PLASMA ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: APOLIPOPROTEIN A-1 AND B MNEMONIC: AAB ABBR: AAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: LAV COLLECTION INSTRUCTION: FAST(12-14 HR). NO ALCOHOL FOR 24 HR ALIQUOT: PLASMA MIN ML: 0.5 MAX ML: 1.0 COMPONENTS APOA APOLIPOPROTEIN A-1, PLASMA 82172 CPT-4 120.00 58362 LAV APOB APOLIPOPROTEIN B, PLASMA 82172 CPT-4 120.00 65435 LAV NAME: APOLIPOPROTEIN A-1, PLASMA MNEMONIC: APOA ABBR: APOA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82172 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 58362 CONTAINER: LAV COLLECTION INSTRUCTION: FAST (12-14 HR) NO ALCOHOL FOR 24 HR ALIQUOT: PLASMA MIN ML: 1 MAX ML: 1.0 NAME: APOLIPOPROTEIN B, PLASMA MNEMONIC: APOB ABBR: APOB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82172 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 65435 CONTAINER: LAV COLLECTION INSTRUCTION FASTING (12-14HR); NO ALCOHOL 24 HRS ALIQUOT: PLASMA MIN ML: 1 MAX ML: 1.0


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NAME: APOLIPOPROTEIN E GENOTYPING MNEMONIC: APOE ABBR: APOE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: YEL-ACD ALIQUOT: YEL-ACD MIN ML: 3.0 MAX ML: 3.0 NAME: APTT (PT NOT ON HEPARIN) MNEMONIC: APTN ABBR: APTN OTHER MNEMONIC: PTT NOT ON HEP DEPT: COAG SITE: ML TURN AROUND HOURS: CPT: 85730 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 00427 CONTAINER: BLUE NAME: APTT (PT ON HEPARIN) MNEMONIC: APTY ABBR: APTY OTHER MNEMONIC: PTT ON HEPARIN DEPT: COAG SITE: ML TURN AROUND HOURS: CPT: 85730 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 00427 CONTAINER: BLUE NAME: APTT MIXING STUDY (ITXM) MNEMONIC: APTTMX ABBR: APTTMX DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85732 CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: ARGININE VASOPRESSIN MNEMONIC: ARGV ABBR: ARGV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84588 CPT TYPE: CPT-4 CHARGE: 447.00 BILLING CD: 19517 CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 2.0 NAME: ARSENIC, 24 HOUR URINE MNEMONIC: ARSU ABBR: ARSU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82175 CPT TYPE: CPT-4 CHARGE: 216.00 BILLING CD: 65028 CONTAINER: UR24 COLLECTION INSTRUCTION: NO PRESERVATIVE, NO SEAFOOD 48HR PRIOR, REFRIG WITHIN 4 HRS ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 NAME: ARSENIC, BLOOD MNEMONIC: ASBLD ABBR: ASBLD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82175 CPT TYPE: CPT-4 CHARGE: 216.00 BILLING CD: 65242 CONTAINER: RYLBLUEDTA COLLECTION INSTRUCTION: SEND WHOLE BLOOD ALIQUOT: RYLBLUE MIN ML: 1 MAX ML: 1


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NAME: ARTERIAL BLOOD GAS PROFILE MNEMONIC: ABG ABBR: ABG DEPT: BG SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: CAPPED SYRINGE ON ICE IN BIOHAZARD BAG COMPONENTS CABG ARTERIAL BLOOD GAS 82805 CPT-4 154.00 00347 % OXYHEMOG % OXYHEMOGLOBIN ABGHB ARTERIAL BLOOD GAS HB HBCO CARBOXYHEMOGLOBIN 82375 CPT-4 86.00 00442 METHGB METHEMOGLOBIN NAME: ARTERIAL CORD GASES MNEMONIC: ACG ABBR: ARTERIAL CORD G OTHER MNEMONIC: DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82803 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 63658 CONTAINER: CAPPED SYRINGE ON ICE IN BIOHAZRD BAG COMPONENTS ACPH ARTERIAL CORD PH ACPCO2 ARTEIAL CORD PARTIAL PCO2 ACPO2 ARTERIAL CORD PO2 ACHCO3 ARTERIAL CORD HCO3 ACBE ARTERIAL CORD BASE EXCESS ACCO2 ARTERIAL CORD CO2 CONTENT NAME: ARYLSULFATASE A, 24 HR URINE MNEMONIC: ARLU ABBR: ARLU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84311 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65278 CONTAINER: UR24 COLLECTION INSTRUCTION: *NO PRESERVATIVE* ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 COMPONENTS ARYLS ARYLSULFATASE A URINE NAME: ARYLSULFATASE A, LEUKOCYTES MNEMONIC: ARYL ABBR: ARYL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66068 CONTAINER: YEL-ACD COLLECTION INSTRUCTION: M-THURS ONLY/MUST ARRIVE AT MAYO W/IN 96 HRS OF COLLECT ALIQUOT: YEL-ACD MIN ML: 5.0 MAX ML: 7.0 COMPONENTS ARYLA ARYLSULFATASE A LEUKOCYTES ARYLI INTERPRETATION ARYL ARYLRR REASON FOR REFFERAL ARYL ARYLDR REVIEWED BY ARYL


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NAME: ASCARIS,IGE MNEMONIC: ASCR ABBR: ASCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86003 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 54649 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: ASPERGILLUS ANTIBODIES MNEMONIC: ASPAB ABBR: ASPAB DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.1 MAX ML: 1.0 COMPONENTS ASPF ASPERGILLUS FUMIGATUS 86606 CPT-4 163.00 65477 ASPNG ASPERGILLUS NIGER 8660691 CPT-4 163.00 65482 ASPFL ASPERGILLUS FLAVUS 8660659 CPT-4 163.00 65879 NAME: AST/SGOT MNEMONIC: AST ABBR: AST OTHER MNEMONIC: SGOT DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84450 CPT TYPE: CPT-4 CHARGE: 29.00 BILLING CD: 00328 CONTAINER: MINT-PST NAME: AUTO DIFF [LAB USE ONLY] MNEMONIC: ADIF ABBR: AUTO DIFF DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COLLECTION INSTRUCTION: LEAVE KATHY A NOTE;WHEN USING;BILLING NEEDS EDITED. COMPONENTS NE% NEUTROPHILS % LY% LYMPHOCYTES % MO% MONOCYTES % EO% EOSINOPHIL % BA% BASOPHILS% IG% IMMATURE GRANS NE# NEUTROPHILS # LY# LYMPHOCYTES # MO# MONOCYTES # EO# EOSINOPHILS # BA# BASOPHILS# IG# IMMATURE GRANS# REPORTAUTO REPORT AUTO DIFF? ADDMDIFF T ADD MANUAL DIFF? NAME: B-HYDROXYBUTYRATE, SERUM MNEMONIC: BHYD ABBR: BHYD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82010 CPT TYPE: CPT-4 CHARGE: 78.00 BILLING CD: 58644 CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE ALIQUOT: FREEZE MIN ML: 0.5 MAX ML: 0.5


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NAME: B.PERTUSSIS AB, IGG IMMUNOBLOT MNEMONIC: BPGIB ABBR: BPGIB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8661591 CPT TYPE: CPT-4 CHARGE: 102.00 BILLING CD: 65472 NAME: B12 MNEMONIC: B12 ABBR: B12 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82607 CPT TYPE: CPT-4 CHARGE: 81.00 BILLING CD: 09525 CONTAINER: RED3 NAME: B2 GLYCOPROTEIN 1 AB MNEMONIC: B2G ABBR: B2G DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 COMPONENTS B2GG B2 GLYCOPROTEIN IGG 86146 CPT-4 242.00 63669 B2GA B2 GLYCOPROTEIN IGA 86146 CPT-4 242.00 66387 B2GM B2 GLYCOPROTEIN IGM 86146 CPT-4 242.00 66379 NAME: BABESIA MICROTI IGG MNEMONIC: BABG ABBR: BABG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86753 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 65795 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.15 MAX ML: 0.5 NAME: BABESIA MICROTI IgG & IgM MNEMONIC: BAB ABBR: BABESIA AB DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 1.0 COMPONENTS BABG BABESIA MICROTI IGG 86753 CPT-4 137.00 65795 SST10 BABM BABESIA MICROTI IGM 8675359 CPT-4 137.00 65868 BABI INTERPRETATION BABESIA NAME: BACTERIA ID, AEROBIC (mAYO) MNEMONIC: BIDO ABBR: BIDO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87077 CPT TYPE: CPT-4 CHARGE: 84.00 BILLING CD: 55169 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 NAME: BACTERIA ID, ANAEROBIC (MAYO) MNEMONIC: BID ABBR: BID DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87076 CPT TYPE: CPT-4 CHARGE: 71.00 BILLING CD: 65860 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1


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NAME: BARBITURATE CONFIRMATION,URINE MNEMONIC: BARBIU ABBR: BARBITU COMFIRM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82205 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 65036 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS IABARB IMMUNOASSAY SCREEN BARBITURATE GCBARB GC/MS CONFIRMATION BARBITURATE BUTA BUTALBITAL BY GC/MS AMBARB AMOBARBITAL BY GC/MS PBARB PENTOBARBITAL BY GC/MS SBARB SECOBARBITAL BY GC/MS PHBARB PHENOBARBITAL BY GC/MS IBARB INTERPRETATION CMBARB COMMENT BARBITURATE CONFIRM COCBARB CHAIN OF CUSTODY BARBIITURATE NAME: BARBITURATES, SERUM MNEMONIC: BAR ABBR: BAR DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 82205 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 65036 CONTAINER: RED10 ALIQUOT: TT MIN ML: 1 MAX ML: 1 NAME: BARTONELLA ANTIBODY,IGG & IGM MNEMONIC: BART ABBR: BART OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 COMPONENTS BAHG BARTONELLA HENSELAE IGG 86611 CPT-4 142.00 55428 BAHM BARTONELLA HENSELAE IGM 86611 CPT-4 142.00 55439 BAQG BARTONELLA QUINTANA IGG 86611 CPT-4 142.00 55427 BAQM BARTONELLA QUINTANA IGM 86611 CPT-4 142.00 55440 NAME: BARTONELLA BY RAPID PCR MNEMONIC: BARPCR ABBR: BARPCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87798 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 65483 CONTAINER: OTHER COLLECTION INSTRUCTION: TISSUE SPECIMENS ONLY ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 NAME: BASIC METABOLIC PROFILE MNEMONIC: BMBP ABBR: BMBP OTHER MNEMONIC: BMP DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80048 CPT TYPE: CPT-4 CHARGE: 223.00 BILLING CD: 66999 CONTAINER: MINT-PST


25

BASIC METABOLIC PROFILE COMPONENTS GLU GLUCOSE,RANDOM 82947 CPT-4 25.00 00703 BUN BLOOD UREA NITROGEN 84520 CPT-4 21.00 00304 CREA CREA W/ GFR NA SODIUM 84295 CPT-4 36.00 65639 K POTASSIUM 84132 CPT-4 25.00 00313 CL CHLORIDE 82435 CPT-4 25.00 00510 CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 GAP ANION GAP CA ALCIUM LEVEL 82310 CPT-4 36.00 00306 NAME: BASO FUNCTION TEST MNEMONIC: BFT ABBR: BFT DEPT: LR SITE: IBT TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: GREEN COLLECTION INSTRUCTION; LAB MUST RECEIVE WITHIN 48 HRS STORE RT ALIQUOT: GREEN MIN ML: 3 MAX ML: 10


26

BASO FUNTION TEST COMPONENTS BAT BASOPHIL ACTIVATION TEST 86352 CPT-4 646.00 66273 HIST HISTAMINE LEVEL, PLASMA 83088 CPT-4 444.00 65388 LAV BFT2 BASO FUNCTION TEST HRT 86352 CPT-4 646.00 66273 NAME: BCR/ABL MAJOR MNEMONIC: BCRJ ABBR: BCRJ OTHER MNEMONIC: 81206 DEPT: LNP SITE: NEOGL TURN AROUND HOURS: CPT: 81206 CPT TYPE: CPT-4 CHARGE: 1540.00 BILLING CD: 66802 NAME: BCR/ABL MINOR MNEMONIC: BCRN ABBR: BCRN OTHER MNEMONIC: 81207B DEPT: LNP SITE: NEOGL TURN AROUND HOURS: CPT: 81207 CPT TYPE: CPT-4 CHARGE: 1540.00 BILLING CD: 66810 NAME: BENZODIAZEPINE CONFIRMATION,URINE [REFLEX TEST] MNEMONIC: BENZO ABBR: BENZO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65413 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS GCBENZ GC/MS CONFIRMATION BENZO IABENZ IMMUNOASSAY SCREEN-BENZO NDZ NORDIAZEPAM BY GC/MS OXZ OXAZEPAM BY GC/MS LRZ LORAZEPAM BY GC/MS TMZ TEMAZEPAM BY GC/MS OFZ OH-ETHYL-FLURAZEPAM BY GC/MS CNZ 7-NH-CLONAZEPAM BY GC/MS AAZ ALPHA OH-ALPRAZOLAM BY GC/MS FTZ 7-NH-FLUNITRAZEPAM BY GC/MS ATZ ALPHA OH-TRIAZOLAM BY GC/MS IBENZ INTERPRETATION COCBENZ CHAIN OF CUSTODY BENZODIAZEP CMBENZ COMMENT BENZO CONFIRM NAME: BENZTROPINE LEVEL, SERUM MNEMONIC: BENT ABBR: BENT OTHER MNEMONIC: COGENTIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 66100 CONTAINER: RED10 COLLECTION INSTRUCTION: NO SST'S ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 3.0


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NAME: BETA CROSSLAPS MNEMONIC: CTX ABBR: CTX OTHER MNEMONIC: B-CTX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82523 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 66816 CONTAINER: RED10 COLLECTION INSTRUCTION: FREEZE ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: BETA-2-MICROGLOBULIN MNEMONIC: B2M ABBR: B2M DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82232 CPT TYPE: CPT-4 CHARGE: 125.00 BILLING CD: 65446 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: BETA-2-MICROGLOBULIN,URINE MNEMONIC: B2MU ABBR: B2MU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82232 CPT TYPE: CPT-4 CHARGE: 125.00 BILLING CD: 65446 CONTAINER: STC COLLECTION INSTRUCTION: CHECK BOOK ALIQUOT: FRZ-URINE MIN ML: 0.5 MAX ML: 5.0 NAME: BETA-2-TRANSFERRIN,CSF & FLUID MNEMONIC: B2MCSF ABBR: B2-MICRO CSF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86335 CPT TYPE: CPT-4 CHARGE: 130.00 BILLING CD: 65530 CONTAINER: STC ALIQUOT: FREEZE MIN ML: 0.5 MAX ML: 1.0 NAME: BICARBONATE MNEMONIC: HCO3 ABBR: HCO3 DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82374 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 09902 CONTAINER: GREEN COLLECTION INSTRUCTION: COLLECT ON ICE DELIVER TO CHEMISTRY ASAP NAME: BILE ACIDS, SERUM MNEMONIC: BILE ABBR: BILE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82239 CPT TYPE: CPT-4 CHARGE: 175.00 BILLING CD: 65874 CONTAINER: RED10 COLLECTION INSTRUCTION: FASTING (8HR) ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 1.0 NAME: BILE EXAM(CHOL & BILI CRYSTAL) MNEMONIC: BIE ABBR: BIE OTHER MNEMONIC: CRYSTALS,BILE DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 89060 CPT TYPE: CPT-4 CHARGE: 101.00 BILLING CD: 63648 CONTAINER: STC


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NAME: BILIRUBIN TOTAL, FLUID MNEMONIC: FTBIL ABBR: FTBIL OTHER MNEMONIC: TBILF DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82247 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 00333 CONTAINER: GREEN NAME: BILIRUBIN, AMNIOTIC FLUID MNEMONIC: BILAF ABBR: BILIAF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82247 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 65853 CONTAINER: VIAL COLLECTION INSTRUCTION: PROTECT FROM LIGHT ALIQUOT: FRZ-AMBER MIN ML: 1.0 MAX ML: 3.5 NAME: BILIRUBIN, FRACTIONATED


29

MNEMONIC: FBIL ABBR: FBIL DEPT: CHEM SITE: ML TURN AROUND HOURS: CONTAINER: YEL-SST COMPONENTS TBILI BILIRUBIN,TOTAL 82247 CPT-4 51.00 00333 YEL-SST DBILI BILIRUBIN,DIRECT 82248 CPT-4 34.00 58562 YEL-SST NAME: BILIRUBIN,DIRECT MNEMONIC: DBIL ABBR: DBIL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82248 CPT TYPE: CPT-4 CHARGE: 34.00 BILLING CD: 58562 CONTAINER: MINT-PST NAME: BILIRUBIN,TOTAL MNEMONIC: TBIL ABBR: TBIL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82247 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 00333 CONTAINER: MINT-PST NAME: BISMUTH MNEMONIC: BIS ABBR: BISMUTH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83018 CPT TYPE: CPT-4 CHARGE: 237.00 BILLING CD: 65845 CONTAINER: RYLBLUEDTA ALIQUOT: METAL FREE MIN ML: 0.2 MAX ML: 2.0 COMPONENTS BISR BISMUTH RESULT NAME: BK (POLYOMA) VIRUS BY PCR,P MNEMONIC: BKV ABBR: BKV DEPT: LR SITE: UPMC-MB TURN AROUND HOURS: CPT: 87799 CPT TYPE: CPT-4 CHARGE: 449.00 BILLING CD: 65516 CONTAINER: LAV ALIQUOT: PLASMA MIN ML: 0.25 MAX ML: 1.0 COMPONENTS BK BK VIRUS RESULT


30

BKC COPIES/ML BKV NAME: BK VIRUS DNA BY PCR, URINE MNEMONIC: BKVU ABBR: BKVU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87799 CPT TYPE: CPT-4 CHARGE: 449.00 BILLING CD: 65500 CONTAINER: STC ALIQUOT: URINE MIN ML: 10.0 MAX ML: 15.0 NAME: BLASTOMYCES AB,EIA MNEMONIC: BLABI ABBR: BLABI DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86612 CPT TYPE: CPT-4 CHARGE: 81.00 BILLING CD: 59758 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: BLOOD UREA NITROGEN MNEMONIC: BUN ABBR: BUN OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84520 CPT TYPE: CPT-4 CHARGE: 21.00 BILLING CD: 00304 CONTAINER: MINT-PST NAME: BONE ALKALINE PHOSPHATASE,S MNEMONIC: BSAP ABBR: BSAP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84080 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65339 CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.6 NAME: BORDETELLA PERTUSSIS BY PCR MNEMONIC: BPPCR ABBR: BPPCR OTHER MNEMONIC: WHOOPING COUGH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87801 CPT TYPE: CPT-4 CHARGE: 368.00 BILLING CD: 65419 CONTAINER: STARSWAB COLLECTION INSTRUCTION: NASOPHARYNGEAL ONLY!! ALIQUOT: STARSWAB MIN ML: 1 MAX ML: 1 COMPONENTS BPS BP SOURCE BPR BP RESULT BPPR B.PARAPERTUSSIS PCR BPSI BP SPECIAL INFORMATION BPRS BP REPORT STATUS NAME: BORDETELLA PERTUSSIS IGG AB MNEMONIC: BPAB ABBR: BPAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 1.0 COMPONENTS BPGPT B.PERTUSSIS IGG PT 86615 CPT-4 102.00 66435 BPG2 B.PERTUSSIS IGG FHA 8661591 CPT-4 102.00 65472


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NAME: BORDETELLA PERTUSSISS AB MNEMONIC: BPAGM ABBR: BPAGM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION Separate serum from cells immediately ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 1.0 COMPONENTS MNEMONIC NAME CPT CODE CPT TYPE CHARGE BILLING CD CONTAINER BPM B.PERTUSSIS AB,IGM 86615 CPT-4 102.00 66443 BPG B.PERTUSSIS AB,IGG 86615 CPT-4 102.00 66435 BPA B.PERTUSSIS AB,IGA 86615 CPT-4 102.00 66451 NAME: BROMIDE MNEMONIC: BRO ABBR: BRO OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84311 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65060 CONTAINER: LAV COLLECTION INSTRUCTION: SEND LAV DO NOT SPIN ALIQUOT: LAV MIN ML: 1.5 MAX ML: 3.0 NAME: BRUCELLA AB SCREEN IGG & IGM MNEMONIC: BRU ABBR: BRU OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10


32

ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 2.0 COMPONENTS BRUG BRUCELLA AB SCREEN IGG 86622 CPT-4 42.00 55054 BRUM BRUCELLA AB SCREEN IGM 8662291 CPT-4 42.00 65649 IBRUC INTREPRETATION BRUCELLA NAME: BRUCELLA AB,AGGLUTINATION MNEMONIC: BRUCT ABBR: BRUCT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86622 CPT TYPE: CPT-4 CHARGE: 42.00 BILLING CD: 55054 CONTAINER: SST ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 0.5 NAME: BUPRENORPHINE AND METABOLITE MNEMONIC: BUPM ABBR: BUPRENORPHINE OTHER MNEMONIC: BUTRAN SUBOXONE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83925 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 66032 CONTAINER: STC ALIQUOT: URINE MIN ML: 0.3 MAX ML: 1.0 COMPONENTS BU BUPRENORPHINE NBU NORBUPRENORPHINE NAME: C-PEPTIDE, SERUM MNEMONIC: CPEPZ ABBR: CPEPZ OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84681 CPT TYPE: CPT-4 CHARGE: 160.00 BILLING CD: 65448 CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 0.5 COMPONENTS CPEP C-PEPTIDE,S NAME: C-REACTIVE PROTEIN (CARDIAC) MNEMONIC: CRPHS ABBR: CRPHS OTHER MNEMONIC: CRPH DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 86141 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 63759 CONTAINER: YEL-SST ALIQUOT: YEL-SST MIN ML: 1 MAX ML: 1 NAME: C1 ESTERASE INHIBIT,FUNCTIONAL MNEMONIC: C1I ABBR: C1I OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65810 CONTAINER: RED ON ICE COLLECTION INSTRUCTION FASTING/FREEZE IMMEDIATELY ALIQUOT: FRZ-SERUM MIN ML: 0.1 MAX ML: 1.0


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NAME: C1 ESTERASE INHIBITOR ANTIGEN MNEMONIC: C1 ABBR: C1 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65802 CONTAINER: RED10 COLLECTION INSTRUCTION: FASTING PREFERRED (12 HOUR) ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: CA15-3 ANTIGEN MNEMONIC: CA153 ABBR: CA 15-3 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86300 CPT TYPE: CPT-4 CHARGE: 219.00 BILLING CD: 66090 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 0.5 NAME: CA27.29 MNEMONIC: BR27 ABBR: CA27 OTHER MNEMONIC: CA27 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86300 CPT TYPE: CPT-4 CHARGE: 219.00 BILLING CD: 65087 CONTAINER: RED10 ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: CADMIUM, BLOOD MNEMONIC: CAD ABBR: CAD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82300 CPT TYPE: CPT-4 CHARGE: 145.00 BILLING CD: 65084


34

CONTAINER: RYLBLUEDTA ALIQUOT: RYLBLUEDTA MIN ML: 1 MAX ML: 1 COMPONENTS CADB CADMIUM, BLOOD NAME: CADMIUM,24 HOUR URINE MNEMONIC: CADU ABBR: CADU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82300 CPT TYPE: CPT-4 CHARGE: 145.00 BILLING CD: 65084 CONTAINER: UR24 COLLECTION INSTRUCTION 24 HOUR COLLECTION - NO PRESERVATIVE! ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 NAME: CAFFEINE LEVEL MNEMONIC: CAF ABBR: CAF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80155 CPT TYPE: CPT-4 CHARGE: 82.00 BILLING CD: 66879 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: CALCITONIN MNEMONIC: CALT ABBR: CALT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82308 CPT TYPE: CPT-4 CHARGE: 205.00 BILLING CD: 65100 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 0.8 NAME: CALCIUM CREATININE RATIO URINE MNEMONIC: CACR ABBR: CACR RATIO UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS


35

UCREA CREATININE, URINE 82570 CPT-4 51.00 00200 STC UCCR CA/CREA RATIO URINE UCAC CALCIUM, URINE 82340 CPT-4 25.00 63640 STC NAME: CALCIUM IONIZED MNEMONIC: CALI ABBR: CALI OTHER MNEMONIC: CAI DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82330 CPT TYPE: CPT-4 CHARGE: 107.00 BILLING CD: 65959 CONTAINER: YEL-SST NAME: CALCIUM LEVEL MNEMONIC: CA ABBR: CA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82310 CPT TYPE: CPT-4 CHARGE: 36.00 BILLING CD: 00306 CONTAINER: MINT-PST NAME: CALCIUM, URINE MNEMONIC: UCAC ABBR: UCAC DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82340 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 63640 CONTAINER: STC NAME: CALCIUM, URINE 24 HOUR MNEMONIC: CA24 ABBR: CA24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82340 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 05081 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UCAC CALCIUM, URINE 82340 CPT-4 25.00 63640 STC UCAT CALCIUM, 24 HOUR URINE NAME: CALCIUM,IONIZED MNEMONIC: CAI* ABBR: CAI OTHER MNEMONIC: DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 82330 CPT TYPE: CPT-4 CHARGE: 107.00 BILLING CD: 65062 CONTAINER: YEL-SST COLLECTION INSTRUCTION FULL TUBE*CLOT 30 MINUTES*SPIN*DO NOT OPEN*REF


36

ALIQUOT: YEL-SST MIN ML: 1.75 MAX ML: 3.5 COMPONENTS ICA IONIZED CA CPT-4 ICAPH PH NAME: CALCIUM/ALBUMIN/ADJUSTED CALCI MNEMONIC: CAB ABBR: CALCIUM/ALBUMIN DEPT: CHEM SITE: ML TURN AROUND HOURS: CONTAINER: MINT-PST COMPONENTS CA CALCIUM LEVEL 82310 CPT-4 36.00 00306 MINT-PST ACAL ADJUSTED CALCIUM ALB ALBUMIN 82040 CPT-4 25.00 00319 MINT-PST NAME: CALPROTECTIN (STOOL) MNEMONIC: CALP ABBR: CALP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83993 CPT TYPE: CPT-4 CHARGE: 189.00 BILLING CD: 65821 CONTAINER: STC ALIQUOT: STOOL MIN ML: 1 MAX ML: 1 NAME: CANCER ANTIGEN 125 MNEMONIC: CA125 ABBR: CA125 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86304 CPT TYPE: CPT-4 CHARGE: 204.00 BILLING CD: 66179 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 1.0 NAME: CANDIDA ALBICANS AG DETECTION MNEMONIC: CAAG ABBR: CAAG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86403 CPT TYPE: CPT-4 CHARGE: 79.00 BILLING CD: 66023 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: CANDIDA ALBICANS IGG,IGA,IGM MNEMONIC: CAN ABBR: C. ALBICANS AB


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 1.0 COMPONENTS CANG CANDIDA IGG 86628 CPT-4 135.00 58848 CANA CANDIDA IGA 8662891 CPT-4 135.00 65556 CANM CANDIDA IGM 8662891 CPT-4 135.00 65556 NAME: CANNABINOIDS (THC), SERUM MNEMONIC: THCS ABBR: SERUM THC OTHER MNEMONIC: MARIJUANA,SERUM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 3.0 MAX ML: 10.0 COMPONENTS THC1 TETRAHYDROCANNABINOL,SERUM 82542 CPT-4 191.00 65488 THC2 CARBOXY-THC 82542 CPT-4 191.00 65488 NAME: CAPILLARY BLOOD GAS MNEMONIC: CBG ABBR: CAPILLARY BLOOD OTHER MNEMONIC: DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82803 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 63658 CONTAINER: CAPBG COMPONENTS VPH PH, VENOUS 82800 CPT-4 44.00 00331 GREEN VPCO2 VENOUS PCO2 GREEN VPO2 VENOUS PO2 VHCO3 VENOUS HCO3 VO2 VENOUS CO2 CONTENT VBE VENOUS BASE EXCESS NAME: CARBAMAZEPINE (TEGRETOL) LEVEL MNEMONIC: CARB ABBR: CARBAM OTHER MNEMONIC: TEG DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80156 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 13581 CONTAINER: RED3 NAME: CARBOHYDRATE ANTIGEN 19-9 MNEMONIC: CA19 ABBR: CA19 DEPT: LR SITE: MAYO TURN AROUND HOURS:


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CPT: 86301 CPT TYPE: CPT-4 CHARGE: 219.00 BILLING CD: 65554 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: CARBON DIOXIDE LEVEL MNEMONIC: CO2 ABBR: CO2 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82374 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 09902 CONTAINER: MINT-PST NAME: CARBOXY-THC CONFIRMATION,MEC MNEMONIC: THCFM ABBR: THCFM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 66315 CONTAINER: STOOL ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 COMPONENTS RTHC RESULT THC MEC THCIM INTERPRETATION THC MEC COCTM CHAIN OF CUSTODY THC MEC NAME: CARBOXYHEMOGLOBIN MNEMONIC: HBCO ABBR: CO OTHER MNEMONIC: CARBON MONOXIDE COHB DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82375 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 00442 CONTAINER: GREEN COLLECTION INSTRUCTION: COLLECT ON ICE NAME: CARCINOEMBRYONIC ANTIGEN MNEMONIC: CEA ABBR: CEA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82378 CPT TYPE: CPT-4 CHARGE: 162.00 BILLING CD: 19660 CONTAINER: RED3 NAME: CARNITINE MNEMONIC: CARN ABBR: CARN OTHER MNEMONIC:


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82379 CPT TYPE: CPT-4 CHARGE: 208.00 BILLING CD: 65310 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.2 MAX ML: 0.5 NAME: CAROTENE , BETA , S MNEMONIC: CAROB ABBR: CAROB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82380 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65108 CONTAINER: RED10 COLLECTION INSTRUCTION: PROTECT FROM LIGHT ALIQUOT: AMBER MIN ML: 0.3 MAX ML: 1.0 NAME: CATACHOLAMINE FRACT, FREE,U MNEMONIC: CATFUZ ABBR: CATFUZ DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82384 CPT TYPE: CPT-4 CHARGE: 194.00 BILLING CD: 65641 CONTAINER: UR24-ACE ALIQUOT: URINE MIN ML: 5.0 MAX ML: 10.0 COMPONENTS CAT CATECHOLAMINE RESULT CCD COLLECTION DURATION CATFUZ CVOL URINE VOLUME CATFUZ CNOR NOREPINEPHRINE CEP EPINEPHRINE CDOP DOPAMINE NAME: CATECHOLAMINES FRACT, PLASMA MNEMONIC: CATFU ABBR: CATFU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82384 CPT TYPE: CPT-4 CHARGE: 194.00 BILLING CD: 65728 CONTAINER: OTHER COLLECTION INSTRUCTION: SPECIAL INSTRUCTIONS: SCHEUDLE W/ MED ONC TEAM TUES-FRI *SUPINE & STANDING* ALIQUOT: FRZ-STAND MIN ML: 2.0 MAX ML: 7.0 FRZ-SUPINE 2.0 7.0 NAME: CBC MNEMONIC: CBC ABBR: CBC DEPT: HEMA SITE: ML TURN AROUND HOURS:


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CPT: 85027 CPT TYPE: CPT-4 CHARGE: 47.00 BILLING CD: 00401 CONTAINER: LAV COMPONENTS WBC WHITE BLOOD CELL COUNT CWBC CORRECTED WHITE BLOOD COUNT RBC RED BLOOD CELL COUNT HGBN HEMOGLOBIN HCTN HEMATOCRIT MCV MCV MCH MCH MCHC MCHC RDW-CV RDW-CV RDW-SD RDW-SD PLTC PLATELET COUNT SUSPECT SUSPECT FLAG DIFINIT DIFINIT FLAG ADDPLTE ADD PLATELET EXAM? ADDNRBC ADD AUTO NRBC SC SMEAR SCREEN NAME: CBC FOR DONORS NO CHARGE MNEMONIC: CBDO ABBR: CBDO DEPT: HEMA SITE: ML TURN AROUND HOURS: CONTAINER: LAV COMPONENTS WBC WHITE BLOOD CELL COUNT CWBC CORRECTED WHITE BLOOD COUNT RBC RED BLOOD CELL COUNT HGBN HEMOGLOBIN HCTN HEMATOCRIT MCV MCV MCH MCH MCHC MCHC RDW-CV RDW-CV RDW-SD RDW-SD PLTC PLATELET COUNT SUSPECT SUSPECT FLAG DIFINIT DIFINIT FLAG ADDPLTE ADD PLATELET EXAM? ADDNRBC ADD AUTO NRBC SC SMEAR SCREEN NAME: CBC W/DIFF MNEMONIC: CBCD ABBR: CBC W/DIFF DEPT: HEMA SITE: ML TURN AROUND HOURS: CONTAINER: LAV


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CBC W/DIFF COMPONENTS WBC WHITE BLOOD CELL COUNT CWBC CORRECTED WHITE BLOOD COUNT RBC RED BLOOD CELL COUNT HGBN HEMOGLOBIN HCTN HEMATOCRIT MCV MCV MCH MCH MCHC MCHC RDW-CV RDW-CV RDW-SD RDW-SD PLTC PLATELET COUNT ADIF AUTO DIFF SUSPECT SUSPECT FLAG DIFINIT DIFINIT FLAG ADDPLTE ADD PLATELET EXAM? ADDMORP ADD RBC MORPHOLOGY? ADDNRBC ADD AUTO NRBC SC SMEAR SCREEN NAME: CC/BRONCHOALVEOLAR LAVAGE MNEMONIC: CCBRON ABBR: CELL COUNT BRON OTHER MNEMONIC: BAL DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89051 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00122 CONTAINER: STC LAB NOTE: CHECK WITH ALL DEPARTMENTS. FREQUENTLY A SHARED SPECIMEN. COMPONENTS BRWBC BRONCHOALVEOLAR WBC BRNE% BRONCHOALVEOOLAR NEUTROPHIL % BRLY% BRONCHOALVEOOLAR LYMPH % BREO% BRONCHOALVEOOLAR EOS% BRMAC BRONCHOALVEOOLAR MACROPHAGES BRCOMM BRONCHOALVEOLAR COMMENT NAME: CD4 (HELPER CELLS) MNEMONIC: CD4H ABBR: CD4H DEPT: LR SITE: MAYO TURN AROUND HOURS: NAME: CD4 T-CELL COUNT MNEMONIC: CD4 ABBR: CD4 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: LAV COLLECTION INSTRUCTION: MUST ARRIVE WITHIN 48 HOURS * SEND LAV TUBE * ROOM TEMP


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ALIQUOT: LAV MIN ML: 0.2 MAX ML: 3.0 CD4 T-CELL COUNT COMPONENTS CD45 CD45 LYMPH COUNT %CD3 %CD3 (T CELLS) %CD4 %CD4 (HELPER CELLS) %CD8 %CD8 (SUPP'R CELLS) CD3 CD3 (T CELLS) 86359 CPT-4 203.00 55057 CD4H CD4 (HELPER CELLS) CD8 CD8 (SUPP'R CELLS) HS H/S RATIO 86360 CPT-4 254.00 55056 NAME: CELIAC DISEASE COMPREHENSIVE MNEMONIC: CELC ABBR: CELC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: YEL-ACDB COLLECTION INSTRUCTION: BOTH BLOOD AND SERUM REQUIRED ALIQUOT: SST MIN ML: 1.5 MAX ML: 2.0 YEL-ACDB 3.0 7.0 COMPONENTS MIGA IMMUNOGLOBULIN A (MAYO) 82784 CPT-4 97.00 65037 DQA1 DQ ALPHA 1 81376 CPT-4 749.00 66619 DQB1 DQ BETA 1 81376 CPT-4 749.00 66619 CELG CELIAC GENE PAIRS PRESENT? CELI INTERPERTATION CELC NAME: CELL CNT/DIFF,PERICARDIAL FLD MNEMONIC: CCPC ABBR: CC/DF PERICARD DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89051 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00122 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1 MAX ML: 100 COMPONENTS PCSR SOURCE, PERICARDIAL FLUID PCC COLOR, PERICARDIAL FLUID PCAPP APPEARANCE, PERICARDIAL FLUID PCWBC WBC, PERICARDIAL FLUID PCRBC RBC, PERICARDIAL FLUID PCNE% NEUTROPHILS,FLUID PCLY% LYMPHOCYTES, PERICARDIAL FLUID PCMO% MONOCYTES/MACROPH,PERICARDIA% PCEO% EOSINOPHIL, PERICARDIAL FLUID PCNE# NEUTROPHILS,PERICARDIAL# PCLY# LYMPHOCYTE,PERICARDIAL# PCMO# MONOCYTE/MACROPHA,PERICARDIAL#


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PCEO# EOSINOPHILS,PERICARDIAL# TCCF TOTAL # OF CELLS CNTED SLIDE NAME: CELL COUNT CSF - DIFF REFLEXED IF CELLS PRESENT MNEMONIC: CCCSF ABBR: CCCSF DEPT: BF SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: CSF#2 COLLECTION INSTRUCTION: ALIQUOT: CSF#1 MIN ML: 1 MAX ML: 1 COMPONENTS CSFC COLOR, CSF CSFAPP APPEARANCE, CSF CSFWBC WBC, CSF CSFRBC RBC, CSF ADDCSFDIFF ADD CSF DIFF? NAME: CELL COUNT/DIFF,PERITONEAL FLD MNEMONIC: CCPT ABBR: CC/DF PERITON OTHER MNEMONIC: DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89051 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00122 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1 MAX ML: 1 COMPONENTS PTSR SOURCE, PERITONEAL FLUID PTC COLOR, PERITONEAL FLUID PTAPP APPEARANCE, PERITONEAL FLUID PTWBC WBC, PERITONEAL FLUID PTRBC RBC, PERITONEAL FLUID PTNE% NEUTROPHIL, PERITONEAL FLUID PTLY% LYMPHOCYTE, PERITONEAL FLUID PTMO% MONOCYTE/MACROPHAGE,PERITONEAL PTEO% EOSINOPHIL, PERITONEAL FLUID PTNE# NEUTROPHIL,PERITONEAL# PTLY# LYMPHOCYTE,PERITONEAL# PTMO# MONOCYTE/MACROPHAGE,PERITONEAL PTEO# EOSINOPHIL,PERITONEAL# TCCF TOTAL # OF CELLS CNTED SLIDE NAME: CELL COUNT/DIFF,PLEURAL FLD MNEMONIC: CCPL ABBR: CC/DF PLEURAL DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89051 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00122 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1 MAX ML: 1


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CELL COUNT/DIFF,PLEAURAL FLUID COMPONENTS PLSR SOURCE, PLEURAL FLUID PLC COLOR, PLEURAL FLUID PLAPP APPEARANCE, PLEURAL FLUID PLWBC PLEURAL FLUID WBC PLRBC RBC, PLEURAL FLUID PLNE% NEUTROPHIL, PLEURAL FLUID PLLY% LYMPHOCYTES, PLEURAL FLUID PLMO% MONOCYTE/MACROPHAGE,PLEURAL% PLEO% EOSINOPHIL, PLEURAL FLUID PLNE# NEUTROPHIL,PLEURAL FLUID # PLLY# LYMPHOCYTE,PLEURAL # PLMO# MONOCYTE/MACROPHAGE,PLEURAL# PLEO# EOSINOPHIL,PLEURAL# TCCF TOTAL # OF CELLS CNTED SLIDE NAME: CELL COUNT/DIFF,SYNOVIAL FLUID MNEMONIC: CCSY ABBR: CC/DIF SYNOVIAL DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89051 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00122 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1 MAX ML: 1 CELL COUNT/DIFF,SYNOVIAL FLUID COMPONENTS SYSR SOURCE, SYNOVIAL FLUID SYC COLOR, SYNOVIAL FLUID SYAPP APPEARANCE, SYNOVIAL FLUID SYWBC WBC, SYNOVIAL FLUID SYRBC RBC, SYNOVIAL FLUID SYNE% NEUTROPHILS, SYNOVIAL FLUID SYLY% LYMPHOCYTES, SYNOVIAL FLUID SYMO% MONOCYTES/MACROPHAGES,SYN% SYEO% EOSINOPHILS,SYNOVIAL SYNE# NEUTROPHILS,SYNOVIAL SYLY# LYMPHOCYTES,SYNOVIAL SYMO# MONOCYTES/MACROPHAGES,SYN SYEO# EOSINOPHIL,SYNOVIAL TCCSY TOTAL NUMBER OF CELLS COUNTED NAME: CENTROMERE ANTIBODIES, IgG MNEMONIC: ACAB ABBR: ACAB OTHER MNEMONIC: CREST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65437 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 1.0 NAME: CERULOPLASMIN MNEMONIC: CER ABBR: CER DEPT: LR SITE: MAYO TURN AROUND HOURS:


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CPT: 82390 CPT TYPE: CPT-4 CHARGE: 84.00 BILLING CD: 65132 CONTAINER: SST10 COLLECTION INSTRUCTION FASTING PREFERRED ALIQUOT: SST MIN ML: 1 MAX ML: 1.0 NAME: CHEM 6 MNEMONIC: CHM6 ABBR: CHM6 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: MINT-PST COMPONENTS BUN BLOOD UREA NITROGEN 84520 CPT-4 21.00 00304 MINT-PST CREA CREA W/ GFR NA SODIUM 84295 CPT-4 36.00 65639 MINT-PST K POTASSIUM 84132 CPT-4 25.00 00313 MINT-PST CL CHLORIDE 82435 CPT-4 25.00 00510 MINT-PST CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 MINT-PST GAP ANION GAP NAME: CHEM 7 MNEMONIC: CHM7 ABBR: CHM7 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: MINT-PST COMPONENTS GLU GLUCOSE,RANDOM 82947 CPT-4 25.00 00703 BUN BLOOD UREA NITROGEN 84520 CPT-4 21.00 00304 CREA CREA W/ GFR NA SODIUM 84295 CPT-4 36.00 65639 K POTASSIUM 84132 CPT-4 25.00 00313 CL CHLORIDE 82435 CPT-4 25.00 00510 CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 GAP ANION GAP NAME: CHLAMYDIA SEROLOGY,SERUM MNEMONIC: CHLAB ABBR: CHLAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 1.0 CHLAMYDIA SEROLOGY COMPONENTS


46

CHPNG CHLAMYDIA PNEUMONIAE IGG 86631 CPT-4 63.00 65690 CHPNM CHLAMYDIDA PNEUMONIAE IGM 86632 CPT-4 140.00 55063 CHPSG CHLAMYDIA PSITTACI IGG 8663191 CPT-4 63.00 65706 CHPSM CHLAMYDIA PSITTACI IGM 8663291 CPT-4 140.00 65674 CHTRG CHLAMYDIA TRACHOMATIS IGG 8663191 CPT-4 63.00 65706 CHTRM CHLAMYDIA TRACHOMATIS IGM 8663291 CPT-4 140.00 65674 NAME: CHLAMYDIA TRACHOMATIS RNA MNEMONIC: CTRNA ABBR: CTRNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87491 CPT TYPE: CPT-4 CHARGE: 161.00 BILLING CD: 58561 CONTAINER: APTIMA SWAB ALIQUOT: APTIMA MIN ML: 1 MAX ML: 1 APTIMAU 2.0 20.0 COMPONENTS SCTRNA SOURCE CTRNA RCTRNA CHLAMYDIA RESULT NAME: CHLAMYDIA/NEISSERIA AMPLIF RNA MNEMONIC: CGRNA ABBR: CGRNA OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: APTIMA COLLECTION INSTRUCTION: Swab or urine ALIQUOT: APTIMA MIN ML: 1 MAX ML: 1 APTIMAU 2.0 20 COMPONENTS CTRNA CHLAMYDIA TRACHOMATIS RNA 87491 CPT-4 161.00 58561 GCRNA NEISSERIA GONORRHOEAE RNA 87591 CPT-4 161.00 59909 NAME: CHLORDIAZEPOXIDE, SERUM MNEMONIC: CHLD ABBR: CHLD OTHER MNEMONIC: LIBRIUM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 66422 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0 NAME: CHLORIDE MNEMONIC: CL ABBR: CL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82435 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00510 CONTAINER: MINT-PST


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NAME: CHLORIDE RANDOM URINE MNEMONIC: CLUR ABBR: CLUR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82436 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 65940 CONTAINER: STC ALIQUOT: URINE MIN ML: 1.0 MAX ML: 5.0 NAME: CHLORIDE, FLUID MNEMONIC: FCL ABBR: CHLORIDE, FLUID DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82438 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 63536 CONTAINER: GREEN NAME: CHLORIDE,24 HR URINE MNEMONIC: CLU ABBR: CLU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82436 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 65940 CONTAINER: UR24 ALIQUOT: URINE MIN ML: 0.25 MAX ML: 5.0 NAME: CHOLESTEROL LEVEL MNEMONIC: CHOL ABBR: CHOL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82465 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00316 CONTAINER: MINT-PST NAME: CHOLESTEROL,PERICARDIAL FLUID MNEMONIC: CHOLPC ABBR: CHOL PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82465 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00316 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: CHOLESTEROL,PERITONEAL FLUID MNEMONIC: CHOLPT ABBR: CHOL PERIT


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DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82465 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00316 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: CHOLESTEROL,PLEURAL FLUID MNEMONIC: CHOLPL ABBR: CHOL PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82465 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00316 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: CHOLESTEROL,SYNOVIAL FLUID MNEMONIC: CHOLSY ABBR: CHOL SYN DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82465 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00316 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: CHROMIUM, SERUM MNEMONIC: CHROM ABBR: CHROM OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82495 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 59764 CONTAINER: RYLBLPLAIN COLLECTION INSTRUCTION: COLLECT IN ROYAL BLUE SERUM TUBE. USE METAL FREE ALIQUOT. ALIQUOT: METAL FREE MIN ML: 1 MAX ML: 1 NAME: CHROMOGRANIN A, SERUM MNEMONIC: CHROA ABBR: CHROA OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86316 CPT TYPE: CPT-4 CHARGE: 160.00 BILLING CD: 65794 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.2 MAX ML: 0.5 NAME: CHROMOSOMAL MICROARRAY,B MNEMONIC: CMAC ABBR: CMAC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81229 CPT TYPE: CPT-4 CHARGE: 6173.00 BILLING CD: 66948


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CONTAINER: LAV COLLECTION INSTRUCTION: GREEN AND LAV NEEDED ALIQUOT: GREEN MIN ML: 3.0 MAX ML: 3.0 LAV 3.0 3.0 NAME: CHROMOSOME ADDITIONAL CELLS MNEMONIC: CHRC ABBR: CHRC OTHER MNEMONIC: 88285 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 88285 CPT TYPE: CPT-4 CHARGE: 334.00 BILLING CD: 58665 NAME: CHROMOSOME ANAL, AUTOPSY/POC MNEMONIC: CHRPC ABBR: CHRPC DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: STC ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS TC TISSUE CULTURE FOR PC 88233 CPT-4 752.00 55066 CHROS CHROMOSOME STUDY 88299 GREEN CHRPCI INTERPERTATION CHRPCI 0.00 58645 NAME: CHROMOSOME ANAL, CONGENTIAL,BL MNEMONIC: CHROCD ABBR: CHROCD OTHER MNEMONIC: KAROTYPE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: GREEN COLLECTION INSTRUCTION: ROOM TEMP ALIQUOT: GREEN MIN ML: 2.0 MAX ML: 5.0 COMPONENTS TCCH TISSUE CULTURE CHROM ANALYSIS 88230 CPT-4 639.00 58364 CACD CONGENTIAL DISORDER CHROMOSOME 88262 CPT-4 944.00 65714 CHRI INTERPRETATION 0 .00 58645 NAME: CHROMOSOME ANALYSIS 20-25 CELL MNEMONIC: CHRA20 ABBR: 88264 OTHER MNEMONIC: 88264 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 88264 CPT TYPE: CPT-4 CHARGE: 1211.00 BILLING CD: 66034


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NAME: CHROMOSOME ANALYSIS KAROTYPE LAB U SE ONLY MNEMONIC: CHRK ABBR: CHRK OTHER MNEMONIC: 88261 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 88261 CPT TYPE: CPT-4 CHARGE: 1884.00 BILLING CD: 65513 COLLECTION INSTRUCTION: DO NOT ORDER FOR KATHY'S USE ONLY!! NAME: CHROMOSOME ANALYSIS,AF MNEMONIC: CHRA ABBR: CHRA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: FLUID MIN ML: 10 MAX ML: 25 COMPONENTS CHROMA RESULT CHRA 88269 CPT-4 888.00 55073 CHRKA CHROMOSOM,ADDITIONAL KARYOTYPE 88280 CPT-4 363.00 58643 TCAF TISSUE CULTURE FOR AF 88235 CPT-4 539.00 55072 CHRAI INTERPERTATION,CHRA 0.00 58645 NAME: CHROMOSOME ANALYSIS,AF MNEMONIC: CHAF ABBR: CHAF OTHER MNEMONIC: 88269 DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 88269 CPT TYPE: CPT-4 CHARGE: 888.00 BILLING CD: 55073 NAME: CHROMOSOME BANDING MNEMONIC: CBAND ABBR: CBAND OTHER MNEMONIC: 88283 DEPT: LNP SITE: HEMA TURN AROUND HOURS: CPT: 88283 CPT TYPE: CPT-4 CHARGE: 684.00 BILLING CD: 66885 NAME: CHROMOSOME MORPHOMETERIC ANAL MNEMONIC: CMORH ABBR: CMORPH OTHER MNEMONIC: 88367 DEPT: LNP SITE: HEMA TURN AROUND HOURS: CPT: 88367 CPT TYPE: CPT-4 CHARGE: 856.00 BILLING CD: 66116


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NAME: CHYLOMICRONS MNEMONIC: CLMI ABBR: CHYLOMICRONS DEPT: SC SITE: ML TURN AROUND HOURS: CONTAINER: YEL-SST NAME: CHYMOPAPAIN,IGE MNEMONIC: CHYIGE ABBR: CHYIGE OTHER MNEMONIC: DIACTIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86003 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65892 CONTAINER: SST ALIQUOT: SST MIN ML: 1 MAX ML: 1 NAME: CITRATE EXCRETION,URINE MNEMONIC: CITU ABBR: CITRATE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82507 CPT TYPE: CPT-4 CHARGE: 188.00 BILLING CD: 19934 CONTAINER: UR24-BOR COLLECTION INSTRUCTION: 24 HR URINE ALIQUOT: URINE MIN ML: 1.0 MAX ML: 5.0 COMPONENTS CEXR CITRATE EXCRETION,24 HR UR CPT-4 CITD COLLECTION DURATION CITV URINE VOLUME CITC CITRATE CONCENTRATION NAME: CK ISOENZYME ELECTROPHORESIS MNEMONIC: ISCK ABBR: ISCK DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS CKE CK ISOENZYME ELECTROPHORESIS CKTA TOTAL CK ACTIVITY (MAYO) CKMM CK MM 82552 CPT-4 57.00 19532


52

CKMB CK MB CKBB CK BB NAME: CKMB WITH RELATIVE INDEX MNEMONIC: MBRI ABBR: CKMB WITH RELAT DEPT: CHEM SITE: ML TURN AROUND HOURS: CONTAINER: YEL-SST ALIQUOT: YEL-SST MIN ML: 1 MAX ML: 1 COMPONENTS CK CREATINE KINASE 82550 CPT-4 48.00 00325 MINT-PST CK-MB CK-MB 82553 CPT-4 66.00 09889 RED3 %NDX %CK-MB INDEX NAME: CLINITEST, URINE METHOD CODE LAB USE ONLY MNEMONIC: UCLIN ABBR: CLINITEST OTHER MNEMONIC: CLINI DEPT: UR SITE: ML TURN AROUND HOURS: NAME: CLOMIPRAMINE,SERUM MNEMONIC: CLND ABBR: CLOMIPRAMINE OTHER MNEMONIC: ANAFRAIL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66689 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 3.0 COMPONENTS CLOM CLOMIPRAMINE DCLOM DESMETHYLCLOMIPRAMINE NAME: CLONAZEPAM (KLONOPIN) MNEMONIC: CZP ABBR: CZP OTHER MNEMONIC: RIVOTRIL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65140 CONTAINER: RED ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 2.5 NAME: CLOSTRIDIUM DIFFICILE TOXIN MNEMONIC: CDFF ABBR: CDFF DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 87493 CPT TYPE: CPT-4 CHARGE: 231.00 BILLING CD: 66270


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CONTAINER: NONSTERILE CONTAINER COLLECTION INSTRUCTION: RECEIVE WITHIN 2 HOURS OF COLLECTION NAME: CLOSURE TIME MNEMONIC: CT ABBR: *CLOSURE TIME* DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85576 CPT TYPE: CHARGE: 230.00 BILLING CD: 65936 CONTAINER: BLUE COLLECTION INSTRUCTION: ROOM TEMP * DO NOT SPIN * *DO NOT USE THE VACUUM TUBE SYSTEM* NAME: CLOSURE TIME,COLLAGEN/ADP [REFLEX TEST] MNEMONIC: CADP ABBR: CADP DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 8557659 CPT TYPE: CPT-4 CHARGE: 230.00 BILLING CD: 65944 NAME: CLOZAPINE,SERUM MNEMONIC: CLOZS ABBR: CLOZS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 1.0 COMPONENTS CLON CLOZAPINE 80159 CPT-4 108.00 66887 NORC NORCLOZAPINE CLOZT COMBINED TOTAL NAME: CMV BY PCR, BODY FLUIDS MNEMONIC: CMVPCRF ABBR: CMVPCRF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87496 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 65433 CONTAINER: OTHER


54

CMV BY PCR ALIQUOT: FLUID MIN ML: 0.5 MAX ML: 0.5 NAME: CMV DNA DETECT/QUANT MNEMONIC: CMVDNA ABBR: CMVDNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87497 CPT TYPE: CPT-4 CHARGE: 449.00 BILLING CD: 65544 CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 2.5 MAX ML: 2.5 NAME: COBALT,SERUM MNEMONIC: COB ABBR: COB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83018 CPT TYPE: CPT-4 CHARGE: 237.00 BILLING CD: 55144 CONTAINER: ROYAL BLUE PLAIN COLLECTION INSTRUCTION: SEE BOOK ALIQUOT: ROYAL BLUE MIN ML: 0.5 MAX ML: 2.0 NAME: COCAINE CONFIRMATION,U MNEMONIC: COCU ABBR: COCAINE CONFIRM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82520 CPT TYPE: CPT-4 CHARGE: 237.00 BILLING CD: 65075 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS IACOC IMMUNOASSAY COCAINE GCCC GC/MS CONFIRMATION COCAINE CCN COCAINE BY GC/MS BZG BENZOYLECGONINE BY GC/MS ICOCA INTERPRETATION COCAINE COCOC CHAIN OF CUSTODY COCAINE CMCC COMMENT COCAINE NAME: COCAINE MECONIUM CONFIRMATION MNEMONIC: COKEM ABBR: COKEM OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82520 CPT TYPE: CPT-4 CHARGE: 237.00 BILLING CD: 66291 CONTAINER: STOOL ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 COMPONENTS CCAMC COCAINE MECONIUM BZCMC BENZOYLECGONINE CCHMC COCAETHYLENE HBZG M-HYDROXYEBEZOYLECGONINE COKEMI INTERPRETATION COCAINE MEC COCCCM CHAIN OF CUSTODY MEC COCAINE NAME: COCAINE, WHOLE BLOOD MNEMONIC: COC ABBR: COCAINE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66021 CONTAINER: GRAY ALIQUOT: GRAY MIN ML: 3.0 MAX ML: 7.0


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NAME: COCCIDIOIDES ANTIBODY, SERUM MNEMONIC: COCAB ABBR: COCAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86635 CPT TYPE: CPT-4 CHARGE: 126.00 BILLING CD: 65956 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.5 MAX ML: 2.0 NAME: COENZYME Q10,REDUCED AND TOTAL MNEMONIC: Q10 ABBR: Q10 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82492 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65436 CONTAINER: GRN ON ICE COLLECTION INSTRUCTION: FASTING*IMMEDIATELY PLACE SPEC IN WET ICE*PROCESS W/IN 3 HRALIQUOT: FRZ-PLASMA MIN ML: 0.3 MAX ML: 0.5

COMPONENTS CQ10R CQ10 REDUCED CQ10T CQ10 TOTAL CQ10% CQ10 %REDUCED CQ10I INTERPRETATION Q10 NAME: COLD AGGLUTININ SCREEN MNEMONIC: COG ABBR: COLD AGG SCREEN DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86156 CPT TYPE: CPT-4 CHARGE: 35.00 BILLING CD: 61304 CONTAINER: PINK COLLECTION INSTRUCTION” PLACE IN WARM SAND BOX FROM MICRO AS SOON AS COLLECTED.


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COLD AGGLUTININ SCREEN ALIQUOT: PINK MIN ML: 1 MAX ML: 1 NAME: COLLAGEN BINDING ASSAY MNEMONIC: CBA ABBR: CBA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85246 CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: COMMENT-DRUG SCREEN MNEMONIC: COM ABBR: COM DEPT: LR SITE: MAYO TURN AROUND HOURS: : NAME: COMPLEMENT C1Q COMPONENT MNEMONIC: C1Q ABBR: C1Q DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86160 CPT TYPE: CPT-4 CHARGE: 93.00 BILLING CD: 65818 CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: COMPLEMENT C2, FUNCTIONAL MNEMONIC: C2 ABBR: C2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86161 CPT TYPE: CPT-4 CHARGE: 121.00 BILLING CD: 66024 CONTAINER: RED ON ICE COLLECTION INSTRUCTION:FASTING PREFERRED ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1 NAME: COMPLEMENT C3 MNEMONIC: C3 ABBR: C3 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86160 CPT TYPE: CPT-4 CHARGE: 93.00 BILLING CD: 65068 CONTAINER: SST10


57

ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: COMPLEMENT C4 MNEMONIC: C4 ABBR: C4 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86160 CPT TYPE: CPT-4 CHARGE: 93.00 BILLING CD: 65076 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: COMPLEMENT C7 FUNCTIONAL MNEMONIC: C7 ABBR: C7 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86161 CPT TYPE: CPT-4 CHARGE: 121.00 BILLING CD: 65737 CONTAINER: RED10 COLLECTION INSTRUCTION: ON ICE/FREEZE IMMEDIATELY/FASTINGALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0

NAME: COMPLEMENT,TOTAL (CH50) MNEMONIC: CH50 ABBR: CH50 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86162 CPT TYPE: CPT-4 CHARGE: 155.00 BILLING CD: 65156 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: COMPREHENSIVE METOBOLIC PROFIL MNEMONIC: CPA ABBR: CPA OTHER MNEMONIC: CHEM20 CMP CPB DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80053 CPT TYPE: CPT-4 CHARGE: 261.00 BILLING CD: 59896 CONTAINER: MINT-PST COMPONENTS GLU GLUCOSE,RANDOM 82947 CPT-4 25.00 00703 BUN BLOOD UREA NITROGEN 84520 CPT-4 21.00 00304 CREA CREA W/ GFR NA SODIUM 84295 CPT-4 36.00 65639 K POTASSIUM 84132 CPT-4 25.00 00313 CL CHLORIDE 82435 CPT-4 25.00 00510 CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 CONTINUED


58

CA CALCIUM LEVEL 82310 CPT-4 36.00 00306 ACAL ADJUSTED CALCIUM TP TOTAL PROTEIN 84155 CPT-4 50.00 00318 ALB ALBUMIN 82040 CPT-4 25.00 00319 GLOB GLOBULIN TBIL BILIRUBIN,TOTAL 82247 CPT-4 51.00 00333 AST AST/SGOT 84450 CPT-4 29.00 00328 ALT ALT/SGPT 84460 CPT-4 29.00 00329 ALKP ALKALINE PHOSPHATASE 84075 CPT-4 39.00 00323 NAME: CONNECTIVE TISSUE DIS CASCADE MNEMONIC: CTDC ABBR: CTDC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS MANA ANA (MAYO) 86038 CPT-4 94.00 65154 CDI INTERPRETATION CDTC CCP CYCLIC CITRULLINATED PEPTID AB 86200 CPT-4 135.00 65449 SST10 NAME: CONSULT,COMPREHENSIVE MNEMONIC: PC4 ABBR: PC4 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88325 CPT TYPE: CPT-4 CHARGE: 265.00 BILLING CD: 65663 NAME: COPPER, 24 HR URINE MNEMONIC: UCOP ABBR: UCOP OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82525 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65188 CONTAINER: UR24 COLLECTION INSTRUCTION: NO PRESERVATIVE. RECORD TOTAL VOLUME. ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 NAME: COPPER,SERUM MNEMONIC: COP ABBR: COP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82525 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65180 CONTAINER: RYLBLPLAIN ALIQUOT: METAL FREE MIN ML: 0.25 MAX ML: 1.0 NAME: CORTISOL,FREE,24 HR URINE MNEMONIC: COR24 ABBR: COR24 OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82530 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65196 CONTAINER: UR24-BOR COLLECTION INSTRUCTION: ADD BORIC ACID PRIOR TO COLLECTION. RECORD TOTAL VOLUME ALIQUOT: URINE MIN ML: 3.0 MAX ML: 5.0 COMPONENTS CORR RESULT CORTISOL,U CORCD COLLECTION DURATION CORTISOL CORV URINE VOLUME CORTISOL


59

NAME: CORTISOL,FREE,S MNEMONIC: CORTF ABBR: CORTF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82530 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 66310 CONTAINER: RED ALIQUOT: SERUM MIN ML: 0.7 MAX ML: 2.0 NAME: CORTISOL,SALIVA MNEMONIC: CORS ABBR: CORS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82530 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 66029 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 0.6 MAX ML: 1 NAME: CORTISOL,SERUM MNEMONIC: CORT ABBR: CORTISOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82533 CPT TYPE: CPT-4 CHARGE: 126.00 BILLING CD: 65204 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 0.5 COMPONENTS CORTI CORTISOL,RANDOM COAM CORTISOL, AM COPM CORTISOL, PM


60

NAME: CORTROSYN STIMULATION, SERUM MNEMONIC: CORTS ABBR: CORTS OTHER MNEMONIC: ACTHSTIM DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COLLECTION INSTRUCTION: BASELINE, 30MIN POST INJECTION, 60 MIN POST COMPONENTS CORBASE CORTISOL BASELINE 82533 CPT-4 126.00 65204 BASELINE COR30 CORTISOL 30 MINUTES 82533 CPT-4 126.00 65204 30MIN SST COR60 CORTISOL 60 MINUTES 82533 CPT-4 126.00 65204 60MIN SST NAME: COXSACKIE A AB PANEL,S MNEMONIC: COXA ABBR: COXA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 COMPONENTS CXA2 COXSACKIE A AB TYPE 2 86658 CPT-4 104.00 65083 CXA4 COXSACKIE A AB TYPE 4 8665891 CPT-4 103.00 65405 CXA7 COXSACKIE A AB TYPE 7 8665891 CPT-4 103.00 65405 CXA9 COXSACKIE A AB TYPE 9 8665891 CPT-4 103.00 65405 CXA10 COXSACKIE A AB TYPE 10 8665891 CPT-4 103.00 65405 CXA16 COXSACKIE A AB TYPE 16 8665891 CPT-4 103.00 65405 NAME: COXSACKIE B AB PANEL,S MNEMONIC: COXB ABBR: COXB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 COMPONENTS CX1 COXSACKIE B AB TYPE 1 86658 CPT-4 104.00 65091 CX2 COXSACKIE B AB TYPE 2 8665891 CPT-4 103.00 65405 CX3 COXSACKIE B AB TYPE 3 8665891 CPT-4 103.00 65405 CX4 COXSACKIE B AB TYPE 4 8665891 CPT-4 103.00 65405 CX5 COXSACKIE B AB TYPE 5 8665891 CPT-4 103.00 65405 CX6 COXSACKIE B AB TYPE 6 8665891 CPT-4 103.00 65405 NAME: CPA WITH LIVER MNEMONIC: CPAL ABBR: CPA WITH LIVER OTHER MNEMONIC: CPA AND LIVER CONTINUED


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DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: MINT-PST COMPONENTS CPA COMPREHENSIVE METOBOLIC PROFIL 80053 CPT-4 261.00 59896 MINT-PST DBIL BILIRUBIN,DIRECT 82248 CPT-4 34.00 58562 MINT-PST NAME: CREA W/ GFR MNEMONIC: CREA ABBR: CREA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS CRE CREATININE 82565 CPT-4 37.00 63584 MINT-PST GFR CALCULATED GFR NAME: CREATINE KINASE MNEMONIC: CK ABBR: CK OTHER MNEMONIC: CKS DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82550 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 00325 CONTAINER: MINT-PST NAME: CREATINE KINASE ISOENZYMES MNEMONIC: CKIS ABBR: CKIS DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 COMPONENTS CKT CK TOTAL (MAYO) 82550 CPT-4 48.00 65989 CKER CK ISOENZYME ELEC NAME: CREATININE MNEMONIC: CRE ABBR: CRE DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82565 CPT TYPE: CPT-4 CHARGE: 37.00 BILLING CD: 63584 CONTAINER: MINT-PST


62

NAME: CREATININE BEDSIDE MNEMONIC: ACREN ABBR: ACREN OTHER MNEMONIC: CREGFR DEPT: NURSE SITE: ML TURN AROUND HOURS: CPT: 82565 CPT TYPE: CPT-4 CHARGE: 37.00 BILLING CD: 66354 NAME: CREATININE CLEARANCE, 24 URINE MNEMONIC: CRCL ABBR: CREAT CLEAR DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: 82575 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 00352 CONTAINER: COMPONENTS CRE CREATININE 82565 CPT-4 37.00 63584 MINT-PST URCRECL URINE CREATININNE CLEARANCE NAME: CREATININE, FLUID MNEMONIC: CRTF ABBR: CREAT FLD OTHER MNEMONIC: CREATF FCREA DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82570 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 63528 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: CREATININE, TIMED URINE MNEMONIC: UCREAT ABBR: CREA TIMED DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82570 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 00200 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UCREA CREATININE, URINE 82570 CPT-4 51.00 00200 STC UCRT CREATININE URINE TIMED NAME: CREATININE, URINE MNEMONIC: UCREA ABBR: UCREA DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82570 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 00200 CONTAINER: STC


63

NAME: CREATININE,RANDOM URINE MNEMONIC: CREU ABBR: CRE,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82570 CPT TYPE: CPT-4 CHARGE: 51.00 BILLING CD: 00200 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: CREDIT MACROSCOPIC LAB USE ONLY MNEMONIC: CRMAC ABBR: CREDIT OTHER MNEMONIC: CREDIT DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81003 CPT TYPE: CPT-4 CHARGE: -20.00 BILLING CD: 63758 NAME: CRP (INFLAMMATION) MNEMONIC: CRPI ABBR: CRPI OTHER MNEMONIC: CRP DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 86140 CPT TYPE: CPT-4 CHARGE: 30.00 BILLING CD: 63751 CONTAINER: YEL-SST NAME: CRYOGLOBULINS (SERUM & PLASMA) MNEMONIC: CRYOG ABBR: CRYOG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: SPIN LAV. PUT 2 REDS IN WATER BATH. CLOT FOR 1 HOUR. SPIN ALIQUOT: PLASMA MIN ML: 1.0 MAX ML: 1.0 SERUM 3.0 5.0 COMPONENTS CRYF CRYOFIBRINOGEN 82585 CPT-4 44.00 84648 CRYO CRYOGLOBULIN 82595 CPT-4 51.00 84792 NAME: CRYPTOCOCCAL ANTIGEN MNEMONIC: CRPA ABBR: CRPA DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86317 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 66018 CONTAINER: RED10


64

CRYPTOCOCCAL ANTIGENT ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: CRYPTOCOCCAL ANTIGEN TITER MNEMONIC: CRPAT ABBR: CRPAT DEPT: SERO SITE: ML TURN AROUND HOURS: CONTAINER: RED ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: CRYPTOSPORIDIUM ANTIGEN, FECES MNEMONIC: CRYA ABBR: CRYA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87328 CPT TYPE: CPT-4 CHARGE: 74.00 BILLING CD: 66398 CONTAINER: PPARA COLLECTION INSTRUCTION PART OF O&P WORKUP ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 NAME: CRYSTALS,SYNOVIAL FLUID MNEMONIC: CRYS ABBR: CRYS DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89060 CPT TYPE: CPT-4 CHARGE: 101.00 BILLING CD: 00089 CONTAINER: LAV NAME: CYANIDE, BLOOD MNEMONIC: CYAN ABBR: CYAN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82600 CPT TYPE: CPT-4 CHARGE: 209.00 BILLING CD: 65220 CONTAINER: LAV ALIQUOT: LAV MIN ML: 3.0 MAX ML: 3.0 NAME: CYCLIC AMP,URINARY EXCRETION MNEMONIC: CAMPU ABBR: CAMPU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82030 CPT TYPE: CPT-4 CHARGE: 201.00 BILLING CD: 65342 CONTAINER: STC COLLECTION INSTRUCTION: BOTH URINE AND SERUM REQUIRED


65

CYCLIC AMP ALIQUOT: FRZ-URINE MIN ML: 10.0 MAX ML: 13.0 SERUM 0.5 1.0 NAME: CYCLIC CITRULLINATED PEPTID AB MNEMONIC: CCP ABBR: CCP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86200 CPT TYPE: CPT-4 CHARGE: 135.00 BILLING CD: 65449 CONTAINER: SST10 ALIQUOT: TT MIN ML: 0.5 MAX ML: 1.0 NAME: CYCLOSPORINE MNEMONIC: CYLM ABBR: CYLM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80158 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65501 CONTAINER: LAV COLLECTION INSTRUCTION: SEND ONE LAV. DO NOT CENTRIFUGE. ALIQUOT: LAV MIN ML: 2.5 MAX ML: 3.0 COMPONENTS CYCLO CYCLOSPORINE CPT-4 CYDLD DATE OF LAST DOSE CYTLD TIME OF LAST DOSE CYDOSE DOSE NAME: CYSTATIN C, SERUM MNEMONIC: CYSC ABBR: CYSC OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82610 CPT TYPE: CPT-4 CHARGE: 140.00 BILLING CD: 65716 CONTAINER: SST ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 NAME: CYSTIC FIBROSIS MUTATION PANEL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81220 CPT TYPE: CPT-4 CHARGE: 5984.00 BILLING CD: 66603 CONTAINER: LAV COLLECTION INSTRUCTION: RT/SEND PT INFO SHEET/M-THUR ONLY ALIQUOT: LAV MIN ML: 2.5 MAX ML: 4.0 OTHER 1 1


66

CYSTIC FIBROSIS MUTATION PANEL COMPONENTS CFSPEC CF SPECIMEN CFSID CF SPECIMEN ID CFSO CF SOURCE CFOD CF ORDER DATE CFRR CF REASON FOR REFFERAL CFMET CF METHOD CFRESULT CF RESULT CFINTPR CF INTERPRETATION EXCF EXTRACTION PERFORMED? CFAMEN CF AMENDMENT CFREV CF REVIEWED BY CFREL CF RELEASE DATE MUTEZ MUTATION ID BY ENZYMATIC 83914 CPT-4 157.00 65643 EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 AMP12 AMPLICATION, FIRST 2 SEQU 83900 CPT-4 311.00 65667 NUC2 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC3 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC4 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC5 NUCLEIC ACID PROGE 8389691 CPT-4 30.00 65586 NUC6 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC7 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC8 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC9 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC10 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC11 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC12 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC13 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC14 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC15 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC16 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC17 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC18 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC19 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC20 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC21 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC22 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC23 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC24 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC25 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC26 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC27 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC28 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC29 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC30 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC31 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC32 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC33 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC34 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC35 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC36 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC37 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC38 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC39 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC40 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586


67

NAME: CYSTINE, 24 HR URINE, QUANT


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MNEMONIC: CYSU ABBR: CYSU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82136 CPT TYPE: CPT-4 CHARGE: 166.00 BILLING CD: 65932 CONTAINER: UR24 COLLECTION INSTRUCTION: SEND 10 ML ALIQUOT FROZEN. RECORD TOTAL VOLUME ALIQUOT: FRZ-URINE MIN ML: 1.0 MAX ML: 5.0 NAME: CYTOCHROME P450 2C19 MNEMONIC: CYP2C19 ABBR: CYP2C19 OTHER MNEMONIC: CLOPIDOGREL PLAVIX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81225 CPT TYPE: CPT-4 CHARGE: 3003.00 BILLING CD: 66627 CONTAINER: LAV ALIQUOT: LAV MIN ML: 0.3 MAX ML: 3.0 COMPONENTS 2C19I INTERPRETATION 2C19 EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 AMPL AMPLIFICATION 83901 CPT-4 149.00 59287 AMP12 AMPLICATION, FIRST 2 SEQUENCES 83900 CPT-4 311.00 65667 AMPL2 AMPLICATION 2 8390191 CPT-4 149.00 66082 AMPL3 AMPLICATION 3 8390191 CPT-4 149.00 66082 DIGES DIGESTION 83892 CPT-4 50.00 52614 ELPR ELECTROPHORESIS 83894 CPT-4 51.00 52613 SPR SEPARATION 83909 CPT-4 157.00 65796 NAME: CYTOLOGY TESTING SEND ON MANUAL REQUISITION COMPLETE ALL FIELDS ON FORM MNEMONIC: CYTO ABBR: CYTO DEPT: CY SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER NAME: CYTOMEGALOVIRUS AB, IGG MNEMONIC: CMVG ABBR: CMVG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86644 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 65067 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: CYTOMEGALOVIRUS AB, IGG & IGM MNEMONIC: CMV ABBR: CMV


69

DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 1.0 CYTOMEGALOVIRUS AB, IGG COMPONENTS CMVG CYTOMEGALOVIRUS AB, IGG 86644 CPT-4 120.00 65067 SST10 CMVM CYTOMEGALOVIRUS AB, IGM 86645 CPT-4 147.00 53415 SST10 NAME: CYTOMEGALOVIRUS AB, IGM MNEMONIC: CMVM ABBR: CMVM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86645 CPT TYPE: CPT-4 CHARGE: 147.00 BILLING CD: 53415 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: CYTOPLASMIC NEUTROPHIL AB MNEMONIC: ANCA ABBR: ANCA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86255 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 65797 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 COMPONENTS ANCAB CYTOPLASMIC NEUTROPHILIC AB C-ANCA C-ANCA P-ANCA P-ANCA NAME: DDIMER MNEMONIC: DIMER ABBR: DDIMER OTHER MNEMONIC: DEPT: COAG SITE: ML TURN AROUND HOURS: CPT: 85379 CPT TYPE: CPT-4 CHARGE: 83.00 BILLING CD: 65968 CONTAINER: BLUE NAME: DEHYDROEPIANDROSTERONE SULFATE MNEMONIC: DHEAS ABBR: DHEAS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82627 CPT TYPE: CPT-4 CHARGE: 171.00 BILLING CD: 65102 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 0.8


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NAME: DEHYDROEPIANDROSTERONE,SERUM MNEMONIC: DHEA ABBR: DHEA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82626 CPT TYPE: CPT-4 CHARGE: 194.00 BILLING CD: 65578 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1 MAX ML: 1.0 COMPONENTS DHEA1 DEHYDROEPIANDROSTERONE, SERUM DHEA2 DEHYDROEPIANDROSTERONE, SERUM NAME: DESIPRAMINE MNEMONIC: DES ABBR: DES DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80160 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 19698 CONTAINER: RED10 COLLECTION INSTRUCTION: DRAW 12 HOURS AFTER LAST DOSE ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 NAME: DEXTROMETHORPHAN MNEMONIC: DEXP ABBR: DEXP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66181 CONTAINER: GREEN ALIQUOT: PLASMA MIN ML: 0.6 MAX ML: 3.0 NAME: DIAZEPAM & NORDIAZEPAM, SERUM MNEMONIC: DIAZE ABBR: DIAZE OTHER MNEMONIC: CHLORAZEPATE TRANXENE VALIUM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65099 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0


71

DIAZEPAM & NORDIAZEPAM COMPONENTS DIA DIAZEPAM NDIA NORDIAZEPAM LEVEL NDDIA DIAZEPAM AND NORDIAZEPAM NAME: DIC PROFILE MNEMONIC: DIC ABBR: DIC DEPT: COAG SITE: ML TURN AROUND HOURS: COMPONENTS PLTC PLATELET COUNT PTO PROTHROMBIN TIME 85610 CPT-4 34.00 00419 INR INR FIB FIBRINOGEN 85384 CPT-4 75.00 00418 DIMER DDIMER 85379 CPT-4 83.00 65968 SCORE SCORE (DIC) NAME: DIGESTION MNEMONIC: DIGES ABBR: DIGES OTHER MNEMONIC: 83892 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 83892 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 52614 NAME: DIGOXIN LEVEL MNEMONIC: DGN ABBR: DIG OTHER MNEMONIC: DIG DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80162 CPT TYPE: CPT-4 CHARGE: 78.00 BILLING CD: 09520 CONTAINER: RED3 NAME: DIHYDROTESTOSTERONE, SERUM MNEMONIC: DIH ABBR: DIH OTHER MNEMONIC: DHT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82651 CPT TYPE: CPT-4 CHARGE: 277.00 BILLING CD: 65252 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 2.0 NAME: DILUTE RUSSELL VIPER VENOM MNEMONIC: DRVV ABBR: DRVV


72

DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85613 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 59436 CONTAINER: BLUE COLLECTION INSTRUCTION: BLUE ON ICE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: DIPHTHERIA AB IGG, SERUM MNEMONIC: DIPA ABBR: DIPA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86648 CPT TYPE: CPT-4 CHARGE: 203.00 BILLING CD: 84698 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: DIRECT LDL MNEMONIC: LDLM ABBR: LDLM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83701 CPT TYPE: CPT-4 CHARGE: 255.00 BILLING CD: 66646 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 3.0 COMPONENTS LDLC LDL CHOL NAME: DIRECTIGEN FOR MENINGITIS CSF MNEMONIC: DIR ABBR: BACTERIA AG CSF DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: CSF#1 ALIQUOT: CSF#1 MIN ML: 2.0 MAX ML: 2.0 COMPONENTS HNFB H.INFLUENZAE TYPE B 86403 CPT-4 79.00 65842 SPNE S.PNEUMONIAE 8640359 CPT-4 79.00 65850 STCB STREPTOCOCCUS GROUP B 8640359 CPT-4 79.00 65850 NMBEC N.MENINGITIDIS GRP B/E.COLI K1 8640359 CPT-4 79.00 65850 NMCW N.MENINGITIDIS C/W135 8640359 CPT-4 79.00 65850 NMAY N.MENINGITIDIS GRP A/Y 8640359 CPT-4 79.00 65850 NAME: DISOPYRAMIDE (NORPACE) MNEMONIC: DIS ABBR: DIS OTHER MNEMONIC: PACE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65086


73

CONTAINER FORDISOPYRAMIDE: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 NAME: DNA PROBE MNEMONIC: DNA ABBR: DNA OTHER MNEMONIC: 88271 DEPT: LR SITE: IMPATH TURN AROUND HOURS: CPT: 88271 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 65768 NAME: DNA, DOUBLE STRAND AB IGG MNEMONIC: ADNADS ABBR: ADNADS OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86225 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65004 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.35 MAX ML: 0.5 NAME: DOXEPIN AND NORDOXEPIN MNEMONIC: DOX ABBR: DOX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: REFRIGERATE AS OF 1/15/05 ALIQUOT: SERUM MIN ML: 1 MAX ML: 3.0 COMPONENTS DOXE DOXEPIN LEVEL 80166 CPT-4 128.00 65260 NDOXE NORDOXEPIN 80299 CPT-4 108.00 65473 NDOX NORDOXEPIN & DOXEPIN NAME: DRUG OF ABUSE,S (PAIN CLINIC) MNEMONIC: DRGS ABBR: DRGS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66431 CONTAINER: RED10 COLLECTION INSTRUCTION: Medtox lab code 20318 ALIQUOT: PLASMA MIN ML: 3.0 MAX ML: 7.0 SERUM 3.0 7.0 NAME: DRUG SCR VITREOUS FL, P MORTEM MNEMONIC: DRGV ABBR: DRGV DEPT: LR SITE: MEDTOX TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66865 CONTAINER: GRAY ALIQUOT: GRAY MIN ML: 5.0 MAX ML: 5.0 NAME: DRUG SCREEN FOR EMPLOYMENT (7) MNEMONIC: DRGEMP ABBR: DRGEMP DEPT: LR SITE: MEDTOX TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66410 CONTAINER: URINE ALIQUOT: URINE MIN ML: 1 MAX ML: 1 COMPONENTS EAMP AMPHETAMINES, EMPLOYMENT EBAR BARBITURATES,EMPLOYMENT CONTINUED


74

EBZ BENZODIAZEPINES,EMPLOYMENT ECOC COCAINE,EMPLOYMENT EOP OPIATES,EMPLOYMENT EPCP PHENCYCLIDINE,EMPLOYMENT ETHCU THC EMPLOYMENT EPOS ARE THERE ANY POSITIVES? NAME: DRUG SCREEN URINE MNEMONIC: DSU ABBR: DSU DEPT: TOX SITE: ML TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66314 CONTAINER: STC COMPONENTS MNEMONIC NAME TCA TRICYCLICS, URINE BARU BARBITURATES, URINE MTD METHADONE, URINE BZO BENZODIAZEPINE, URINE THCU CANNABINOIDS, URINE OPI OPIATE, URINE AMPU AMPHETAMINES, URINE COCAU COCAINE, URINE PCP2 PHENCYCLIDINE (PCP), URINE PPX PROPOXYPHENE, URINE MAMP METHAMPHETAMINES, URINE ACETU ACETAMIN/PARACETAMOL, URINE OXYD OXYCODONE BPPU BUPRENORPHINE SCREEN,U G0434 CPT-4 91.00 66957 NAME: DRUG SCREEN,PAIN CLINIC,U MNEMONIC: DRGPC ABBR: DRGPC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: STC COMPONENTS ADRGU ADULTERANTS SURVEY DRGAU DRUGS OF ABUSE, U G0431 CPT-4 477.00 66322 AO ETHANOL AOC ALCOHOL CHARGE 82055 CPT-4 109.00 65139 AM AMPHETAMINES MDMAE MDMA (ECSTASY) BA BARBITURATES BE BENZODIAZEPINES CC COCAINE (PAIN CLINIC SCREEN) MD METHADONE OP OPIATES PH PHENCYCLIDINE PR PROPOXYPHENE TH TETRAHYDROCANNABINOL CM COMMENT DRGPC NEL COCDRG CHAIN OF CUSTODY-DRUG SCREENS OPIU OPIATES,CONFIRM,U 83925 CPT-4 212.00 66370


75

NAME: DRUG SCREEN,POST MORTEM,BLOOD &URINE MNEMONIC: DRGPMBU ABBR: DRGPMBU DEPT: LR SITE: QUEST TURN AROUND HOURS: CONTAINER: STC COLLECTION INSTRUCTION: **SEND WHOLE BLOOD AND URINE** ALIQUOT: GRAY MIN ML: 50.0 MAX ML: 50.0 STC 50.0 50.0 COMPONENTS DRGPM DRUG SCREEN,POST MORTEM,BLOOD G0431 CPT-4 477.00 66298 DRGPMU DRUG SCREEN,POST MORTEM,URINE G0431 CPT-4 477.00 66306 NAME: DRUG SCREEN,POST MORTEM,BLOOD MNEMONIC: DRGPM ABBR: DRGPM DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66298 CONTAINER: GRAY COLLECTION INSTRUCTION **SEND WHOLE BLOOD**SUBMIT DRUG HISTORY AND CHAIN OF CUSTODY ALIQUOT: GRAY MIN ML: 50.0 MAX ML: 50.0 COMPONENTS CASE CASE NUMBER DRUGPM SCREEN,DRUG,BLOOD MESG MESSAGE NAME: DRUG SCREEN,POST MORTEM,URINE MNEMONIC: DRGPMU ABBR: DRGPMU DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66306 CONTAINER: STC ALIQUOT: URINE MIN ML: 50.0 MAX ML: 50.0 NAME: DRUG SCREEN,PRESCRIP/OTC,BLOOD MNEMONIC: DRGP ABBR: DRGP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66298 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 2.1 MAX ML: 5.25 NAME: DRUG SCREEN,PRESCRIP/OTC,URINE MNEMONIC: DRGOTC ABBR: DRGOTC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66306 CONTAINER: STC ALIQUOT: URINE MIN ML: 2.1 MAX ML: 30.0 COMPONENTS RDRG RESULT-DRUG SCREEN,OTC CPT-4 SDRUG SUSPECT DRUG COCDOTC COC OTC DRUG SCREEN,U NAME: DRUGS OF ABUSE SCRN,MECONIUM MNEMONIC: DRGMEC ABBR: DRGMEC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66330 CONTAINER: STC


76

ALIQUOT: STOOL MIN ML: 1 MAX ML: 5 DRUGS OF ABUSE SCREEN MECONIUM, COMPONENTS AMPM AMPHETAMINE, MECONIUM MAMPM METHAMPHETAMINE MECONIUM CCM COCAINE MECONIUM OPM OPIATES MECONIUM PCM PHENCYCLIDINE MECONIUM THCM CANNABINOIDS MECONIUM AMPMC AMPHETAMINE MECONIUM CONFIRM 82145 CPT-4 147.00 66299 CCMC COCAINE MECONIUM CONFIRMATION 82520 CPT-4 237.00 66291 OPMC* OPIATES MECONIUM CONFIRMATION 83925 CPT-4 212.00 66307 PCPMC* PHENCYCLIDINE MECONIUM CONFIRM 83992 CPT-4 144.00 66275 CCMEC CHAIN OF CUSTODY MECONIUM NAME: DRUGS OF ABUSE, U MNEMONIC: DRGAU ABBR: DRGAU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0431 CPT TYPE: CPT-4 CHARGE: 477.00 BILLING CD: 66322 CONTAINER: STC ALIQUOT: URINE MIN ML: 30 MAX ML: 30 COMPONENTS AO ETHANOL AM AMPHETAMINES MDMAE MDMA (ECSTASY) BA BARBITURATES BE BENZODIAZEPINES CC COCAINE (PAIN CLINIC SCREEN) MD METHADONE OP OPIATES PH PHENCYCLIDINE PR PROPOXYPHENE TH TETRAHYDROCANNABINOL CM COMMENT DRGPC NEL NAME: DRVV MIX MNEMONIC: DRVVMX ABBR: DRVVMX DEPT: LR SITE: ITXM TURN AROUND HOURS: NAME: E. HISTOLTICA ANTIBODY, SERUM MNEMONIC: EHAB ABBR: EHAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86753 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 65617 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.15 MAX ML: 0.5 NAME: EBNA CONTROL MNEMONIC: EBNAQC ABBR: EBNAQC DEPT: SC SITE: ML TURN AROUND HOURS: NAME: EBV (EPSTEIN BARR) AB PANEL MNEMONIC: EBV ABBR: EBV AB PROFILE OTHER MNEMONIC: DEPT: SC SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD:


77

CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 EBV AB COMPONENTS EBVG EBV VCA IGG AB,S 86665 CPT-4 123.00 66705 EBVIGM EPSEIN-BARR VIRUS IgM 86665 CPT-4 123.00 66752 EBNA EBV NUCLEAR Ag Ab 86664 CPT-4 120.00 66760 SCOREEBV SCORE EBV NAME: EBV DNA BY PCR,QUANT, BLOOD MNEMONIC: EBVQ ABBR: EBVQ DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87799 CPT TYPE: CPT-4 CHARGE: 449.00 BILLING CD: 65635 CONTAINER: LAV COLLECTION INSTRUCTION: SEND 5 ML EDTA WHOLE BLOOD REFRIG ALIQUOT: LAV MIN ML: 0.25 MAX ML: 5.0 NAME: EBV EARLY ANTIGEN ,IGG, AB,S MNEMONIC: EBVE ABBR: EBVE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86663 CPT TYPE: CPT-4 CHARGE: 102.00 BILLING CD: 65150 CONTAINER: RED10 NAME: EBV IGM CONTROL MNEMONIC: EBVMQC ABBR: EBVMQC DEPT: SC SITE: ML TURN AROUND HOURS NAME: ECHO VIRUS ANTIBODIES PANEL MNEMONIC: ECHOAB ABBR: ECHO ABS DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 COMPONENTS ECHO30 ECHO VIRUS TYPE 30 AB 86658 CPT-4 104.00 66212 ECHO4 ECHO VIRUS TYPE 4 AB 86658 CPT-4 104.00 66579 ECHO7 ECHO VIRUS TYPE 7 AB 86658 CPT-4 104.00 66587 ECHO9 ECHO VIRUS TYPE 9 AB 86658 CPT-4 104.00 66595 ECHO11 ECHO VIRUS TYPE 11 AB 86658 CPT-4 104.00 66204 NAME: EHRLICHIA ANTIBODY PANEL MNEMONIC: EHR ABBR: EHR DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 0.5 COMPONENTS HGE HUMAN GRAN EHRLICHIOSIS AB 86666 CPT-4 57.00 61432 SST10 EHRC EHRLICHIA/CHAFFEENSIS AB, IGG 86666 CPT-4 57.00 61432 SST10 NAME: EHRLICHIA/CHAFFEENSIS AB, IGG MNEMONIC: EHRC ABBR: EHRC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86666 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 61432 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.15 MAX ML: 0.5


78

NAME: ELECTROLYTES MNEMONIC: ELEC ABBR: LYTES OTHER MNEMONIC: LYTES DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80051 CPT TYPE: CPT-4 CHARGE: 89.00 BILLING CD: 59890 CONTAINER: MINT-PST COMPONENTS NA SODIUM 84295 CPT-4 36.00 65639 MINT-PST K POTASSIUM 84132 CPT-4 25.00 00313 MINT-PST CL CHLORIDE 82435 CPT-4 25.00 00510 MINT-PST CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 MINT-PST GAP ANION GAP NAME: ELECTROLYTES,QN,RANDOM,FECES MNEMONIC: LYTSF ABBR: ELEC, QN, FECES OTHER MNEMONIC: STLY DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC COLLECTION INSTRUCTION: MINIMUM OF 10g OF VERY LIQUID STOOL ALIQUOT: FREEZE MIN ML: 10.0 MAX ML: 10.0 COMPONENTS STNA SODIUM,RANDOM,FECES 84302 STK POTASSIUM,RANDOM,FECES 84999 CPT-4 315.00 65626 STCL CHLORIDE,RANDOM,FECES 82438 CPT-4 38.00 58700 STMG MAGNESIUM, FECES 83735 CPT-4 53.00 65631 STOSM OSMOLALITY, FECES 84999 CPT-4 315.00 84679 STOG OSMOTIC GAP,F STPS PHOSPHORUS,F 84100 NAME: ELECTRON MICROSCOY MNEMONIC: EM ABBR: EM OTHER MNEMONIC: 88348R DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: 88348 CPT TYPE: CPT-4 CHARGE: 704.00 BILLING CD: 84771 NAME: ELECTROPHORESIS PROT,UR,RANDOM MNEMONIC: PEU ABBR: PEU OTHER MNEMONIC: UPE DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: STC ALIQUOT: URINE MIN ML: 25 MAX ML: 50 COMPONENTS ALBUR ALBUMIN,RANDOM,U 84166 CPT-4 206.00 65707 UA1GR ALPHA-1-GLOBULIN,RANDOM,U UA2GR ALPHA-2-GLOBULIN,RANDOM,U BGUR BETA-GLOBULIN,RANDOM,U GGUR GAMMA-GLOBULINS,RANDOM,U AGRU A/G RATIO,RANDOM,U MSKUR M SPIKE MSK2UR M SPIKE 2,RANDOM,U IMPRUR IMPRESSION MPSUR TPUR TOTAL PROTEIN MPSUR 84156 CPT-4 50.00 05071


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NAME: ELECTROPHORESIS PROTEIN,CSF MNEMONIC: CSFEL ABBR: ELECTROPHOR,BF OTHER MNEMONIC: BFEL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84166 CPT TYPE: CPT-4 CHARGE: 206.00 BILLING CD: 65707 CONTAINER: FLUID COLLECTION INSTRUCTION CSF OR BODY FLUID ALIQUOT: CSF#1 MIN ML: 4.0 MAX ML: 10.0 FLUID 4.0 10.0 ELECTROPHORESIS PROTEIN,CSF COMPONENTS CSFP TOTAL PROTEIN, CSF 84157 CPT-4 50.00 00205 CSFE ELECTROPHORESIS, CSF NAME: ELECTROPHORESIS,HEMOGLOBIN MNEMONIC: HGBE ABBR: HGB ELECT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 COMPONENTS A2F HEMOGLOBIN A2 & F 83021 CPT-4 191.00 19551 ELPH HGB ELECTROPHORESIS,B 83020 CPT-4 195.00 19547 RFX2 REFLEX LEVEL 2? AGAR AGAR ELEC CONFIRMS HGBS HEMOGLOBIN S SCREEN,BLOOD 85660 CPT-4 NAME: ELECTROPHORESIS,SERUM PROTEIN MNEMONIC: SPE ABBR: SPE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: WILL REFLEX A IMMUNOFIXATION IF NEEDED. ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS TPROT** TOTAL PROTEIN (SPE) 84155 CPT-4 50.00 66071 ALBUM** ALBUMIN (SPE) A1G** ALPHA-1-GLOBULINS 84165 CPT-4 93.00 65130 A2G** ALPHA-2-GLOBULINS BG** BETA GLOBULINS GG* GAMMA GLOBULINS AG** A/G RATIO (SPE) SPEIM SPE IMPRESSION MSKS** M SPIKE SERUM MSKS2 M SPIKE 2 NAME: ELECTROPHORESIS,U PROTEIN 24HR MNEMONIC: PEU24 ABBR: URINE PROT ELEC DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: UR24 COLLECTION INSTRUCTION: ABSOLUTE MIN VOLUME 25 ML ALIQUOT: URINE MIN ML: 25.0 MAX ML: 50.0 ELECTROPHORESIS,U PROTEIN 24HR COMPONENTS UTPR PROTEIN,TOTAL,U 84156 CPT-4 50.00 05071 PEUTPU TOTAL PROTEIN URINE (PEU) CONTINUED


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ELECTROPHORESIS,U PROTEIN 24HR CONTINUED PEUD COLLECTION DURATION PEUV URINE VOLUME PEUC CONCENTRATION PEUTP TOTAL PROTEIN (PEU) 84156 CPT-4 50.00 05071 ELPU ELECTROPHORESIS, PROTEIN URINE 84166 CPT-4 206.00 65707 UPTE PROTEIN ELECTROPHORESIS,U 84166 CPT-4 206.00 65707 ALBU ALBUMIN, URINE UA1G ALPHA-1-GLOBULIN,URINE UA2G ALPHA-2-GLOBULIN BGU BETA-GLOBULIN GGU GAMMA-GLOBULINS AGR A/G RATIO MSK M SPIKE MSK2 SPIKE IMPR IMPRESSION PEU NAME: ENCAINIDE PROFILE MNEMONIC: ENC ABBR: ENCAINIDE PRF DEPT: LR SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS ENCAIN ENCAINIDE LEVEL ODE O-DEMETHYLENCANIDE LEVEL (ODE) MODE 3-METHOXY-ODE NAME: ENDOMYSIAL ANTIBODY (IGA) MNEMONIC: AEA ABBR: AEA OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86256 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 65861 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 NAME: ENTEROVIRUS RNA BY PCR MNEMONIC: EVPCR ABBR: EVPCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87498 CPT TYPE: CHARGE: BILLING CD: CONTAINER: CSF#1 ALIQUOT: CSF#1 MIN ML: 0.5 MAX ML: 1.0 OTHER 1 1 NAME: EOSINOPHIL COUNT MNEMONIC: EOSC ABBR: EOSC DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85009 CPT TYPE: CPT-4 CHARGE: 39.00 BILLING CD: 65960 CONTAINER: LAV COMPONENTS MNEMONIC NAME CPT CODE CPT TYPE CHARGE BILLING CD CONTAINER WBC WHITE BLOOD CELL COUNT EO% EOSINOPHIL % EOSA ABSOLUTE EOS (CALCULATED)


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NAME: EOSINOPHIL, URINE MNEMONIC: EOSU ABBR: EOSU DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 87205 CPT TYPE: CPT-4 CHARGE: 37.00 BILLING CD: 65952 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: EOSINOPHIL,SPUTUM MNEMONIC: EOSP ABBR: EOSP DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89190 CPT TYPE: CPT-4 CHARGE: 43.00 BILLING CD: 00440 CONTAINER: STC NAME: EPIDERMAL ANTIBODY, SERUM MNEMONIC: AEAB ABBR: AEAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86255 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 65015 CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 2.0 NAME: ERYTHROCYTE SEDIMENTATION RATE MNEMONIC: ESR ABBR: ESR OTHER MNEMONIC: DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85651 CPT TYPE: CPT-4 CHARGE: 31.00 BILLING CD: 00409 CONTAINER: LAV NAME: ERYTHROPOIETIN (EPO), SERUM MNEMONIC: ERY ABBR: ERY OTHER MNEMONIC: EPO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82668 CPT TYPE: CPT-4 CHARGE: 167.00 BILLING CD: 19541 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.6 NAME: EST/PROG RECEPTOR ASSAY, FROZ MNEMONIC: ERAPRAF ABBR: ERA PRA FROZ DEPT: LR SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS ERA ESTROGEN RECEPTOR ASSAY ERAQ ESTROGEN RECEPT QUANT PRA PROGESTERONE RECEPT ASSAY PRAQ PROGESTERONE RECEPT QUANT NAME: ESTRADIOL MNEMONIC: DIOL ABBR: DIOL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82670 CPT TYPE: CPT-4 CHARGE: 209.00 BILLING CD: 19707 CONTAINER: RED3


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NAME: ESTRIOL,UNCONJUGATED, SERUM MNEMONIC: EST ABBR: EST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82677 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 65118 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: ESTROGENS,E1+E2,FRACTIONATED MNEMONIC: ESTF ABBR: ESTF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: SERUM MUST BE SEPARATED FROM GEL WITHIN 24 HR OF COLLECTION ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 1.2 COMPONENTS ESTRA ESTRADIOL, MAYO 82670 CPT-4 209.00 66228 E1F ESTRONE, SERUM 82679 CPT-4 261.00 65534 RED10 NAME: ESTRONE, SERUM MNEMONIC: E1F ABBR: E1F DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82679 CPT TYPE: CPT-4 CHARGE: 261.00 BILLING CD: 65534 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.2 NAME: ETHOSUXIMIDE (ZARONTIN) LEVEL MNEMONIC: ETHO ABBR: ETHO OTHER MNEMONIC: ZARONTIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80168 CPT TYPE: CPT-4 CHARGE: 126.00 BILLING CD: 65268 CONTAINER: RED10 COLLECTION INSTRUCTION: REMOVE SERUM FROM CELLS WITHIN 2 HRS ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: ETHYLENE GLYCOL MNEMONIC: ETHG ABBR: ETHG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82693 CPT TYPE: CPT-4 CHARGE: 140.00 BILLING CD: 65131 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 2.0 NAME: EUGLOBIN LYSIS TIME MNEMONIC: ECL ABBR: ECL DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85360 CPT TYPE: CPT-4 CHARGE: 73.00 BILLING CD: 51371 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.5 MAX ML: 2.0 NAME: EVALUATION GLUCOSE PACKAGE LAB USE MNEMONIC: EAC ABBR: EAC DEPT: CHEM SITE: ML TURN AROUND HOURS: CONTAINER: CAPILLARY SPECIMEN CONTINUED


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EVALUATION GLUCOSE ALIQUOT: AP MIN ML: 1 MAX ML: 1 COMPONENTS EAD EVALUATION ACCUCHEK (INFANT) GLU GLUCOSE,RANDOM 82947 CPT-4 25.00 00703 MINT-PST NAME: EVEROLIMUS,B MNEMONIC: EVERO ABBR: EVERO OTHER MNEMONIC: AFINITOR ZORTRESS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80169 CPT TYPE: CPT-4 CHARGE: 80.00 BILLING CD: 66895 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 NAME: EXTRACTABLE NUCLEAR AG EVAL MNEMONIC: ENAE ABBR: ENAE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS SSA SS-A/Ro ANTIBODY 86235 CPT-4 138.00 65058 SSB SS-B/La ANTIBODY 8623591 CPT-4 138.00 65536 SM SM (SMITH) AB, IGG,SERUM 8623591 CPT-4 138.00 65645 RNP RNP AB,IGG,S 8623591 CPT-4 138.00 65012 SCL70 SCLERODERMA AB 8623591 CPT-4 138.00 65637 AJO ANTI-JO 1 86235 CPT-4 138.00 84734 NAME: FACTOR 5 MUTATION LEIDEN MNEMONIC: F5MU ABBR: F5MU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81241 CPT TYPE: CPT-4 CHARGE: 306.00 BILLING CD: 66940 CONTAINER: YEL-ACD COLLECTION INSTRUCTION: DO NOT SPIN, 72 HR STABILITY ALIQUOT: YEL-ACD MIN ML: 1 MAX ML: 1 COMPONENTS F5SPEC SPECIMEN F5SID SPECIMEN ID F5S SOURCE F5OD ORDER DATE F5RR REASON FOR REFERRAL F5M METHOD F5RS RESULT F5MU F5INTP INTERPRETATION F5 83912 CPT-4 110.00 53046 F5AMEN AMENDMENT F5RV REVIEWED BY: F5RD RELEASE DATE EXTR MOLECULAR EXTRACTION 83891 CPT-4 98.00 59285 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 MUT MUTATION SCREEN 83903 CPT-4 160.00 65720 DIGE DIGESTION 83892 CPT-4 50.00 52614 NUC2 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC3 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC4 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC5 NUCLEIC ACID PROGE 8389691 CPT-4 30.00 65586 AMFT AMLIFICATION, SIGNAL 83908 CPT-4 157.00 65788


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NAME: FACTOR 8 INHIBITOR, PLASMA MNEMONIC: F8AB ABBR: F8AB OTHER MNEMONIC: ANTI-VIII DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85335 CPT TYPE: CPT-4 CHARGE: 296.00 BILLING CD: 65430 CONTAINER: BLUE COLLECTION INSTRUCTION: DRAW 1 BLUE ON ICE. SPIN AND FREEZE PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: FACTOR II MNEMONIC: F2 ABBR: F2 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85210 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65198 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR IX MNEMONIC: F9 ABBR: F9 OTHER MNEMONIC: DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85250 CPT TYPE: CPT-4 CHARGE: 154.00 BILLING CD: 65230 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR V MNEMONIC: F5 ABBR: F5 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85220 CPT TYPE: CPT-4 CHARGE: 117.00 BILLING CD: 51359 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR VII MNEMONIC: F7 ABBR: F7 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85230 CPT TYPE: CPT-4 CHARGE: 154.00 BILLING CD: 65276 CONTAINER: BLUE COLLECTION INSTRUCTION FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR VIII:C MNEMONIC: F8 ABBR: F8 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85240 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 51361 CONTAINER: BLUE COLLECTION INSTRUCTION FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0


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NAME: FACTOR X MNEMONIC: F10 ABBR: F10 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85260 CPT TYPE: CPT-4 CHARGE: 154.00 BILLING CD: 65284 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1.0 NAME: FACTOR XI MNEMONIC: F11 ABBR: F11 OTHER MNEMONIC: DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85270 CPT TYPE: CPT-4 CHARGE: 154.00 BILLING CD: 65292 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR XII MNEMONIC: F12 ABBR: F12 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85280 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 51365 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE ASAP ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: FACTOR XIII ANTIGEN MNEMONIC: F13 ABBR: F13 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85290 CPT TYPE: CPT-4 CHARGE: 82.00 BILLING CD: 65247 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 COMPONENTS F13A SUBUNIT A F13B SUBUNIT B FXIII FACTOR XIII AG NAME: FAT, FECES, QUANT MNEMONIC: FFAT ABBR: FFAT DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 82710 CPT TYPE: CPT-4 CHARGE: 130.00 BILLING CD: 65486 CONTAINER: ST72 COLLECTION INSTRUCTION 24, 48 OR 72 HOUR COLLECTION...FROZEN ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: FAX RESULT MNEMONIC: FAX ABBR: FAX RESULT DEPT: LAB SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: INSTRUCTIONS: ADD THIS TEST WHEN PLACING ORDERS TO BE MANUALLY FAXED


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NAME: FE SAT (TRANSFERRIN SAT) MNEMONIC: ISAT ABBR: ISAT OTHER MNEMONIC: TRANSFERRIN SAT DEPT: LNP SITE: ML TURN AROUND HOURS: FE IRON (FE) 83540 CPT-4 183.00 00344 MINT-PST TIBC TOTAL IRON BINDING CAPACITY 83550 CPT-4 62.00 00177 YEL-SST IRONSAT IRON SATURATION % NAME: FEBRILE AGGLUTININS MNEMONIC: FA ABBR: FA DEPT: LR SITE: QUEST TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 2.0 COMPONENTS TYPHO SALMONELLA O,TYPE VI 86768 CPT-4 143.00 65755 TYPHHD SALMONELLA O,TYPE D 8676891 CPT-4 143.00 65763 TYPHOA SALMONELLA H,TYPE A 8676891 CPT-4 143.00 65763 TYPHHB SALMONELLA H, TYPE B 8676891 CPT-4 143.00 65763 TYPHH SALMONELLA H, TYPE d 8676891 CPT-4 143.00 65763 BRUG BRUCELLA AB SCREEN IGG 86622 CPT-4 42.00 55054 BRUM BRUCELLA AB SCREEN IGM 8662291 CPT-4 42.00 65649 NAME: FELBATOL, SERUM MNEMONIC: FELB ABBR: FELB OTHER MNEMONIC: FELBAMATE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 65432 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 NAME: FENTANYL AND METABOLITES,U MNEMONIC: FENTY ABBR: FENTY DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65837 CONTAINER: STC ALIQUOT: URINE MIN ML: 2.1 MAX ML: 3.0 COMPONENTS FENT FENTANYL NFENT NORFENTANYL INTF INTERPRETATION FENTANYL COCF CHAIN OF CUSTODY FENTANYL NAME: FERRITIN MNEMONIC: FER ABBR: FER DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82728 CPT TYPE: CPT-4 CHARGE: 101.00 BILLING CD: 19720 CONTAINER: RED3 NAME: FETAL FIBRONECTIN MNEMONIC: FFN ABBR: FFN DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 82731 CPT TYPE: CPT-4 CHARGE: 194.00 BILLING CD: 63913 CONTAINER: LABEL


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ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: FETAL LUNG MATURITY PROFILE MNEMONIC: FLM ABBR: FLM OTHER MNEMONIC: LS DEPT: LR SITE: MAGEE TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: FLUID COLLECTION INSTRUCTION: PACK ON ICE. MUST ARRIVE BEFORE 1 PM. ALIQUOT: FLUID MIN ML: 1 MAX ML: 1 COMPONENTS FLMR FLM RESULT 83664 CPT-4 126.00 66888 LBC LAMELLAR BODY COUNT 83664 CPT-4 126.00 66888 FLMP FLM PROBABILITY OF RDS LSR LECITHIN/SPHINGOMYELIN RATIO 83661 CPT-4 384.00 53947 NAME: FIBRIN DEGRATION PROD,(ITXM) MNEMONIC: FDPX ABBR: FDPX DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 85362 CPT TYPE: CPT-4 CHARGE: 61.00 BILLING CD: 51372 CONTAINER: BLUE COLLECTION INSTRUCTION SEPARATE PLASMA FROM CELLS WITHIN 1 HR OF COLLECTION-FREEZE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 1.0 NAME: FIBRINOGEN MNEMONIC: FIB ABBR: FIB DEPT: COAG SITE: ML TURN AROUND HOURS: CPT: 85384 CPT TYPE: CPT-4 CHARGE: 75.00 BILLING CD: 00418 CONTAINER: BLUE ALIQUOT: BLUE MIN ML: 1 MAX ML: 1 NAME: FIBRINOGEN ANTIGEN MNEMONIC: FBGA ABBR: FBGA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85385 CPT TYPE: CPT-4 CHARGE: 76.00 BILLING CD: 66877 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 1.0 NAME: FISH 22q11.2 DEL,VCF,DIGEORGE MNEMONIC: 22Q ABBR: 22Q DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: ALIQUOT: GREEN MIN ML: 2.0 MAX ML: 5.0 FISH 22q11.2 DEL, VCF,DIGEORGE continued COMPONENTS 22INTERP 22Q11.2 DEL INTERPRETATION 0.00 58645 DNA DNA PROBE 88271 CPT-4 129.00 65768 DNA2 DNA PROBE 2 8827191 CPT-4 122.00 65784 HYB3 HYBRIDIZATION,10-30 CELLS 88273 CPT-4 265.00 65579


88

NAME: FISH FOR TELOMERIC REGIONS MNEMONIC: FISHT ABBR: FISHT OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS FISHTI INTERPERTATION 0.00 58645 DNA DNA PROBE 88271 CPT-4 129.00 65768 DNA2 DNA PROBE 2 8827191 CPT-4 122.00 65784 HYB3 HYBRIDIZATION,10-30 CELLS 88273 CPT-4 265.00 65579 HYBC2 HYBRIDIZATION,CHROMOSOME SITU 8827391 CPT-4 265.00 65594 DNA3 DNA PROBE 3 8827191 CPT-4 122.00 65784 DNA4 DNA PROBE 4 8827191 CPT-4 122.00 65784 DNA5 DNA PROBE 5 8827191 CPT-4 122.00 65784 DNA6 DNA PROBE 6 8827191 CPT-4 122.00 65784 DNA7 DNA PROBE 7 8827191 CPT-4 122.00 65784 DNA8 DNA PROBE 8 8827191 CPT-4 122.00 65784 DNA9 DNA PROBE 9 8827191 CPT-4 122.00 65784 DNA10 DNA PROBE 10 8827191 CPT-4 122.00 65784 DNA11 DNA PROBE 11 8827191 CPT-4 122.00 65784 DNA12 DNA PROBE 12 8827191 CPT-4 122.00 65784 DNA13 DNA PROBE 13 8827191 CPT-4 122.00 65784 DNA14 DNA PROBE 14 8827191 CPT-4 122.00 65784 DNA15 DNA PROBE 15 8827191 CPT-4 122.00 65784 DNA16 DNA PROBE 16 8827191 CPT-4 122.00 65784 DNA17 DNA PROBE 17 8827191 CPT-4 122.00 65784 DNA18 DNA PROBE 18 8827191 CPT-4 122.00 65784 DNA19 DNA PROBE 19 8827191 CPT-4 122.00 65784 DNA20 DNA PROBE 20 8827191 CPT-4 122.00 65784 DNA21 DNA PROBE 21 8827191 CPT-4 122.00 65784 DNA22 DNA PROBE 22 8827191 CPT-4 122.00 65784 DNA23 DNA PROBE 23 8827191 CPT-4 122.00 65784 DNA24 DNA PROBE 24 8827191 CPT-4 122.00 65784 DNA25 DNA PROBE 25 8827191 CPT-4 122.00 65784 DNA26 DNA PROBE 26 8827191 CPT-4 122.00 65784 DNA27 DNA PROBE 27 8827191 CPT-4 122.00 65784 DNA28 DNA PROBE 28 8827191 CPT-4 122.00 65784 DNA29 DNA PROBE 29 8827191 CPT-4 122.00 65784 DNA30 DNA PROBE 30 8827191 CPT-4 122.00 65784 DNA31 DNA PROBE 31 8827191 CPT-4 122.00 65784 DNA32 DNA PROBE 32 8827191 CPT-4 122.00 65784 DNA33 DNA PROBE 33 8827191 CPT-4 122.00 65784 DNA34 DNA PROBE 34 8827191 CPT-4 122.00 65784 DNA35 DNA PROBE 35 8827191 CPT-4 122.00 65784 DNA36 DNA PROBE 36 8827191 CPT-4 122.00 65784 DNA37 DNA PROBE 37 8827191 CPT-4 122.00 65784 DNA38 DNA PROBE 38 8827191 CPT-4 122.00 65784 DNA39 DNA PROBE 39 8827191 CPT-4 122.00 65784 DNA40 DNA PROBE 40 8827191 CPT-4 122.00 65784 DNA41 DNA PROBE 41 8827191 CPT-4 122.00 65784


89

NAME: FISH PRODUCT OF CONCEPTION MNEMONIC: FISHPOC ABBR: FISHPOC DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: OTHER COMPONENTS FISHI INTERPERTATION 0.00 58645 DNA DNA PROBE 88271 CPT-4 129.00 65768 DNA2 DNA PROBE 2 8827191 CPT-4 122.00 65784 HYB5 HYBRIDIZATION, 100-300 CELLS 88275 CPT-4 416.00 65595 DNA3 DNA PROBE 3 8827191 CPT-4 122.00 65784 DNA4 DNA PROBE 4 8827191 CPT-4 122.00 65784 DNA5 DNA PROBE 5 8827191 CPT-4 122.00 65784 DNA6 DNA PROBE 6 8827191 CPT-4 122.00 65784 DNA7 DNA PROBE 7 8827191 CPT-4 122.00 65784 DNA8 DNA PROBE 8 8827191 CPT-4 122.00 65784 NAME: FK506 (TACROLIMUS) MNEMONIC: FK506 ABBR: FK506 OTHER MNEMONIC: TACROLIMUS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80197 CPT TYPE: CPT-4 CHARGE: 75.00 BILLING CD: 58472 CONTAINER: LAV COLLECTION INSTRUCTION: DO NOT CENTRIFUGE ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 COMPONENTS FKT TACROLIMUS DATEF DATE OF LAST DOSE FK506 TIMEF TIME OF LAST DOSE FK506 DOSEF DOSE,MG FK506 NAME: FLECAINIDE LEVEL MNEMONIC: FLE ABBR: FLE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65533 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0 NAME: FLOW CHARGE MNEMONIC: FLOWCG ABBR: FLOWCG OTHER MNEMONIC: 88185 DEPT: LNP SITE: HEMA TURN AROUND HOURS: CPT: 88185 CPT TYPE: CPT-4 CHARGE: 168.00 BILLING CD: 66546 NAME: FLOW CHARGE MNEMONIC: FLOW1 ABBR: FLOW1 OTHER MNEMONIC: 88184 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 88184 CPT TYPE: CPT-4 CHARGE: 341.00 BILLING CD: 65546 NAME: FLUCYTOSINE, SERUM MNEMONIC: FLUC ABBR: FLUC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 19604 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.3 MAX ML: 1.0


90

NAME: FLUID MISC. MNEMONIC: FLD MISC ABBR: FLUID MISC. DEPT: CHEM SITE: ML TURN AROUND HOURS: NAME: FLUORESCENT TREPONEMAL AB MNEMONIC: FTA ABBR: FTA OTHER MNEMONIC: DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86780 CPT TYPE: CPT-4 CHARGE: 69.00 BILLING CD: 65962 CONTAINER: RED3 ALIQUOT: RED3 MIN ML: 0.2 MAX ML: 1.0 NAME: FLUORIDE, PLASMA MNEMONIC: FLUOR ABBR: FLUOR OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82735 CPT TYPE: CPT-4 CHARGE: 155.00 BILLING CD: 19722 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1.2 MAX ML: 3.0 NAME: FLUOXETINE (PROZAC) LEVEL MNEMONIC: FLUO ABBR: FLUO OTHER MNEMONIC: PROZ DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65322 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0

COMPONENTS NORFLU NORFLUOXETINE FNF FLUOXETINE & NORFLUOXETINE NAME: FLUPHENAZINE LEVEL MNEMONIC: FLUP ABBR: FLUP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65709 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 3.0 NAME: FLURAZEPAM/DESALKYLFLURAZEPAM MNEMONIC: FL ABBR: FL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82742 CPT TYPE: CPT-4 CHARGE: 158.00 BILLING CD: 65236 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.3 MAX ML: 2.0 COMPONENTS FLUR FLURAZEPAM DESAL DESALKYFLURAZEPAM LEVEL FLDE FLURAZEPAM/DESALYFLURAZEPAM NAME: FOLATE MNEMONIC: FOL ABBR: FOL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82746 CPT TYPE: CPT-4 CHARGE: 81.00 BILLING CD: 09539 CONTAINER: RED3


91

NAME: FOLLICLE STIMULATING HORMONE MNEMONIC: FSH ABBR: FSH OTHER MNEMONIC: IFSH DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83001 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 19727 CONTAINER: RED3 NAME: FOOD ALLERGY PROFILE MNEMONIC: IMMUNOCAP3 ABBR: IMMCAP3 DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 2.0 MAX ML: 5.0 COMPONENTS FO1 EGG WHITE IGE 86003 CPT-4 59.00 65691 FO1C CLASS F1 FO2 MILK IGE 86003 CPT-4 59.00 65691 FO2C CLASS F2 FO3 CODFISH IGE 86003 CPT-4 59.00 65691 FO3C CLASS F3 FO4 WHEAT F4 86003 CPT-4 59.00 65691


92

FOOD ALLERGY PROFILE continued FO4C CLASS F4 FO8 CORN IGE 86003 CPT-4 59.00 65691 FO8C CLASS F8 FO10 SESAME SEED IGE 86003 CPT-4 59.00 65691 FO10C CLASS F10 FO13 PEANUT IGE 86003 CPT-4 59.00 65691 FO13C CLASS F13 FO14 SOYBEAN IGE 86003 CPT-4 59.00 65691 FO14C CLASS F14 FO24 SHRIMP IGE 86003 CPT-4 59.00 65691 FO24C CLASS F24 FO207 CLAM IGE 86003 CPT-4 59.00 65691 FO207C CLASS F207 FO256 WALNUT IGE 86003 CPT-4 59.00 65691 FO256C CLASS F256 FO338 SCALLOP IGE 86003 CPT-4 59.00 65691 FO338C CLASS F338 IGEQ IGE,SERUM (QUEST) 82785 CPT-4 128.00 65045 ALLERGEN ALLERGEN 86003 CPT-4 59.00 65691 ALLERGEN10 ALLERGEN X 10 0.00 66490 NAME: FRAGILE X, MOLECULAR ANALYSIS MNEMONIC: FXMA ABBR: FXMA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81243 CPT TYPE: CPT-4 CHARGE: 1167.00 BILLING CD: 66635 CONTAINER: YEL-ACDB COLLECTION INSTRUCTION: ROOM TEMP ALIQUOT: LAV MIN ML: 1 MAX ML: 1 OTHER 1 1 COMPONENTS FXMAI INTERPRETATION AND REPORT ELP ELECTROPHORESIS 83894 CPT-4 51.00 52613 INTPR INTERPRETATION AND REPORT FXMA EXTR MOLECULAR EXTRACTION 83891 CPT-4 98.00 59285 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 AMP AMPLIFICATION 83898 CPT-4 212.00 65588 DIGES DIGESTION 83892 CPT-4 50.00 52614 ELP2 ELECTROPHORESIS 2 83894 CPT-4 51.00 52613 NUCT NUCLEIC ACID TRANSFER 83897 CPT-4 99.00 59286 NAME: FRANCISELLA TULARENSIS AB MNEMONIC: TULT ABBR: TULT DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86000 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 65548 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: FREE LIGHT CHAINS,SERUM MNEMONIC: KLCH ABBR: KLC DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 KAPPA KAPPA-FREE LIGHT CHAIN 83883 CPT-4 107.00 65715 LAMBDA LAMBDA-FREE LIGHT CHAIN 8388359 CPT-4 107.00 65996 KLR KAPPA/LAMBDA FLC RATIO


93

NAME: FREE PSA (TOTAL AND FREE) MNEMONIC: FPSA ABBR: FPSA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE WITHIN 3 HOURS ALIQUOT: FRZ-SERUM MIN ML: 1 MAX ML: 1 COMPONENTS FRPSA FREE PSA 84154 CPT-4 194.00 65111 TPSA TOTAL PSA (MAYO) 84153 CPT-4 142.00 65127 RPSA FREE PSA/PSA RATIO NAME: FREE THYROXINE MNEMONIC: FT4 ABBR: FT4 OTHER MNEMONIC: T4FR DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84439 CPT TYPE: CPT-4 CHARGE: 96.00 BILLING CD: 19726 CONTAINER: RED3 NAME: FRUCTOSAMINE, SERUM MNEMONIC: FRUC ABBR: FRUC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82985 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 65207 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: FUNGAL ID MNEMONIC: FID ABBR: FID DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87106 CPT TYPE: CPT-4 CHARGE: 93.00 BILLING CD: 00261 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS FIDR FUNGAL RESULT SOURCEFID SOURCE FIDSI SPECIAL INFORMATION FIDRS REPORT STATUS NAME: FUNGAL IDENT PANEL B MNEMONIC: FUNB ABBR: FUNB OTHER MNEMONIC: 87107 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87107 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 66697 NAME: FUNGITELL FOR (1,3)B-D GLUCANS MNEMONIC: FFUNG ABBR: FFUNG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87449 CPT TYPE: CPT-4 CHARGE: 110.00 BILLING CD: 65623 CONTAINER: SST COLLECTION INSTRUCTION SPIN WITHIN 2 HOURS ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 0.5


94

NAME: GABAPENTIN LEVEL MNEMONIC: GAB ABBR: GAB OTHER MNEMONIC: NEURONTIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80171 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 66903 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 0.5 NAME: GALAC-1-PHOS URIDYLTRANSFERASE MNEMONIC: GALT ABBR: GALT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82775 CPT TYPE: CPT-4 CHARGE: 31.00 BILLING CD: 65683 CONTAINER: LAV COLLECTION INSTRUCTION: SEND WHOLE BLOOD REFRIG ALIQUOT: LAV MIN ML: 2.0 MAX ML: 5.0 NAME: GALACTOSE,QN,PLASMA MNEMONIC: GALP ABBR: GALP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82760 CPT TYPE: CPT-4 CHARGE: 121.00 BILLING CD: 65745 CONTAINER: GREEN ALIQUOT: FRZ-PLASMA MIN ML: 0.2 MAX ML: 0.5 NAME: GAMMA GLUTAMYL TRANSPEPTIDASE MNEMONIC: GGT ABBR: GGT DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82977 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 09818 CONTAINER: MINT-PST NAME: GANGLIOSIDE ANTIBODY PANEL MNEMONIC: GANG ABBR: GANGLIOSIDE ABS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 COMPONENTS GMGM1 IGG MONOSIALO GM1 83520 CPT-4 103.00 65711 MMGM1 IGM MONOSIALO GM1 8352059 CPT-4 94.00 65719 GAGM1 IGG ASIALO GM1 8352059 CPT-4 94.00 65719 MAGM1 IGM ASIALO GM1 8352059 CPT-4 94.00 65719 GDGD1B IGG DISIALO GD1B 8352059 CPT-4 94.00 65719 MDGD1B IGM DISIALO GD1B 8352059 CPT-4 94.00 65719 CGANG COMMENT GANG NAME: GASTRIN MNEMONIC: GAS ABBR: GAS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82941 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 65324 CONTAINER: SST10 COLLECTION INSTRUCTION 8 HR FAST ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0


95

NAME: GC SOURCE MNEMONIC: GCS ABBR: GCS NAME: GENTAMICIN LEVEL PEAK MNEMONIC: GENP ABBR: GENP DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80170 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 41984 CONTAINER: RED3 NAME: GENTAMICIN LEVEL TROUGH MNEMONIC: GENT ABBR: GENT DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80170 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 41983 CONTAINER: RED3 NAME: GENTAMICIN RANDOM MNEMONIC: GENR ABBR: GENR OTHER MNEMONIC: GENL DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80170 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 41983 CONTAINER: RED3 NAME: GIARDIA LAMBLIA AB PANEL,IFA MNEMONIC: GLAB ABBR: GLAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 2.0 COMPONENTS GLG GIARDIA LAMBLIA IgG 86674 CPT-4 113.00 66389 GLM GIARDIA LAMBLIA IgM 86674 CPT-4 113.00 66397 GLA GIARDIA LAMBLIA IGA 86674 CPT-4 113.00 66381 GLABI INTERPRETATION GLAB NAME: GLIADIN ANTIBODIES, IgG & IgA MNEMONIC: GLIADABS ABBR: GLIADIN AB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 COMPONENTS GLIADG ANTI-GLIADIN IGG ANTIBODY 83516 CPT-4 124.00 66342 SST10 GLIADA ANTI-GLIADIN IGA ANTIBODY 83516 CPT-4 124.00 65416 SST10 NAME: GLUCAGON LEVEL, PLASMA MNEMONIC: GLUC ABBR: GLUC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82943 CPT TYPE: CPT-4 CHARGE: 154.00 BILLING CD: 65332 CONTAINER: LAV ON ICE COLLECTION INSTRUCTION: FASTING ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 2.0


96

NAME: GLUCOSE BEDSIDE MNEMONIC: GLUB ABBR: GLUB OTHER MNEMONIC: ACCUCHEK GLUCOMETER DEPT: PHLB SITE: ML TURN AROUND HOURS: CPT: 82948 CPT TYPE: CPT-4 CHARGE: 33.00 BILLING CD: 66296 CONTAINER: STRIP NAME: GLUCOSE PHOSPATE ISOMERASE,B MNEMONIC: GPI ABBR: GPI DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84087 CPT TYPE: CPT-4 CHARGE: 56.00 BILLING CD: 53807 CONTAINER: YEL-ACDB ALIQUOT: YEL-ACDB MIN ML: 6.0 MAX ML: 6.0 NAME: GLUCOSE URINE TIMED MNEMONIC: TUGLU ABBR: GLU TIMED DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: UR24 HOUR CONTAINER ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UGLUC URINE GLUCOSE 82945 CPT-4 32.00 63520 UGLUT URINE GLUCOSE TIMED NAME: GLUCOSE,2HR PP MNEMONIC: GLU2PP ABBR: GLU2P DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 82947 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00703 CONTAINER: YEL-SST NAME: GLUCOSE,CSF MNEMONIC: CGLU ABBR: CGLU OTHER MNEMONIC: CSFG GLUCSF DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: CSF#1 ALIQUOT: CSF#1 MIN ML: 1 MAX ML: 1 NAME: GLUCOSE,PERICARDIAL FLUID MNEMONIC: GLUPC ABBR: GLUPC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: GLUCOSE,PERITONEAL FLUID MNEMONIC: GLUPT ABBR: GLU PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1


97

NAME: GLUCOSE,PLEURAL FLUID MNEMONIC: GLUPL ABBR: GLUPL DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: GLUCOSE,RANDOM MNEMONIC: GLU ABBR: GLU DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82947 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00703 CONTAINER: MINT-PST NAME: GLUCOSE,RANDOM URINE MNEMONIC: GLUU ABBR: GLU,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: GLUCOSE,RANDOM-STAT MNEMONIC: GLUS ABBR: GLUS DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82947 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00703 CONTAINER: MINT-PST NAME: GLUCOSE,SYNOVIAL FLUID MNEMONIC: GLUSY ABBR: GLUSY DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: GLUCOSE-6-PHOS DEHYDROGENASE MNEMONIC: G6PD ABBR: G6PD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82955 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 65316 CONTAINER: YEL-ACDB COLLECTION INSTRUCTION WHOLE BLOOD..DO NOT SPIN ALIQUOT: YEL-ACDB MIN ML: 4.0 MAX ML: 4.0 NAME: GLUTAMIC ACID DECARBOXYLASE MNEMONIC: GAD65 ABBR: GAD65 OTHER MNEMONIC: ANTI-GAD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86341 CPT TYPE: CPT-4 CHARGE: 214.00 BILLING CD: 65648 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 1.0


98

NAME: GONADOTROPIN RELEASING HORMONE MNEMONIC: GNRH ABBR: GNRH OTHER MNEMONIC: LHRH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83727 CPT TYPE: CPT-4 CHARGE: 518.00 BILLING CD: 51390 CONTAINER: RED10 COLLECTION INSTRUCTION SEPARATE SERUM FROM CELLS IMMEDIATELY ALIQUOT: FRZ-SERUM MIN ML: 3.0 MAX ML: 3.0 NAME: GQ1B IGG ANTIBODY MNEMONIC: GQ1B ABBR: GQ1B DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65577 CONTAINER: RED10 COLLECTION INSTRUCTION: OVERNIGHT FASTING PREFERED ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: GROSS & MICRO EXAM LEVEL 4 MNEMONIC: GRM ABBR: GRM OTHER MNEMONIC: 88305R DEPT: LNP SITE: UPMC-HISTO TURN AROUND HOURS: CPT: 88305 CPT TYPE: CPT-4 CHARGE: 298.00 BILLING CD: 66251 NAME: GTT1 OB 50 GRAMS GLUCOLA MNEMONIC: OB50 ABBR: OB50 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82950 CPT TYPE: CPT-4 CHARGE: 56.00 BILLING CD: 65986 NAME: GTT2 NON-OB 75 GRAMS GLUCOLA MNEMONIC: GTT2 ABBR: GTT2 OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST NAME: GTT3 NON-OB 75 GRAMS GLUCOLA MNEMONIC: GTT3 ABBR: GTT3 OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST NAME: GTT3 OB 100 GRAMS GLUCOLA MNEMONIC: OB100 ABBR: GTT3 OB 100 GRA OTHER MNEMONIC: 0100 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST NAME: GTT4 NON-OB 75 GRAMS GLUCOLA MNEMONIC: GTT4 ABBR: GTT4 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST


99

NAME: GTT5 NON-OB 75 GRAMS GLUCOLA MNEMONIC: GTT5 ABBR: GTT5 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST NAME: GTT6 NON-OB 75 GRAMS GLUCOLA MNEMONIC: GTT6 ABBR: GTT6 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 82951 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 09832 CONTAINER: YEL-SST NAME: H. PYLORI AB IGG MNEMONIC: HPYG ABBR: HPYG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86677 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65553 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 COMPONENTS HPG H.PYLORI AB IGG,S HPGI INDEX VALUE H IGG NAME: H. PYLORI AB IGG,IGA,&IGM MNEMONIC: HPGAM ABBR: HPGAM OTHER MNEMONIC: HPYGAM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.6 MAX ML: 0.6 COMPONENTS HPYG H. PYLORI AB IGG 86677 CPT-4 115.00 65553 SST10 HPG H.PYLORI AB IGG,S HPYA H.PYLORI AB,IGA,S 86677 CPT-4 115.00 65529 SST10 HPA H.PYLORI AB IGA HPYM H.PYLORI AB,IGM,S 86677 CPT-4 115.00 65031 SST10 HPGM H.PYLORI AB IGM NAME: H.PYLORI AB,IGA,S MNEMONIC: HPYA ABBR: HPYA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86677 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65529 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.6 COMPONENTS HPA H.PYLORI AB IGA HPAI INDEX VALUE H.PYLORI IGA NAME: H.PYLORI AB,IGM,S MNEMONIC: HPYM ABBR: HPYM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86677 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65031 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.6


100

.CONTINUED H. PYLORI AB,IGM,SCOMPONENTS HPGM H.PYLORI AB IGM HPMI INDEX VALUE H.PYLORI IGM NAME: HAEMOPHILUS INFLUENZAE B IgG MNEMONIC: HIB ABBR: HIB DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86684 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 84703 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5 NAME: HALOPERIDOL (HALDOL) LEVEL MNEMONIC: HAL ABBR: HAL DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 COMPONENTS HALO HALOPERIDOL 80173 CPT-4 154.00 65459 HALR REDUCED HALOPERIDOL NAME: HANTAVIRUS ANTIBODIES MNEMONIC: HANTA ABBR: HANTA DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 1.0 COMPONENTS HANTAG HANTA VIRUS IGG 86790 CPT-4 139.00 65441 HANTAM HANTA ANTIBODY,IGM 86790 CPT-4 139.00 65869 NAME: HAPTOGLOBIN MNEMONIC: HAP ABBR: HAP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83010 CPT TYPE: CPT-4 CHARGE: 98.00 BILLING CD: 65146 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: HCG,TUMOR MARKER MNEMONIC: HCGT ABBR: HCGT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84704 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 65421 CONTAINER: RED10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 NAME: HCT MNEMONIC: HCT ABBR: HCT DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85014 CPT TYPE: CPT-4 CHARGE: 21.00 BILLING CD: 53413 CONTAINER: LAV NAME: HCV GENOSURE NS3/4A MNEMONIC: HCNS3 ABBR: HCNS3 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87902 CPT TYPE: CPT-4 CHARGE: 1341.00 BILLING CD: 61439


101

HCV GENOSURE NS3/4A CONTINUED CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 0.6 MAX ML: 3.0 COMPONENTS: NS3 NS3/4A NAME: HDL CHOLESTEROL MNEMONIC: HDL ABBR: HDL OTHER MNEMONIC: HDLC DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83718 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 09934 CONTAINER: MINT-PST NAME: HEAVY METALS SCREEN,BLOOD MNEMONIC: HEVY ABBR: HEVY DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: ROYAL BLUE EDTA ALIQUOT: RYLBLUEDTA MIN ML: 0.25 MAX ML: 5.0 COMPONENTS ASBLD ARSENIC, BLOOD 82175 CPT-4 216.00 65242 MERC MERCURY, BLOOD 83825 CPT-4 136.00 65557 LEADH LEAD, HEAVY METAL SCREEN 83655 CPT-4 94.00 65101 CADB CADMIUM, BLOOD NAME: HEAVY METALS, 24 HR URINE MNEMONIC: HEVYU ABBR: HEVYU DEPT: LR SITE: MAYO TURN AROUND HOURS: : CONTAINER: UR24 CONTAINER COLLECTION INSTRUCTION: NO PRESERVATIVE,NO SEAFOOD 48 HRS PRIOR TO COLL,REF W/IN 4HR ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 COMPONENTS HEVD DURATION HEVV TOTAL VOLUME ARSU ARSENIC, 24 HOUR URINE 82175 CPT-4 216.00 65028 UR24 LEADU LEAD,24 HR URINE 83655 CPT-4 94.00 19776 UR24 CADU CADMIUM,24 HOUR URINE 82300 CPT-4 145.00 65084 UR24 MERCU MERCURY, 24 HR URINE 83825 CPT-4 136.00 19789 UR24 NAME: HELICOBACT PYLORI BREATH TEST MNEMONIC: HPBT ABBR: HPBT : DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83013 CPT TYPE: CPT-4 CHARGE: 460.00 BILLING CD: 66369 CONTAINER: OTHER COLLECTION INSTRUCTION: MUST ORDER SPECIAL KIT IN ADVANCE ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 NAME: HELICOBACTOR PYLORI AG, FECES MNEMONIC: HPAG ABBR: H PYLORI AG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87338 CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC ALIQUOT: FREEZE MIN ML: 5 MAX ML: 5


102

NAME: HEMOCHROMATOSIS,HEREDITARY MNEMONIC: HHGA ABBR: HHGA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81256 CPT TYPE: CPT-4 CHARGE: 908.00 BILLING CD: 66643 CONTAINER: LAV COLLECTION INSTRUCTION: ROOM TEMP ALIQUOT: LAV MIN ML: 2.5 MAX ML: 4.0 COMPONENTS HHGAI INTERPRETATION AND REPORT EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 AMP AMPLIFICATION 83898 CPT-4 212.00 65588 AMP2 AMPLIFICATION 2 83898 CPT-4 212.00 65588 NAME: HEMOGLOBIN MNEMONIC: HGB ABBR: HGB DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85018 CPT TYPE: CPT-4 CHARGE: 28.00 BILLING CD: 61308 CONTAINER: LAV NAME: HEMOGLOBIN A2 & F MNEMONIC: A2F ABBR: HGB A2 & F DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83021 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 19551 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 COMPONENTS HBA2 HB A2 HBF HB F NAME: HEMOGLOBIN F, BLOOD MNEMONIC: FHGB ABBR: FETAL HGB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83021 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 19551 CONTAINER: LAV COLLECTION INSTRUCTION: SEND LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 NAME: HEMOGLOBIN S SCREEN,BLOOD MNEMONIC: HGBS ABBR: HGB S OTHER MNEMONIC: SDEX SICKLE CELL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85660 CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: LAV COLLECTION INSTRUCTION SEND WHOLE BLOOD ALIQUOT: LAV MIN ML: 0.5 MAX ML: 1.0 NAME: HEMOSIDERIN, RANDOM URINE MNEMONIC: HEMO ABBR: HEMO : DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83070 CPT TYPE: CPT-4 CHARGE: 54.00 BILLING CD: 65380 CONTAINER: STC COLLECTION INSTRUCTION: NO PRESERVATIVE. ALIQUOT: URINE MIN ML: 13.0 MAX ML: 13.0


103

NAME: HEP B S AG CONFIRM TO MAYO MNEMONIC: HBSAGMAYO ABBR: HBSAGMAYO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: PLASMA IS AN UNACCEPTABLE SPECIMEN ALIQUOT: FRZ-SERUM MIN ML: 1 MAX ML: 1 NAME: HEPARIN COFACTOR II MNEMONIC: HF2 ABBR: HF2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85130 CPT TYPE: CPT-4 CHARGE: 128.00 BILLING CD: 65724 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 0.5 MAX ML: 1.0 NAME: HEPARIN LEVEL/ANTI-Xa MNEMONIC: HAXA ABBR: HAXA OTHER MNEMONIC: LMW HEPARIN DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85520 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65399 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 COMPONENTS HLMW LMW HEPARIN LEVEL HTYPE TYPE OF HEPARIN HUNF UNF HEPARIN LEVEL HORG ORGARAN LEVEL


104

NAME: HEPARIN PF4 PLATELET AB MNEMONIC: HPAB ABBR: HPAB DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 86022 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 55098 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 COMPONENTS PF4 HEPARIN PF4 PLATELET AB PF4ABS PF4 ABSORBANCE NAME: HEPARIN PLATELET AB PANEL MNEMONIC: HIT ABBR: HIT DEPT: LR SITE: ITXM TURN AROUND HOURS: CONTAINER: BLUE COLLECTION INSTRUCTION FZN PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 COMPONENTS HPAB HEPARIN PF4 PLATELET AB 86022 CPT-4 63.00 55098 BLUE HPLTAGG HEPARIN-INDUCED PLT AB (AGG) 86022 CPT-4 63.00 53538 BLUE NAME: HEPARIN-INDUCED PLT AB (AGG) MNEMONIC: HPLTAGG ABBR: HPLTAGG DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 86022 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 53538 CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: HEPATITIS A AB IGM MNEMONIC: HAVM ABBR: HAVM OTHER MNEMONIC: HAAM DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 86709 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 58639 CONTAINER: SST10 NAME: HEPATITIS A ANTIBODY IGM MNEMONIC: HAABM ABBR: HAABM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86709 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 58639 CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE NAME: HEPATITIS A TOTAL AB, W/REFLEX MNEMONIC: HAV ABBR: HAV OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86708 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 19638 CONTAINER: SST10 COLLECTION INSTRUCTION/REFLEX TEST IF POSITIVE WILL REFLEX IGM ALIQUOT: FRZ-SERUM MIN ML: 0.3 MAX ML: 2.0


105

NAME: HEPATITIS B CORE IGM AB MNEMONIC: HBBC ABBR: HBcM OTHER MNEMONIC: HBCM DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 86705 CPT TYPE: CPT-4 CHARGE: 121.00 BILLING CD: 65695 CONTAINER: SST10 NAME: HEPATITIS B CORE TOTAL AB,S MNEMONIC: HBC ABBR: HBC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86704 CPT TYPE: CPT-4 CHARGE: 123.00 BILLING CD: 65186 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: HEPATITIS B SURFACE AG,CONFIRM MNEMONIC: HBSAGC ABBR: HBSAGC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87341 CPT TYPE: CPT-4 CHARGE: 360.00 BILLING CD: 65618 COLLECTION INSTRUCTION: ORDERED ONLY WHEN MAYO REFLEXES NAME: HEPATITIS B SURFACE ANTIBODY MNEMONIC: HBSAB ABBR: aHBs OTHER MNEMONIC: HBAB DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COMPONENTS HBABQL HEPATITIS B SURFACE AB, QUAL HBABQN HEPATITIS B SURFACE AB QUANT 86317 CPT-4 116.00 65703 SST10 NAME: HEPATITIS B SURFACE ANTIGEN MNEMONIC: HBSAG ABBR: HBsAG OTHER MNEMONIC: HBAG DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 87340 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65687 CONTAINER: SST10 NAME: HEPATITIS BE ANTIBODY MNEMONIC: HBEAB ABBR: HBEAB OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86707 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 65172 CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: HEPATITIS BE ANTIGEN MNEMONIC: HBEAG ABBR: HBEAG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87350 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 65164 CONTAINER: SST10 COLLECTION INSTRUCTION: SPIN AND REMOVE FROM CLOT IMMEDIATELY ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0


106

NAME: HEPATITIS BE ANTIGEN/ANTIBODY MNEMONIC: HBEP ABBR: HBEP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 HEPATITIS BE ANTIGEN/ANTIBODY COMPONENTS HBEAG HEPATITIS BE ANTIGEN 87350 CPT-4 119.00 65164 SST10 HBEAB HEPATITIS BE ANTIBODY 86707 CPT-4 119.00 65172 SST10 NAME: HEPATITIS BS AG,CADAVER MNEMONIC: HBSAGCAD ABBR: HBSAGCAD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87340 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 09830 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 1.5 MAX ML: 2.0 NAME: HEPATITIS C AB, CADAVERIC MNEMONIC: HCVCAD ABBR: HCVCAD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86803 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 65290 CONTAINER: SST10 ALIQUOT: FREEZE MIN ML: 0.5 MAX ML: 1.25 NAME: HEPATITIS C ANTIBODY MNEMONIC: HCV ABBR: aHCV OTHER MNEMONIC: HCAB DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 86803 CPT TYPE: CPT-4 CHARGE: 137.00 BILLING CD: 65679 CONTAINER: SST10 NAME: HEPATITIS C GENOTYPE MNEMONIC: HCVGT ABBR: HCVGT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87902 CPT TYPE: CPT-4 CHARGE: 1341.00 BILLING CD: 61439 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 2.0 NAME: HEPATITIS C RNA RT-PCR, QUANT. MNEMONIC: HCPCR ABBR: HCPCR OTHER MNEMONIC: HCVRNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87522 CPT TYPE: CPT-4 CHARGE: 449.00 BILLING CD: 65334 CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE ALIQUOT: FRZ-SERUM MIN ML: 1.1 MAX ML: 2.2 NAME: HEPATITIS D ANTIBODY MNEMONIC: HDA ABBR: HDA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86692 CPT TYPE: CPT-4 CHARGE: 133.00 BILLING CD: 65549 CONTAINER: RED10 COLLECTION INSTRUCTION ROOM TEMP ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1


107

NAME: HEPATITIS E VIRUS, IGM MNEMONIC: HEV ABBR: HEV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86790 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 65498 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.1 MAX ML: 0.5 NAME: HEPATITIS PROFILE ACUTE MNEMONIC: HPPF ABBR: HPPF OTHER MNEMONIC: HEPP DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 80074 CPT TYPE: CPT-4 CHARGE: 250.00 BILLING CD: 65671 CONTAINER: SST10 COMPONENTS HBSAG HEPATITIS B SURFACE ANTIGEN 87340 CPT-4 99.00 65687 HAVM HEPATITIS A AB IGM 86709 CPT-4 116.00 58639 HBBC HEPATITIS B CORE IGM AB 86705 CPT-4 121.00 65695 HCV HEPATITIS C ANTIBODY 86803 CPT-4 137.00 65679 NAME: HER2 BY FISH MNEMONIC: HER2 ABBR: HER2 BY FISH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS HER2I HER2I MORA MORPHOMETRIC ANAYLSIS,MANUAL 88368 CPT-4 749.00 65515 MORA2 MORPHOMETRIC ANAYLSIS,MANUAL 8836891 CPT-4 749.00 65547 DNA DNA PROBE 88271 CPT-4 129.00 65768 DNA2 DNA PROBE 2 8827191 CPT-4 122.00 65784 HYB4 HYBRIDIZATION, 25-99 CELLS 88274 CPT-4 341.00 65507 INTERP INTERPRETATION-CYTOGENETICS 0.00 58645 NAME: HEROIN (DIACETYLMORPHINE) MNEMONIC: HER ABBR: HER DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80101 CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: GRAY ALIQUOT: GRAY MIN ML: 2.0 MAX ML: 10.0 NAME: HERPES I/II ANTIBODY, IGM MNEMONIC: HSVM ABBR: HSVM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86694 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 66220 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: HERPES SIMPLEX BY PCR MNEMONIC: HERP ABBR: HERPES SIMP PCR OTHER MNEMONIC: HSV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87529 CPT TYPE: CPT-4 CHARGE: 353.00 BILLING CD: 58894


108

CONTAINER: SWAB HERPES SIMPLEX BY PCR continued ALIQUOT: SWAB MIN ML: 1 MAX ML: 1 COMPONENTS HERPS HERPES SOURCE HSV1 HSV1 HSV2 HSV2 HSVI HSVI HERPR HERPES RESULT HERPSI HERPES SPECIAL INFORMATION HERPRS HERPES REPORT STATUS NAME: HERPES SIMPLEX I&II,IGG &IGM MNEMONIC: HSVAB ABBR: HSV TYPE 1 & 2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.8 MAX ML: 1.0 COMPONENTS HSVIG HERPES I ANTIBODY, IGG 86695 CPT-4 54.00 61433 HSVIIG HERPES II ANTIBODY,IGG 86696 CPT-4 204.00 65712 HSVM HERPES I/II ANTIBODY, IGM 86694 CPT-4 114.00 66220 RED10 NAME: HERPES SIMPLEX TYPE I &II,IGG MNEMONIC: HSVIGG ABBR: HSV I&II,IGG : DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS HSVIG HERPES I ANTIBODY, IGG 86695 CPT-4 54.00 61433 HSVIIG HERPES II ANTIBODY,IGG 86696 CPT-4 204.00 65712 NAME: HEXAGONAL LIPID NEUTRALIZATION MNEMONIC: HEX ABBR: HEX DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85597 CPT TYPE: CPT-4 CHARGE: 177.00 BILLING CD: 66000 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: HGB & HCT MNEMONIC: HH ABBR: HH DEPT: HEMA SITE: ML TURN AROUND HOURS: CONTAINER: LAV COMPONENTS HGB HEMOGLOBIN 85018 CPT-4 28.00 61308 LAV HCT HCT 85014 CPT-4 21.00 53413 LAV NAME: HISTAMINE 24 HR URINE MNEMONIC: HISTU ABBR: HISTU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83088 CPT TYPE: CPT-4 CHARGE: 444.00 BILLING CD: 65126 CONTAINER: UR24-HCL COLLECTION INSTRUCTION: ADD 10 ML 6N HCL ALIQUOT: URINE MIN ML: 2.0 MAX ML: 4.0


109

NAME: HISTOCHEM STN W/ FRZN SECTION MNEMONIC: HISF ABBR: HISF OTHER MNEMONIC: 88314R DEPT: LNP SITE: UPMC-HISTO TURN AROUND HOURS: CPT: 88314 CPT TYPE: CPT-4 CHARGE: 71.00 BILLING CD: 66219 NAME: HISTOCHEMISTRY ENZYME MNEMONIC: HIE ABBR: HIE OTHER MNEMONIC: 88319R DEPT: LNP SITE: UPMC-HISTO TURN AROUND HOURS: CPT: 88319 CPT TYPE: CPT-4 CHARGE: 369.00 BILLING CD: 66227 NAME: HISTONE ANTIBODIES MNEMONIC: AHA ABBR: AHA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65604 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.45 MAX ML: 0.5 NAME: HISTOPLASMA ANTIBODIES PANEL MNEMONIC: HISTOAB ABBR: HISTOAB OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 0.5 COMPONENTS HISTOM HISTOPLASMA MYCELIAL 86698 CPT-4 54.00 84661 HISTOY HISTOPLASMA YEAST 86698 CPT-4 54.00 84661 HISTOI HISTOPLASMA IMMUNODIFFUSION 86698 CPT-4 54.00 84661 HISTO HISTOPLASMA ANTIBODY SCREEN 86698 CPT-4 54.00 55727 NAME: HISTOPLASMA ANTIBODY SCREEN MNEMONIC: HISTO ABBR: HISTO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86698 CPT TYPE: CPT-4 CHARGE: 54.00 BILLING CD: 55727 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 2.0 NAME: HIV 1 & 2 ANTIBODY SCREEN MNEMONIC: HIV ABBR: HIV OTHER MNEMONIC: HIV12I DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86703 CPT TYPE: CPT-4 CHARGE: 153.00 BILLING CD: 64384 CONTAINER: YEL NAME: HIV 1 RNA BY PCR MNEMONIC: HIV1RNA ABBR: HIV1RNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87536 CPT TYPE: CPT-4 CHARGE: 888.00 BILLING CD: 65680 CONTAINER: LAV COLLECTION INSTRUCTION: FROZEN PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 1.2 MAX ML: 2.5


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NAME: HIV-1 AB,IMMUNOFLOURESCENCE MNEMONIC: HIVIF ABBR: HIVIF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86689 CPT TYPE: CPT-4 CHARGE: 150.00 BILLING CD: 65450 NAME: HIV-1 GENTOYPE DRUG RESISTANCE MNEMONIC: HIVGR ABBR: HIVGR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87901 CPT TYPE: CPT-4 CHARGE: 2679.00 BILLING CD: 65660 CONTAINER: LAV COLLECTION INSTRUCTION: REMOVE PLASMA FROM CELL WITHIN 4 HOURS ALIQUOT: FRZ-PLASMA MIN ML: 0.6 MAX ML: 2.0 NAME: HIV-1,WESTERN BLOT MNEMONIC: HIV1 ABBR: HIV1 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86689 CPT TYPE: CPT-4 CHARGE: 150.00 BILLING CD: 65658 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.6 NAME: HIV-II AB MNEMONIC: HIV2 ABBR: HIV2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86702 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 61434 CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.2 MAX ML: 0.5 NAME: HLA CLASS 1 TYPING (PCR) MNEMONIC: HLA1 ABBR: HLA1 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81372 CPT TYPE: CPT-4 CHARGE: 1224.00 BILLING CD: 67088 CONTAINER: YEL-ACDB ALIQUOT: YEL-ACDB MIN ML: 3.0 MAX ML: 6.0 COMPONENTS HLAA1 HLA A LOCUS SEROLOGY HLAA2 HLA A LOCUS MOLECULAR HLAB1 HLA B LOCUS 1 SEROLOGY HLAB2 HLA B LOCUS MOLECULAR HLAC1 HLA CW LOCUS SEROLOGY HLAC2 HLA C LOCUS MOLECULAR HLABW HLA BW SEROLOGY HLA1I INTERPRETATION AND REPORT 83912 CPT-4 110.00 53046 ELP ELECTROPHORESIS 83894 CPT-4 51.00 52613 EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 AMP AMPLIFICATION 83898 CPT-4 212.00 65588 NAME: HLA-B27 MNEMONIC: HLAB27 ABBR: HLA-B27 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86812 CPT TYPE: CPT-4 CHARGE: 198.00 BILLING CD: 65396 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 6.0


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COMPONENTS HLAB27R HLA-B27 RESULT HLAINT INTERPRETATION HLA B27 NAME: HOMOCYSTEINE MNEMONIC: HOMC ABBR: HOMC OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83090 CPT TYPE: CPT-4 CHARGE: 177.00 BILLING CD: 65532 CONTAINER: COLLECTION INSTRUCTION: FAST-12HR PREFERED/SPIN WITHIN 4 HR ALIQUOT: PLASMA MIN ML: 0.15 MAX ML: 0.4 NAME: HOMOVANILLIC ACID 24 HR URINE MNEMONIC: HOMU ABBR: HOMU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83150 CPT TYPE: CPT-4 CHARGE: 162.00 BILLING CD: 65005 CONTAINER: UR24-ACE ALIQUOT: UR24 MIN ML: 2.0 MAX ML: 6.0 NAME: HPV 16 MNEMONIC: HPV16 ABBR: HPV16 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: THIN PREP SPECIMEN SENT BY CYTOLOGY NAME: HPV 18 MNEMONIC: HPV18 ABBR: HPV18 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: THIN PREP SPECIMEN SENT BY CYTOLOGY NAME: HPV OTHER HIGH RISK TYPES MNEMONIC: HPVO ABBR: HPVO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER:THIN PREP SPECIMEN SENT BY CYTOLOGY NAME: HPV TYPING DNA HYBRIDIZATION MNEMONIC: HPVT ABBR: HPVT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88365 CPT TYPE: CPT-4 CHARGE: 235.00 BILLING CD: 66084 COLLECTION INSTRUCTION FORMALIN-FIXED PARAFFIN TISSUE BLK OR FORMALIN FIXED TISSUE ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 NAME: HPV W/ GENOTYPING,PCR,THINPREP MNEMONIC: HPV ABBR: HPV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87621 CPT TYPE: CPT-4 CHARGE: 331.00 BILLING CD: 65735 CONTAINER: THINPREP COLLECTION INSTRUCTION USE THIS TEST FOR CYTOLOGY SPECIMENS ALIQUOT: THINPREP MIN ML: 1 MAX ML: 1 COMPONENTS


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HPVSO HPV SOURCE HPV16 HPV 16 HPV18 HPV 18 HPVO HPV OTHER HIGH RISK TYPES CPT-4 NAME: HSV AND VZV BY PCR MNEMONIC: HSVZV ABBR: HSV & VZV PCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SWAB ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 SWAB 1 1 COMPONENTS VZPCR VARICELLA ZOSTER, PCR 87798 CPT-4 356.00 65465 SWAB VZRS VARICELLA RESULT HERP HERPES SIMPLEX BY PCR 87529 CPT-4 353.00 58894 SWAB NAME: HTLV CONFIRMATION MNEMONIC: HTLVC ABBR: HTLVC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86689 CPT TYPE: CPT-4 CHARGE: 150.00 BILLING CD: 65611 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: HTLV I/II ANTIBODY MNEMONIC: HTLVIII ABBR: HTLVIII OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86687 CPT TYPE: CPT-4 CHARGE: 75.00 BILLING CD: 53384 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: HU ABS SCRN W/RELFEX TO WBLOT MNEMONIC: HUAB ABBR: HUAB OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86255 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 84689 CONTAINER: RED10 COLLECTION INSTRUCTION OVERNIGHT FAST PREFERRED ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 0.5 NAME: HUMAN EPIDIDYMIS PROTEIN 4 MNEMONIC: HE4 ABBR: HE4 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86305 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 66167 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.5 NAME: HUMAN GRAN EHRLICHIOSIS AB MNEMONIC: HGE ABBR: HGE OTHER MNEMONIC: ANAPLASMA IGG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86666 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 61432 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.15 MAX ML: 0.5


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NAME: HUMAN GROWTH HORMONE MNEMONIC: HGH ABBR: HGH OTHER MNEMONIC: GH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83003 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 65348 CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING ALIQUOT: SST MIN ML: 0.6 MAX ML: 0.6 NAME: HUMAN HERPESVIRUS-6, BY PCR MNEMONIC: HHV6 ABBR: HHV6 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87532 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 65412 CONTAINER: LAV ALIQUOT: PLASMA MIN ML: 0.3 MAX ML: 1.0 NAME: HYBRIDIZATION MNEMONIC: HYB ABBR: HYB OTHER MNEMONIC: 83896 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83896 CPT TYPE: CPT-4 CHARGE: 30.00 BILLING CD: 55065 NAME: HYBRIDIZATION MNEMONIC: HYBX ABBR: HYBRIDIZATION DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83896 CPT TYPE: CPT-4 CHARGE: 30.00 BILLING CD: 55065 NAME: HYBRIDIZATION, 100-300 CELLS MNEMONIC: HYB5 ABBR: HYB5 OTHER MNEMONIC: 88275 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88275 CPT TYPE: CPT-4 CHARGE: 416.00 BILLING CD: 65595 NAME: HYBRIDIZATION, >300 CELLS [reflex test] MNEMONIC: HYB6 ABBR: HYB1 DEPT: LR SITE: IMPATH TURN AROUND HOURS: CPT: 88275 CPT TYPE: CPT-4 CHARGE: 416.00 BILLING CD: 65595 NAME: HYBRIDIZATION,10-30 CELLS [reflex test] MNEMONIC: HYB3 ABBR: HYB3 OTHER MNEMONIC: 88273 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88273 CPT TYPE: CPT-4 CHARGE: 265.00 BILLING CD: 65579 NAME: HYPERSENSITIVITY PNEUMONITIS MNEMONIC: PNEHP ABBR: PNEHP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86606 CPT TYPE: CPT-4 CHARGE: 163.00 BILLING CD: 84787 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5


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NAME: HbA1C MNEMONIC: A1CH ABBR: A1CH OTHER MNEMONIC: A1C HEMOGLOBIN A1C DEPT: CHEM SITE: MAYO TURN AROUND HOURS: CPT: 83036 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 19738 CONTAINER: LAV NAME: ICTOTEST, URINE [reflex test] MNEMONIC: ICTO ABBR: ICTO OTHER MNEMONIC: UICTO DEPT: UR SITE: ML TURN AROUND HOURS: NAME: IEF CONFIRMS MNEMONIC: IEF ABBR: IEF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82664 CPT TYPE: CPT-4 CHARGE: 369.00 BILLING CD: 55436 NAME: IGG SUBCLASSES,S MNEMONIC: IGGS ABBR: IGGS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS IGGT IMMUNOGLOBULIN G, TOTAL 82784 CPT-4 97.00 65381 IGG1 IGG SUBCLASS 1 82787 CPT-4 300.00 65171 IGG2 IGG SUBCLASS 2 82787 CPT-4 300.00 65171 IGG3 IGG SUBCLASS 3 82787 CPT-4 300.00 65171 IGG4 IGG SUBCLASS 4 82787 CPT-4 300.00 65171 NAME: IGG SYNTHESIS RATE MNEMONIC: IGIS ABBR: IGIS OTHER MNEMONIC: CSFIGGINDEX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION Serum and spinal fluid are required. ALIQUOT: CSF#1 MIN ML: 0.5 MAX ML: 1.0 SST 0.5 1.0 COMPONENTS CSFGI CSF IGG INDEX CSFI CSF INDEX CSFIGG CSF IGG 82784 CPT-4 97.00 19524 CSFA CSF ALBUMIN 82042 CPT-4 12.00 65908 SEIGG SERUM IGG 82784 CPT-4 97.00 65381 SALB SERUM ALBUMIN 82040 CPT-4 25.00 65900 SIGGA SERUM IGG/ALBUMIN NAME: IHC TO Mayo [lab order only] MNEMONIC: IHCR ABBR: IHCR OTHER MNEMONIC:


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: G0461 CPT TYPE: CPT-4 CHARGE: 134.00 BILLING CD: 66855 CONTAINER: SLIDES COLLECTION INSTRUCTION: In the comment field, list the Mayo code for ea IHC request NAME: IMIPRAMINE AND DESIPRAMINE MNEMONIC: IMDE ABBR: IMDE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 3.0 COMPONENTS IMI IMIPRAMINE (TROFRANIL) LEVEL 80174 CPT-4 104.00 19960 DES DESIPRAMINE 80160 CPT-4 129.00 19698 IMIDES IMIPRAMINE AND DESIPRAMINE NAME: IMMUNE STATUS PNL MNEMONIC: MMR ABBR: MMR OTHER MNEMONIC: MMRV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: MMR AND VZ ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 3.0 COMPONENTS MMRM MEASLES IMMUNE STATUS, TITER 86765 CPT-4 136.00 65074 MMRMU MUMPS IMMUNE STATUS, TITER 86735 CPT-4 92.00 55591 MMRR RUBELLA IMMUNE STATUS,TITER 86762 CPT-4 97.00 65852 MMG MUMPS AB, IgG, S 86735 CPT-4 92.00 55591 VAZG VARICELLA IGG AB,S 86787 CPT-4 105.00 65163 VZG VARICELLA-ZOSTER IgG AB 86787 CPT-4 105.00 65163 VZGI VARICELLA IGG AB INDEX RBG RUBELLA AB,IgG 86762 CPT-4 97.00 66539 RUBQ RUBELLA IGG AB 86762 CPT-4 97.00 66539 RBGI RUBELLA IGG AB INDEX RUBOG RUBEOLA ( MEASLES ) AB, IGG 86765 CPT-4 136.00 65074 NAME: IMMUNO STAINS EA ADD'L MNEMONIC: IHCA ABBR: IHCA DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: G0462 CPT TYPE: CPT-4 CHARGE: 315.00 BILLING CD: 66863 NAME: IMMUNO STAINS/CONSULT MNEMONIC: IHC ABBR: IHC OTHER MNEMONIC: 88342 G0461 DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: G0461 CPT TYPE: CPT-4 CHARGE: 134.00 BILLING CD: 66855 NAME: IMMUNO-CHILD ALLERGY FOOD/ENVI MNEMONIC: IMMUNOCAP2 ABBR: IMMCAP2 DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10


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ALIQUOT: SST MIN ML: 5.0 MAX ML: 5.0 COMPONENTS FO1 EGG WHITE IGE 86003 CPT-4 59.00 65691 FO1C CLASS F1 FO2 MILK IGE 86003 CPT-4 59.00 65691 FO2C CLASS F2 FO3 CODFISH IGE 86003 CPT-4 59.00 65691 FO3C CLASS F3 FO4 WHEAT F4 86003 CPT-4 59.00 65691 FO4C CLASS F4 FO13 PEANUT IGE 86003 CPT-4 59.00 65691 FO13C CLASS F13 FO14 SOYBEAN IGE 86003 CPT-4 59.00 65691 FO14C CLASS F14 FO24 SHRIMP IGE 86003 CPT-4 59.00 65691 FO24C CLASS F24 FO256 WALNUT IGE 86003 CPT-4 59.00 65691 FO256C CLASS F256 IGEQ IGE,SERUM (QUEST) 82785 CPT-4 128.00 65045 D1 D.PTERONYSSINUS IGE 86003 CPT-4 59.00 65691 D1C CLASS D1 D2 D.FARINAE IGE 86003 CPT-4 59.00 65691 D2C CLASS D2 ALLERGEN ALLERGEN 86003 CPT-4 59.00 65691 E1 CAT DANDER IGE 86003 CPT-4 59.00 65691 E1C CLASS E1 E5 DOG DANDER IGE 86003 CPT-4 59.00 65691 E5C CLASS E5 ALLERGEN10 ALLERGEN X 10 0.00 66490 I6 COCKROACH IGE 86003 CPT-4 59.00 65691 I6C CLASS I6 M2 C.HERBARUM IGE 86003 CPT-4 59.00 65691 M2C CLASS M2 M6 ALTERNARIA ALTERNATA IGE 86003 CPT-4 59.00 65691 M6C CLASS M6 NAME: IMMUNOFLUORESCENT STAINING MNEMONIC: IFS ABBR: IFS OTHER MNEMONIC: 88346 DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: 88346 CPT TYPE: CPT-4 CHARGE: 111.00 BILLING CD: 52960 NAME: IMMUNOGLOBULIN A MNEMONIC: IGA ABBR: IGA DEPT: ELECT SITE: ML TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 66582 CONTAINER: SST10 NAME: IMMUNOGLOBULIN A (MAYO) MNEMONIC: MIGA ABBR: MIGA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65037 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0


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NAME: IMMUNOGLOBULIN D MNEMONIC: IGD ABBR: IGD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82784 CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1.0 NAME: IMMUNOGLOBULIN E MNEMONIC: IGE ABBR: IGE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82785 CPT TYPE: CPT-4 CHARGE: 128.00 BILLING CD: 65045 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5 NAME: IMMUNOGLOBULIN G MNEMONIC: IGG ABBR: IGG DEPT: ELECT SITE: ML TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 66574 CONTAINER: SST10 NAME: IMMUNOGLOBULIN G (MAYO) MNEMONIC: MIGG ABBR: IGG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 65381 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: IMMUNOGLOBULIN M MNEMONIC: IGM ABBR: IGM DEPT: ELECT SITE: ML TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 66590 CONTAINER: SST10 NAME: IMMUNOGLOBULIN M (MAYO) MNEMONIC: MIGM ABBR: IGM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82784 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 66459 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: IMMUNOGLOBULINS G,A,M MNEMONIC: IGGAM ABBR: IGGAM DEPT: ELECT SITE: ML TURN AROUND HOURS: CONTAINER: SST10 COMPONENTS IGG IMMUNOGLOBULIN G 82784 CPT-4 97.00 66574 SST10 IGM IMMUNOGLOBULIN M 82784 CPT-4 97.00 66590 SST10 IGA IMMUNOGLOBULIN A 82784 CPT-4 97.00 66582 SST10 NAME: INFLUENZA TYPES A & B AB MNEMONIC: HFLU ABBR: HFLU DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10


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ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS INFAAB INFLUENZA A ANTIBODY 86710 CPT-4 150.00 65179 INFBAB INFLUENZA B ANTIBODY 8671091 CPT-4 150.00 65538 NAME: INHIBIN A AND B (TUMOR MAKER) MNEMONIC: INAB ABBR: INHIBIN A & B DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.6 MAX ML: 1.0 COMPONENTS INA INHIBIN A, TUMOR MARKER,S 86336 CPT-4 995.00 65616 SST10 INB INHIBIN B,S 83520 CPT-4 103.00 65708 SST10 NAME: INHIBIN A, TUMOR MARKER,S MNEMONIC: INA ABBR: INA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86336 CPT TYPE: CPT-4 CHARGE: 995.00 BILLING CD: 65616 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.6 NAME: INHIBIN B,S MNEMONIC: INB ABBR: INB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65708 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.4 NAME: INHIBIN,TOTAL MNEMONIC: INHT ABBR: INHT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65564 CONTAINER: RED10 COLLECTION INSTRUCTION RECOMMENDED FOR PERSONS OVER THE AGE OF 18. ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.5 NAME: INSULIN ANTIBODY MNEMONIC: INSAB ABBR: INSAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86337 CPT TYPE: CPT-4 CHARGE: 248.00 BILLING CD: 65069 CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING REQUIRED ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: INSULIN GF BINDING PROTEIN-3 MNEMONIC: IGFBP ABBR: IGFBP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65375 CONTAINER: SST10 COLLECTION INSTRUCTION FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.3 MAX ML: 0.8 NAME: INSULIN, FREE MNEMONIC: FINS ABBR: FINS


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83527 CPT TYPE: CPT-4 CHARGE: 121.00 BILLING CD: 66230 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: INSULIN, SERUM MNEMONIC: INS ABBR: INS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83525 CPT TYPE: CPT-4 CHARGE: 128.00 BILLING CD: 65061 CONTAINER: RED10 COLLECTION INSTRUCTION FASTING REQUIRED-FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: INSULIN-LIKE GROWTH FACTOR II MNEMONIC: IGF2 ABBR: IGF2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 65521 CONTAINER: RED10 COLLECTION INSTRUCTION SEPARATE WITHIN 1 HOUR AND FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.1 MAX ML: 0.5 NAME: INTERFERON NEUTRALIZING AB B-1 MNEMONIC: IFNB ABBR: IFNB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86382 CPT TYPE: CPT-4 CHARGE: 365.00 BILLING CD: 59511 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 2.0 COMPONENTS IFN INTERFERON NEUTRALIZING AB TCIFN TISSUE CULTURE IFN 87253 CPT-4 218.00 59434 NTV NEUTRALIZATION TEST VIRAL 86382 CPT-4 365.00 59511 NAME: INTERLEUKIN 2 (IL-2) MNEMONIC: IL2 ABBR: IL-2 DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 58819 CONTAINER: SST10 COLLECTION INSTRUCTION: FREEZE IMMEDIATELY ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: INTERLEUKIN 6 MNEMONIC: IL6 ABBR: IL6 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 58819 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: INTERLEUKIN-2-RECEPTOR (IL-2R) MNEMONIC: IL2R ABBR: IL-2R DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84238 CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 2.0


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NAME: INTERP FLOW 2-8 MARKERS MNEMONIC: FLOW8 ABBR: FLOW8 OTHER MNEMONIC: 88187 DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: 88187 CPT TYPE: CPT-4 CHARGE: 45.00 BILLING CD: 66246 NAME: INTERP FLOW 9-15 MARKERS [interpretative comment] MNEMONIC: FLOW15 ABBR: FLOW15 OTHER MNEMONIC: 88188 DEPT: LNP SITE: HEMA TURN AROUND HOURS: CPT: 88188 CPT TYPE: CPT-4 CHARGE: 214.00 BILLING CD: 66302 NAME: INTERP FLOW CYTO >16 MARKERS [interpretative comment] MNEMONIC: FLOWINTR ABBR: FLOW INTER CHG OTHER MNEMONIC: 88189 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 88189 CPT TYPE: CPT-4 CHARGE: 809.00 BILLING CD: 65523 NAME: INTERPRETATION AND REPORT [interpretative comment] MNEMONIC: FXMAI ABBR: FXMAI DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: NAME: INTERPRETATION AND REPORT [interpretative comment] MNEMONIC: INTER ABBR: INTER OTHER MNEMONIC: 83912 CPT: 83912 CPT TYPE: CPT-4 CHARGE: 110.00 BILLING CD: 53046 NAME: INTERPRETATION-CYTOGENETICS [interpretative comment] MNEMONIC: INTERP ABBR: INTERPRETATION OTHER MNEMONIC: 88291 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: 0.00 BILLING CD: 58645 NAME: INTRINSIC FACTOR BLOCKING AB MNEMONIC: IFAB ABBR: IFAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86340 CPT TYPE: CPT-4 CHARGE: 163.00 BILLING CD: 65077 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 1.0 COMPONENTS IFABR INTRINSIC FACTOR ANTIBODY CPT-4 IFABC INTRINSIC FACTOR COMMENT NAME: IODINE TOTAL, 24 HR URINE MNEMONIC: IODU ABBR: IODU OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83789 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65955 CONTAINER: UR24 COLLECTION INSTRUCTION RECORD TOTAL VOLUME ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0


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NAME: IODINE,S MNEMONIC: IOD ABBR: IOD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83789 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65651 CONTAINER: ROYAL BLUE PLAIN COLLECTION INSTRUCTION: METAL FREE COLLECTION AND TRANSPORT PROCEDURE ALIQUOT: METAL FREE MIN ML: 0.3 MAX ML: 1.0 NAME: IRON (FE) MNEMONIC: FE ABBR: FE OTHER MNEMONIC: IRON DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83540 CPT TYPE: CPT-4 CHARGE: 183.00 BILLING CD: 00344 CONTAINER: MINT-PST NAME: ISLET CELL AB SCREEN MNEMONIC: ISLETS ABBR: ISLETS OTHER MNEMONIC: DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83641 CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 2.0 NAME: ISOPROPANOL, ALCOHOL MNEMONIC: ISOP ABBR: ISOP DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 84600 CPT TYPE: CPT-4 CHARGE: 174.00 BILLING CD: 66531 CONTAINER: GRAY COLLECTION INSTRUCTION: DO NOT OPEN GRAY TOP TUBE AFTER COLLECTION ALIQUOT: GRAY MIN ML: 1 MAX ML: 1 COMPONENTS ALCIS ALCOHOL,ISOPROPYL AC ACETONE (WITH ISOPROPANOL) NAME: JAK2 EXON 12-14 MUTATION MNEMONIC: JAK2E ABBR: JAK2E OTHER MNEMONIC: 81403J DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 81403 CPT TYPE: CPT-4 CHARGE: 735.00 BILLING CD: 66871 CONTAINER: CALL LAB EXT 8219 NAME: JAK2 POINT MUTATION MNEMONIC: JAK2 ABBR: JAK2 OTHER MNEMONIC: 81207J DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: 81270 CPT TYPE: CPT-4 CHARGE: 860.00 BILLING CD: 66786 CONTAINER: CALL LAB EXT 8219 COMPONENTS JAK2I INTERPRETATION JAK2 NAME: JCV POLYOMA VIRUS, PCR MNEMONIC: JCV ABBR: JCV DEPT: LR SITE: QUEST TURN AROUND HOURS: CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 0.3 MAX ML: 0.7


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COMPONENTS: JCVS - SOURCE JCV, JCVR - JC POLYOMA VIRUS RESULT NAME: KAROTYPE,CHROMOSOME MNEMONIC: KARO ABBR: KARO OTHER MNEMONIC: 88280 DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: 88280 CPT TYPE: CPT-4 CHARGE: 363.00 BILLING CD: 58643 NAME: KEPPRA LEVEL (LEVETIRACETAM) MNEMONIC: KEPP ABBR: KEPP OTHER MNEMONIC: LEVETIRACETAM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80177 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 66919 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: KETONE, URINE MNEMONIC: UKET ABBR: KETONE DEPT: UR CONTAINER: STC NAME: KIDNEY STONE ANALYSIS MNEMONIC: STONE ABBR: STONE OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82365 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 66869 CONTAINER: STC COLLECTION INSTRUCTION: CLEAN DRY STONE AT ROOM TEMP ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS STA KIDNEY STONE ANAYLSIS STS SOURCE STONE STW WEIGHT STONE ST1 1ST CONSTITUENT ST2 2ND CONSTITUENT ST3 3RD CONSTITUENT STNJ NIDUS,MAJOR STNN NIDUS,MINOR STSJ SHELL,MAJOR STSN SHELL,MINOR STC STONE COMMENT NAME: KRAS MUTATION DETECTION MNEMONIC: KRAS ABBR: KRAS DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: 81275 CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER IKRAS KRAS MUTATION 83912 CPT-4 110.00 53046 AMP3 AMPLIFICATION 3 83898 CPT-4 212.00 65588 HYB HYBRIDIZATION 83896 CPT-4 30.00 55065 EXT MOLECULAR EXTRACTION 83890 CPT-4 91.00 55430 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 HYBR HYBRIDIZATION 83896 CPT-4 30.00 55065 AMP AMPLIFICATION 83898 CPT-4 212.00 65588


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AMP2 AMPLIFICATION 2 83898 CPT-4 212.00 65588 KRAS MUTATION DETECTION [continued] AMP4 AMPLIFICATION 4 83898 CPT-4 212.00 65588 NUC2 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC3 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC4 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC5 NUCLEIC ACID PROGE 8389691 CPT-4 30.00 65586 NUC6 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NUC7 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 NEOG NEOGENOMICS TESTING NAME: LACTATE DEHYDROGENASE (LD),BF MNEMONIC: LDBF ABBR: LDBF OTHER MNEMONIC: LDHCSF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 65935 CONTAINER: STC ALIQUOT: FLUID MIN ML: 0.5 MAX ML: 1.0 COMPONENTS LD LACTATE DEHYDROGENASE,BF CPT-4 LDF FLUID TYPE LDH NAME: LACTIC ACID LEVEL MNEMONIC: LAC ABBR: LAC OTHER MNEMONIC: VLA DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 83605 CPT TYPE: CPT-4 CHARGE: 105.00 BILLING CD: 06861 CONTAINER: GRAY COLLECTION INSTRUCTION: COLLECT ON ICE NO TOURNIQET ALIQUOT: GRAY MIN ML: 1 MAX ML: 1 NAME: LACTIC ACID,CSF MNEMONIC: LACCSF ABBR: LACCSF DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83605 CPT TYPE: CPT-4 CHARGE: 105.00 BILLING CD: 65903 CONTAINER: CSF#1 COLLECTION INSTRUCTION: FREEZE CSF ALIQUOT: FRZ-CSF MIN ML: 0.5 MAX ML: 1.0 NAME: LAMBERT-EATON SYNDROME EVAL MNEMONIC: LES ABBR: LES DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 3.0 COMPONENTS ACER ACETYLCHOLINE REC. BINDING AB 83519 CPT-4 146.00 65326 ACERM ACETYLCHOLINE REC MODULATING A 83519 CPT-4 146.00 52972 STMA STRIATIONAL (MUSCLE) AB 83520 CPT-4 103.00 58557 CABP CALCIUM CHANNEL BINDING AB,P/Q 83519 CPT-4 146.00 66366 CABN CALCIUM CHANNEL BIND AB N-TYPE 83519 CPT-4 146.00 66358 NAME: LAMOTRIGINE (LAMICTAL) LEVEL MNEMONIC: LAMOT ABBR: LAMOT


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80175 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 66911 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1 NAME: LDH MNEMONIC: LDH ABBR: LDH DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00326 CONTAINER: MINT-PST NAME: LDH ISOENZYMES MNEMONIC: LDHISO ABBR: LDHISO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING/ 2 mL DIVIDED INTO 2 ALIQUOT TUBES ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 COMPONENTS LDTM LDH TOTAL MAYO 83615 CPT-4 44.00 65911 LDHM LDH (MAYO) 83615 CPT-4 44.00 65911 LDHT LDH TOTAL ACTIVITY LDH1 LDH 1 83625 CPT-4 87.00 09540 LDH2 LDH 2 LDH3 LDH 3 LDH4 LDH 4 LDH5 LDH 5 NAME: LDH,PERICARDIAL FLUID MNEMONIC: LDHPC ABBR: LDH PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00326 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: LDH,PERITONEAL FLUID MNEMONIC: LDHPT ABBR: LDH PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00326 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: LDH,PLEURAL FLUID MNEMONIC: LDHPL ABBR: LDH PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00326 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: LDH,SYNOVIAL FLUID MNEMONIC: LDHSY ABBR: LDH SYN OTHER MNEMONIC: DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 83615 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00326 CONTAINER: GREEN


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LDH SYNOVIAL FLUID ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: LEAD,24 HR URINE MNEMONIC: LEADU ABBR: LEADU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83655 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 19776 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 NAME: LEAD,BLOOD MNEMONIC: LEAD ABBR: LEAD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: RYLBLUEDTA ALIQUOT: RYLBLUE MIN ML: 1 MAX ML: 1 COMPONENTS LR LEAD,RESULT 83655 CPT-4 94.00 65101 LST LEAD STREET ADDRESS LC LEAD CITY LSTA LEAD STATE LZIP LEAD ZIP CODE LCO LEAD COUNTY LGF LEAD GUARDIAN, FIRST NAME LGL LEAD GUARDIAN, LAST NAME LPH LEAD HOME PHONE LVC LEAD VENUS OR CAPILLARY LRC LEAD RACE NAME: LECITHIN/SPHINGOMYELIN RATIO MNEMONIC: LSR ABBR: LSR DEPT: LR SITE: MAGEE TURN AROUND HOURS: CPT: 83661 CPT TYPE: CPT-4 CHARGE: 384.00 BILLING CD: 53947 COLLECTION INSTRUCTION: REFLEX PER MAGEE!!! NAME: LEFLUNOMIDE MNEMONIC: LFL ABBR: LEFLUNOMIDE OTHER MNEMONIC: ARAVA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 66884 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 1.0 NAME: LEGIONELLA AB, S MNEMONIC: LEGAB ABBR: LEGAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86713 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 65142 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 NAME: LEPTOSPIRA ANTIBODY MNEMONIC: LEPTOAB ABBR: LEPTOAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86720 CPT TYPE: CPT-4 CHARGE: 143.00 BILLING CD: 65218 CONTAINER: SST10


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ALIQUOT: SERUM MIN ML: 0.15 MAX ML: 0.5 NAME: LEUCINE AMINOPEPTIDASE, SERUM MNEMONIC: LEU ABBR: LEU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83670 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65093 CONTAINER: SST ALIQUOT: SST MIN ML: 0.2 MAX ML: 1.0 NAME: LEUKOCYTE ALKALINE PHOSPHATASE MNEMONIC: LAP ABBR: LAP DEPT: LR SITE: AKMC TURN AROUND HOURS: CPT: 85540 CPT TYPE: CPT-4 CHARGE: 58.00 BILLING CD: 65106 CONTAINER: LAV COLLECTION INSTRUCTION: ROOM TEMP*DO NOT REFRIGERATE!!*AVOID TRANSPORT FRI & SAT* ALIQUOT: GREEN MIN ML: 1.0 MAX ML: 5.0 LAV 1.0 5.0 NAME: LIDOCAINE MNEMONIC: LIDO ABBR: LIDO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80176 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 65114 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: LIPASE MNEMONIC: LIPA ABBR: LIPA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83690 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 00327 CONTAINER: MINT-PST NAME: LIPASE,BODY FLUID MNEMONIC: LIPF ABBR: LIPF OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83690 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 65919 CONTAINER: STC ALIQUOT: FREEZE MIN ML: 0.5 MAX ML: 1.0 NAME: LIPID PROFILE MNEMONIC: LIPD ABBR: LIPD OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80061 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 61307 CONTAINER: MINT-PST COMPONENTS CHOL CHOLESTEROL LEVEL 82465 CPT-4 25.00 00316 MINT-PST HDL HDL CHOLESTEROL 83718 CPT-4 57.00 09934 MINT-PST TRIG TRIGLYCERIDES LEVEL 84478 CPT-4 25.00 00339 MINT-PST CLDL LDL CHOLESTEROL CALCULATED RISK CHOLESTEROL RISK RATIO NAME: LIPOPROTEIN A SERUM MNEMONIC: LPA ABBR: LPA


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83695 CPT TYPE: CPT-4 CHARGE: 135.00 BILLING CD: 65666 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 NAME: LIPOPROTEIN METABOLISM PROFILE MNEMONIC: LIPE ABBR: LIPE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: FASTING ALIQUOT: SST MIN ML: 2.0 MAX ML: 5.0 COMPONENTS LIPM LIPID PANEL (MAYO) 80061 CPT-4 57.00 51394 LIPEL LIPID ELECTROPHORESIS 82664 CPT-4 369.00 55436 LIPOB APOLIPOPROTEIN B 82172 CPT-4 120.00 65435 NAME: LIPOPROTEIN PHOSPHOLIPASE A2 MNEMONIC: PLAC ABBR: PLAC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83698 CPT TYPE: CPT-4 CHARGE: 347.00 BILLING CD: 65429 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: LISTERIA ANTIBODY MNEMONIC: LIST ABBR: LIST OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86609 CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: LITHIUM LEVEL MNEMONIC: LI ABBR: LI OTHER MNEMONIC: LITH DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80178 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 09591 CONTAINER: RED3 NAME: LIVER DISEASE PANEL MNEMONIC: LDP ABBR: LDP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 COMPONENTS ANA* ANTI-NUCLEAR ANTIBODY SCR/TITR 86038 CPT-4 94.00 65154 SST10 AMA ANTI-MITOCHONDRIAL ANTIBODY 83516 CPT-4 124.00 65489 SST10 MITO MITOCHONDRIAL ANTIBODIES 83516 CPT-4 124.00 65489 LKAB LIVER KIDNEY MICROSOMAL AB 86376 CPT-4 104.00 53136 SST10 SMAB SMOOTH MUSCLE ANTIBODY 86255 CPT-4 94.00 65182 SST10


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NAME: LIVER KIDNEY MICROSOMAL AB MNEMONIC: LKAB ABBR: LKAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86376 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 53136 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: LIVER PROFILE MNEMONIC: LIVR ABBR: LIV OTHER MNEMONIC: HEPATIC LIVER DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80076 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 61310 CONTAINER: MINT-PST COMPONENTS TP TOTAL PROTEIN 84155 CPT-4 50.00 00318 MINT-PST ALB ALBUMIN 82040 CPT-4 25.00 00319 MINT-PST TBIL BILIRUBIN,TOTAL 82247 CPT-4 51.00 00333 MINT-PST DBIL BILIRUBIN,DIRECT 82248 CPT-4 34.00 58562 MINT-PST AST AST/SGOT 84450 CPT-4 29.00 00328 MINT-PST ALT ALT/SGPT 84460 CPT-4 29.00 00329 MINT-PST ALKP ALKALINE PHOSPHATASE 84075 CPT-4 39.00 00323 MINT-PST NAME: LORAZEPAM (ATIVAN) LEVEL MNEMONIC: LOR ABBR: LOR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 66414 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 2.0 NAME: LOXAPINE LEVEL, SERUM MNEMONIC: LOX ABBR: LOX OTHER MNEMONIC: LOXITANE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82492 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66028 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 2.0 NAME: LUPUS ANTICOAGULANT SCREEN MNEMONIC: LUPS ABBR: LUPS OTHER MNEMONIC: DEPT: LR SITE: ITXM TURN AROUND HOURS: CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 2.5 MAX ML: 3.0 COMPONENTS MNEMONIC NAME CPT CODE CPT TYPE CHARGE BILLING CD CONTAINER PTX PT (ITXM) 85610 CPT-4 34.00 51374 INRX INR (ITXM) TTX THROMBIN TIME (ITXM) 85670 CPT-4 40.00 51376 BLUE TTI TIS THROMBOPLASTIN INHIBIT 85705 CPT-4 84.00 53054 BLUE TTI50 TTI 1:50 85705 CPT-4 84.00 53054 TTI500 TTI 1:500


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DRVV DILUTE RUSSELL VIPER VENOM 85613 CPT-4 104.00 59436 BLUE APTTXX* APTT (ITXM) 85730 CPT-4 57.00 51377 APTTX APTT (ITXM) 85730 CPT-4 57.00 51377 APTTMXX* APTT MIXING STUDY (ITXM) 85732 CPT-4 40.00 53053 BLUE APTTMX APTT MIXING STUDY (ITXM) 85732 CPT-4 BLUE LUPSC LUPS COMMENT RT REPTILASE TIME 85635 CPT-4 54.00 53390 BLUE NAME: LUTEINIZING HORMONE MNEMONIC: LH ABBR: LH OTHER MNEMONIC: ILH LUTEINIZING DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83002 CPT TYPE: CPT-4 CHARGE: 109.00 BILLING CD: 19777 CONTAINER: RED3 NAME: LYME BY PCR, CSF OR SYNOVIAL MNEMONIC: LYMEPCR ABBR: LYME BY PCR OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87476 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 58610 CONTAINER: CSF#3 ALIQUOT: CSF#1 MIN ML: 1.0 MAX ML: 1.0 FLUID 1.0 1.0 COMPONENTS LYSS SOURCE (LYME PCR) LYPCR RESULT LYME PCR NAME: LYME DISEASE AB WESTERN BLOT ** THIS TEST MAY NOT BE ORDERED ALONE** MNEMONIC: LYMEC ABBR: LYME CONFIRM OTHER MNEMONIC: LYME CONFIRMATION TEST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST COLLECTION INSTRUCTION FOR LAB USE ONLY! COMPONENTS LYIGG IGG WESTERN BLOT 86617 CPT-4 158.00 66853 LYBDG LYME IGG BANDS LYIGM IGM WESTERN BLOT 86617 CPT-4 158.00 66861 LYBDM LYME IGM BANDS LYIN LYME DISEASE INTERPRETATION NAME: LYME DISEASE SCREENING MNEMONIC: LYME ABBR: LYME DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 86618 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 66768 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1 NAME: LYSERGIC ACID DIETHYLAMIDE,U MNEMONIC: LSDU ABBR: LSD CONFIRM DEPT: LR SITE: MAYO TURN AROUND HOURS:


130

CPT: 80299 CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS IALSD IMMUNOASSAY SCREEN LSD LSD LSD BY LC/MS/MS LSD2 2-OXO-3-HYDROXY-LSD BY LC/MS ILSD INTERPRETATION LSD COCLSD CHAIN OF CUSTODY LSD NAME: LYSIS OF CELLS MNEMONIC: LYSIS ABBR: LYSIS OTHER MNEMONIC: 83907 DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: 83907 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 65951 NAME: LYSOZYME MNEMONIC: LYSO ABBR: LYSO OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85549 CPT TYPE: CPT-4 CHARGE: 145.00 BILLING CD: 65117 CONTAINER: LAV COLLECTION INSTRUCTION: FREEZE PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: MACROSCOPIC, URINE, REFLEX ONLY MNEMONIC: UMACULT ABBR: MACROSCOPIC DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81003 CPT TYPE: CPT-4 CHARGE: 20.00 BILLING CD: 00074 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS UCOL COLOR, URINE UAPR APPEARANCE, URINE UGL GLUCOSE, URINE (UA) UBI BILIRUBIN, URINE UKET KETONE, URINE SG URINE SPECIFIC GRAVITY UHGB URINE HEMOGLOBIN UPH PH,URINE CPT 81002 UTP PROTEIN, URINE UROB UROBILINOGEN, URINE UNITR NITRATE, URINE REFLEX ULEUR URINE LEUKOCYTE ESTERASE REFLX ORDER MICR ORDER MICROSCOPIC URINE NAME: MAGNESIUM LEVEL MNEMONIC: MG ABBR: MG DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83735 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 65647 CONTAINER: MINT-PST


131

NAME: MAGNESIUM, URINE MNEMONIC: MG24 ABBR: MG24 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83735 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 65669 CONTAINER: UR24 CONTAINER COLLECTION INSTRUCTION: 24HR: NO PRESERVATIVE ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 NAME: MAGNESIUM,RBC MNEMONIC: MGRBC ABBR: MGRBC DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83735 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 51404 CONTAINER: LAV ALIQUOT: LAV MIN ML: 0.2 MAX ML: 0.5 NAME: MALARIA SMEAR MNEMONIC: MALS ABBR: MALS OTHER MNEMONIC: DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 87207 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 65759 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1 MAX ML: 1 SLIDE 1 2 NAME: MANGANESE, SERUM MNEMONIC: MAN ABBR: MAN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83785 CPT TYPE: CPT-4 CHARGE: 133.00 BILLING CD: 65757 CONTAINER: RYLBLPLAIN ALIQUOT: METAL FREE MIN ML: 0.4 MAX ML: 1.6 NAME: MEDICAL REVIEW OFFICER MNEMONIC: MRO ABBR: MRO DEPT: LR SITE: MEDTOX TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: 32.00 BILLING CD: 66409 NAME: MELANIN, URINE MNEMONIC: UMEL ABBR: MELANIN, URINE DEPT: LR SITE: ML TURN AROUND HOURS: NAME: MEPERIDINE (DEMEROL) LEVEL MNEMONIC: MEP ABBR: MEP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83925 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 65125 CONTAINER: GREEN ALIQUOT: PLASMA MIN ML: 0.6 MAX ML: 3.0 NAME: MEPHOBARBITAL & PHENOBARBITAL MNEMONIC: MPH ABBR: MPH OTHER MNEMONIC: MEBARAL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82205 CPT TYPE: CPT-4 CHARGE: 151.00 BILLING CD: 65306 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.5 MAX ML: 5.0


132

NAME: MERCAPTOPURINE MNEMONIC: MER ABBR: MER OTHER MNEMONIC: 6MP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 65512 CONTAINER: GREEN ALIQUOT: PLASMA MIN ML: 0.3 MAX ML: 2.0 NAME: MERCURY, 24 HR URINE MNEMONIC: MERCU ABBR: MERCU OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83825 CPT TYPE: CPT-4 CHARGE: 136.00 BILLING CD: 19789 CONTAINER: UR24 COLLECTION INSTRUCTION: NO PRESERVATIVE. RECORD TOTAL VOLUME REF WITH IN 4 HOURS ALIQUOT: UR24 MIN ML: 10.0 MAX ML: 10.0 NAME: MERCURY, BLOOD MNEMONIC: MERC ABBR: MERC OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83825 CPT TYPE: CPT-4 CHARGE: 136.00 BILLING CD: 65557 CONTAINER: RYLBLUEDTA COLLECTION INSTRUCTION: SEND WHOLE BLOOD ALIQUOT: RYLBLUEDTA MIN ML: 0.3 MAX ML: 1.0 NAME: MERCURY, URINE MNEMONIC: UMERC ABBR: UR MERC DEPT: LR SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS UCR CREATININE, URINE UCRTT CREAT,URINE TIMED TEST MERCU MERCURY, 24 HR URINE 83825 CPT-4 136.00 19789 UR24 MERCUT MERCURY, 24 HOUR URINE MERCUG MERCURY URINE UG/G CR NAME: MESORIDAZINE LEVEL MNEMONIC: MESORID ABBR: MESORID OTHER MNEMONIC: SERENTIL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84022 CPT TYPE: CPT-4 CHARGE: 213.00 BILLING CD: 65581 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 1.0 NAME: METANEPHRINES,FRACT, FREE,P MNEMONIC: MET ABBR: MET DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83835 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 19790 CONTAINER: LAV ALIQUOT: FRZ-PLASMA MIN ML: 1.1 MAX ML: 2.5 COMPONENTS


133

METF METANEPHRINES,FREE NMETP* NORMETANEPHRINE,FREE,PLASMA NMETFP NORMETANEPHRINE,FREE,PLASMA NAME: METANEPHRINES,FRACTION,RANDOM MNEMONIC: METR ABBR: METR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83835 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 19790 CONTAINER: STC ALIQUOT: URINE MIN ML: 2.0 MAX ML: 5.0 COMPONENTS NMET NORMETANEPHRINE METU METANEPHRINES TOTAL URINE NAME: METANEPHRINES,FRACTIONATED 24H MNEMONIC: METNU ABBR: METNU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83835 CPT TYPE: CPT-4 CHARGE: 86.00 BILLING CD: 19790 CONTAINER: UR24-ACE COLLECTION INSTRUCTION: ADD 25 ML ACETIC ACID AT START OF COLLECTION ALIQUOT: URINE MIN ML: 2.0 MAX ML: 10.0 COMPONENTS NMET NORMETANEPHRINE METU METANEPHRINES TOTAL URINE NAME: METHADONE CONFIRMATION,URINE MNEMONIC: METHU ABBR: METHU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83840 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 19791 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 10.0 COMPONENTS GCMETH C/MS CONFIRMATION METHADONE IAMET METHADONE IMMUNOASSAY SCREEN EDDP EDDP-BY GC-MS METGC METHADONE BY GC/MS METINT METHADONE INTERPRETATION CMMET COMMENT METHADONE METCC METHADONE CHAIN OF CUSTODY NAME: METHADONE,SERUM MNEMONIC: METD ABBR: METD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83840 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 19791 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 4.5 NAME: METHAQUALONE CONFIRM,U MNEMONIC: MQC ABBR: MQC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65826 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 20 COMPONENTS MQ IMMUNOASSAY SCREEN MQ GCMQ METHAQUALONE BY GC/MS


134

IMQ INTERPRETATION METHAQUALONE COCMQ CHAIN OF CUSTODY METHAQUALONE NAME: METHEMOGLOBIN MNEMONIC: METHGB ABBR: METHGB DEPT: BG SITE: ML TURN AROUND HOURS: CONTAINER: GREEN NAME: METHEMOGLOBIN & SULFHEMOGLOBIN MNEMONIC: MSHG ABBR: MSHG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: LAV ALIQUOT: LAV MIN ML: 3.0 MAX ML: 3.0 COMPONENTS MHGB METHEMOGLOBIN 83050 CPT-4 44.00 53567 SHGB SULFHEMOGLOBIN 83060 CPT-4 32.00 65609 NAME: METHOTREXATE, SERUM MNEMONIC: METHOT ABBR: METHOTREXATE DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65397 CONTAINER: RED10 COLLECTION INSTRUCTION: PROTECT FROM LIGHT ALIQUOT: FRZ-AMBER MIN ML: 0.5 MAX ML: 1.0 NAME: METHSUXIMIDE (CELONTIN) LEVEL MNEMONIC: ME ABBR: ME DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83858 CPT TYPE: CPT-4 CHARGE: 168.00 BILLING CD: 65124 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 2.0 NAME: METHYLENETETRAHYDROFOLATE-5,10 MNEMONIC: MTHFR ABBR: MTHFR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81291 CPT TYPE: CPT-4 CHARGE: 441.00 BILLING CD: 66789 CONTAINER: YEL-ACD COLLECTION INSTRUCTION: Room temperature ALIQUOT: YEL-ACD MIN ML: 3.0 MAX ML: 7.0 COMPONENTS MTHFRR MTHFR RESULT MTHFRI MTHFR INTERPRETATION 83912 CPT-4 110.00 53046 MTHFRRV MTHFR REVIEWED BY: MTHFRS MTHFR SPECIMEN MTHFRSID MTHFR SPECIMEN ID MTHFRSO MTHFR SOURCE MTHFROD MTHFR ORDER DATE MTHFRRR MTHFR REASON FOR REFFERAL MTHFRM MTHFR METHOD MTHFRA MTHFR AMENDMENT MTHFRRD MTHFR RELEASE DATE


135

NAME: METHYLMALONIC ACID, SERUMMNEMONIC: MMA ABBR: MMA

DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83921 CPT TYPE: CPT-4 CHARGE: 174.00 BILLING CD: 65981 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 1.5 NAME: METHYLMALONIC ACID, URINEMNEMONIC: MMAU ABBR: MMAU

DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83921 CPT TYPE: CPT-4 CHARGE: 174.00 BILLING CD: 65725 CONTAINER: STC ALIQUOT: FRZ-URINE MIN ML: 0.25 MAX ML: 5.0 NAME: METHYLPHENIDATE (RITALIN) MNEMONIC: METHYLP ABBR: METHYLP OTHER MNEMONIC: RITALIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66523 CONTAINER: GREEN ALIQUOT: FRZ-PLASMA MIN ML: 0.6 MAX ML: 2.0 NAME: MEXILETINE LEVEL MNEMONIC: MEX ABBR: MEX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65565 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0 NAME: MICROALBUMIN URINE 24 HOUR MNEMONIC: MCAB24 ABBR: MCAB24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82043 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 51396 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 MA URINE MICROALBUMIN MAC24 MA URINE 24 HOUR (CALCULATION) NAME: MICROALBUMIN, URINE QUANT. MNEMONIC: MCAB ABBR: MICROALBUMIN, U DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82043 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 51396 CONTAINER: STC COMPONENTS UCREA CREATININE, URINE 82570 CPT-4 51.00 00200 STC MA URINE MICROALBUMIN MAC MICROALBUMIN/CREATININE RATIO NAME: MICROSCOPIC ANALYSIS MNEMONIC: MICA ABBR: MICA OTHER MNEMONIC: 88262 DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: 88262 CPT TYPE: CPT-4 CHARGE: 944.00 BILLING CD: 65537


136

NAME: MOLECULAR DIAGNOSTICS-RT MNEMONIC: MDRT ABBR: MDRT OTHER MNEMONIC: 83902 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83902 CPT TYPE: CPT-4 CHARGE: 136.00 BILLING CD: 65596 NAME: MOLECULAR EXTRACTION [reflex test only] MNEMONIC: EXT ABBR: EXTRACTION OTHER MNEMONIC: 83890 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83890 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 55430 NAME: MOLECULAR EXTRACTION [reflex test only] MNEMONIC: EXTR ABBR: EXTR OTHER MNEMONIC: 83891 DEPT: LR SITE: HEMA TURN AROUND HOURS: CPT: 83891 CPT TYPE: CPT-4 CHARGE: 98.00 BILLING CD: 59285 NAME: MOLECULAR PATHOLOGY LEVEL 2 [reflex test only] MNEMONIC: MP2 ABBR: MP2 OTHER MNEMONIC: 81401 DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 81401 CPT TYPE: CPT-4 CHARGE: 2833.00 BILLING CD: 66773 NAME: MOLECULAR PATHOLOGY LEVEL 3 [reflex test only] MNEMONIC: MP3 ABBR: MP3 OTHER MNEMONIC: 81402 DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 81402 CPT TYPE: CPT-4 CHARGE: 1191.00 BILLING CD: 66834 NAME: MONOCLONAL PROTEIN STDY,RDM,U MNEMONIC: MPSUR ABBR: MPSUR OTHER MNEMONIC: RMPSU DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: STC ALIQUOT: URINE MIN ML: 25 MAX ML: 50 COMPONENTS ALBUR LBUMIN,RANDOM,U 84166 CPT-4 206.00 65707 UA1GR ALPHA-1-GLOBULIN,RANDOM,U UA2GR ALPHA-2-GLOBULIN,RANDOM,U BGUR BETA-GLOBULIN,RANDOM,U GGUR GAMMA-GLOBULINS,RANDOM,U AGRU A/G RATIO,RANDOM,U MSKUR M SPIKE MSK2UR M SPIKE 2,RANDOM,U IMPRUR IMPRESSION MPSUR TPUR TOTAL PROTEIN MPSUR 84156 CPT-4 50.00 05071 IMFXUR IMMUNOFIXATION,RANDOM,U 86335 CPT-4 130.00 66079 NAME: MONOCLONAL PROTEIN STUDY URINE MNEMONIC: MPSU ABBR: MPSU DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: UR24


137

COLLECTION INSTRUCTION: ABSOLUTE MINIMUN VOLUME IS 25 ML FROM 24 HR COLLECTION ALIQUOT: URINE MIN ML: 25.0 MAX ML: 50.0 COMPONENTS UTPR PROTEIN,TOTAL,U 84156 CPT-4 50.00 05071 PEUD COLLECTION DURATION PEUV URINE VOLUME PEUC CONCENTRATION PEUTP TOTAL PROTEIN (PEU) 84156 CPT-4 50.00 05071 MONOCLONAL PROTEIN STUDY URINE [continued] ELPU ELECTROPHORESIS, PROTEIN URINE 84166 CPT-4 206.00 65707 UPTE PROTEIN ELECTROPHORESIS,U 84166 CPT-4 206.00 65707 ALBU ALBUMIN, URINE UA1G ALPHA-1-GLOBULIN,URINE UA2G ALPHA-2-GLOBULIN BGU BETA-GLOBULIN GGU GAMMA-GLOBULINS AGR A/G RATIO MSK M SPIKE IMPR IMPRESSION PEU IMFX IMMUNOFIXATION,U 86335 CPT-4 130.00 66079 NAME: MONOCLONAL PROTEIN STUDY,S MNEMONIC: MPSS ABBR: MPSS OTHER MNEMONIC: SPEP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: FOR ONCOLOGY PATIENTS - SPE AND IMMUNOFIXATION ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 COMPONENTS SPE ELECTROPHORESIS,SERUM PROTEIN TPROT** TOTAL PROTEIN (SPE) 84155 CPT-4 50.00 66071 A1G** ALPHA-1-GLOBULINS 84165 CPT-4 93.00 65130 IMFXS IMMUNOFIXATION, SERUM 86334 CPT-4 171.00 66045 MSKS** M SPIKE SERUM MSKS2 M SPIKE 2 NAME: MONOTEST MNEMONIC: MSPT ABBR: MSPT DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86308 CPT TYPE: CPT-4 CHARGE: 40.00 BILLING CD: 00562 CONTAINER: YEL ALIQUOT: YEL MIN ML: 1 MAX ML: 1 NAME: MONOTEST WITH REFLEX EBV MNEMONIC: MSPTE ABBR: MSPTE OTHER MNEMONIC: DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86308 CPT TYPE: CPT-4 CHARGE: 40.00 BILLING CD: 00562 CONTAINER: RED10 ALIQUOT: RED10 MIN ML: 1 MAX ML: 10 NAME: MORPHOMETRIC ANAYLSIS,MANUAL MNEMONIC: MORA ABBR: MORA OTHER MNEMONIC: 88368


138

DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88368 CPT TYPE: CPT-4 CHARGE: 749.00 BILLING CD: 65515 NAME: MORPHOMETRIC ANAYLSIS,MANUAL MNEMONIC: MORA2 ABBR: MORA2 OTHER MNEMONIC: 8836891 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8836891 CPT TYPE: CPT-4 CHARGE: 749.00 BILLING CD: 65547


139

NAME: MULTIPLE SCLEROSIS(MS) PROFILE MNEMONIC: MSP ABBR: MS PROFILE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: Serum and spinal fluid are required. ALIQUOT: CSF#1 MIN ML: 0.5 MAX ML: 1.0 SERUM 0.5 1.0 COMPONENTS OLIGCSF OLIGOCLONAL BANDS, CSF 83916 CPT-4 217.00 65346 OLIGS OLIGOCLONAL BANDS,SERUM 83916 CPT-4 217.00 53682 OLIGI OLIGO BANDS INTERPRETATION IGIS IGG SYNTHESIS RATE CSFIGG CSF IGG 82784 CPT-4 97.00 19524 CSFA CSF ALBUMIN 82042 CPT-4 12.00 65908 SEIGG SERUM IGG 82784 CPT-4 97.00 65381 SALB SERUM ALBUMIN 82040 CPT-4 25.00 65900 NAME: MUMPS AB, IgG, S MNEMONIC: MMG ABBR: MMG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86735 CPT TYPE: CPT-4 CHARGE: 92.00 BILLING CD: 55591 CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS MUMPG MUMPS VIRUS IGG ANTIBODY 86735 CPT-4 92.00 55591 MMGI INDEX VALUE MUMPS IGG NAME: MUMPS AB, IgM, S MNEMONIC: MMM ABBR: MMM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86735 CPT TYPE: CPT-4 CHARGE: 92.00 BILLING CD: 19448 CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS MUMPM MUMPS VIRUS IGM ANTIBODY CPT-4 MMMI INDEX VALUE MUMPS IGM NAME: MUMPS ANTIBODY IGG & IGM MNEMONIC: MUMP ABBR: MUMP DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.5 COMPONENTS MUMPGM MUMPS IGG & IGM MMG MUMPS AB, IgG, S 86735 CPT-4 92.00 55591 MUMPG MUMPS VIRUS IGG ANTIBODY 86735 CPT-4 92.00 55591 MMM MUMPS AB, IgM, S 86735 CPT-4 92.00 19448 MUMPM MUMPS VIRUS IGM ANTIBODY NAME: MUTATION ID BY ENZYMATIC MNEMONIC: MUTEZ ABBR: MUTEZ OTHER MNEMONIC: 83914 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83914 CPT TYPE: CPT-4 CHARGE: 157.00 BILLING CD: 65643


140

NAME: MUTATION ID BY SEQUENCE MNEMONIC: MUTID ABBR: MUTID OTHER MNEMONIC: 83904 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83904 CPT TYPE: CPT-4 CHARGE: 144.00 BILLING CD: 66434 CONTAINER: NAME: MYCOBACTER TUBERCULOSIS BY PCR MNEMONIC: MTBP ABBR: MYCO TB BY PCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87556 CPT TYPE: CPT-4 CHARGE: 458.00 BILLING CD: 58379 CONTAINER: STC COLLECTION INSTRUCTION: Sputum 1mL/ tissue 5mm /BF or urine 1mL /stool 5 grams ALIQUOT: STC MIN ML: 1.0 MAX ML: 1.0 COMPONENTS SSMTBP SPECIMEN SOURCE MTBP RMTBP RESULT MTBP SIMTBP SPECIAL INFORMATION MTBP RSMTBP REPORT STATUS MTBP NAME: MYCOBACTERIA CULTURE CONCENT MNEMONIC: AFBT ABBR: AFBT OTHER MNEMONIC: TBT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87015 CPT TYPE: CPT-4 CHARGE: 65.00 BILLING CD: 00207 NAME: MYCOPLASMA HOMINI BY PCR MNEMONIC: MPCR ABBR: MPCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87798 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 55871 CONTAINER: STC ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS MPCRS SOURCE MPCR MPCRR RESULT MPCR MPCRSI SPECIAL INFORMATION MPCR MPCRRS REPORT STATUS MPCR NAME: MYCOPLASMA PNEUMONIAE CULTURE MNEMONIC: MPC ABBR: MPC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87109 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 19567 CONTAINER: M5 ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: MYCOPLASMA PNEUMONIAE IGG&IGM MNEMONIC: MYCAB ABBR: MYCAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 MYCG MYCOPLASMA PNEUMONIAE IGG 86738 CPT-4 102.00 53403


141

MYCM MYCOPLASMA PNEUMONIAE IGM 8673859 CPT-4 102.00 65775 NAME: MYCOPLASMA PNEUMONIAE,IGM,IFA MNEMONIC: MMYCO ABBR: MMYCO OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8673891 CPT TYPE: CPT-4 CHARGE: 102.00 BILLING CD: 65783 NAME: MYELIN ASS. GLYCOPROTEIN MNEMONIC: MAG ABBR: MAG DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 COLLECTION INSTRUCTION: FASTING ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 COMPONENTS MNEMONIC NAME CPT CODE CPT TYPE CHARGE BILLING CD CONTAINER MAGA SGPG IGM INDEX 83520 CPT-4 103.00 65505 MAGB MAG IGM INDEX 8352091 CPT-4 101.00 65633 WBMAG MAG AB WESTERN BLOT 84181 CPT-4 173.00 66892 NAME: MYELOPEROXIDASE ANTIBODIES MNEMONIC: MYAB ABBR: MYAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65688 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: MYOGLOBIN, SERUM MNEMONIC: MYO ABBR: MYO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83874 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65573 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 NAME: MYOGLOBIN,URINE MNEMONIC: MYOU ABBR: MYOU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83874 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65141 CONTAINER: STC COLLECTION INSTRUCTION: ALIQUOT W/IN 1 HR TO T691 ALIQUOT: OTHER MIN ML: 0.5 MAX ML: 5.0 NAME: NEISSERIA GONORRHOEAE RNA MNEMONIC: GCRNA ABBR: GCRNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87591 CPT TYPE: CPT-4 CHARGE: 161.00 BILLING CD: 59909 CONTAINER: APTIMA swab ALIQUOT: APTIMA MIN ML: 1 MAX ML: 1 APTIMAU 2.0 20.0 COMPONENTS SGCRNA SOURCE GCRNA RGCRNA NEISSERIA RESULT


142

NAME: NEOGENOMICS TESTING MNEMONIC: NEOG ABBR: NEOG DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: LAV NAME: NEONATAL ABG MNEMONIC: NABG ABBR: NABG OTHER MNEMONIC: ABG NEONATAL DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: SYRINGE COMPONENTS ABGPH ARTERIAL BLOOD GAS pH ABGPCO2 ART BLD PARTIAL PRESSURE CO2 ABGPO2 ART BLD PARTIAL PRESSURE O2 ABGHCO3 ARTERIAL BLOOD GAS HCO3 ABGBE ARTERIAL BLOOD GAS BASE EXCESS PSTO2 PST O2 ABGCO2 ABG CO2 CONTENT NAME: NERVE FIBER TEASING MNEMONIC: NVT ABBR: NVT OTHER MNEMONIC: 88362 DEPT: LNP SITE: UPMC-HISTO TURN AROUND HOURS: CPT: 88362 CPT TYPE: CPT-4 CHARGE: 252.00 BILLING CD: 66824 NAME: NEUROMYELITIS OPTICA (NMO) MNEMONIC: NMO ABBR: NMO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86255 CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.5 MAX ML: 2.1 COMPONENTS CNMO INTERPRETIVE COMMENTS AQP4 NMO/AQP4-IGG NAME: NEURON SPECIFIC ENOLASE, CSF MNEMONIC: NSE ABBR: NSE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65420 CONTAINER: CSF#1 ALIQUOT: CSF#1 MIN ML: 0.1 MAX ML: 0.5 NAME: NEUTROPHIL OXIDATIVE BURST MNEMONIC: NXB ABBR: NXB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER COLLECTION INSTRUCTION: 1 GRN FROM PATIENT & 1 GRN FROM NORMAL UNRELATED PERSON ALIQUOT: GREEN MIN ML: 1.0 MAX ML: 5.0


143

OTHER 1.0 5.0 NAME: NEWBORN ANEUPLOIDY DETECTION MNEMONIC: FISHN ABBR: FISHN OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: GREEN COLLECTION INSTRUCTION: BLOOD OR CORD BLOOD ALIQUOT: GREEN MIN ML: 1 MAX ML: 5.0 COMPONENTS FISHI INTERPERTATION 0.00 58645 DNA DNA PROBE 88271 CPT-4 129.00 65768 DNA2 DNA PROBE 2 8827191 CPT-4 122.00 65784 HYB5 HYBRIDIZATION, 100-300 CELLS 88275 CPT-4 416.00 65595 DNA3 DNA PROBE 3 8827191 CPT-4 122.00 65784 DNA4 DNA PROBE 4 8827191 CPT-4 122.00 65784 DNA5 DNA PROBE 5 8827191 CPT-4 122.00 65784 NAME: NEWBORN SCREENING MNEMONIC: SNS ABBR: SNS OTHER MNEMONIC: PKU DEPT: LR SITE: PKELM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: FLTR PAPER COMPONENTS PADHNB PA DEPT OF HEALTH NEWBORN SCN SNBS SUPPLEMENTAL SCREEN GENCOM COMMENT SNS NAME: NICKEL, SERUM MNEMONIC: NICK ABBR: NICK DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83885 CPT TYPE: CHARGE: BILLING CD: CONTAINER: RYLBLPLAIN ALIQUOT: METAL FREE MIN ML: 1 MAX ML: 2.0 NAME: NICOTINE MNEMONIC: NIC ABBR: NIC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83887 CPT TYPE: CPT-4 CHARGE: 128.00 BILLING CD: 19801 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.35 MAX ML: 1.4 NAME: NITROGEN, STOOL MNEMONIC: NITST ABBR: NITST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84999 CPT TYPE: CPT-4 CHARGE: 315.00 BILLING CD: 66004 CONTAINER: STC COLLECTION INSTRUCTION: SPECIFY 48 72 OR 96 HOUR COLLECTION ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: NOCARDIA STAIN


144

MNEMONIC: NOCS ABBR: NOCS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87206 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 65170 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: NORBUPRENORPHINE MNEMONIC: NBU ABBR: NBU NAME: NORTRIPTYLINE MNEMONIC: AMNO ABBR: AMNO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80182 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65119 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 NAME: NOVA CREATININE WITH GFR (EST) POINT OF CARE TESTING CODE MNEMONIC: NCRE ABBR: CREA WITH GFR DEPT: NOVA SITE: ML TURN AROUND HOURS: COLLECTION INSTRUCTION Use StatSensor Strip within 30 seconds of collect. COMPONENTS CRE CREATININE 82565 CPT-4 37.00 63584 MINT-PST GFR CALCULATED GFR NAME: NTX TELOPEPTIDE CROSS-LINKED,S MNEMONIC: NTXS ABBR: NTXS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82523 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 65730 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.25 MAX ML: 0.5 NAME: NTX TELOPEPTIDE,URINE MNEMONIC: NTX ABBR: NTX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82523 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 65730 CONTAINER: UR24 COLLECTION INSTRUCTION: 24 HR OR RANDOM URINE. NO PRESERVATIVE. REFRIG ALIQUOT: FRZ-URINE MIN ML: 4.0 MAX ML: 10.0 NAME: NUCLEIC ACID PROBE MNEMONIC: NUC2 ABBR: NUC2 DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 8389691 CPT TYPE: CPT-4 CHARGE: 30.00 BILLING CD: 65586 NAME: NUCLEIC ACID TRANSFER MNEMONIC: NUCT ABBR: NUCT OTHER MNEMONIC: 83897 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83897 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 59286 NAME: OLIGOCLONAL BANDING,CSF MNEMONIC: OLIG ABBR: OLIG DEPT: LR SITE: MAYO TURN AROUND HOURS:


145

CPT: CPT TYPE: CPT-4 CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: DR. BERGER'S PATIENTS GO TO QUEST/ALL OTHERS TO MAYO ALIQUOT: CSF#4 MIN ML: 0.5 MAX ML: 1.0 SST 0.5 1.0 COMPONENTS OLIGCSF OLIGOCLONAL BANDS, CSF 83916 CPT-4 217.00 65346 OLIGS OLIGOCLONAL BANDS,SERUM 83916 CPT-4 217.00 53682 OLIGI OLIGO BANDS INTERPRETATION OCSFQ OLIGOCLONAL BANDS, CSF 83916 CPT-4 217.00 65346 NAME: OPIATES,CONFIRM,U MNEMONIC: OPIU ABBR: OPIATES CONFIRM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83925 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 66370 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 10.0 COMPONENTS IAO IMMUNOASSAY SCREEN OPIATES OPC GC/MS CONFIRMATION-OPIATES CODE CODEINE HCOD HYDROCODONE HMORP HYDROMORPHONE MORH MORPHINE OXYC OXYCODONE OXYM OXYMORPHONE BY GC/MS INTDRG INTERPRETATION-DRUG SCREEN COC0 CHAIN OF CUSTODY OPIATES NAME: ORGANIC ACID SCREEN, URINE MNEMONIC: ORGACU ABBR: ORGANIC ACID,U DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83919 CPT TYPE: CPT-4 CHARGE: 320.00 BILLING CD: 58545 CONTAINER: STC COLLECTION INSTRUCTION: SEND 10ML FROZEN URINE. ALIQUOT: FRZ-URINE MIN ML: 10.0 MAX ML: 10.0 NAME: OSMOLALITY MNEMONIC: OSMS ABBR: OSMO OTHER MNEMONIC: OSMOS DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83930 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 01764 CONTAINER: YEL-SST ALIQUOT: YEL-SST MIN ML: 1 MAX ML: 1 NAME: OSMOLALITY, URINE MNEMONIC: OSMU ABBR: OSMO,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 83935 CPT TYPE: CPT-4 CHARGE: 53.00 BILLING CD: 64724 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: OSTEOCALCIN,SERUM MNEMONIC: OSTEO ABBR: OSTEO


146

DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83937 CPT TYPE: CPT-4 CHARGE: 321.00 BILLING CD: 65748 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 0.5 NAME: OVA PARASITE CONC W/TRICHROME MNEMONIC: OAP ABBR: OAP OTHER MNEMONIC: OVA-1 DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: PARAPQ

ALIQUOT: PARAPQ MIN ML: 1 MAX ML: 1 COLLECTION INSTRUCTION: CHECK WITH MICRO BEFORE ORDERING

TFV 1 1 COMPONENTS OAPS SOURCE OAP PST PARASITE EXAM, CONCENTRATE 87177 CPT-4 69.00 65882 PSMR PARASITE SMR,TRICHROME 87209 CPT-4 174.00 65890 NAME: OXALATE, 24 HOUR URINE MNEMONIC: OX24 ABBR: OX24 OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83945 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65157 CONTAINER: UR24 COLLECTION INSTRUCTION: REFRIGERATE ALIQUOT: UR24 MIN ML: 4.0 MAX ML: 5.0 NAME: OXAZEPAM (SERAX) MNEMONIC: OXA ABBR: OXA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65165 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 0.3 MAX ML: 2.0 NAME: OXYCODONE LEVEL MNEMONIC: OXY ABBR: OXY OTHER MNEMONIC: PERCOCET DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83925 CPT TYPE: CPT-4 CHARGE: 212.00 BILLING CD: 65761 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 2.1 MAX ML: 5.0 NAME: PANCREATIC ELASTASE IN STOOL MNEMONIC: PE ABBR: PE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82656 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 65619 CONTAINER: STC ALIQUOT: FREEZE MIN ML: 1.0 MAX ML: 10.00 COMPONENTS PE1 PANCREATIC ELASTASE CPT-4 PEI INTERPRETATION PE NAME: PANCREATIC ISOENZYME


147

MNEMONIC: AMYP ABBR: AMYP DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 66036 CONTAINER: SST ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: PANCREATIC POLYPEPTIDE,PLASMA MNEMONIC: HPP ABBR: HPP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 65779 CONTAINER: LAV COLLECTION INSTRUCTION: FASTING (8 HOUR) ALIQUOT: FRZ-PLASMA MIN ML: 0.35 MAX ML: 3.0 NAME: PARANEOPLASTIC AA EVALUATION MNEMONIC: PAEVAL ABBR: PAEVAL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 2.0 MAX ML: 4.0 COMPONENTS INPAEVAL INTERPRETIVE COMMENTS PAEVAL ANNA1 ANTI-NEURONAL NUCLEAR AB TYPE1 86256 CPT-4 63.00 65576 PAVR REFLEX ADDED PAEVAL ANNA2 ANTI-NEURONAL NUCLEAR AB TYPE2 86256 CPT-4 63.00 65568 ANNA3 ANTI NEURONAL NUCLEAR AB TYPE3 86256 CPT-4 63.00 65481 AGNA ANTI-GLIAL/NEURONAL NUCLEAR AB 86256 CPT-4 63.00 65772 PCA1 PURKINJE CELL CYTOPLASMIC AB-1 86256 CPT-4 63.00 66405 PCA2 PURKINJE CELL CYTOPLASMIC AB-2 86256 CPT-4 63.00 66413 PCATR PURKINJE CELL CYTOPLASMI AB-TR 86256 CPT-4 63.00 66421 AMPHI AMPHIPHYSIN ANTIBODY 86256 CPT-4 63.00 66429 CRMPT CRMP-5-IGG TITER 86256 CPT-4 63.00 65457 AGN AChR GANGLIONIC NEURONAL AB 83519 VGKC NEURONAL (V-G) K CHANNEL AB 83519 CPT-4 146.00 65780 ACER ACETYLCHOLINE REC. BINDING AB 83519 CPT-4 146.00 65326 SST10 STMA STRIATIONAL (MUSCLE) AB 83520 CPT-4 103.00 58557 CABP CALCIUM CHANNEL BINDING AB,P/Q 83519 CPT-4 146.00 66366 CABN CALCIUM CHANNEL BIND AB N-TYPE 83519 CPT-4 146.00 66358 NAME: PARATHYROID HORMONE MNEMONIC: PTH ABBR: PTH DEPT: HEP SITE: ML TURN AROUND HOURS: CPT: 83970 CPT TYPE: CPT-4 CHARGE: 315.00 BILLING CD: 66222 CONTAINER: SST10 NAME: PARVOVIRUS B19 ABS, IGG & IGM MNEMONIC: PARVO ABBR: PARVO VIRUS DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS PARVOG PARVOVIRUS IGG ANTIBODY 86747 CPT-4 119.00 66236 PARVOM PARVOVIRUS IGM ANTIBODY 8674791 CPT-4 61.00 63725 PARVOI PARVO VIRUS INTERPRETATION


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NAME: PARVOVIRUS B19 DNA BY PCR MNEMONIC: PARVOV ABBR: PARVOV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87798 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 65555 CONTAINER: STC COLLECTION INSTRUCTION: AMINIOTIC,SPINAL,SYNOVIAL FLUID ALIQUOT: FLUID MIN ML: 0.5 MAX ML: 0.5 NAME: PATH CONSULT, COMPREHENSIVE MNEMONIC: PC3 ABBR: PC3 OTHER MNEMONIC: 86113 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88325 CPT TYPE: CPT-4 CHARGE: 265.00 BILLING CD: 65663 NAME: PATH CONSULT, OUTSIDE SLIDES MNEMONIC: PC1 ABBR: PC1 OTHER MNEMONIC: 88321 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88321 CPT TYPE: CPT-4 CHARGE: 223.00 BILLING CD: 65655 NAME: PATH CONSULT, W/SLIDE PREP MNEMONIC: PC2 ABBR: PC2 OTHER MNEMONIC: 88323 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 88323 CPT TYPE: CPT-4 CHARGE: 238.00 BILLING CD: 53049 NAME: PATHOLOGIST'S COMMENTS,BLOOD MNEMONIC: PATH ABBR: PATH COMMENTS OTHER MNEMONIC: JCOM DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85060 NAME: PATHOLOGY CONSULT MNEMONIC: CONS ABBR: CONS DEPT: LR SITE: MAYO TURN AROUND HOURS: COMPONENTS CRESULT RESULT CONSULT NAME: PCP CONFIRMATION MECONIUM MNEMONIC: PCPMC ABBR: PCPMC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83992 CPT TYPE: CPT-4 CHARGE: 144.00 BILLING CD: 66275 COMPONENTS PCMC PCP CONFIRMATION MECONIUM PCMCI INTERPRETATION PCMC COCPCMC CHAIN OF CUSTODY PCPMC NAME: PENTA SCREEN MNEMONIC: AFP5 ABBR: AFP5 DEPT: LR SITE: QUEST TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: FREEZE MIN ML: 2.0 MAX ML: 5.0 COMPONENTS AFPR AFP HCGAFP HCG TOTAL


149

INHIBIN INHIBIN HHCG HYPERGLYCOSYLATED HCG 82397 CPT-4 153.00 65756 ESTR ESTRIOL,PREGNANT FEMALES ONLY 82677 CPT-4 142.00 65118 NAME: PENTAZOCINE (TALWIN) LEVEL MNEMONIC: PENT ABBR: PENTAZOCINE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 82.00 BILLING CD: 84717 CONTAINER: GREEN ALIQUOT: GREEN MIN ML: 1 MAX ML: 3.0 NAME: PEPSINOGEN MNEMONIC: PEP ABBR: PEP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 65587 CONTAINER: RED10 COLLECTION INSTRUCTION: SEPARATE AND FREEZE ASAP 10-12 HR FAST ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 3.0 NAME: PH, FLUID MNEMONIC: PHF ABBR: PHF OTHER MNEMONIC: FLUID, PH FPH DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83986 CPT TYPE: CPT-4 CHARGE: 16.00 BILLING CD: 63592 CONTAINER: GREEN NAME: PH, SCALP MNEMONIC: PHS ABBR: PHS DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82800 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00331 CONTAINER: CBG NAME: PH, VENOUS MNEMONIC: VPH ABBR: PH, VENOUS DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82800 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 00331 CONTAINER: GREEN COLLECTION INSTRUCTION: COLLECT ON ICE NAME: PH,URINE MNEMONIC: UPH ABBR: PH DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81002 CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC NAME: PHENCYCLIDINE CONFIRMATION,U MNEMONIC: PCPU ABBR: PHENCYCLIDINE,U DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83992 CPT TYPE: CPT-4 CHARGE: 144.00 BILLING CD: 19572 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS GCPCP GC/MS CONFIRMATION PCP


150

IAPCP IMMUNOASSAY PCP PCPGC PHENCYCLIDINE BY GC/MS IPCPH INTREPRETATION PCP CMPCP COMMENT-PCP COCPCP CHAIN OF CUSTODY PCP NAME: PHENOBARBITAL TOTAL MNEMONIC: PHNT ABBR: PHNT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80184 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 53411 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: PHENYTOIN (DILANTIN) MNEMONIC: DIL ABBR: PHY DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80185 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 64598 CONTAINER: RED3 NAME: PHENYTOIN,TOTAL & FREE MNEMONIC: PHNY ABBR: PHENYTOIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.5 MAX ML: 2.0 COMPONENTS PHYT PHENYTOIN,TOTAL 80185 CPT-4 122.00 66040 PHYF PHENYTOIN,FREE 80186 CPT-4 109.00 65451 NAME: PHONE RESULTS MNEMONIC: PHONE ABBR: PHONE DEPT: LAB SITE: ML TURN AROUND HOURS: NAME: PHOSPHATIDLYSERINE IGG,IGA,IGM MNEMONIC: PSAB ABBR: PSAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS PSG PHOSPHATIDLYSERINE IGG 86148 CPT-4 314.00 65409 PSAA PHOSPHATIDLYSERINE IGA 8614891 PT-4 314.00 65343 PSM PHOSPHATIDLYSERINE IGM 8614891 CPT-4 314.00 65343 NAME: PHOSPHATIDYLETHANOLAMINE ABS MNEMONIC: PHOM ABBR: PHOM DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.25 MAX ML: 3.0 COMPONENTS PHOMA PHOSPHATIDYLETHANOLAMINE IGA 83520 CPT-4 103.00 66499 PHOMG PHOSPHATIDYLETHANOLAMINE IGG 83520 CPT-4 81.00 63903 PHOMM PHOSPHATIDYLETHANOLAMINE IGM 83520 CPT-4 103.00 66491 NAME: PHOSPHOROUS LEVEL MNEMONIC: PHOS ABBR: PHOS


151

OTHER MNEMONIC: PO4 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84100 CPT TYPE: CPT-4 CHARGE: 23.00 BILLING CD: 00307 CONTAINER: MINT-PST NAME: PHOSPHOROUS,RANDOM URINE MNEMONIC: PHOSU ABBR: PHOSU DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84105 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 05088 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: PHOSPHORUS, URINE 24HR MNEMONIC: PHO24 ABBR: PHOSPHORUS, URI DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84105 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 05088 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS PHOSU PHOSPHOROUS,RANDOM URINE 84105 CPT-4 38.00 05088 PHOS24 PHOSPHOROUS,24 HOUR URINE UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 NAME: PHYTANIC ACID MNEMONIC: PHY ABBR: PHY OTHER MNEMONIC: FATTY ACID DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82726 CPT TYPE: CPT-4 CHARGE: 177.00 BILLING CD: 66020 CONTAINER: RED10 COLLECTION INSTRUCTION: 12-14 HR FAST/NO ALCOHOL FOR 24 HRS ALIQUOT: FRZ-SERUM MIN ML: 0.15 MAX ML: 0.5 NAME: PI-LINKED ANTIGEN MNEMONIC: HAM ABBR: HAM OTHER MNEMONIC: PNH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: YEL-ACD COLLECTION INSTRUCTION: **ROOM TEMP** ALIQUOT: YEL-B MIN ML: 3.0 MAX ML: 6.0 COMPONENTS FLOW FLOW CHARGE 88184 88184 CPT-4 341.00 65546 HAMR HAM RESULT FLOWCG FLOW CHARGE 88185 CPT-4 168.00 66546 FLOW1 FLOW CHARGE 88184 CPT-4 341.00 65546 NAME: PLASMA HEMOGLOBIN MNEMONIC: PLHGB ABBR: PLHGB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83051 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 19750 CONTAINER: LAV ALIQUOT: PLASMA MIN ML: 1.0 MAX ML: 2.0


152

NAME: PLASMINOGEN ACTIVITY MNEMONIC: PA ABBR: PLASMINOGEN DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85420 CPT TYPE: CPT-4 CHARGE: 110.00 BILLING CD: 54461 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 1.0 NAME: PLATELET AGGREGATION MNEMONIC: PLTA ABBR: PLTA DEPT: LR SITE: ITXM TURN AROUND HOURS: CONTAINER: BLUE COLLECTION INSTRUCTION: ROOM TEMP*ITXM MUST RECEIVE WITHIN 4 HOURS*DO NOT SPIN ALIQUOT: BLUE MIN ML: 4.0 MAX ML: 4.0 COMPONENTS ST SAMPLE TIME PLTADP20 PLT AGG 20 ADP 8557691 CPT-4 230.00 65562 PLTADP10 PLT AGG 10 ADP 8557691 CPT-4 230.00 65562 PLTADP5 PLT AGG 5 ADP 8557691 CPT-4 230.00 65562 PLTCOLL PLT AGGREGATION - COLLAGEN 85576 CPT-4 230.00 52557 PLTAA PLT AGG-ARACHIDONIC ACID 85576 CPT-4 230.00 52557 PLTRIS12 PLT AGGREGATION-RISTOCETIN 1.2 85576 CPT-4 230.00 53565 PLTRIS03 PLT AGGREGATION-RISTOCETIN 0.3 85576 CPT-4 230.00 53565 PLTAC COMMENT PLTA NAME: PLATELET ANTIBODY MNEMONIC: PLTAB ABBR: PLTAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86022 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 65362 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.5 COMPONENTS PLTABR PLATELET ANTIBODY RESULT PLTABCOM PLATELET ANTIBODY COMMENT NAME: PLATELET ANTIBODY-CELL BOUND MNEMONIC: PLTABC ABBR: PLTABC OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86022 CPT TYPE: CPT-4 CHARGE: 63.00 BILLING CD: 65362 CONTAINER: LAV COLLECTION INSTRUCTION: ALIQUOT: LAV MIN ML: 5.0 MAX ML: 20.0

M-TR ONLY*48 HR STABILITY*PLTC MUST BE >10,000

NAME: PLATELET ASSOC. AUTOANTIBODY MNEMONIC: PLTIGG ABBR: PLTIGG DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: LAV COLLECTION INSTRUCTION: WHOLE BLOOD AT ROOM TEMP ALIQUOT: LAV MIN ML: 10 MAX ML: 20 COMPONENTS GPA GP Ia/IIa 86023 CPT-4 93.00 66355 GPIB GP Ib/IX 86023 CPT-4 93.00 66363 GPIIB GP IIb/IIIa 86023 CPT-4 93.00 66371


153

PLTX PLATELET ITXM NAME: PLATELET FUNCTION STUDY MNEMONIC: PLTF ABBR: PLTF DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE COLLECTION INSTRUCTION: MUST BE RECEIVED AT ITXM WITHIN 4 HRS *ROOM TEMP* ALIQUOT: BLUE MIN ML: 4 MAX ML: 4 COMPONENTS ST SAMPLE TIME PLTADP20 PLT AGG 20 ADP 8557691 CPT-4 230.00 65562 PLTADP10 PLT AGG 10 ADP 8557691 CPT-4 230.00 65562 PLTADP5 PLT AGG 5 ADP 8557691 CPT-4 230.00 65562 PLTCOLL PLT AGGREGATION - COLLAGEN 85576 CPT-4 230.00 52557 PLTAA PLT AGG-ARACHIDONIC ACID 85576 CPT-4 230.00 52557 PLTFC COMMENT PLTF NAME: PORPHOBILINOGEN DEAMINASE, RBC MNEMONIC: PBGD ABBR: PBGD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65231 CONTAINER: GREEN ON ICE ALIQUOT: GREEN MIN ML: 3.0 MAX ML: 3.0 NAME: PORPHOBILINOGEN,QN,RAND URINE MNEMONIC: PORUR ABBR: PORUR OTHER MNEMONIC: PBGU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84110 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 19816 CONTAINER: STC COLLECTION INSTRUCTION: FREEZE & PROTECT FROM LIGHT ALIQUOT: AMBER MIN ML: 10.0 MAX ML: 20.0 NAME: PORPHOBILINOGEN,U MNEMONIC: PORU ABBR: PORU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: NAME: PORPHRINS,FRACTIONATION,PLASMA MNEMONIC: PFRC ABBR: PFRC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82492 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65948 COMPONENTS PFRP PORPHYRINS, FRAC,PLASMA URO UROPORPHYRIN NAME: PORPHYRIN EVALUATION,RBC MNEMONIC: PORPHRBC ABBR: PORPHRBC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84311 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 66571 CONTAINER: GRN ON ICE ALIQUOT: GRN ON ICE MIN ML: 4.0 MAX ML: 4.0


154

NAME: PORPHYRINS 24 HR URINE MNEMONIC: PORPH ABBR: PORPH DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: UR24 COLLECTION INSTRUCTION ADD 5 G SODIUM CARBONATETO 24 HR COLL. WRAP IN FOIL ALIQUOT: AMBER MIN ML: 20 MAX ML: 50

NAME: PORPHYRINS PROFILE, PLASMA MNEMONIC: PORPHP ABBR: PORPHP DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: GREEN COLLECTION INSTRUCTION

ALIQUOT: SEND FROZEN IN AMBER VIAL

FRZ-AMBER


NAME: PORPHYRINS, STOOL48,72,96 HR MNEMONIC: STPORPH ABBR: STPORPH OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84126 CPT TYPE: CPT-4 CHARGE: 472.00 BILLING CD: 65181 CONTAINER: STC COLLECTION INSTRUCTION

ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 STOOL MUST BE FROZEN

COMPONENTS STCOPRO COPROPORPHYRIN, STOOL STPROT PROTOPORPHYRIN, STOOL STPINT PORPHYRIN INTERP, STOOL NAME: POTASSIUM MNEMONIC: K ABBR: K DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84132 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00313 CONTAINER: MINT-PST NAME: POTASSIUM, FLUID MNEMONIC: FK ABBR: POTASSIUM, FLUI DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84132 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00313 CONTAINER: GREEN NAME: POTASSIUM,24 HOUR URINE GRP MNEMONIC: K24 ABBR: K 24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84133 CPT TYPE: CPT-4 CHARGE: 34.00 BILLING CD: 63624 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UK POTASSIUM,RANDOM URINE 84133 CPT-4 34.00 53929 STC UKT POTASSIUM 24 HOUR URINE


155

NAME: POTASSIUM,RANDOM URINE MNEMONIC: UK ABBR: K,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84133 CPT TYPE: CPT-4 CHARGE: 34.00 BILLING CD: 53929 CONTAINER: STC NAME: PPD SKIN TEST MNEMONIC: PPD ABBR: PPD SKIN TEST DEPT: LAB SITE: ML TURN AROUND HOURS: CPT: 86580 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 19954 NAME: PRADER-WILLI/ANGELMAN,MOL ANAL MNEMONIC: PWDNA ABBR: PWDNA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 81331 CPT TYPE: CPT-4 CHARGE: 1379.00 BILLING CD: 66651 COLLECTION INSTRUCTION: *ROOM TEMPERATURE* ALIQUOT: LAV MIN ML: 3.0 MAX ML: 5.0 COMPONENTS PWDNAI PRADER-WILLI/ANG,MOL ANA,INTER 83912 CPT-4 110.00 53046 ELP ELECTROPHORESIS 83894 CPT-4 51.00 52613 EXTR MOLECULAR EXTRACTION 83891 CPT-4 98.00 59285 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 DIGES DIGESTION 83892 CPT-4 50.00 52614 NUCT NUCLEIC ACID TRANSFER 83897 CPT-4 99.00 59286 NAME: PREALBUMIN MNEMONIC: PAB ABBR: PAB DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 84134 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 63616 CONTAINER: YEL-SST ALIQUOT: YEL-SST MIN ML: 1 MAX ML: 1 NAME: PREECLAMPSIA PANEL MNEMONIC: PIH ABBR: PIH DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: COMPONENTS CBCD CBC W/DIFF LAV CREA CREA W/ GFR CRE CREATININE 82565 CPT-4 37.00 63584 MINT-PST URIC URIC ACID 84550 CPT-4 25.00 00308 MINT-PST AST AST/SGOT 84450 CPT-4 29.00 00328 MINT-PST ALT ALT/SGPT 84460 CPT-4 29.00 00329 MINT-PST UPES URINE PROTEIN 24HR ESTIMATE STC UCREA CREATININE, URINE 82570 CPT-4 51.00 00200 STC TPU TOTAL PROTEIN,RANDOM URINE 84156 CPT-4 50.00 05071 STC NAME: PREGNANCY, URINE QUALITATIVE MNEMONIC: UPRG ABBR: PREGU OTHER MNEMONIC: PRGU URINE PREG DEPT: CHEM SITE: ML TURN AROUND HOURS:


156

CPT: 84703 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 00728 CONTAINER: STC NAME: PREGNENOLONE, SERUM MNEMONIC: PRG ABBR: PRG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84140 CPT TYPE: CPT-4 CHARGE: 223.00 BILLING CD: 65634 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.2 MAX ML: 0.5 NAME: PRIMIDONE & PHENOBARBITAL MNEMONIC: PRIM ABBR: PRIM DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1 MAX ML: 1.0 COMPONENTS PRIMI PRIMIDONE 80188 CPT-4 110.00 53414 PHEN PHENOBARBITAL 80184 CPT-4 94.00 53411 NAME: PRO B NATRIURETIC PEPTIDE MNEMONIC: PROBNP ABBR: PROBNP DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 83880 CPT TYPE: CPT-4 CHARGE: 359.00 BILLING CD: 63743 CONTAINER: MINT-PST NAME: PROCAINAMIDE W/ NAPA MNEMONIC: PNAP ABBR: PNAP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80192 CPT TYPE: CPT-4 CHARGE: 189.00 BILLING CD: 58833 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 1.0 COMPONENTS PROC PROCAINAMIDE NAPA NAPA PNAPA PROCAINAMIDE + NAPA NAME: PROGESTERONE LEVEL MNEMONIC: PROG ABBR: PROG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84144 CPT TYPE: CPT-4 CHARGE: 161.00 BILLING CD: 65189 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 NAME: PROINSULIN MNEMONIC: PROIN ABBR: PROIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84206 CPT TYPE: CPT-4 CHARGE: 193.00 BILLING CD: 65440 CONTAINER: LAV ON ICE COLLECTION INSTRUCTION: FASTING ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1.5 NAME: PROLACTIN MNEMONIC: PRL ABBR: PRL OTHER MNEMONIC: IPRL


157

DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84146 CPT TYPE: CPT-4 CHARGE: 166.00 BILLING CD: 19823 CONTAINER: RED3 NAME: PROPAFENONE (RYTHMOL) LEVEL MNEMONIC: PROPAF ABBR: PROPAF OTHER MNEMONIC: RHYTHMOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65039 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 3.0 MAX ML: 3.0 NAME: PROSTAGLANDIN F2 ALPHA,URINE MNEMONIC: PGD2 ABBR: PGD2 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84150 CPT TYPE: CPT-4 CHARGE: 938.00 BILLING CD: 19941 CONTAINER: UR24 ALIQUOT: FRZ-URINE MIN ML: 0.5 MAX ML: 10.0 NAME: PROSTATIC ACID PHOSPHATASE MNEMONIC: PAP ABBR: PAP OTHER MNEMONIC: ACID PHOS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84066 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 19826 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 1.0 NAME: PROTEIN C ACTIVITY MNEMONIC: PROTCX ABBR: PROTCX DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85303 CPT TYPE: CPT-4 CHARGE: 155.00 BILLING CD: 59533 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: PROTEIN C ANTIGEN MNEMONIC: PRC ABBR: PRC DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85302 CPT TYPE: CPT-4 CHARGE: 218.00 BILLING CD: 84672 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 COMPONENTS PRCA PROTEIN C AG COMC COMMENT, PROTEIN C NAME: PROTEIN S ACTIVITY (ITXM) MNEMONIC: PROTSX ABBR: PROTSX OTHER MNEMONIC: PRSA DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85306 CPT TYPE: CPT-4 CHARGE: 167.00 BILLING CD: 65603 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 NAME: PROTEIN S ANTIGEN MNEMONIC: PRS ABBR: PRS


158

DEPT: LR SITE: ITXM TURN AROUND HOURS: CONTAINER: BLUE COLLECTION INSTRUCTION: FREEZE 1ml IN 2 VIALS ALIQUOT: FRZ-PLASMA MIN ML: 2 MAX ML: 2 PROTEIN S ANTIGEN COMPONENTS PSFR PROTIEN S Ag, FREE 85306 CPT-4 167.00 59786 NAME: PROTEIN,TOTAL URINE MNEMONIC: UPRT ABBR: PROT,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84156 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 05071 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: PROTEINASE 3 ANTIBODY MNEMONIC: PR3 ABBR: PR3 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65391 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.45 MAX ML: 0.5 NAME: PROTHROMBIN (F2) GENE MUTATION MNEMONIC: F2GM ABBR: F2 GENE MUT DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 81240 CPT TYPE: CPT-4 CHARGE: 343.00 BILLING CD: 66932 CONTAINER: YEL-ACD COLLECTION INSTRUCTION: ROOM TEMP ALIQUOT: YEL-ACD MIN ML: 2.0 MAX ML: 7.0 COMPONENTS F2GMRES F2GM RESULT F2GMIN INTERPRETATION AND REPORT F2GMREV F2GM REVIEWED BY EXTR MOLECULAR EXTRACTION 83891 CPT-4 98.00 59285 NUC NUCLEIC ACID PROBE 83896 CPT-4 30.00 55065 MUT MUTATION SCREEN 83903 CPT-4 160.00 65720 DIGE DIGESTION 83892 CPT-4 50.00 52614 MUT2 MUTATION SCREEEN 2 83903 CPT-4 160.00 65720 NUC2 NUCLEIC ACID PROBE 8389691 CPT-4 30.00 65586 DIGES DIGESTION 83892 CPT-4 50.00 52614 NAME: PROTHROMBIN TIME MNEMONIC: PTI ABBR: PT/INR OTHER MNEMONIC: PTY DEPT: COAG SITE: ML TURN AROUND HOURS: CONTAINER: BLUE COMPONENTS PTIN* PROTIME (INPATIENT) 85610 CPT-4 34.00 00419 PTO PROTHROMBIN TIME 85610 CPT-4 34.00 00419 INR INR NAME: PROTOPORPHYRIN,FRACT,RBC MNEMONIC: FEP ABBR: FEP


159

OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84202 CPT TYPE: CPT-4 CHARGE: 79.00 BILLING CD: 19719 CONTAINER: GRN ON ICE COLLECTION INSTRUCTION FASTING*SEND GREEN REFRIG PROTOPORPHYRIN,FRACT,RBC [continued] ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 COMPONENTS ERYP FREE PROTOPORPHYRIN ZNP ZINC-COMPLEX PROTOPORPHYRIN IFEP INTERPRETATION FEP NAME: PSA (DIAGNOSTIC) MNEMONIC: PSA ABBR: PSA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84153 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 19431 CONTAINER: RED3 NAME: PSA (SCREENING) MNEMONIC: PSA-S ABBR: SPSA OTHER MNEMONIC: SPSA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: G0103 CPT TYPE: CPT-4 CHARGE: 181.00 BILLING CD: 65994 CONTAINER: RED3 NAME: PSEUDOCHOLINESTERASE DIBUC INH MNEMONIC: CHED ABBR: CHED DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.25 MAX ML: 0.5 COMPONENTS PCH PSEUDOCHOLINESTERASE 82480 CPT-4 87.00 65202 DIB DIBUCAINE INHIBITION 82638 CPT-4 117.00 65035 NAME: PT MIXING STUDY (ITXM) MNEMONIC: PTMX ABBR: PTMX DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85611 CPT TYPE: CPT-4 CHARGE: 36.00 BILLING CD: 53052 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: NAME: PTH-RELATED PEPTIDE (PROTEIN) MNEMONIC: PTHRP ABBR: PTHRP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82397 CPT TYPE: CPT-4 CHARGE: 153.00 BILLING CD: 65625 CONTAINER: LAV ON ICE COLLECTION INSTRUCTION: FASTING ALIQUOT: FRZ-PLASMA MIN ML: 0.25 MAX ML: 1.0 NAME: PYRUVATE KINASE, RBC MNEMONIC: PYRKIN ABBR: PYRKIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84220 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65213


160

CONTAINER: YEL-ACDB

ALIQUOT: YEL-ACDB MIN ML: 4.0 MAX ML: 6.0 COLLECTION INSTRUCTION: WHOLE BLOOD. DO NOT SPIN

NAME: PYRUVIC ACID, BLOOD MNEMONIC: PYR ABBR: PYR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84210 CPT TYPE: CPT-4 CHARGE: 117.00 BILLING CD: 65834 CONTAINER: SYRINGE COLLECTION INSTRUCTION SEE BOOK FOR SPECIAL INSTRUCTIONS 4 HR FAST ALIQUOT: OTHER MIN ML: 1.0 MAX ML: 1.0 NAME: Q FEVER AB,IgG & IgM MNEMONIC: QF ABBR: QF OTHER MNEMONIC: COXIELLA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS QFG Q FEVER AB IgG 86638 CPT-4 146.00 55426 QFM Q AB FEVER IgM 8663891 CPT-4 146.00 65528 NAME: QUANTIFERON TB GOLD MNEMONIC: TBGOLD ABBR: TBGOLD DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86480 CPT TYPE: CPT-4 CHARGE: 592.00 BILLING CD: 65727 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1.0 MAX ML: 1.0 COMPONENTS QTBG QUANTIFERON TB GOLD NIL NIL MNIL MITOGEN-NIL TBNIL TB ANTIGEN-NIL NAME: QUETIAPINE (SEROQUEL),S MNEMONIC: SEQ ABBR: SEQ DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 66784 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 3.0 NAME: QUINIDINE LEVEL MNEMONIC: QUIN ABBR: QUIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80194 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 65229 CONTAINER: SERUM ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: RAPAMYCIN (SIROLIMUS) MNEMONIC: RPMY ABBR: RPMY OTHER MNEMONIC: SIROLIMUS


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80195 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 65675 CONTAINER: LAV ALIQUOT: LAV MIN ML: 1.0 MAX ML: 3.0 RAPAMYCIN (SIROLIMUS) COMPONENTS [continued] RPMYR RAPAMYCIN RESULT CPT-4 DATER DATE OF LAST DOSE RPMY TIMER TIME OF LAST DOSE RPMY DOSER DOSE,MG RPMY NAME: RAPID INFLUENZA A & B MNEMONIC: RIFA ABBR: RAPID FLU A/B OTHER MNEMONIC: FLU AB DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SWAB COMPONENTS A INFLUENZA TYPE A 87804 CPT-4 110.00 64429 B INFLUENZA TYPE B 8780459 CPT-4 110.00 65599 VERITOR VERITOR 87999 CPT-4 53.00 66790 NAME: RAPID PLASMA REAGIN (RPR) MNEMONIC: RPR ABBR: RPR OTHER MNEMONIC: SYPHILIS TEST DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86592 CPT TYPE: CPT-4 CHARGE: 35.00 BILLING CD: 00657 CONTAINER: YEL NAME: RAPID RSV MNEMONIC: RSSV ABBR: RSSV OTHER MNEMONIC: DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 87420 CPT TYPE: CPT-4 CHARGE: 117.00 BILLING CD: 66026 CONTAINER: SWAB/WASHING ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: RAST X 10 MNEMONIC: RAST10 ABBR: RAST X 10 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10

ALIQUOT: TT MIN ML: 1 MAX ML: 1 COLLECTION INSTRUCTION: FILL OUT MAYO ALLERGEN REQUEST FORM

COMPONENTS RAST1 RAST,INDIVIDUAL TEST 86003 CPT-4 59.00 54649 RED10 RASTII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTIII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTIV ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTV ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTVI ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTVII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTVIII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTIX ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTX ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10


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NAME: RAST X 5 MNEMONIC: RAST5 ABBR: RAST X 5 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10

ALIQUOT: TT MIN ML: 1 MAX ML: 1 COLLECTION INSTRUCTION: FILL OUT MAYO ALLERGEN REQUEST FORM

COMPONENTS RAST1 RAST,INDIVIDUAL TEST 86003 CPT-4 59.00 54649 RED10 RASTII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTIII ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTIV ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 RASTV ALLERGEN SPECIFIC IGE ANTIBODY 86003 CPT-4 59.00 54649 RED10 NAME: RAST,INDIVIDUAL TEST MNEMONIC: RAST1 ABBR: RAST1 DEPT: LR SITE: IBT TURN AROUND HOURS: CPT: 86003 CPT TYPE: CPT-4 CHARGE: 59.00 BILLING CD: 54649 CONTAINER: RED10

ALIQUOT: TT MIN ML: 1 MAX ML: 1 COLLECTION INSTRUCTION: SEND TO MAYO USE ALLERGEN REQUEST FORM

NAME: RBC ENZYME EVALUATION MNEMONIC: RBCENZ ABBR: RBCENZ DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: YEL-ACDB ALIQUOT: YEL-ACDB MIN ML: 2 MAX ML: 2 COMPONENTS G6PD GLUCOSE-6-PHOS DEHYDROGENASE 82955 CPT-4 77.00 65316 GPI GLUCOSE PHOSPATE ISOMERASE,B 84087 CPT-4 56.00 53807 HEXO HEXOKINASE,BLOOD 8265791 CPT-4 163.00 65642 AK ADENYLATE KINASE,BLOOD 8265791 CPT-4 163.00 65642 PYRKIN YRUVATE KINASE, RBC 84220 CPT-4 103.00 65213 RBCE RBC ENZYMES 8265791 CPT-4 163.00 65642 RBCENZI RBC INTERPRETATION NAME: RBC FOLATE MNEMONIC: RBCFOL ABBR: RBCFOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82747 CPT TYPE: CPT-4 CHARGE: 101.00 BILLING CD: 52701 CONTAINER: LAV COLLECTION INSTRUCTION: *PROTECT FROM LIGHT*FASTING*ALIQUOT: AMBER MIN ML: 1.0 MAX ML: 1.0

LAV 1 1 COMPONENTS RBCF RBC FOLATE CPT-4 MHCT HCT FOR RBC FOLATE NAME: RECALL/RECOLLECT [lab use only] MNEMONIC: RECL ABBR: RECALL DEPT: PHLB SITE: ML TURN AROUND HOURS:


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NAME: RED BLOOD CELL FRAGILITY MNEMONIC: RCFS ABBR: RCFS OTHER MNEMONIC: OSMOTIC FRAG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85557 CPT TYPE: CPT-4 CHARGE: 144.00 BILLING CD: 65490 CONTAINER: LAV COLLECTION INSTRUCTION: SPECIMEN MUST ARRIVE AT MAYO WITHIN 96 HRS. SEE BOOKALIQUOT: LAV MIN ML: 5.0 MAX ML: 5.0

.

NAME: RENAL BIOPSY MNEMONIC: RENAL ABBR: RENAL DEPT: LR SITE: UPMC-RENAL TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER COLLECTION INSTRUCTION: USE TRANSPORT MEDIUM 199 & SEND RENAL BIOPSY REQUISITION. Must arrange for courier to transport specimen. NAME: RENAL FUNCTION PANEL MNEMONIC: RENL ABBR: RENL DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 80069 CPT TYPE: CPT-4 CHARGE: 54.00 BILLING CD: 66695 CONTAINER: MINT-PST COMPONENTS GLU GLUCOSE,RANDOM 82947 CPT-4 25.00 00703 BUN BLOOD UREA NITROGEN 84520 CPT-4 21.00 00304 CREA CREA W/ GFR NA SODIUM 84295 CPT-4 36.00 65639 K POTASSIUM 84132 CPT-4 25.00 00313 CL CHLORIDE 82435 PT-4 25.00 00510 CO2 CARBON DIOXIDE LEVEL 82374 CPT-4 25.00 09902 GAP ANION GAP CA CALCIUM LEVEL 82310 CPT-4 36.00 00306 ACAL ADJUSTED CALCIUM PHOS PHOSPHOROUS LEVEL 84100 CPT-4 23.00 00307 ALB ALBUMIN 82040 CPT-4 25.00 00319 NAME: RENIN ACTIVITY, PLASMA MNEMONIC: REN ABBR: REN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84244 CPT TYPE: CPT-4 CHARGE: 185.00 BILLING CD: 65237 CONTAINER: OTHER COLLECTION INSTRUCTION

ALIQUOT: FRZ-PLASMA MIN ML: 1.15 MAX ML: 2.0 DRAW INTO COLD LAV TUBE. PLACE ON ICE UNTIL CHILLED.

NAME: REPTILASE TIME MNEMONIC: RT ABBR: RT OTHER MNEMONIC: DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85635 CPT TYPE: CPT-4 CHARGE: 54.00 BILLING CD: 53390 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0


164

NAME: RESP ALLERGY PROFILE 1 MNEMONIC: IMMUNOCAP1 ABBR: IMMCAP1 DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.3 MAX ML: 2.0


165

RESP ALLERGY PROFILE 1 COMPONENTS IGEQ IGE,SERUM (QUEST) 82785 CPT-4 128.00 65045 D1 D.PTERONYSSINUS IGE 86003 CPT-4 59.00 65691 D1C CLASS D1 D2 D.FARINAE IGE 86003 CPT-4 59.00 65691 D2C CLASS D2 ALLERGEN ALLERGEN 86003 CPT-4 59.00 65691 E1 CAT DANDER IGE 86003 CPT-4 59.00 65691 E1C CLASS E1 E5 DOG DANDER IGE 86003 CPT-4 59.00 65691 E5C CLASS E5 G2 BERMUDA GRASS IGE 86003 CPT-4 59.00 65691 ALLERGEN10 ALLERGEN X 10 0.00 66490 G2C CLASS G2 G6 TIMOTHY GRASS IGE 86003 CPT-4 59.00 65691 G6C CLASS G6 I6 COCKROACH IGE 86003 CPT-4 59.00 65691 I6C CLASS I6 M1 PENCILLIUM NOTATUM IGE 86003 CPT-4 59.00 65691 M1C CLASS M1 M2 C.HERBARUM IGE 86003 CPT-4 59.00 65691 M2C CLASS M2 M3 A.FUMIGARUS IGE 86003 CPT-4 59.00 65691 ALLERGEN10 ALLERGEN X 10 0.00 66490 M3C CLASS M3 M6 ALTERNARIA ALTERNATA IGE 86003 CPT-4 59.00 65691 M6C CLASS M6 T1 MAPLE(BOX ELDER) IGE 86003 CPT-4 59.00 65691 T1C CLASS T1 TR3 BIRCH IGE 86003 CPT-4 59.00 65691 T3C CLASS T3 T6 MOUNTAIN CEDAR IGE 86003 CPT-4 59.00 65691 T6C CLASS T6 T7 OAK IGE 86003 CPT-4 59.00 65691 T7C CLASS T7 T8 ELM IGE 86003 CPT-4 59.00 65691 T8C CLASS T8 T10 WALNUT TREE IGE 86003 CPT-4 59.00 65691 T10C CLASS T10 T11 SYCAMORE IGE 86003 CPT-4 59.00 65691 T11C CLASS T11 T14 COTTONWOOD IGE 86003 CPT-4 59.00 65691 T14C CLASS T14 T15 WHITE ASH IGE 86003 CPT-4 59.00 65691 T15C CLASS T15 T70 WHITE MULBURRY IGE 86003 CPT-4 59.00 65691 T70C CLASS T70 W1 COMMON RAGWEED IGE 86003 CPT-4 59.00 65691 W1C CLASS W1 W6 MUGWORT IGE 86003 CPT-4 59.00 65691 W6C CLASS W6 W14 ROUGH PIGWEED IGE 86003 CPT-4 59.00 65691 W14C CLASS W14 W18 SHEEP SORREL IGE 86003 CPT-4 59.00 65691 W18C CLASS W18


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NAME: RETIC MNEMONIC: RETIC ABBR: RETIC DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85045 CPT TYPE: CPT-4 CHARGE: 23.00 BILLING CD: 63736 CONTAINER: LAV COMPONENTS RET% RETIC% ABSRET ABSOLUTE RETIC (AUTO) NAME: RETIC MANUAL MNEMONIC: RETICM ABBR: RETICM DEPT: HEMA SITE: ML TURN AROUND HOURS: CPT: 85044 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 00407 CONTAINER: LAV COMPONENTS RBC RED BLOOD CELL COUNT RETT TOTAL NUMBER OF RETICS COUNTED RETC ABSOLUTE RETIC RET%M RETIC % MANUAL NAME: RETICULIN ANTIBODY MNEMONIC: RETAB ABBR: RETAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86255 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 65640 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: RETINOL BINDING PROTEIN MNEMONIC: RBP ABBR: RBP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83883 CPT TYPE: CPT-4 CHARGE: 107.00 BILLING CD: 65585 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 2.0 NAME: RHEUMATOID ARTHRITIS TITER [reflexes from positive RA test] MNEMONIC: RATT ABBR: RATT DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: RED10 MIN ML: 1 MAX ML: 1


167

NAME: RHEUMATOID FACTOR MNEMONIC: RA ABBR: RA DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86430 CPT TYPE: CPT-4 CHARGE: 37.00 BILLING CD: 05075 CONTAINER: YEL ALIQUOT: YEL MIN ML: 1 MAX ML: 1 NAME: RIBOSOME P ANTIBODIES,IGG,S MNEMONIC: RIB ABBR: RIB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 59283 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 NAME: RICKETTSIA AB PANEL MNEMONIC: RMSF ABBR: RMSF OTHER MNEMONIC: ROCKYMTSPOTFEV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.2 MAX ML: 1.0 COMPONENTS RMG ROCKY MOUNTAIN IgG 86757 CPT-4 204.00 65351 RMM ROCKY MOUNTAIN IgM 8675791 CPT-4 204.00 65359 TYFG TYPHUS FEVER IGG ANTIBODY 86757 CPT-4 TYFM TYPHUS FEVER IGM ANTIBODY 8675791 CPT-4 204.00 65383 NAME: RISPERIDONE AND METABOLITE MNEMONIC: RIS ABBR: RISPERIDONE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65764 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 3.0 COMPONENTS RISP RISPERIDONE RESULT HRIS 9 HYDROXYRISPERIDONE RIST RISPERIDONE TOTAL NAME: RISTOCETIN COFACTOR MNEMONIC: RCOF ABBR: RCOF DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85245 CPT TYPE: CPT-4 CHARGE: 125.00 BILLING CD: 53562


168

CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2. NAME: RNA STABILIZATION MNEMONIC: RNAS ABBR: RNAS OTHER MNEMONIC: 83913 DEPT: LNP SITE: HEMA TURN AROUND HOURS: CPT: 83913 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 66108 NAME: RNP AB,IGG,S MNEMONIC: RNP ABBR: RNP OTHER MNEMONIC: U1RNP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8623591 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65012 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: ROTAVIRUS MNEMONIC: ROTA ABBR: ROTA DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 86759 CPT TYPE: CPT-4 CHARGE: 96.00 BILLING CD: 65906 CONTAINER: LABEL COLLECTION INSTRUCTION FREEZE SPECIMEN IF STORED LONGER THAN 2 HOURS ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: RUBELLA AB,IgG MNEMONIC: RBG ABBR: RBG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86762 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 66539 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 COMPONENTS RUBQ RUBELLA IGG AB 86762 CPT-4 97.00 66539 RBGI RUBELLA IGG AB INDEX NAME: RUBELLA IGM AB(NOT FOR OB PTS) MNEMONIC: RUBELLAM ABBR: RUBELLA IGM DEPT: LR SITE: QUEST TURN AROUND HOURS:


169

CPT: 86762 CPT TYPE: CPT-4 CHARGE: 56.00 BILLING CD: 65226 CONTAINER: SST10 COLLECTION INSTRUCTION: ROOM TEMP ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 NAME: RUBELLA IMMUNE STATUS MNEMONIC: RUBE ABBR: RUBE DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 86762 CPT TYPE: CPT-4 CHARGE: 97.00 BILLING CD: 00435 CONTAINER: RED3 NAME: RUBEOLA ( MEASLES ) AB, IGG MNEMONIC: RUBOG ABBR: RUBOG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86765 CPT TYPE: CPT-4 CHARGE: 136.00 BILLING CD: 65074 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 COMPONENTS RUBEOG RUBEOLA (MEASLES) IGG 86765 CPT-4 136.00 65074 ROGI RUBEOLA IGG AB INDEX NAME: RUBEOLA (MEASLES) IGM MNEMONIC: RUBEOM ABBR: RUBEOM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86765 CPT TYPE: CPT-4 CHARGE: 136.00 BILLING CD: 66454 CONTAINER: SST10 NAME: RUBEOLA IGG AB INDEX MNEMONIC: ROGI ABBR: ROGI OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: NAME: RUBEOLA(MEASLES) AB,IGG & IGM MNEMONIC: RUBEO ABBR: RUBEO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD:


170

CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1 COMPONENTS RUBEOG RUBEOLA (MEASLES) IGG 86765 CPT-4 136.00 65074 ROGI RUBEOLA IGG AB INDEX RUBEOM RUBEOLA (MEASLES) IGM 86765 CPT-4 136.00 66454 NAME: RUPTURE OF FETAL MEMBRANE MNEMONIC: ROM ABBR: ROM DEPT: SERO SITE: ML TURN AROUND HOURS: CPT: 84112 CPT TYPE: CPT-4 CHARGE: 245.00 BILLING CD: 66386 CONTAINER: LABEL COLLECTION INSTRUCTION Vaginal swab in solvent 1 minute, send vial to lab within 30 min ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: SACCHAROMYCES CEREVISIAE,IGA,S MNEMONIC: ASCA ABBR: ASCA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65684 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.45 MAX ML: 0.5 NAME: SALICYLATE LEVEL MNEMONIC: SAL ABBR: SALIC OTHER MNEMONIC: DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80196 CPT TYPE: CPT-4 CHARGE: 61.00 BILLING CD: 31874 CONTAINER: RED3 NAME: SALMONELLA,TOTAL AB, BY EIA MNEMONIC: SALM ABBR: SALM OTHER MNEMONIC: DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION FREEZE ALIQUOT: TT MIN ML: 0.1 MAX ML: 1.0 COMPONENTS TYPHO SALMONELLA O,TYPE VI 86768 CPT-4 143.00 65755 TYPHHD SALMONELLA O,TYPE D 8676891 CPT-4 143.00 65763 TYPHOA SALMONELLA H,TYPE A 8676891 CPT-4 143.00 65763 TYPHHB SALMONELLA H, TYPE B 8676891 CPT-4 143.00 65763 TYPHH SALMONELLA H, TYPE d 8676891 CPT-4 143.00 65763 NAME: SAMPLE TIME MNEMONIC: ST ABBR: ST DEPT: LR SITE: ITXM TURN AROUND HOURS: NAME: SAVE FOR LATER TESTING MNEMONIC: SAVE ABBR: SAVE


171

DEPT: PHLB SITE: ML TURN AROUND HOURS: CONTAINER: SAVE NAME: SCLERODERMA AB MNEMONIC: SCL70 ABBR: SCL-70 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8623591 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65637 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: SECRETIN STIMULATION TEST MNEMONIC: SST ABBR: SST DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: 0.00 BILLING CD: 66426 COLLECTION INSTRUCTION: FASTING NAME: SELENIUM LEVEL MNEMONIC: SEL ABBR: SELENIUM OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84255 CPT TYPE: CPT-4 CHARGE: 145.00 BILLING CD: 19838 CONTAINER: RYLBLPLAIN COLLECTION INSTRUCTION ROYAL BLUE PLAIN TUBE* CLOT FOR 30 MIN BEFORE SPINNING*


172

ALIQUOT: METAL FREE MIN ML: 0.8 MAX ML: 0.8 NAME: SEMEN ANALYSIS MNEMONIC: SA ABBR: SEMEN ANALYSIS OTHER MNEMONIC: FERT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89320 CPT TYPE: CPT-4 CHARGE: 220.00 BILLING CD: 00126 CONTAINER: STC COLLECTION INSTRUCTION: TRANSPORT TO LAB WITHIN 1 HR OF COLLECTION; KEEP AT BODY TEMPERATURE COMPONENTS

SP SPOUSE/PARTNER SABS DAYS OF ABSTINENCE SPC SPERM COUNT SPV SEMEN VOLUME SVIS SEMEN VISCOSITY SPPH SPERM PH SEWBC SEMEN WBC %MP1 %MOTILE PROGRESSIVE SPMOR SPERM MORPHOLOGY SAI SEMEN INTERPRETATION 89320 NAME: SEMEN ANALYSIS,POST VASECTOMY MNEMONIC: PV ABBR: PV DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 89321 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 66016 CONTAINER: STC COLLECTION INSTRUCTION:

ALIQUOT: STC MIN ML: 1 MAX ML: 1 TRANSPORT TO LAB WITHIN 1 HR OF COLLECTION; KEEP AT BODY TEMPERATURE

NAME: SEMEN FRUCTOSE MNEMONIC: SFR ABBR: SFR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82757 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 00202 CONTAINER: STC ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 NAME: SEPARATION MNEMONIC: SPR ABBR: SPR OTHER MNEMONIC: 83909 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83909 CPT TYPE: CPT-4 CHARGE: 157.00 BILLING CD: 65796


173

NAME: SEROTONIN, BLOOD MNEMONIC: SER ABBR: SER DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84260 CPT TYPE: CPT-4 CHARGE: 238.00 BILLING CD: 65245 CONTAINER: LAV COLLECTION INSTRUCTION: SEE SPECIAL INSTRUCTIONS ALIQUOT: FREEZE MIN ML: 2.5 MAX ML: 2.5 NAME: SEROTONIN, SERUM MNEMONIC: SERS ABBR: SERS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84260 CPT TYPE: CPT-4 CHARGE: 238.00 BILLING CD: 66331 CONTAINER: RED10 COLLECTION INSTRUCTION: SPIN WITHIN 30 MIN SEPARATE AND FREEZE ALIQUOT: FRZ-SERUM MIN ML: 1.1 MAX ML: 2.5 NAME: SERTRALINE&DESMETHYLSERTRALINE MNEMONIC: SERT ABBR: SERT OTHER MNEMONIC: ZOLOFT DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82542 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 66076 CONTAINER: RED10 COLLECTION INSTRUCTION SST NOT ACCEPTABLE ALIQUOT: SERUM MIN ML: 1.2 MAX ML: 2.0 NAME: SERUM ETHYL ALCOHOL MNEMONIC: ALC ABBR: ALC OTHER MNEMONIC: ALCOHOL ETOH DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 82055 CPT TYPE: CPT-4 CHARGE: 109.00 BILLING CD: 84637 CONTAINER: RED10 COLLECTION INSTRUCTION: CLEAN AREA OF DRAW WITH ACETONE ALIQUOT: RED10 MIN ML: 1 MAX ML: 1 NAME: SERUM PREGNANCY, QUANTITATIVE


174

MNEMONIC: PREG ABBR: PREG OTHER MNEMONIC: HCG QUANT DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84702 CPT TYPE: CPT-4 CHARGE: 105.00 BILLING CD: 53895 CONTAINER: MINT NAME: SEX HORMONE BINDING GLOBULIN MNEMONIC: SHBG ABBR: SHBG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84270 CPT TYPE: CPT-4 CHARGE: 162.00 BILLING CD: 65661 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 NAME: SICKLE CELL SCREEN MNEMONIC: SIC ABBR: SIC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85660 CPT TYPE: CPT-4 CHARGE: 38.00 BILLING CD: 65138 CONTAINER: LAV COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATED..DO NOT SPIN ALIQUOT: LAV MIN ML: 0.5 MAX ML: 1.0 NAME: SKIN TEST CANDIDA MNEMONIC: SCAN ABBR: SCAN DEPT: LAB SITE: ML TURN AROUND HOURS: CPT: 86485 CPT TYPE: CPT-4 CHARGE: 31.00 BILLING CD: 19945 ALIQUOT: NT MIN ML: 1 MAX ML: 1 NAME: SM (SMITH) AB, IGG,SERUM MNEMONIC: SM ABBR: SM OTHER MNEMONIC: SMITH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8623591 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65645 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: SMOOTH MUSCLE ANTIBODY MNEMONIC: SMAB ABBR: SMAB DEPT: LR SITE: MAYO TURN AROUND HOURS:


175

CPT: 86255 CPT TYPE: CPT-4 CHARGE: 94.00 BILLING CD: 65182 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: SODIUM MNEMONIC: NA ABBR: NA DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84295 CPT TYPE: CPT-4 CHARGE: 36.00 BILLING CD: 65639 CONTAINER: MINT-PST NAME: SODIUM, 24 HOUR URINE MNEMONIC: NA24 ABBR: NA 24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84300 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 63632 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UNAC SODIUM, U 84300 CPT-4 25.00 53928 STC UNAT SODIUM 24 HOUR URINE NAME: SODIUM, FLUID MNEMONIC: FNA ABBR: SODIUM, FLUID DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84302 CPT TYPE: CPT-4 CHARGE: 29.00 BILLING CD: 63544 CONTAINER: GREEN NAME: SODIUM,RANDOM URINE MNEMONIC: NAU ABBR: NA,UR OTHER MNEMONIC: DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84300 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 63632 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: SOLUBLE TRANSFERRIN RECEPTOR MNEMONIC: STFR ABBR: STFR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84238 CPT TYPE: CPT-4 CHARGE: 279.00 BILLING CD: 65682


176

CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.25 MAX ML: 0.5 NAME: SOMATOMEDIN-C (IGF-1) MNEMONIC: SOM ABBR: SOM OTHER MNEMONIC: IGF1 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84305 CPT TYPE: CPT-4 CHARGE: 140.00 BILLING CD: 65286 CONTAINER: RED10 COLLECTION INSTRUCTION: Spin down promptly ALIQUOT: FRZ-SERUM MIN ML: 0.35 MAX ML: 0.5 NAME: SOURCE H1N1 MNEMONIC: SH1N1 ABBR: SH1N1 DEPT: LR SITE: MAYO TURN AROUND HOURS: NAME: SPECIAL STAINS GROUP 2 MNEMONIC: HSS2 ABBR: HSS2 OTHER MNEMONIC: 88313R DEPT: LNP SITE: UPMC-HISTO TURN AROUND HOURS: CPT: 88313 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 66243 NAME: SPECIFIC GRAVITY, FLUID MNEMONIC: FSG ABBR: SG FLUID OTHER MNEMONIC: FSP DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84315 CPT TYPE: CPT-4 CHARGE: 14.00 BILLING CD: 63552 CONTAINER: STC NAME: SPERM AB,DIRECT,SEMEN MNEMONIC: ASABD ABBR: ASABD DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 89325 CPT TYPE: CPT-4 CHARGE: 227.00 BILLING CD: 65518 CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1


177

NAME: SPERM AB,INDIRECT, SERUM MNEMONIC: ASAB ABBR: ASAB OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 89325 CPT TYPE: CPT-4 CHARGE: 227.00 BILLING CD: 65518 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 2.0 NAME: SS-A/Ro ANTIBODY MNEMONIC: SSA ABBR: SSA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86235 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65058 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: SS-B/La ANTIBODY MNEMONIC: SSB ABBR: SSB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8623591 CPT TYPE: CPT-4 CHARGE: 138.00 BILLING CD: 65536 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 NAME: SSA/SSB MNEMONIC: SSAB ABBR: SSA/SSB OTHER MNEMONIC: SJOGREN DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 COMPONENTS SSA SS-A/Ro ANTIBODY 86235 CPT-4 138.00 65058 SST10 SSB SS-B/La ANTIBODY 8623591 CPT-4 138.00 65536 SST10 NAME: STAT LH MNEMONIC: SLH ABBR: STAT LH OTHER MNEMONIC: LHS DEPT: CHEM SITE: ML TURN AROUND HOURS: COMPONENTS LH LUTEINIZING HORMONE 83002 CPT-4 109.00 19777 RED3 PHONE PHONE RESULTS NAME: STONE RISK DIAGNOSTIC PROFILE MNEMONIC: STRP ABBR: STRP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: UR24 ALIQUOT: URINE MIN ML: 1 MAX ML: 1 COMPONENTS CLU CHLORIDE,24 HR URINE 82436 CPT-4 38.00 65940 AMMO AMMONIUM 82140 CPT-4 87.00 00351 SCANN STONE ANALYSIS SULFU SULFATE, URINE 84392 OX24 OXALATE, 24 HOUR URINE 83945 CPT-4 99.00 65157 CITU CITRATE EXCRETION,URINE 82507 CPT-4 188.00 19934


178

NAME: STOOL PH MNEMONIC: STPH ABBR: STL PH DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 82705 CPT TYPE: CPT-4 CHARGE: 44.00 BILLING CD: 19950 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: STOOL REDUCING SUBSTANCES MNEMONIC: SRS ABBR: SRS DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 84376 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 65884 CONTAINER: STC COLLECTION INSTRUCTION: FREEZE ALIQUOT: FREEZE MIN ML: 3 MAX ML: 10 NAME: STREP PNEUMO IGG AB 23 TYPES MNEMONIC: PNEU23 ABBR: PNEU23 DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 COMPONENTS PNEU1 PNEUMOCOCCAL ANTIBODY, TYPE 1 86317 CPT-4 116.00 65422


179

PNEU3 PNEUMOCOCCAL ANTIBODY, TYPE 3 86317 CPT-4 116.00 65422 PNEU4 PNEUMOCOCCAL ANTIBODY, TYPE 4 86317 CPT-4 116.00 65422 PNEU6 PNEUMOCOCCAL ANTIBODY, TYPE 6B 86317 CPT-4 116.00 65422 PNEU7F PNEUMOCOCCAL ANTIBODY, TYPE 7F 86317 CPT-4 116.00 65422 PNEU8 PNEUMOCOCCAL ANTIBODY,TYPE 8 86317 CPT-4 116.00 65422 PNEU9 PNEUMOCOCCAL ANTIBODY, TYPE 9V 86317 CPT-4 116.00 65422 PNEU12 PNEUMOCOCCAL ANTIBODY,TYPE12F 86317 CPT-4 116.00 65422 PNEU14 PNEUMOCOCCAL ANTIBODY, TYPE 14 86317 CPT-4 116.00 65422 PNEU18 PNEUMOCOCCAL ANTIBODY,TYPE 18C 86317 CPT-4 116.00 65422 PNEU19 PNEUMOCOCCAL ANTIBODY,TYPE 19F 86317 CPT-4 116.00 65422 PNEU23F PNEUMOCOCCAL ANTIBODY,TYPE 23F 86317 CPT-4 116.00 65422 NAME: STREP PNEUMONIAE ANTIGEN, URIN MNEMONIC: STREPU ABBR: STREPU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87450 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65428 CONTAINER: STC ALIQUOT: URINE MIN ML: 0.5 MAX ML: 2.0 NAME: STREPTOCOCCAL ANTIBODY PROFILE MNEMONIC: ASO ABBR: ASO DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 COMPONENTS ASOT ANTI-STREPTOLYSIN O TITER 86060 CPT-4 63.00 00421 SST10 ADNASE ANTI-DNASE B 86215 CPT-4 97.00 19642 SST10 NAME: STREPTOZYME SCR W/REFL TITER MNEMONIC: STPZ ABBR: STPZ DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 1.0 COMPONENTS STPZS STREPTOZYME SCREEN 86403 CPT-4 79.00 65508 NAME: STRIATIONAL (MUSCLE) AB MNEMONIC: STMA ABBR: STMA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 58557 CONTAINER: SST10 ALIQUOT: SST MIN ML: 1 MAX ML: 1


180

NAME: STROKE PANEL MNEMONIC: STROKE ABBR: STROKE DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: YEL-ACD COLLECTION INSTRUCTION: FREEZE CITRATE PLASMA*KEEP YELLOW AT RT ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 YEL-A 1 1 COMPONENTS HEX HEXAGONAL LIPID NEUTRALIZATION 85597 CPT-4 177.00 66000 ACAG ANTI-CARDIOLIPIN IgG 86147 CPT-4 199.00 65602 ACAM ANTI-CARDIOLIPIN IgM 8614791 CPT-4 199.00 65456 APC APC RESISTANCE 85307 CPT-4 162.00 65408 MTHFR METHYLENETETRAHYDROFOLATE-5,10 81291 CPT-4 441.00 66789 PTX PT (ITXM) 85610 CPT-4 34.00 51374 INRX INR (ITXM) TTX THROMBIN TIME (ITXM) 85670 CPT-4 40.00 51376 TTI50 TTI 1:50 85705 CPT-4 84.00 53054 TTI500 TTI 1:500 DRVV DILUTE RUSSELL VIPER VENOM 85613 CPT-4 104.00 59436 APTTX APTT (ITXM) 85730 CPT-4 57.00 51377 APTTMX APTT MIXING STUDY (ITXM) 85732 CPT-4 F8 FACTOR VIII:C 85240 CPT-4 114.00 51361 F2GM PROTHROMBIN (F2) GENE MUTATION 81240 CPT-4 343.00 66932 NAME: SUCROSE LYSIS MNEMONIC: SL ABBR: SVC LYS DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86941 CPT TYPE: CPT-4 CHARGE: 110.00 BILLING CD: 65070 CONTAINER: LAV COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATED NAME: SULFATE, URINE MNEMONIC: SULFU ABBR: SULFU OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84392 CPT TYPE: CHARGE: BILLING CD: CONTAINER: UR24 ALIQUOT: URINE MIN ML: 5.0 MAX ML: 10.0 NAME: SUPPLEMENTAL OTHER LABS


181

MNEMONIC: SUPLO ABBR: SUPLO DE CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS LAB REFERENCE LAB TESTO TEST NAME NAME: SUPPLEMENTAL TO MAYO MNEMONIC: SUPLM ABBR: SUPLM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS TEST TEST NAME LAB REFERENCE LAB NAME: SUPPLEMENTAL TO QUEST MNEMONIC: FLEXITEST1 ABBR: SUPLQ OTHER MNEMONIC: SUPLQ DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS TESTQ TEST NAME QUEST NAME: SUSCEPTIBILITY, ANAEROBIC MNEMONIC: MIC ABBR: MIC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS MNEMONIC NAME CPT CODE CPT TYPE CHARGE BILLING CD CONTAINER MIC1 MIC1 87181 CPT-4 54.00 65506 MIC2 MIC2 8718191 CPT-4 54.00 65522 MIC3 MIC3 8718191 CPT-4 54.00 65522 NAME: SUSPECTIBILITY, AEROBIC MNEMONIC: MICO ABBR: MICO OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: OTHER ALIQUOT: OTHER MIN ML: 1 MAX ML: 1 COMPONENTS MIC4 MIC4 87186 CPT-4 101.00 51397 NAME: SYPHILIS ANTIBODY, IGG MNEMONIC: SYPH ABBR: SYPH DEPT: LR SITE: MAYO TURN AROUND HOURS:


182

CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1.0 COMPONENTS SIGG SYPHILIS IGG 86780 CPT-4 69.00 65962 NAME: T AND B CELL QN BY FLOW CYTO MNEMONIC: TBLYMP ABBR: TBLYMP DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: LAV COLLECTION INSTRUCTION: MUST ARRIVE WITHIN 48 HOURS *ALIQUOT: LAV MIN ML: 1.0 MAX ML: 4.0

SEND LAV TUBE * ROOM TEMP

COMPONENTS BCELL B CELLS, TOTAL COUNT 86355 CPT-4 387.00 65731 NKC NATURAL KILLER CELLS, TOTAL 86357 CPT-4 387.00 65747 CD3 CD3 (T CELLS) 86359 CPT-4 203.00 55057 CD4CD8 ABSOLUTE CD4/CD8 COUNT 86360 CPT-4 254.00 55056 NAME: T3 REVERSE MNEMONIC: T3REV ABBR: T3REV OTHER MNEMONIC: T3R DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 84482 CPT TYPE: CPT-4 CHARGE: 167.00 BILLING CD: 65916 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.3 MAX ML: 0.5 NAME: T3 TOTAL MNEMONIC: T3 ABBR: T3


183

DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84480 CPT TYPE: CPT-4 CHARGE: 110.00 BILLING CD: 65924 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.6 NAME: T3 UPTAKE MNEMONIC: T3U ABBR: T3 UPTAKE DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84479 CPT TYPE: CPT-4 CHARGE: 56.00 BILLING CD: 06850 CONTAINER: RED NAME: T3, FREE MNEMONIC: FT3 ABBR: FT3 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84481 CPT TYPE: CPT-4 CHARGE: 132.00 BILLING CD: 65308 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 0.6 NAME: T4,FREE BY DIALYSIS MNEMONIC: T4FD ABBR: T4FD OTHER MNEMONIC: T4 BY RIA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84439 CPT TYPE: CPT-4 CHARGE: 96.00 BILLING CD: 19549 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.2 MAX ML: 2.6 NAME: TAPENTADOL,U MNEMONIC: TAP ABBR: TAP OTHER MNEMONIC: NUCYNTA DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 83789 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 66374 CONTAINER: STC ALIQUOT: URINE MIN ML: 1.0 MAX ML: 10.0 NAME: TEMAZEPAM (RESTORIL) LEVEL MNEMONIC: TEM ABBR: TEM OTHER MNEMONIC: RESTORIL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82491 CPT TYPE: CPT-4 CHARGE: 139.00 BILLING CD: 66515


184

CONTAINER: RED10 ALIQUOT: RED MIN ML: 0.3 MAX ML: 2.0 NAME: TESTOSTERONE, FREE & TOTAL MNEMONIC: TESTP ABBR: TESTP OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION:REQUIRED MINIMUM VOLUME OF SERUM IS 2.0 !! ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 2.5 COMPONENTS TESTOS TESTOSTERONE,TOTAL 84403 CPT-4 198.00 19850 TESTFP TESTOSTERONE. FREE PANEL TESTF TESTOSTERONE,FREE 84402 CPT-4 199.00 19953 NAME: TESTOSTERONE, TOTAL, BIO, FREE MNEMONIC: TESTFB ABBR: TESTFB OTHER MNEMONIC: TTFB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: 2.0 ML SERUM IS MINIMUM VOLUME!! ALIQUOT: SERUM MIN ML: 2.0 MAX ML: 3.5 COMPONENTS TSB TESTOSTERONE BIOAVAILABLE 84402 CPT-4 199.00 65593 TESTOS TESTOSTERONE,TOTAL 84403 CPT-4 198.00 19850 TESTF TESTOSTERONE,FREE 84402 CPT-4 199.00 19953 NAME: TESTOSTERONE,TOTAL MNEMONIC: TESTOS ABBR: TESTOS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84403 CPT TYPE: CPT-4 CHARGE: 198.00 BILLING CD: 19850 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.22 MAX ML: 1.0 NAME: TESTOSTERONE,TOTAL & BIOAVAIL MNEMONIC: TESTB ABBR: TESTB DEPT: LR SITE: MAYO TURN AROUND HOURS:


185

CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 1.0 COMPONENTS TSB TESTOSTERONE BIOAVAILABLE 84402 CPT-4 199.00 65593 TESTOS TESTOSTERONE,TOTAL 84403 CPT-4 198.00 19850 RED10 NAME: TETANUS ANTIBODY MNEMONIC: TETA ABBR: TETA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86774 CPT TYPE: CPT-4 CHARGE: 202.00 BILLING CD: 65749 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5 NAME: TETRAHYDROCANNABINOL CONF.U MNEMONIC: THCC ABBR: THCC OTHER MNEMONIC: MARJIANA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 66092 CONTAINER: STC ALIQUOT: URINE MIN ML: 5.0 MAX ML: 20.0 COMPONENTS IATHC IMMUNOASSAY SCREEN-THC GCTHC GC/MS CONFIRMATION-THC THCB THC CARBOXYLIC ACID BY GC/MS ITH INTERPRETATION-THC COCTHC CHAIN OF CUSTODY THC CMTHC COMMENT-THC NAME: THALASSEMIA EVALUATION MNEMONIC: THAS ABBR: THALASSEMIA OTHER MNEMONIC: HGBEVAL DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 COLLECTION INSTRUCTION: BOTH SST AND LAV REQUIRED ALIQUOT: LAV MIN ML: 2.0 MAX ML: 15.0 SERUM 0.5 0.5 COMPONENTS HGBE ELECTROPHORESIS,HEMOGLOBIN A2F HEMOGLOBIN A2 & F 83021 CPT-4 191.00 19551 ELPH HGB ELECTROPHORESIS,B 83020 CPT-4 195.00 19547 FET FERRITIN,S MAYO 82728 CPT-4 101.00 51387


186

INTHAS INTERPRETATION THAL NAME: THALLIUM MNEMONIC: THAL ABBR: THALLIUM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82190 CPT TYPE: CPT-4 CHARGE: 161.00 BILLING CD: 65134 CONTAINER: RYLBLUEDTA ALIQUOT: RYLBLUEDTA MIN ML: 0.3 MAX ML: 5.0 NAME: THALLIUM, 24 HOUR URINE MNEMONIC: UTHAL ABBR: UTHAL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83789 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 66507 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 0.3 MAX ML: 13.0 COMPONENTS THALUT THALLIUM, 24 HR URINE CPT-4 THALUG TI CONCENTRATION NAME: THEOPHYLLINE LEVEL MNEMONIC: THEO ABBR: THEO DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80198 CPT TYPE: CPT-4 CHARGE: 87.00 BILLING CD: 09894 CONTAINER: RED3 NAME: THIOPURINE METABOLITES MNEMONIC: 6MMP ABBR: 6MMP OTHER MNEMONIC: 6-THIOGUANINE PROPREDICT 6MP DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: LAV ALIQUOT: LAV MIN ML: 5.0 MAX ML: 5.0 COMPONENTS PRO6MMP PROMETHEUS 6MMP 82491 CPT-4 139.00 65512 TGNA 6-TGN METABOLITE ASSESSMENT PROMMP PROMETHEUS 6MMP 82491 CPT-4 139.00 65512 MMPNA 6-MMPN METABOLITE ASSESSMENT NAME: THIOPURINE METHYLTRANSFERACE MNEMONIC: TPMT ABBR: TPMT DEPT: LR SITE: MAYO TURN AROUND HOURS:


187

CPT: 83789 CPT TYPE: CPT-4 CHARGE: 192.00 BILLING CD: 65650 CONTAINER: GREEN COLLECTION INSTRUCTION: WHOLE BLOOD REFRIGERATE *DO NOT SPIN* 72 HR STABILITY ALIQUOT: GREEN MIN ML: 1 MAX ML: 1 NAME: THROMBIN TIME MNEMONIC: TT ABBR: TT OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85670 CPT TYPE: CPT-4 CHARGE: 40.00 BILLING CD: 65090 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1 NAME: THROMBOMODULIN MNEMONIC: TM ABBR: THROMBOMOD DEPT: LR SITE: ML TURN AROUND HOURS: NAME: THROMBOPHILIA PNL/ABC WOMEN'S MNEMONIC: THRMP ABBR: THRMP OTHER MNEMONIC: DEPT: LNP SITE: ML TURN AROUND HOURS: COMPONENTS PROTCX PROTEIN C ACTIVITY 85303 CPT-4 155.00 59533 PROTSX PROTEIN S ACTIVITY (ITXM) 85306 CPT-4 167.00 65603 ACA ANTI-CARDIOLIPIN ABS MTHFR METHYLENETETRAHYDROFOLATE-5,10 81291 CPT-4 441.00 66789 LUPS LUPUS ANTICOAGULANT SCREEN B2G B2 GLYCOPROTEIN 1 AB HOMC HOMOCYSTEINE 83090 CPT-4 177.00 65532 AT3 ANTITHROMBIN III, ACTIVITY 85300 CPT-4 142.00 65055 F2GM PROTHROMBIN (F2) GENE MUTATION 81240 CPT-4 343.00 66932 F5MU FACTOR 5 MUTATION LEIDEN 81241 CPT-4 306.00 66940 NAME: THROMBOTIC RISK SCREEN MNEMONIC: THRP ABBR: THROMBOTIC RISK OTHER MNEMONIC: HYPERCOAG SRN DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE


188

COLLECTION INSTRUCTION: 2 BLUES ON ICE/ FRZ PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 2.0 MAX ML: 3.0 COMPONENTS PROTCX PROTEIN C ACTIVITY 85303 CPT-4 155.00 59533 PROTSX PROTEIN S ACTIVITY (ITXM) 85306 CPT-4 167.00 65603 AT3X ANTITHROMBIN 3 (ITXM) 85300 CPT-4 142.00 65055 F10 FACTOR X 85260 CPT-4 154.00 65284 APC APC RESISTANCE 85307 CPT-4 162.00 65408 THRPC COMMENT THRP NAME: THYROGLOBULIN ANTIBODY MNEMONIC: TGAB ABBR: TGAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86800 CPT TYPE: CPT-4 CHARGE: 116.00 BILLING CD: 65382 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5 NAME: THYROGLOBULIN,TUMOR MARKER,S MNEMONIC: THYROG ABBR: THYROG OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 COLLECTION INSTRUCTION: DO NOT ORDER TGAB ALSO (DUPLICATE) ALIQUOT: SERUM MIN ML: 0.8 MAX ML: 1.5 COMPONENTS THAB THYROGLOBULIN AB SCREEN,S 86800 CPT-4 116.00 65382 THYRO THYROGLOBULIN,TUMOR MARKER 84432 CPT-4 125.00 19973 NAME: THYROID PEROXIDASE AB MNEMONIC: TPO ABBR: TPO OTHER MNEMONIC: MICROSOMAL AB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86376 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 58933 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.6 NAME: THYROID PROFILE MNEMONIC: FTI ABBR: FTI OTHER MNEMONIC: THYQ DEPT: CHEM CONTAINER: RED3 COMPONENTS FT4C T4,FREE,CALCULATED T4 THYROXINE 84436 CPT-4 57.00 00310 RED3 T3U T3 UPTAKE 84479 CPT-4 56.00 06850 RED NAME: THYROID STIM IMMUNOGLOBULINS MNEMONIC: TSHIG ABBR: TSHIG OTHER MNEMONIC: TSI DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84445 CPT TYPE: CPT-4 CHARGE: 362.00 BILLING CD: 65398 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 1.0


189

NAME: THYROID STIMULATING HORMONE MNEMONIC: TSH ABBR: TSH DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84443 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 09872 CONTAINER: RED3 NAME: THYROTROPIN RECEPTOR AB, SERUM MNEMONIC: THRA ABBR: THRA OTHER MNEMONIC: TBII DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83519 CPT TYPE: CPT-4 CHARGE: 146.00 BILLING CD: 55590 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.25 MAX ML: 1.0 NAME: THYROXINE MNEMONIC: T4 ABBR: T4 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84436 CPT TYPE: CPT-4 CHARGE: 57.00 BILLING CD: 00310 CONTAINER: RED3 ALIQUOT: RED3 MIN ML: 1 MAX ML: 1 NAME: THYROXINE BINDING GLOBULIN MNEMONIC: TBG ABBR: TBG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84442 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65261 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.35 MAX ML: 0.5 NAME: TIAGABINE,S MNEMONIC: TIAG ABBR: TIAG OTHER MNEMONIC: GABITRIL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80199 CPT TYPE: CPT-4 CHARGE: 104.00 BILLING CD: 66935 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: TISSUE CULTURE MNEMONIC: TCI ABBR: TCI OTHER MNEMONIC: 88237 DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: 88237 CPT TYPE: CPT-4 CHARGE: 1348.00 BILLING CD: 65738 NAME: TISSUE CULTURE PLACENTA MNEMONIC: TCP ABBR: TCP OTHER MNEMONIC: 88235 DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 88235 CPT TYPE: CPT-4 CHARGE: 539.00 BILLING CD: 55072 NAME: TISSUE CULTURE TUMOR MNEMONIC: TCT ABBR: TCT OTHER MNEMONIC: 88239 DEPT: LR SITE: NEOGL TURN AROUND HOURS: CPT: 88239 CPT TYPE: CPT-4 CHARGE: 776.00 BILLING CD: 55060


190

NAME: TISSUE THROMBOPLASTIN INHIBIT MNEMONIC: TTI ABBR: TTI DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85705 CPT TYPE: CPT-4 CHARGE: 84.00 BILLING CD: 53054 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1.0 MAX ML: 2.0 COMPONENTS TTI50 TTI 1:50 85705 CPT-4 84.00 53054 TTI500 TTI 1:500


191

NAME: TISSUE TRANSGLUTAMINASE IGA MNEMONIC: TTA ABBR: TTA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83516 CPT TYPE: CPT-4 CHARGE: 124.00 BILLING CD: 65664 CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 0.5 NAME: TISSUE TRANSGLUTAMINASE IGG MNEMONIC: TTG ABBR: TTG DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8351691 CPT TYPE: CPT-4 CHARGE: 115.00 BILLING CD: 65418 CONTAINER: SST ALIQUOT: SST MIN ML: 0.5 MAX ML: 0.5 NAME: TISSUE TRANSGLUTAMINASE IGG&A MNEMONIC: TTGA ABBR: TTGA DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SST MIN ML: 1.0 MAX ML: 1.0 COMPONENTS TTA TISSUE TRANSGLUTAMINASE IGA 83516 CPT-4 124.00 65664 SST10 TTG TISSUE TRANSGLUTAMINASE IGG 8351691 CPT-4 115.00 65418 SST NAME: TOBRAMYCIN LEVEL PEAK MNEMONIC: TOBP ABBR: TOBP DEPT: LR SITE: QUEST TURN AROUND HOURS: CONTAINER: RED10 COLLECTION INSTRUCTION: HAVE QUEST CALL WITH RESULTS ALIQUOT: TT MIN ML: 1.0 MAX ML: 1.0 COMPONENTS TOBPR TOBRAMYCIN PEAK RESULT 80200 CPT-4 174.00 65030 PHONE PHONE RESULTS NAME: TOBRAMYCIN LEVEL RANDOM MNEMONIC: TOBR ABBR: TOBR DEPT: LR SITE: QUEST TURN AROUND HOURS:


192

CONTAINER: RED10 COLLECTION INSTRUCTION: HAVE QUEST CALL WITH RESULTS ALIQUOT: TT MIN ML: 1.0 MAX ML: 1.0 COMPONENTS TOBRR TOBRAMYCIN RANDOM RESULT 80200 CPT-4 174.00 65022 PHONE PHONE RESULTS NAME: TOBRAMYCIN LEVEL TROUGH MNEMONIC: TOBT ABBR: TOBT DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: TT MIN ML: 1.0 MAX ML: 1.0 COMPONENTS TOBTR TOBRAMYCIN TROUGH RESULT 80200 CPT-4 174.00 65038 PHONE PHONE RESULTS NAME: TOPIRAMATE MNEMONIC: TOP ABBR: TOP OTHER MNEMONIC: TOPAMAX DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80201 CPT TYPE: CPT-4 CHARGE: 113.00 BILLING CD: 58560 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 0.4 MAX ML: 1.0 NAME: TORCH PANEL IgG MNEMONIC: TORCH ABBR: TORCH DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.9 MAX ML: 1.5 COMPONENTS CMVG CYTOMEGALOVIRUS AB, IGG 86644 CPT-4 120.00 65067 TOXGQ TOXOPLASMSA IGG 86777 CPT-4 70.00 00469 CMVGQ CYTOMEGALOVIRUS IGG, SERUM 86644 CPT-4 120.00 65067 HSVGQ HERPES I ANTIBODY, IGG 86695 CPT-4 54.00 61433 HSVGIIQ HERPES II AG,IGG (TORCH) 86696 CPT-4 204.00 65712 RUBQ RUBELLA IGG AB 86762 CPT-4 97.00 66539 RBGI RUBELLA IGG AB INDEX TOXGP TOXOPLASMA AB, IGG, S 86777 CPT-4 70.00 00469


193

NAME: TOTAL IRON BINDING CAPACITY MNEMONIC: TIBC ABBR: TIBC DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 83550 CPT TYPE: CPT-4 CHARGE: 62.00 BILLING CD: 00177 CONTAINER: YEL-SST NAME: TOTAL LIGHT CHAINS, URINE MNEMONIC: KLCU ABBR: KLCU OTHER MNEMONIC: BENCE JONES DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: UR24 ALIQUOT: URINE MIN ML: 0.5 MAX ML: 13.0 COMPONENTS KAPPAU KAPPA TOTAL LIGHT CHAIN,U 83883 CPT-4 107.00 66210 LAMBDAU LAMBDA TOTAL LIGHT CHAIN,U 83883 CPT-4 107.00 66218 KLRU KAPPA/LAMBDA TLC RATIO,U NAME: TOTAL PROTEIN MNEMONIC: TP ABBR: TP DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84155 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 00318 CONTAINER: MINT-PST NAME: TOTAL PROTEIN,24 HR UA (MAYO) MNEMONIC: TP24M ABBR: TP24M OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84156 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 05071 CONTAINER: UR24 COLLECTION INSTRUCTION: ORDER THIS ONLY WHEN TP24(INHOUSE) CANCELED BY CHEM TECH. ALIQUOT: URINE MIN ML: 10 MAX ML: 10 NAME: TOTAL PROTEIN,24 HR URINE MNEMONIC: TP24 ABBR: TOT PROT 24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84156 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 05071 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS


194

USG SPECIFIC GRAVITY,URINE REFACT UPRT PROTEIN,TOTAL URINE 84156 CPT-4 50.00 05071 STC UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UTPT TOTAL PROTEIN 24 HOUR URINE NAME: TOTAL PROTEIN,CSF MNEMONIC: CFP ABBR: CFP OTHER MNEMONIC: PROTEIN,CSF TPCSF DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84157 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 00205 CONTAINER: CSF #1 ALIQUOT: CSF#1 MIN ML: 1 MAX ML: 1 NAME: TOTAL PROTEIN,PERICARDIAL FLD MNEMONIC: TPPC ABBR: TP PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84157 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 66617 CONTAINER: GREEN NAME: TOTAL PROTEIN,PERITONEAL FLUID MNEMONIC: TPPT ABBR: TP PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84157 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 66617 CONTAINER: GREEN NAME: TOTAL PROTEIN,PLEURAL FLUID MNEMONIC: TPPL ABBR: TP PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84157 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 66617 CONTAINER: GREEN NAME: TOTAL PROTEIN,RANDOM URINE MNEMONIC: TPU ABBR: TPU DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84156 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 05071 CONTAINER: STC


195

NAME: TOTAL PROTEIN,SYNOVIAL FLUID MNEMONIC: TPSY ABBR: TP SYN DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84157 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 66617 CONTAINER: GREEN NAME: TOXOCARA ANTIBODY MNEMONIC: TOXOCAR ABBR: TOXOCAR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86682 CPT TYPE: CPT-4 CHARGE: 143.00 BILLING CD: 65786 CONTAINER: RED10 ALIQUOT: SST MIN ML: 0.1 MAX ML: 1.0 NAME: TOXOPLASMA AB, IGG, S MNEMONIC: TOXGP ABBR: TOXGP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86777 CPT TYPE: CPT-4 CHARGE: 70.00 BILLING CD: 00469 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.4 MAX ML: 0.5 COMPONENTS TOXOG TOXOPLASMA IgG ANTIBODY TXGI TOXOPLASMA IGG VALUE NAME: TOXOPLASMA AB, IGM, S MNEMONIC: TOXMP ABBR: TOXMP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86778 CPT TYPE: CPT-4 CHARGE: 87.00 BILLING CD: 19590 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.2 MAX ML: 0.5 COMPONENTS TOXOM TOXOPLASMA IgM ANTIBODY TXMI TOXOPLASMA IGM VALUE NAME: TOXOPLASMA IGG/IGM PANEL MNEMONIC: TOXOPAN ABBR: TOXOPAN DEPT: LR SITE: MAYO TURN AROUND HOURS: CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 1.0


196

COMPONENTS TOXGP TOXOPLASMA AB, IGG, S 86777 CPT-4 70.00 00469 SST10 TOXOG TOXOPLASMA IgG ANTIBODY TOXMP TOXOPLASMA AB, IGM, S 86778 CPT-4 87.00 19590 SST10 TOXOM TOXOPLASMA IgM ANTIBODY NAME: TRANSFERRIN, SERUM MNEMONIC: TRANS ABBR: TRANS DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84466 CPT TYPE: CPT-4 CHARGE: 102.00 BILLING CD: 65653 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: TRAZODONE LEVEL MNEMONIC: TRA ABBR: TRA OTHER MNEMONIC: DESYREL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65219 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.1 MAX ML: 3.0 NAME: TRIAZOLAM (HALCION) LEVEL MNEMONIC: TRIA ABBR: TRIA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80154 CPT TYPE: CPT-4 CHARGE: 199.00 BILLING CD: 65988 CONTAINER: GREEN ALIQUOT: PLASMA MIN ML: 0.3 MAX ML: 2.0 NAME: TRICHINELLA ANTIBODY MNEMONIC: TRICHAB ABBR: TRICHAB DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86784 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 53805 CONTAINER: SST10 ALIQUOT: FREEZE MIN ML: 0.5 MAX ML: 1 NAME: TRICHLOROACETIC ACID, URINE MNEMONIC: TCAU ABBR: TCAU DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83921 CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC COLLECTION INSTRUCTION: 10 ML RANDOM URINE ALIQUOT: URINE MIN ML: 1 MAX ML: 1 NAME: TRIGLYCERIDE,PERICARDIAL FLUID MNEMONIC: TRIGPC ABBR: TRIG PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84478 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00339 CONTAINER: GREEN NAME: TRIGLYCERIDE,PLEURAL FLUID MNEMONIC: TRIGPL ABBR: TRIG PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84478 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00339 CONTAINER: GREEN


197

NAME: TRIGLYCERIDE,SYNOVIAL FLUID MNEMONIC: TRIGSY ABBR: TRIG SYN DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84478 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00339 CONTAINER: GREEN NAME: TRIGLYCERIDES LEVEL MNEMONIC: TRIG ABBR: TRIG DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84478 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00339 CONTAINER: MINT-PST NAME: TRIGLYCRIDE,PERITONEAL FLUID MNEMONIC: TRIGPT ABBR: TRIG PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84478 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00339 CONTAINER: GREEN NAME: TRILEPTAL (OXCARBAZEPINE) MNEMONIC: TRPT ABBR: TRPT OTHER MNEMONIC: MHC OXCARB


198

DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80183 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 66927 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.4 MAX ML: 2.0 NAME: TROPONIN 1ST OF 3 MNEMONIC: TROPI ABBR: TROP 1 OTHER MNEMONIC: TROP1 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84484 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 55205 CONTAINER: YEL-SST NAME: TROPONIN 2ND OF 3 MNEMONIC: TROPII ABBR: TROP 2 OTHER MNEMONIC: TROP2 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84484 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 55205 CONTAINER: YEL-SST NAME: TROPONIN 3RD OF 3 MNEMONIC: TROPIII ABBR: TROP 3 OTHER MNEMONIC: TROP3 DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84484 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 55205 CONTAINER: YEL-SST NAME: TROPONIN AND CK MNEMONIC: TRPN ABBR: TROP & CK OTHER MNEMONIC: DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: YEL-SST ALIQUOT: SAVE MIN ML: 1 MAX ML: 1 COMPONENTS TRPIN TROPONIN, INDIVIDUAL 84484 CPT-4 48.00 55205 YEL-SST CK CREATINE KINASE 82550 CPT-4 48.00 00325 MINT-PST NAME: TROPONIN T MNEMONIC: TROPT ABBR: TROP T DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84484 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 55206 CONTAINER: SST10


199

COLLECTION INSTRUCTION: FREEZE ALIQUOT: FRZ-SERUM MIN ML: 0.5 MAX ML: 0.5 NAME: TROPONIN, INDIVIDUAL MNEMONIC: TRPIN ABBR: TROPIN OTHER MNEMONIC: TROP DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84484 CPT TYPE: CPT-4 CHARGE: 48.00 BILLING CD: 55205 CONTAINER: YEL-SST ALIQUOT: FREEZE MIN ML: 1 MAX ML: 1 MINT-PST 1 1 YEL-SST 1 1 NAME: TRYPTASE,SERUM MNEMONIC: TRYP ABBR: TRYP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 59510 CONTAINER: SST10 ALIQUOT: FRZ-SERUM MIN ML: 0.2 MAX ML: 0.5 NAME: TSH WITH FT4 REFLEX MNEMONIC: TSHR ABBR: TSH-R OTHER MNEMONIC: THYR DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84443 CPT TYPE: CPT-4 CHARGE: 114.00 BILLING CD: 09872 CONTAINER: RED3 NAME: TUMOR ANTIGEN 90 (TA90IC) MNEMONIC: TA90 ABBR: TA90 OTHER MNEMONIC: MELANOMA DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 86294 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65705 CONTAINER: RED10 ALIQUOT: FRZ-SERUM MIN ML: 1.0 MAX ML: 1.0 NAME: UNLISTED MOLECULAR PATHOLOGY MNEMONIC: MPUL ABBR: MPUL OTHER MNEMONIC: 81479 DEPT: LR SITE: ML TURN AROUND HOURS: CPT: 81479 CPT TYPE: CPT-4 CHARGE: 2833.00 BILLING CD: 66781 :


200

NAME: UREA NITROGEN, URINE MNEMONIC: UUREAC ABBR: UR UREA DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84520 CPT TYPE: CPT-4 CHARGE: 21.00 BILLING CD: 00304 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: UREA NITROGEN,24 HR URINE MNEMONIC: UN24 ABBR: UREA 24 DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84540 CPT TYPE: CPT-4 CHARGE: 39.00 BILLING CD: 19866 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UUREAC UREA NITROGEN, URINE 84520 CPT-4 21.00 00304 STC UUREAT UREA NITROGEN 24 HOUR URINE NAME: UREA NITROGEN,RANDOM URINE MNEMONIC: UNU ABBR: UREA,UR DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84520 CPT TYPE: CPT-4 CHARGE: 21.00 BILLING CD: 00304 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: UREAPLASMA BY PCR MNEMONIC: UPCR ABBR: UPCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87798 CPT TYPE: CPT-4 CHARGE: 338.00 BILLING CD: 66318 CONTAINER: STC ALIQUOT: M4RT MIN ML: 1.0 MAX ML: 1.0 URINE 2.0 10.0 COMPONENTS UPSS SPECIMEN SOURCE UPCR UPSI SPECIAL INFORMATION UPCR UPR UREAPLASMA UREALYTICUM UPPR UREAPLASMA PARVUM UPRS REPORT STATUS UPCR


201

NAME: URIC ACID MNEMONIC: URIC ABBR: URIC DEPT: CHEM SITE: ML TURN AROUND HOURS: CPT: 84550 CPT TYPE: CPT-4 CHARGE: 25.00 BILLING CD: 00308 CONTAINER: MINT-PST NAME: URIC ACID,24 HOUR URINE MNEMONIC: URIC24 ABBR: URIC 24 OTHER MNEMONIC: DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URIN 81050 CPT-4 19.00 63600 UURICC URIC ACID, URINE 84560 CPT-4 15.00 63560 UURICT URIC ACID 24 HOUR URINE NAME: URIC ACID,PERICARDIAL FLUID MNEMONIC: UAPC ABBR: UA PERIC DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: GREEN NAME: URIC ACID,PERITONEAL FLUID MNEMONIC: UAPT ABBR: UA PERIT DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: GREEN NAME: URIC ACID,PLEURAL FLUID MNEMONIC: UAPL ABBR: URIC PLEUR DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: GREEN NAME: URIC ACID,RANDOM URINE MNEMONIC: URICU ABBR: URICU


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DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: URIC ACID,SYNOVIAL FLUID MNEMONIC: UASY ABBR: UA SYN DEPT: BF SITE: ML TURN AROUND HOURS: CPT: 84560 CPT TYPE: CPT-4 CHARGE: 15.00 BILLING CD: 63560 CONTAINER: GREEN NAME: URINALYSIS WITH MICROSCOPIC MNEMONIC: UMIC ABBR: UMIC OTHER MNEMONIC: UA DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81001 CPT TYPE: CPT-4 CHARGE: 29.00 BILLING CD: 00701 CONTAINER: STC COMPONENTS UMA1 MACROSCOPIC, URINE 81003 CPT-4 20.00 00074 STC URM MICROSCOPIC, URINE 81001 CPT-4 29.00 00701 STC NAME: URINALYSIS WITH MICROSCOPIC MNEMONIC: UMIC2 ABBR: UMIC DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81001 CPT TYPE: CPT-4 CHARGE: 29.00 BILLING CD: 00701 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS CRMAC CREDIT MACROSCOPIC 81003 CPT-4 -20.00 63758 URM MICROSCOPIC, URINE 81001 CPT-4 29.00 00701 STC NAME: URINALYSIS,MACRO MNEMONIC: UMA ABBR: UMA DEPT: UR SITE: ML TURN AROUND HOURS: CPT: 81003 CPT TYPE: CPT-4 CHARGE: 20.00 BILLING CD: 00074 CONTAINER: STC COMPONENTS UCOL COLOR, URINE UAPR APPEARANCE, URINE


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UGL GLUCOSE, URINE (UA) UBI BILIRUBIN, URINE UKET KETONE, URINE SG URINE SPECIFIC GRAVITY UHGB URINE HEMOGLOBIN UPH PH,URINE 81002 UTP PROTEIN, URINE UROB UROBILINOGEN, URINE UNIT NITRATE, URINE ULEU URINE LEUKOCYTE ESTERASE ORDER MICR ORDER MICROSCOPIC URINE NAME: URINE AMYLASE TIMED MNEMONIC: AMYT ABBR: AMYT OTHER MNEMONIC: UAMT DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82150 CPT TYPE: CPT-4 CHARGE: 66.00 BILLING CD: 05090 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 COMPONENTS UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 UAMR AMYLASE, URINE RANDOM 82150 CPT-4 66.00 00324 UAMYT URINE AMYLASE TIMED 82150 CPT-4 66.00 05090 NAME: URINE CYTOLOGY MNEMONIC: URCY ABBR: URINE CYTOLOGY DEPT: CY SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC NAME: URINE DRUG COLLECTION ONLY [for lab contract work] MNEMONIC: DRGUC ABBR: DRGUC DEPT: LR SITE: MEDTOX TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: 30.00 BILLING CD: 67040 CONTAINER: URINE ALIQUOT: URINE MIN ML: 1 MAX ML: 1 NAME: URINE DRUG SCREEN-PAIN CLINIC MNEMONIC: UDS ABBR: UDS DEPT: LR SITE: RXTOX TURN AROUND HOURS: CONTAINER: STC


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NAME: URINE FISH CHARGE MNEMONIC: URFH ABBR: URFH OTHER MNEMONIC: 88121 DEPT: LNP SITE: ML TURN AROUND HOURS: CPT: 88121 CPT TYPE: CPT-4 CHARGE: 236.00 BILLING CD: 66881 NAME: URINE GLUCOSE MNEMONIC: UGLUC ABBR: UR GLU DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 82945 CPT TYPE: CPT-4 CHARGE: 32.00 BILLING CD: 63520 CONTAINER: STC ALIQUOT: STC MIN ML: 1 MAX ML: 1 NAME: URINE PROTEIN 24HR ESTIMATE MNEMONIC: UPES ABBR: UPES DEPT: UC SITE: ML TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: STC COMPONENTS PTWT PATIENT WEIGHT PTAGE PATIENTS AGE UCREA CREATININE, URINE 82570 CPT-4 51.00 00200 TPU TOTAL PROTEIN,RANDOM URINE 84156 CPT-4 50.00 05071 STC PCR PRO/CREA RATIO PCRE PRO/CREA ESTIMATE NAME: URINE TP 24HR, PREG MNEMONIC: PUPQ ABBR: PUPQ OTHER MNEMONIC: DEPT: UC SITE: ML TURN AROUND HOURS: CPT: 84156 CPT TYPE: CPT-4 CHARGE: 50.00 BILLING CD: 05071 CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 1 MAX ML: 1 COMPONENTS USG SPECIFIC GRAVITY,URINE REFACT UPRT PROTEIN,TOTAL URINE 84156 CPT-4 50.00 05071 STC UCT URINE COLLECTION TIME UTV TOTAL VOLUME, URINE 81050 CPT-4 19.00 63600 PUP PREGNANCY, URINE TP 24HR NAME: UROPORPYRINOGEN-3-SYNTHETASE MNEMONIC: U3S ABBR: U3S


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DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82657 CPT TYPE: CPT-4 CHARGE: 191.00 BILLING CD: 65736 CONTAINER: GRN ON ICE ALIQUOT: GREEN MIN ML: 4 MAX ML: 4 NAME: VALPROIC ACID (DEPAKENE) LEVEL MNEMONIC: VALP ABBR: VALP OTHER MNEMONIC: DEPAKENE DEPAKOTE DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80164 CPT TYPE: CPT-4 CHARGE: 117.00 BILLING CD: 19868 CONTAINER: RED3 NAME: VALPROIC ACID, TOTAL AND FREE MNEMONIC: VALA ABBR: VALA DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.0 MAX ML: 2.0 COMPONENTS VALT VALPROIC ACID, TOTAL (MAYO) 80164 CPT-4 117.00 66555 VALF VALPROIC ACID, FREE 80164 CPT-4 117.00 55123 NAME: VANCOMYCIN LEVEL PEAK MNEMONIC: VANP ABBR: VANCOP DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80202 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 19499 CONTAINER: RED3 NAME: VANCOMYCIN LEVEL TROUGH MNEMONIC: VANT ABBR: VANT DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80202 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 19498 CONTAINER: RED3 NAME: VANCOMYCIN RANDOM MNEMONIC: VANR ABBR: VANR OTHER MNEMONIC: VANL VANO DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 80202 CPT TYPE: CPT-4 CHARGE: 119.00 BILLING CD: 19498


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CONTAINER: RED3 NAME: VANILLYDADELIC ACID, 24 HR UR MNEMONIC: VMA ABBR: VMA OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84585 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 65349 CONTAINER: UR24-ACE ALIQUOT: URINE MIN ML: 3.5 MAX ML: 5.2 COMPONENTS VMAA VMA,ADULT CVMA VMA CHILD CDVMA COLLECTION DURATION VMA VVMA URINE VOLUME VMA NAME: VAP CHOLESTEROL MNEMONIC: VAP ABBR: VAP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SERUM MIN ML: 1.5 MAX ML: 3.0 COMPONENTS VAPR VAP RESULT 83701 CPT-4 255.00 65468 VAPTRIG TRIGLYCERIDES VAP 84478 CPT-4 25.00 00339 RPT REPORT RECEIVED? NAME: VARICELLA IGG AB,S MNEMONIC: VAZG ABBR: VAZG OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86787 CPT TYPE: CPT-4 CHARGE: 105.00 BILLING CD: 65163 COMPONENTS VZG VARICELLA-ZOSTER IgG AB 86787 CPT-4 105.00 65163 VZGI VARICELLA IGG AB INDEX NAME: VARICELLA ZOSTER, PCR MNEMONIC: VZPCR ABBR: VZPCR DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87798 CPT TYPE: CPT-4 CHARGE: 356.00 BILLING CD: 65465 CONTAINER: SWAB ALIQUOT: OTHER MIN ML: 1 MAX ML: 1


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COMPONENTS VZS VZ SOURCE VZRS VARICELLA RESULT NAME: VARICELLA-ZOSTER AB,IGG MNEMONIC: VZ ABBR: VZ DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 86787 CPT TYPE: CPT-4 CHARGE: 105.00 BILLING CD: 66928 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.3 MAX ML: 0.5 NAME: VARICELLA-ZOSTER AB,IGG & IGM MNEMONIC: VZV ABBR: VZV DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.6 MAX ML: 1.0 COMPONENTS VZM VARICELLA-ZOSTER IGM AB 8678759 CPT-4 99.00 65836 SST10 VZG VARICELLA-ZOSTER IgG AB 86787 CPT-4 105.00 65163 VZGI VARICELLA IGG AB INDEX NAME: VARICELLA-ZOSTER IGM AB MNEMONIC: VZM ABBR: VZM DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 8678759 CPT TYPE: CPT-4 CHARGE: 99.00 BILLING CD: 65836 CONTAINER: SST10 ALIQUOT: SST MIN ML: 0.5 MAX ML: 1.0 NAME: VASOACTIVE INTESTINAL PEPTIDE MNEMONIC: VIP ABBR: VIP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 83520 CPT TYPE: CPT-4 CHARGE: 103.00 BILLING CD: 65166 CONTAINER: LAV COLLECTION INSTRUCTION: FASTING/FREEZE PLASMA ALIQUOT: FRZ-PLASMA MIN ML: 0.55 MAX ML: 1.0


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NAME: VCA EBV IGG CONTROL MNEMONIC: EBVGQC ABBR: EBVGQC DEPT: SC SITE: ML TURN AROUND HOURS: NAME: VDRL,CSF MNEMONIC: VDRL ABBR: VDRL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 86592 CPT TYPE: CPT-4 CHARGE: 35.00 BILLING CD: 19956 CONTAINER: CSF#4 COLLECTION INSTRUCTION: ***CSF ONLY!!*** ALIQUOT: FRZ-CSF MIN ML: 0.5 MAX ML: 1.0 NAME: VENIPUNCTURE MNEMONIC: V ABBR: VENIPUNCTURE OTHER MNEMONIC: VENIPUNCTURE DEPT: PHLB SITE: ML TURN AROUND HOURS: CPT: 36415 CPT TYPE: CPT-4 CHARGE: 13.00 BILLING CD: 19878 NAME: VENOUS BLOOD GAS MNEMONIC: VBG ABBR: VENOUS BLOOD GA DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82803 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 19509 CONTAINER: GREEN COLLECTION INSTRUCTION: COLLECT ON ICE. COMPONENTS VPH PH, VENOUS 82800 CPT-4 44.00 00331 VPCO2 VENOUS PCO2 VPO2 VENOUS PO2 VO2SATU HGB O2 SAT VO2 VENOUS CO2 CONTENT VBE VENOUS BASE EXCESS NAME: VENOUS CORD GAS MNEMONIC: VCG ABBR: VCG DEPT: BG SITE: ML TURN AROUND HOURS: CPT: 82803 CPT TYPE: CPT-4 CHARGE: 142.00 BILLING CD: 63658


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VENOUS CORD GAS CONTAINER: SYRINGE COMPONENTS VCPH VENOUS CORD PH VCO2 VENOUS CORD PCO2 VCPO2 VENOUS CORD PO2 VCHCO3 VENOUS CORD HCO3 VCBE VENOUS CORD BE VCO2C VENOUS CORD CO2 CONTENT NAME: VIRAL SMEAR, SHELL VIAL MNEMONIC: SVIR ABBR: SVIR OTHER MNEMONIC: DEPT: LNP SITE: MAYO TURN AROUND HOURS: CPT: 87254 CPT TYPE: CPT-4 CHARGE: 69.00 BILLING CD: 65760 NAME: VIRUS CULTURE, RESPIRATORY MNEMONIC: VIRR ABBR: VIRUS CULT,RESP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87252 CPT TYPE: CPT-4 CHARGE: 201.00 BILLING CD: 65552 CONTAINER: SWAB COLLECTION INSTRUCTION: IF TESTING FOR MUMPS, PLEASE PUT "MUMPS" IN COMMENT FIELD. ALIQUOT: SWAB MIN ML: 1 MAX ML: 1 COMPONENTS INO INOCULATION CULTURE 87252 CPT-4 201.00 65552 VSS V SPECIMEN SOURCE VID VIRAL ID CPT-4 VSI V SPECIAL INFORMATION VRS V REPORT STATUS NAME: VIRUS CULTURE,NON-RESPIRATORY MNEMONIC: VIRN ABBR: VIRUS CULTURE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 87252 CPT TYPE: CPT-4 CHARGE: 201.00 BILLING CD: 65552 COLLECTION INSTRUCTION: NO GENITAL OR DERMAL SPECIMENS !! ALIQUOT: SWAB MIN ML: 1 MAX ML: 1 COMPONENTS INO INOCULATION CULTURE 87252 CPT-4 201.00 65552


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VNSS V SPECIMEN SOURCE VNID VIRAL ID VNSI V SPECIAL INFORMATION VNRS V REPORT STATUS NAME: VISCOSITY, SERUM MNEMONIC: VISC ABBR: VISC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 85810 CPT TYPE: CPT-4 CHARGE: 129.00 BILLING CD: 66563 CONTAINER: RED10 COLLECTION INSTRUCTION: KEEP AT 37 UNTIL AFTER SEPARATION OF CELLS AND SERUM ALIQUOT: SERUM MIN ML: 0.65 MAX ML: 1.5 NAME: VIT D HYDROXY TOTAL MNEMONIC: VD25 ABBR: VD25 DEPT: SC SITE: ML TURN AROUND HOURS: CPT: 82306 CPT TYPE: CPT-4 CHARGE: 230.00 BILLING CD: 66776 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.5 MAX ML: 1 NAME: VIT D, 1,25 DIHYDROXY MNEMONIC: VD125 ABBR: 1,25 DIHYDROX OTHER MNEMONIC: CALCITRIOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82652 CPT TYPE: CPT-4 CHARGE: 293.00 BILLING CD: 65693 CONTAINER: RED10 COLLECTION INSTRUCTION: 4 HR FASTING RECOMMENDED ALIQUOT: SERUM MIN ML: 1.5 MAX ML: 2.4 NAME: VITAMIN A LEVEL MNEMONIC: VITA ABBR: VITA OTHER MNEMONIC: RETINOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84590 CPT TYPE: CPT-4 CHARGE: 91.00 BILLING CD: 65569 CONTAINER: RED10 COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT ALIQUOT: AMBER MIN ML: 0.25 MAX ML: 0.5 COMPONENTS VAFR FREE RETINOL (VIT A)


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NAME: VITAMIN B1 (THIAMIN) MNEMONIC: VITB1 ABBR: VITB1 OTHER MNEMONIC: THIAMIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84425 CPT TYPE: CPT-4 CHARGE: 117.00 BILLING CD: 65227 CONTAINER: LAV COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT ALIQUOT: FRZ-AMBER MIN ML: 0.5 MAX ML: 4.0 NAME: VITAMIN B12, UNSATURATED BIND MNEMONIC: VIT12U ABBR: VIT12U DEPT: LR SITE: QUEST TURN AROUND HOURS: CPT: 82608 CPT TYPE: CPT-4 CHARGE: 111.00 BILLING CD: 65254 CONTAINER: SST10 ALIQUOT: TT-QUEST MIN ML: 1.0 MAX ML: 1.0 NAME: VITAMIN B2 LEVEL MNEMONIC: VITB2 ABBR: VIT B2 OTHER MNEMONIC: RIBOFLAVIN DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84252 CPT TYPE: CPT-4 CHARGE: 218.00 BILLING CD: 65071 CONTAINER: GREEN COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT ALIQUOT: FRZ-AMBER MIN ML: 0.5 MAX ML: 1.0 NAME: VITAMIN B6 LEVEL MNEMONIC: VITB6 ABBR: VITB6 DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84207 CPT TYPE: CPT-4 CHARGE: 313.00 BILLING CD: 65235 CONTAINER: GREEN COLLECTION INSTRUCTION: FAST/PROTECT FROM LIGHT ALIQUOT: AMBER MIN ML: 0.75 MAX ML: 1.0 NAME: VITAMIN C MNEMONIC: VITC ABBR: VIT C OTHER MNEMONIC: ASCORBIC ACID DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 82180 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65325 CONTAINER: GRN ON ICE


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VITAMIN C COLLECTION INSTRUCTION: FASTING/PROTECT FROM LIGHT ALIQUOT: FRZ-AMBER MIN ML: 1.0 MAX ML: 2.0 NAME: VITAMIN E LEVEL MNEMONIC: VITE ABBR: VITE DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84446 CPT TYPE: CPT-4 CHARGE: 120.00 BILLING CD: 65341 CONTAINER: RED10 COLLECTION INSTRUCTION: FAST/PROTECT FROM LIGHT ALIQUOT: AMBER MIN ML: 0.5 MAX ML: 2.0 NAME: VITAMIN K1,SERUM MNEMONIC: VITK ABBR: VITK DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84597 CPT TYPE: CPT-4 CHARGE: 147.00 BILLING CD: 65627 CONTAINER: RED10 COLLECTION INSTRUCTION: **PROTECT FROM LIGHT** WITHIN 1 HR FASTING ALIQUOT: AMBER MIN ML: 1.5 MAX ML: 2.0 NAME: VOLATILES SCREEN,BLOOD MNEMONIC: VOL ABBR: VOL DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84600 CPT TYPE: CPT-4 CHARGE: 174.00 BILLING CD: 65411 CONTAINER: GRAY COLLECTION INSTRUCTION: INCLUDES METHANOL,ETHANOL,ISOPROPANOL, ACETONE ALIQUOT: GRAY MIN ML: 0.5 MAX ML: 1.0 NAME: VON WILLEBRAND AG MULITIMERS MNEMONIC: VWAM ABBR: VWAM DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85247 CPT TYPE: CPT-4 CHARGE: 122.00 BILLING CD: 53564 CONTAINER: BLUE ALIQUOT: FRZ-PLASMA MIN ML: 1 MAX ML: 1


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NAME: VON WILLEBRAND ANTIGEN MNEMONIC: VWAG ABBR: VWAG DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: 85246 CPT TYPE: CPT-4 CHARGE: 140.00 BILLING CD: 53563 CONTAINER: BLUE NAME: WARFARIN DRUG LEVEL MNEMONIC: WARF ABBR: WARF DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80299 CPT TYPE: CPT-4 CHARGE: 108.00 BILLING CD: 65255 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 1.1 MAX ML: 3.0 NAME: WEST NILE VIRUS IGG & IGM MNEMONIC: WNV ABBR: WNV OTHER MNEMONIC: DEPT: LR SITE: PA DEPT H TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: SST10 COLLECTION INSTRUCTION: PATIENT TO FILL OUT FORM ALIQUOT: CSF#1 MIN ML: 1.0 MAX ML: 1.0 SERUM 1.0 1.0 COMPONENTS WNVG WEST NILE VIRUS IGG WNVM WEST NILE VIRUS IGM NAME: WESTERN EQUINE EMCEPH IGG&IGM MNEMONIC: WEEP ABBR: WEEP OTHER MNEMONIC: DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.15 MAX ML: 0.5


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COMPONENTS WESTERN WESTERN EQUINE ENCEPH AB, IGG 86654 CPT-4 88.00 66792 WEM WESTERN EQUINE ENCEPH AB, IGM 86654 CPT-4 88.00 66800 NAME: ZINC PROTOPORPHYRIN,B MNEMONIC: ZPP ABBR: ZPP DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84202 CPT TYPE: CPT-4 CHARGE: 79.00 BILLING CD: 19982 CONTAINER: RYLBLUEDTA ALIQUOT: RYLBLUEDTA MIN ML: 0.1 MAX ML: 1.0 NAME: ZINC, 24 HOUR URINE MNEMONIC: UZINC ABBR: UR ZINC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: UR24 ALIQUOT: UR24 MIN ML: 10 MAX ML: 10 COMPONENTS UCR CREATININE, URINE UCRTT CREAT,URINE TIMED TEST ZINCU ZINC CONCENTRATION ZINC24 ZINC 24 HOUR URINE ZINCUG ZINC, URINE UG/GCR NAME: ZINC,SERUM MNEMONIC: ZINC ABBR: ZINC DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 84630 CPT TYPE: CPT-4 CHARGE: 89.00 BILLING CD: 65357 CONTAINER: RYLBLPLAIN COLLECTION INSTRUCTION: ROYAL BLUE PLAIN CLOT FOR 30 MIN BEFORE SPINNINGALIQUOT: METAL FREE MIN ML: 1 MAX ML: 1

COMPONENTS ZINC1 ZINC1 CPT-4 NAME: ZONISAMIDE (ZONEGRAN), SERUM MNEMONIC: ZON ABBR: ZON DEPT: LR SITE: MAYO TURN AROUND HOURS: CPT: 80203 CPT TYPE: CPT-4 CHARGE: 77.00 BILLING CD: 66943 CONTAINER: RED10 ALIQUOT: SERUM MIN ML: 0.6 MAX ML: 2.0


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NAME: von WILLEBRAND PROFILE MNEMONIC: VWP ABBR: VWP DEPT: LR SITE: ITXM TURN AROUND HOURS: CPT: CPT TYPE: CHARGE: BILLING CD: CONTAINER: BLUE COLLECTION INSTRUCTION: ROOM TEMP DO NOT SPIN/2 BLUES(COLD) SPIN & FREEZE PLASMA ALIQUOT: FREEZE MIN ML: 2 MAX ML: 2 RT DELIVERY COMPONENTS APTTXX* APTT (ITXM) 85730 CPT-4 57.00 51377 APTTX APTT (ITXM) 85730 CPT-4 57.00 51377 APTTMXX* APTT MIXING STUDY (ITXM) 85732 CPT-4 40.00 53053 APTTMX APTT MIXING STUDY (ITXM) 85732 CPT-4 VWAG VON WILLEBRAND ANTIGEN 85246 CPT-4 140.00 53563 CLEPI CLOSURE TIME,COLLAGEN,EPI 85576 CPT-4 230.00 65997 CLADP CLOSURE TIME,COLLAGEN/ADP 85576 CPT-4 230.00 66005 CLSTC COMMENT CLST F8 FACTOR VIII:C 85240 CPT-4 114.00 51361 RCOF RISTOCETIN COFACTOR 85245 CPT-4 125.00 53562 PLTRIS12 PLT AGGREGATION-RISTOCETIN 1.2 85576 CPT-4 230.00 53565 PLTRIS03 PLT AGGREGATION-RISTOCETIN 0.3 85576 CPT-4 230.00 53565 VWPC COMMENT VWP PHYCMT PHYSICIAN COMMENT ITXM

ACMH Laboratory LAB Test Catalog

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