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G6PD, Blood, Quantitative

Test Code: 295 CPT Code: 82955
Specimen Type: Whole blood in lavender-top (EDTA) tube.
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received frozen
Methodology: Spectrophotometry
Special Requirements: Generally, none; however, if features of hemolysis are acute, it is advised to wait for few weeks for testing till the episode is resolved.
Clinical Significance:

G6PD is the most common enzyme deficiency in the world. Newborns with G6PD may have prolonged and more pronounced neonatal jaundice then other newborns. Older individulas are subject to hemolytic anemia that can be induced by some foods, drugs, and infections.

Run Day: Daily
Reporting Day: Next day

Gall Bladder, Cholecystectomy for Stones

Test Code: 1347 CPT Code: 88304
Specimen Type: Tissue
Sample Volume: Specimen in 10% buffered formalin
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Microscopic
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

The nature of possible underlying disease can be ruled out/confirmed through histopathological examination

Run Day: Daily, except Fri
Reporting Day: 3rd day

Gall Bladder, Cholecystectomy for Tumor

Test Code: 1396 CPT Code: 88304
Specimen Type: Tissue
Sample Volume: Specimen in 10% buffered formalin
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Microscopic
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

The nature of possible underlying disease can be ruled out/confirmed through histopathological examination

Run Day: Daily, except Fri
Reporting Day: 3rd day

Gamma Glutamyl Transferase (GGT), Serum

Test Code: 296 CPT Code: 82977
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: Hemolysis
Methodology: ECLIA
Special Requirements: No special precautions needed
Clinical Significance:

Elevated GGT is found in all forms of liver disease. Measurement of GGT is used in the diagnosis and treatment of alcoholic cirrhosis, as well as primary and secondary liver tumors. It is more sensitive than alkaline phosphatase, the transaminases, and leucine aminopeptidase in detecting obstructive jaundice, cholangitis, and cholecystitis. Normal levels of GGT are seen in skeletal disease; thus, GGT in serum can be used to ascertain whether a disease, suggested by elevated alkaline phosphatase, is skeletal or hepatobiliary.

Run Day: Daily
Reporting Day: Same day

Gastrin, Serum

Test Code: 476 CPT Code: 82941
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Frozen condition
Specimen Rejection Criteria: Grosshemolysis, grossly lipemic, received thawed, grossly icteric
Methodology: ECLIA
Special Requirements: No special precautions needed
Clinical Significance:

For the diagnosis and monitoring of gastrin-secreting tumors, gastric ulcer, Zollinger-Ellison syndrome. Also increased in pernicious anemia.

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

General Health Profile (Total Cholesterol, Triglycerides, LDL Cholesterol calculated and directly measured if TG > 400mg/dL, HDL Cholesterol, VLDL Cholesterol, LDL/ HDL Ratio, TC/HDL Cholesterol Ratio, Total Billirubin, Uric acid, Creatinine, SGOT, SGPT, ALP, Total Protein, Albumin, Albumin/Globulin ratio, Urine analysis, Stool analysis, CBC, ESR, Fasting Blood Glucose, HbA1c)

Test Code: 6245 CPT Code: Use individual CPTCodes
Specimen Type: Whole blood in a gray-top (sodium fluo- ride) tube and lavender-top (EDTA) tube, serum collected in a yellow-top tube, urine in sterile leak proof container
Sample Volume: Whole blood - 3.0 mL in each tube, serum - 3.0 mL, NaF plasma - 1 mL, urine-10 mL
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Grosshemolysis/ clot (EDTA sample)
Methodology: Spectrophotometry, Immunoassay, Microscopy
Special Requirements: No special precautions needed
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Same day

Gentamicin, Serum

Test Code: 1242 CPT Code: 80170
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Turbidimetric Immunoassay
Special Requirements: Serum gel tubes should be centrifuged within 2 hours of collection.
Clinical Significance:

Gentamicin is an antibiotic used to treat life-threatening blood infections caused by gram-negative bacilli, such as Citrobacter freundii, Acinetobacter species, Enterobacter species, Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Providencia stuartii, Pseudomonas aeruginosa, and Serratia species. Serum gentamicin assay is useful in monitoring adequacy/ toxicity of serum concentration during gentamicin therapy.

Run Day: Daily
Reporting Day: 12th day

Glucose Challenge Test (GCT)1 hr, 50 gram Glucose load

Test Code: 1172 CPT Code: 82950
Specimen Type: Plasma whole blood in a gray- top (sodium fluoride) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis, anticoagulant other than fluoride
Methodology: Spectrophotometry
Special Requirements: Follow sample collection procedure for GTT
Clinical Significance:

Test is used for screening for gestational diabetes, performed at 24-28 weeks of gestation in women not previously diagnosed with overt diabetes. If plasma glucose value is >140 mg/dL at 1 hr, proceed to a 100 g OGTT
to determine if the patient has gestational diabetes.

Run Day: Daily
Reporting Day: Same day

Glucose Tolerance Test (4 Specimens)

Test Code: 1200 CPT Code: 82951
Specimen Type: Plasma whole blood in a gray- top (sodium fluoride) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis, anticoagulant other than fluoride
Methodology: Spectrophotometry
Special Requirements: Follow sample collection procedure for GTT. Specimen to be collected at Fasting, 1 hr, 2hr and 3hr
Clinical Significance:

OGTT is useful for diagnosing diabetes, insulin resistance, impaired beta cell function, and sometimes reactive hypoglycemia and acromegaly, or rarer disorders of carbohydrate metabolism. For appropriate interpretation of this test, the patient must fast overnight and ingest a 75 g load of glucose in 100 mL of water. Immediately after, a fasting specimen is obtained, followed by collection at 1 hr, 2 hr and 3 hr.

Run Day: Daily
Reporting Day: Same day

Glucose Tolerance Test (5 Specimens)

Test Code: 1201 CPT Code: 82951,82952
Specimen Type: Plasma whole blood in a gray- top (sodium fluoride) tube
Sample Volume: 3.0 mL (1.0 mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis, anticoagulant other than fluoride
Methodology: Spectrophotometry
Special Requirements: Follow sample collection procedure for GTT Specimen to be collected at Fasting, 1/2hr, 1 hr, 2hr and 3hr
Clinical Significance:

OGTT is useful for diagnosing diabetes, insulin resistance, impaired beta cell function, and sometimes reactive hypoglycemia and acromegaly, or rarer disorders of carbohydrate metabolism. For appropriate interpretation of this test, the patient must fast overnight and ingest a 75 g load of glucose in 100 mL of water. Immediately after, a fasting specimen is obtained, followed by collection at 1/2 hr, 1 hr, 2 hr and 3 hr.

Run Day: Daily
Reporting Day: Same day

Glucose Tolerance Test (Oral) for Gestational Diabetes (3 Specimens)

Test Code: 1175 CPT Code: 82951
Specimen Type: Plasma whole blood in a gray- top (sodium fluoride) tubes
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Hemolysis
Methodology: Spectrophotometry
Special Requirements: Follow sample collection procedure for GTT
Clinical Significance:

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. A fasting plasma glucose level >126 mg/dl or a random plasma glucose >200 mg/dl meets the threshold
for the diagnosis of diabetes if confirmed on a subsequent day, and precludes the need for any glucose challenge. In the absence of this degree of hyperglycemia, evaluation for
GDM in women with average or high-risk characteristics should follow OGTT. The diagnosis can be made using a 75-g glucose load and the glucose threshold values listed for fasting, 1 hr, and 2 hr.

Run Day: Daily
Reporting Day: Same day

Glucose Tolerance Test (Oral) for Gestational Diabetes (2 Specimens)

Test Code: 1173 CPT Code: 82947
Specimen Type: Plasma Whole blood in a gray- top (sodium fluoride) tubes
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Hemolysis
Methodology: Spectrophotometry
Special Requirements: Follow sample collection procedure for GTT
Clinical Significance:

Gestational diabetes mellitus (GDM) is defined as any degree of glucose intolerance with onset or first recognition during pregnancy. A fasting plasma glucose level
>126 mg/dl or a random plasma glucose >200 mg/dl meets the threshold for the diagnosis of diabetes if confirmed on a subsequent day, and precludes the need for any glucose challenge. In the absence of this degree of hyperglycemia, evaluation for GDM in women with average or high-risk characteristics should follow OGTT. The diagnosis can be made using a 75-g glucose load and the glucose threshold values listed for fasting and 2 hr.

Run Day: Daily
Reporting Day: Same day

Glucose, 1h Post Prandial

Test Code: 7141 CPT Code: 82950
Specimen Type: Plasma whole blood in a gray- top (sodium fluoride) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis, anticoagulant other than fluoride
Methodology: Spectrophotometry
Special Requirements: No special precautions needed
Clinical Significance:

Postprandial glucose levels may be abnormally high in patients with gestational diabetes. If results are positive, and the patient is pregnant, a 3 hour oral glucose tolerance test should be performed for confirmation of gestational diabetes.

Run Day: Daily
Reporting Day: Same day

Glucose, 2 hr Post Prandial, Plasma

Test Code: 1073 CPT Code: 82950
Specimen Type: Plasma NaF (whole blood in a gray - top(sodium fluoride) tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Gross hemolysis
Methodology: Spectrophotometry
Special Requirements: No special precautions needed
Clinical Significance:

The 2 hr postprandial glucose test determines glucose levels in blood, two hours after a regular breakfast. It is useful for diagnosis of diabetes, cancers, and metabolic disorders. If the value for the 2 hr postprandial glucose test is between 140 and 200 mg/dL, an OGTT may be performed to confirm diabetes.

Run Day: Daily
Reporting Day: Same day

Glucose, 24 Hrs, Urine

Test Code: 435 CPT Code: 82945
Specimen Type: 24 hrs urine
Sample Volume: 5 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received frozen
Methodology: Spectrophotometry
Special Requirements: Add 10 g of boric acid as preservative at start of collection. Collect urine for 24 hours. Mix well before taking 5 mL aliquot.
Clinical Significance:

Useful in the screening or management of diabetes mellitus. Elevated urine glucose concentration can be because of hyperglycemia or a defectin proximal tubule function. As a screening test for diabetes mellitus, this test, though, has a
low sensitivity but has reasonably good specificity.

Run Day: Daily
Reporting Day: Same day

Glucose, 24 hrs/ Random, Urine

Test Code: 13853 CPT Code: 82945
Specimen Type: 24 hrs/ random urine
Sample Volume: 5 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received frozen
Methodology: Spectrophotometry
Special Requirements: For 24 hrs sample: Add 10 g of boric acid as preservative at start of collection. Collect urine for 24 hours. Mix well before taking 5 mL aliquot.
Clinical Significance:

Useful in the screening or management of diabetes mellitus. Elevated urine glucose concentration can be because of hyperglycemia or a defectin proximal tubule function. As a screening test for diabetes mellitus, this test, though, has a
low sensitivity but has reasonably good specificity.

Run Day: Daily
Reporting Day: Same day

Glucose, Fasting, Plasma

Test Code: 297 CPT Code: 82947
Specimen Type: Plasma NaF (whole blood in a gray - top(sodium fluoride) tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis, anticoagulant other than fluoride
Methodology: Spectrophotometry
Special Requirements:
Clinical Significance:

Useful in diagnosing and managing diabetes mellitus and other carbohydrate metabolism disorders including gestational diabetes, neonatal hypoglycemia, idiopathic hypoglycemia, and pancreatic islet cell carcinoma.

Run Day: Daily
Reporting Day: Same day

Glucose, Random/ Casual, Plasma

Test Code: 1074 CPT Code: 82947
Specimen Type: Plasma NaF (whole blood in a gray - top(sodium fluoride) tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Gross hemolysis
Methodology: Spectrophotometry
Special Requirements: No special precautions needed
Clinical Significance:

Useful in diagnosing and managing diabetes mellitus and other carbohydrate metabolism disorders including gestational diabetes, neonatal hypoglycemia, idiopathic hypoglycemia, and pancreatic islet cell carcinoma.

Run Day: Daily
Reporting Day: Same day

Glycated Hemoglobin (HbA1c)

Test Code: 1134 CPT Code: 83036
Specimen Type: Whole blood in a lavender-top (EDTA) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: HPLC/ Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Assesses long term diabetic control in diabetes mellitus

Run Day: Daily
Reporting Day: Same day

GMULAB CHEK Platinum (ALT, AST, Bilirubin Total, Creatinine, Electrolytes, GGT, HbA1c, Lipid Profile, Urea, Vitamin D 25-OH, Routine Urine Analysis, CBC & TSH)

Test Code: 6924 CPT Code: Use individual CPTCodes
Specimen Type: 1.Serum collected in yellow- top tube, 2. whole blood in lavender tube (EDTA) , 3. urine in leak proof container
Sample Volume: 1. serum 3.0 mL 2. EDTA - whole blood 3.0 mL. 3. 10 mL urine
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: 1. Gross hemolysis 2. clot
Methodology: See individual assays
Special Requirements: Fasting blood sample
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Next day

GMULAB CHEK Gold (HbA1c, CBC, Lipid Profile, Urea, Creatinine, Urine routine, AST, ALT, Bilirubin & GGT)

Test Code: 6925 CPT Code: Use individual CPTCodes
Specimen Type: 1.Serum collected in yellow- top tube, 2. whole blood in lavender tube (EDTA) , 3. urine in leak proof container
Sample Volume: 1. serum 3.0 mL 2. EDTA - whole blood 3.0 mL. 3. 10 mL urine
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: 1. Gross hemolysis 2. clot
Methodology: See individual assays
Special Requirements: Fasting blood sample
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Next day

GMULAB CHEK Silver (FBS, CBC, Lipid Profile, Urea, Creatinine, AST & ALT)

Test Code: 6926 CPT Code: Use individual CPTCodes
Specimen Type: 1.Serum collected in yellow- top tube, 2. whole blood in lavender tube (EDTA)
Sample Volume: 1. serum 3.0 mL 2. EDTA - whole blood 3.0 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: 1. Gross hemolysis 2. clot
Methodology: See individual assays
Special Requirements: Fasting blood sample
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Next day

Gram Stain

Test Code: 1291 CPT Code: 87205
Specimen Type: Any fluid/ swab
Sample Volume: Any source, air-dried smear
Transport Condition: Room temperature
Specimen Rejection Criteria: Broken slide
Methodology: Microscopic
Special Requirements: No special precautions needed
Clinical Significance:

Varies with source. The gram stain is a critical test for the rapid, presumptive diagnosis of infectious agents and also serves to assess the quality of clinical specimens.

Run Day: Daily
Reporting Day: Same day

Growth Hormone, Serum

Test Code: 477 CPT Code: 83003
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: Immunoassay
Special Requirements: Clinical history is essential
Clinical Significance:

Measurement of GH is primarily of interest in the diagnosis and treatment of various forms of inappropriate growth hormone secretion. Growth hormone measurements in children are used
in the evaluation of short stature and help differentiate low GH production from other sources of growth failure. Stimulation and suppression tests are often more meaningful than random measurements.

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