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D Dimer, Blood (by Latex Agglutination)

Test Code: 1202 CPT Code: 85379
Specimen Type: Citrated plasma (whole blood in blue-top[Sodium citrate] tube)
Sample Volume: 3.0 mL (1.0 mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received room temperature, and hemolysis
Methodology: Immunoturbidimetry
Special Requirements: No special precautions needed
Clinical Significance:

D-Dimer is one of the measurable by-product of activation of the fibrinolytic system. Quantitation of D-Dimer assesses fibrinolytic activation and intravascular thrombosis. D-Dimer is of particular value in excluding the diagnosis of venous thromboembolism amount patients at high risk.

Run Day: Daily
Reporting Day: Next day

D Dimer, Blood (by POCT)

Test Code: 5788 CPT Code: 85379
Specimen Type: Heparinized venous whole blood in a green- top (heparin) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Serum collected in a yellow-top tube, Plasma
Methodology: POCT
Special Requirements: No special precautions needed
Clinical Significance:

D-Dimer is one of the measurable by-product of activation of the fibrinolytic system. Quantitation of D-Dimer assesses fibrinolytic activation and intravascular thrombosis. D-Dimer is of particular value in excluding the diagnosis of venous thromboembolism amount patients at high risk.

Run Day: Daily
Reporting Day: Same day

Dehydroepinandrosterone (DHEA), Serum

Test Code: 6270 CPT Code: 82626
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

DHEA is a weakly androgenic steroid that is useful when congenital adrenal hyperplasia is suspected. It is also useful
in determining the source of androgens in hyperandrogenic conditions, such as polycystic ovarian syndrome and adrenal tumors.

Run Day: Wed, Sat
Reporting Day: Next day

Dehydroepinandrosterone Sulfate (DHEA-S), Serum

Test Code: 469 CPT Code: 82627
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: Clinical history required
Clinical Significance:

DHEA-S is the sulfated form of DHEA, the precursor of testosterone and estrogen. Many hirsute women have elevated DHEA-S with levels of other androgens within reference ranges. Dexamethasone supression of DHEA-S can be used to differentiate tumors from adrenal hyperplasia.

Run Day: Sun, Tue, Thurs
Reporting Day: Next day

Dengue Virus Antibodies, IgG & IgM, Qualitative, Serum

Test Code: 6838 CPT Code: 86790X 2
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0 mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Dengue hemorrhagic fever and dengue shock syndrome are caused by infection of a RNA flavivirus transmitted by a mosquito vector. Paired acute
and convalescent specimens that exhibit a significant change in titer are useful to confirm clinical diagnosis of infection.

Run Day: Daily
Reporting Day: 3rd day

Dengue Virus Antibodies, IgM, Quantitative, Serum

Test Code: 6893 CPT Code: 86790
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Dengue hemorrhagic fever and dengue shock syndrome are caused by infection of a RNA flavivirus transmitted by a mosquito vector. Paired acute
and convalescent specimens that exhibit a significant change in titer are useful to confirm clinical diagnosis of infection.

Run Day: Tue, Thurs, Sat
Reporting Day: 4th day

Dengue Virus IgG Antibodies, Quantitative, Serum

Test Code: 8420 CPT Code: 86790
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: Enzyme immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Dengue virus is a globally distributed Flavivirus with 4 distinct serotypes (DV-1, 2, 3, 4), is primarily transmitted by the Aedes aegypti mosquito and is prevalent throughout the tropical and subtropical regions of the world. Seroconversion occurs approximately 3 to 7 days following exposure and, therefore, testing of acute and convalescent sera for IgG antibodies may be necessary to make the diagnosis.

Run Day: Tues, Thurs, Sat
Reporting Day: 4th day

Dengue Virus, NS1 Antigen

Test Code: 7123 CPT Code: 86790
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

This test is used for the qualitative detection of dengue virus NS1 antigen as an aid to the diagnosis of acute dengue infection.
NS1 antigen is a nonstructural protein found in infected patients from 1st day of fever upto 9 days after the onset of fever.

Run Day: Sat
Reporting Day: Same day

Diabetes Profile (FBS, PPBS, HbA1c, Creatinine, Urine Microalbumin, Total Cholesterol , Triglycerides, LDL Cholesterol, HDL Cholesterol, VLDL Cholesterol, LDL/ HDL Ratio, TC/HDL Cholesterol Ratio)

Test Code: 3355 CPT Code: Use individual CPTCodes
Specimen Type: Serum (yellow-top), sodium fluoride plasma (gray top) & whole blood EDTA (lavender-top). Urine in sterile leak proof container
Sample Volume: Serum - 3 mL, whole blood EDTA - 3 mL & NaF Plasma - 1mL. Urine - 10 mL
Transport Condition: Room temperature/ refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: See individual assays
Special Requirements: Fasting sample should be collected with 10 to 12 hrs of fasting. PP sample should be collected 120 mins of light food
Clinical Significance:

See individual assays.

Run Day: Daily
Reporting Day: Same day

Digoxin, Serum

Test Code: 1240 CPT Code: 80162
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Gross hemolysis
Methodology: ECLIA
Special Requirements: Clinical history and time of Specimen collection is essential
Clinical Significance:

Digoxin is a cardiac glycoside derived from the digitalis plant. It is used to treat congestive heart failure and atrial dysrhythmias. Digoxin levels are monitored to assure that adequate therapeutic levels are achieved and to avoid toxicity.

Run Day: Daily
Reporting Day: Next day

Dihydrotestosterone, Serum

Test Code: 470 CPT Code: 82651
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

DHT is a potent androgen derived from testosterone via
5-alpha-reductase activity. 5-alpha-reductase deficiency results in incompletely virilized males (phenotypic females). This diagnosis is supported by an elevated ratio of testosterone to DHT.

Run Day: Fri
Reporting Day: Next day

Diptheria Antibodies, IgG, Serum

Test Code: 17033 CPT Code: 86317
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: Enzyme immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Diphtheria is an acute, contagious, febrile illness caused by the bacterium Corynebacterium diphtheriae. This assay aids in evaluation of immune status
of patient with regards to this pathogen.

Run Day: Fri
Reporting Day: Next day

Direct LDL (DLDL), Serum

Test Code: 1290 CPT Code: 83721
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Spectrophotometry
Special Requirements: 12 hrs. fasting
Clinical Significance:

LDL cholesterol is a key factor in the pathogenesis of atherosclerosis and coronary artery disease (CAD), while HDL cholesterol has often been observed to have a protective effect. Even within the normal range of total cholesterol concentrations, an increase in LDL cholesterol can produce
an associated increased risk for CAD. LDL cholesterol binds to receptor sites on macrophages in blood vessel walls inciting several changes to the blood wall which enhance antherosclerotic plaque development.

Run Day: Daily
Reporting Day: Same day

Double Marker Test (First Trimester Risk Assessment, 8-14 wks) Papp-A & Free B-HCG

Test Code: 6289 CPT Code: Use individual CPTCodes
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0 mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Grosshemolysis, lipemia
Methodology: Immunoassay
Special Requirements: Clinical history is mandatory. Always send material screening history request form along with TRF.
Clinical Significance:

Screening for Down syndrome and trisomy 18 at 10-14 weeks gestation.

Run Day: Mon, Thur
Reporting Day: Same day

Drugs of Abuse: 5 Drugs (Opiates, PCP, Cocaine, Tetrahydrocannabinol, Amphetamine)

Test Code: 6805 CPT Code: 80101
Specimen Type: Urine in sterile leak proof container
Sample Volume: 30 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: Urine with preservative
Methodology: Flowchromatographic Immunoassay
Special Requirements: Only for screening purpose
Clinical Significance:

See individual analytes

Run Day: Daily
Reporting Day: Next day

Drugs of Abuse: 9 Drugs (Opiates, PCP, Cocaine, Tetrahydrocannabinol, Amphetamine, Barbiturates, Benzodiazepines, Methodone, Propoxyphene)

Test Code: 6892 CPT Code: 80101
Specimen Type: Urine in sterile leak proof container
Sample Volume: 30 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: Urine with preservative
Methodology: Flowchromatographic Immunoassay
Special Requirements: Only for screening purpose
Clinical Significance:

See individual analytes

Run Day: Daily
Reporting Day: Next day