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H.Pylori Antigen, Stool

Test Code: 3349 CPT Code: 87338
Specimen Type: Stool
Sample Volume: Stool in sterile leak proof container
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Watery, diarrheal stool, stoolin preservative, transport media or swab
Methodology: Rapid method
Special Requirements: No special precautions needed
Clinical Significance:

Colonization with H. pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. Antibodies IgA may be elevated for years in infected individulas.

Run Day: Daily
Reporting Day: Same day

H.Pylori, Urea Breath Test

Test Code: 1094 CPT Code: 83013
Specimen Type: Paired breath samples (pre and post) collected in kit bags. Must be submitted together
Sample Volume: Two bags
Transport Condition: Room temperature
Specimen Rejection Criteria: Specimen in other than breath kit bags, specimen from patients < 18 years old & where the age, gender, height, and weight are unknown.
Methodology: Spectrophotometry
Special Requirements: 10 hrs fasting is essential
Clinical Significance:

The urea breath test detects active H. pylori infection and can document post-therapy cure. H. pylori infection can cause chronic gastritis, peptic ulcer disease and gastric cancer.

Run Day: Daily
Reporting Day: Same day

Haptoglobin, Serum

Test Code: 1244 CPT Code: 83010
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Hemolysis and hyperlipemic
Methodology: Immunoturbidimetry
Special Requirements: No special precautions needed
Clinical Significance:

Decreased haptoglobin is found in hemolytic disease, hepatocellular disease and infectious mononucleosis. Increased level is found in inflammatory disease in the presence of tissue necrosis
and in general acute inflammatory conditions.

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

HCV RNA, PCR, Quantitative

Test Code: 7079 CPT Code: 87521
Specimen Type: Whole blood in lavender-top (EDTA) tube (Plasma to be separated and sent in frozen condition)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Frozen condition
Specimen Rejection Criteria: Received room temperature and SST
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Confirm hepatitis C infection and demonstrate resolution of infection. Limit of detection is 50 IU/mL.

Run Day: Sun, Wed
Reporting Day: 2nd day

HCV, PCR, Quantitative Real Time

Test Code: 6141 CPT Code: 87522
Specimen Type: Whole blood in lavender-top (EDTA) tube (Plasma to be separated and sent in frozen condition)
Sample Volume: 3.0 mL
Transport Condition: Frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Confirm hepatitis C infection and demonstrate resolution of infection. Limit of detection is 20 IU/ mL. Used to monitor the progress of the therapy by quantitative analysis.

Run Day: Sun, Wed
Reporting Day: 2nd day

HDL Cholesterol, Serum

Test Code: 299 CPT Code: 83718
Specimen Type: 12 hrs fasting 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: Usually HDL cholesterol is measured in a fasting sample as part of lipid profile.Ideally fasting for 9-12 hours (water only) is required. However,some physicians may ask for non-fasting cholesterl testing to study the risk factors for CVD during routine checkup
Clinical Significance:

HDL cholesterol is inversely related to the risk for cardiovascular disease. It increases following regular exercise, moderate alcohol consumption and with oral estrogen therapy. Decreased levels are associated with obesity, stress, cigarette smoking and diabetes mellitus.

Run Day: Daily
Reporting Day: Same day

Heart Valve, Valve Replacement

Test Code: 1357 CPT Code: 88305
Specimen Type: Tissue
Sample Volume: Specimen in 10% buffered formalin
Transport Condition: Room temperature
Specimen Rejection Criteria: Autolyzed tissue
Methodology: Microscopy
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: 4th day

Helicobacter Pylori Antibodies, IgG, Serum

Test Code: 6901 CPT Code: 86677
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:

Colonization with Helicobacter pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease,
and gastric adenocarcinoma. This assay is more useful in patients with gastrointestinal symptoms because of the large percentage of H. pyloricolonized individuals, especially in older age. Urea Breath Test or Helicobacter pylori Antigen, Feces, may be used to identify cases of active or ongoing H. pylori infection.

Run Day: Wed
Reporting Day: Next day

Helicobacter Pylori Antibodies, IgM, Serum

Test Code: 6902 CPT Code: 86677
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:

Colonization with Helicobacter pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. IgM is elevated during the early stages of an exposure to H. pylori. Urea Breath Test or Helicobacter pylori Antigen, Feces, may be used to identify cases of active or ongoing H. pylori infection.

Run Day: Sun, Wed
Reporting Day: Next day

Helicobacter Pylori, Culture and Sensitivity

Test Code: 7452 CPT Code: 87077
Specimen Type: Tissue
Sample Volume:
Transport Condition: Biopsy specimen should be placed in normal saline and transported immediately to the laboratory. In case of possible delay, specimen should be inoculated in a selective broth and transported.
Specimen Rejection Criteria: Stool
Methodology: Culture
Special Requirements: No special precautions needed
Clinical Significance:

Helicobacter pylori has been identified as a cause of gastroduodenitis, gastric and duodenal ulcers and non-ulcer dyspepsia.H. pylori has also been associated as a co-factor in the development
of gastric cancer.

Run Day: Daily
Reporting Day: 5th day

Helicobactor Pylori, Spot Test

Test Code: 1115 CPT Code: 86677
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: Rapid Method
Special Requirements: No special precautions needed
Clinical Significance:

Colonization with Helicobacter pylori is associated with increased risk of patients developing gastritis, peptic ulcer disease, and gastric adenocarcinoma. Spot test is a rapid test for the qualitative detection of antibodies of all isotypes (IgG, IgM, IgA) specific to H pylori in serum/ plasma. It is intended as an aid in the diagnosis of H. pylori infection in patients with gastrointestinal symptoms.

Run Day: Daily
Reporting Day: Same day

Hemoglobin (Hb), Blood

Test Code: 452 CPT Code: 85018
Specimen Type: Whole blood in a lavender-top (EDTA) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Hemolysis and clotted
Methodology: Cell Counter(SLS method)
Special Requirements: No special precautions needed
Clinical Significance:

Routine method for determining anemia. Used in calculation of indices.

Run Day: Daily
Reporting Day: Same day

Hemoglobin Variant Analysis (Beta Thalassemia)

Test Code: 1190 CPT Code: 83021
Specimen Type: Whole blood in a lavender-top (EDTA) tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Gross hemolysis
Methodology: HPLC
Special Requirements: Clinical history is mandatory
Clinical Significance:

The detection and proper identification of hemoglobinopathies including thalassemia is an important aspect of the evaluation of patients with anemia, microcytosis and erythrocytosis.

Run Day: Sun, Tue, Thu with cutoff of 10:00AM
Reporting Day: Next day

Hepatitis A Antibodies (HAAb), Total, Serum

Test Code: 1222 CPT Code: 86708
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

HAV is a self limiting disease transmitted by the fecal-oral route. Hepatitis A virus (HAV) Antibodies indicates prior or acute infection and also immunization to hepatitis A virus.

Run Day: Wed
Reporting Day: Next day

Hepatitis A Antibodies, IgG, Serum

Test Code: 7175 CPT Code: 86708
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:

HAV is a self limiting disease transmitted by the fecal-oral route. This test is useful to assess immunity and recent infection to HAV.

Run Day: Wed
Reporting Day: Next day

Hepatitis A Antibodies, IgM, Serum

Test Code: 352 CPT Code: 86709
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: ECLIA
Special Requirements: No special precautions needed
Clinical Significance:

First-line diagnostic test for acute hepatitis A

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

Hepatitis A Profile (Hepatitis A Virus Antibodies, Total & Hepatitis A Virus A antibodies, IgM)

Test Code: 6242 CPT Code: Use individual CPTCodes
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 5.0 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Spectrophotometry
Special Requirements: No special precautions needed
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Next day

Hepatitis B Core Antibodies, IgM, Serum

Test Code: 1119 CPT Code: 86705
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemia
Methodology: ECLIA
Special Requirements: No special precautions needed
Clinical Significance:

Hepatitis B Virus (HBV) is the major cause of hepatitis. Anti HBc indicates natural infection.

Run Day: Daily
Reporting Day: 4th day

Hepatitis B Core Antibodies, Total, Serum

Test Code: 354 CPT Code: 86704
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Grosshemolysis and hyperlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

This assay does not distinguish between total B core antibodies IgG & IgM detected before or at the onset of symptoms; however, such reactivity can persist for years after illness, and may even outlast anti-HBs. Occasionally hepatitis B core antibodies may be the only marker of either current or past hepatitis B infection.

Run Day: Daily
Reporting Day: 4th day

Hepatitis B Envelope Antibodies (Anti-HBeAb), Serum

Test Code: 4002 CPT Code: 86707
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, hyperlipemic
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Anti-HBe in the blood following exposure to the hepatitis B virus suggests a good prognosis.

Run Day: Daily
Reporting Day: 4th day

Hepatitis B Profile (HBsAg, HBsAb, HBeAg, HBeAb, HBcAb IgM, HBcAb Total)

Test Code: 504 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: Gross hemolysis
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

This test panel helps to distinguish acute and chronic infection and assesses recovery from or immunity to hepatitis B.

Run Day: Daily
Reporting Day: Same day

Hepatitis B Surface Antigen (HBsAg)

Test Code: 356 CPT Code: 87340
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: EIA
Special Requirements: No special precautions needed
Clinical Significance:

Surface antigen usually appears in the serum after an incubation period of 1 to 6 months following exposure to hepatitis B virus
and peaks shortly after onset of symptoms. It typically disappears within 1 to 3 months. Persistence of hepatitis B surface antigen
for greater then 6 months is a indicator of chronic hepatitis B infection.

Run Day: Daily
Reporting Day: Same day

Hepatitis B Virus, PCR, Quantitative

Test Code: 4140 CPT Code: 87517
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 room temperature and SST
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Chronic carriers will persist producing detectable HBV. Patients with chronic liver disease of unknown origin most commonly have HBV that is detected by viral DNA testing. Quantitative measurement of HBV viral DNA may be used to monitor progression of disease.

Run Day: Sun
Reporting Day: Next day

Hepatitis Be Antigen (HBeAg)

Test Code: 1120 CPT Code: 87350
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, hyperlipemic
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

HBeAg indicates active HBV replication. Infectivity is evaluated based on HBeAg and HBsAg. When HBeAg persists much longer than 10 weeks, the patient is likely to develop chronic hepatitis and be a carrier.

Run Day: Daily
Reporting Day: Next day

Hepatitis C Virus (HCV) Alpha, HCV RNA Quantitative and HCV Genotyping

Test Code: 6776 CPT Code: 87902
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 room temperature and SST
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Hepatitis C genotype is a predictor of response to interferon alfa-2b (non-type 1 are better responders) and to combination therapy with interferon and ribavirin (all types respond but dosage and duration of treatment is dependent on genotype; Type 1 requires extended treatment).

Run Day: Mon
Reporting Day: 6th day

Hepatitis C Virus (HCV) RNA Genotyping

Test Code: 7159 CPT Code: 87902
Specimen Type: Whole blood in lavender-top (EDTA) tube (plasma to be separated and sent in frozen condition)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Frozen condition
Specimen Rejection Criteria: Received room temperature and SST
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Confirms hepatitis C infection and demonstrates resolution of infection. Helps to identify the HCV genotype present, leading to better therapy.

Run Day: Mon
Reporting Day: 5th day

Hepatitis C Virus, PCR, Quantitative

Test Code: 1272 CPT Code: 87521
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 room temperature and SST
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

Predict likelihood of therapeutic response and determine the duration of treatment.

Run Day: Sun, Wed
Reporting Day: 2nd day

Hepatitis Delta Virus Antibodies, IgG, Serum

Test Code: 13155 CPT Code: 86692
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: Enzyme immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Hepatitis D virus (HDV), also known as delta hepatitis virus, is a defective RNA virus having a delta antigen and a hepatitis B surface antigen (HBsAg) as the
core and protein coat of the virus, respectively. Infection with HDV can occur as an acute coinfection together with HBV or an acute superinfection of chronic HBV. This assay is useful in detection of hepatitis D virus (HDV)-specific IgG antibodies in human serum, and in diagnosis of concurrent HDV infection in patients with chronic HBV infection (chronic coinfection).

Run Day: Tue
Reporting Day: Same day

Hepatitis Delta Virus Antibodies, IgM, Serum

Test Code: 13947 CPT Code: 86692
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:

Hepatitis D virus (HDV), also known as delta hepatitis virus, is a defective RNA virus having a delta antigen and a hepatitis B surface antigen (HBsAg) as the
core and protein coat of the virus, respectively. Infection with HDV can occur as an acute coinfection together with HBV or an acute superinfection of chronic HBV. This assay is useful in detection of hepatitis D virus (HDV)-specific IgM antibodies in human serum, aiding diagnosis of concurrent HDV infection in patients with with acute hepatitis B virus (HBV) infection (acute coinfection), and acute exacerbation of known chronic HBV infection (HDV superinfection)

Run Day: Tue
Reporting Day: Same day

Hepatitis E Virus Antibodies, IgG, Serum

Test Code: 358 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:

Hepatitis E virus causes an acute and usually self-limited infection. This small non-enveloped RNA virus, from animal reservoir,
is transmitted to humans via fecal-oral route. Unusually high mortality (approximately 20%) is seen in female patients infected during the third trimester of pregnancy. This assay aids in diagnosis of past exposure to hepatitis E virus.

Run Day: Daily
Reporting Day: 3rd day

Hepatitis E Virus Antibodies, IgM, Serum

Test Code: 6897 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:

Since the clinical symptoms of hepatitis E resemble those of other hepatitis, laboratory diagnostics play an essential role in diagnosis. Alongside PCR detection of viral RNA in blood or stool, the serological determination of antibodies is an important aid
for diagnosis of an HEV infection. Pathogen-specific antibodies are usually detectable when the first clinical symptoms appear or
shortly afterwards. A positive IgM and a significant increase in IgG in a serum pair (taken at a time interval of 8-14 days) indicate
an acute infection. IgM anti-HEV titers usually drop rapidly after infection, while the IgG HEV titer persists for over 10 years.

Run Day: Daily
Reporting Day: 3rd day

Hepatitis E Virus Antigen

Test Code: 359 CPT Code: 87449
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: No special precautions needed
Clinical Significance:

The conventional diagnosis of hepatitis E virus (HEV) outbreaks rests on the detection of anti-HEV IgM antibodies. However, IgM antibodies develop after 4-5
days of infection. An early-diagnostic marker is imperative for timely diagnosis of the outbreak and also initiation of control measures. In hospital settings, HEV antigen is an early diagnostic marker of acute infection.
Though detection of HEV RNA by reverse transcriptase polymerase chain reaction (rtPCR) is the gold standard for demonstration of active viremia, HEV antigen assay can be used as an additional diagnostic marker to confirm active viral replication in serologically positive samples.

Run Day: Fri
Reporting Day: 5th day

Hepatitis Screening (Hepatitis A Virus IgM Antibodies, HBsAg, Hepatitis C Virus Antibodies)

Test Code: 6240 CPT Code: 80074
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 5.0 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis, gross lipemia
Methodology: Immunoturbidimetry, Spectrophotometry
Special Requirements: No special precautions needed
Clinical Significance:

See individual assays

Run Day: Daily
Reporting Day: Same day

Hernial Sac

Test Code: 2880 CPT Code: 88302
Specimen Type: Tissue
Sample Volume: Specimen in 10% buffered formalin
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Microscopy
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

Hernial Sac with Contents

Test Code: 2881 CPT Code: 88302
Specimen Type: Tissue
Sample Volume: Specimen in 10% buffered formalin
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Microscopy
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

Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgM, Serum

Test Code: 1123 CPT Code: 86695,86696
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:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivosotomatitis. There are two HSV type 2 is more commonly associated with genital tract and neonatal infections, while HSV type 1 is more commonly associated with infections of non-genital sites.
Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is
25 days. The performance of this assay has not been established for use in a pediatric populations, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Sat, Tue & Thurs
Reporting Day: Same day

Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgG

Test Code: 360 CPT Code: 86695,86696
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:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis.
There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract
and neonatal infections while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing
is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has
not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Sat, Tue & Thurs
Reporting Day: Same day

Herpes Simplex Virus (HSV) Type 1 & 2 Antibodies, IgG & IgM, Serum

Test Code: 7119 CPT Code: 86695,86696
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0 mL - min)
Transport Condition: Refrigerated condition/ frozen condition
Specimen Rejection Criteria: Gross hemolysis, and hyprlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Herpes Simplex Virus Type 1 (HSV-1) infectious are acquired through direct person to person contact, most typically by a nongenital route. Recurrent infections are clinically apparent
as fever blisters or cold sores. HSV
-2 infections are usually acquired through genderual contact. 85% of genital herpes is caused by Type 2 virus and 15% caused by Type 1 virus. This assay helps in determining recent exposure to HSV Types 1 & 2.

Run Day: Sat, Tue & Thurs
Reporting Day: Same day

Herpes Simplex Virus (HSV) Type 1 Antibodies, IgG, Serum

Test Code: 1122 CPT Code: 86695
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition/ frozen condition
Specimen Rejection Criteria: Gross hemolysis, and hyprlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Daily
Reporting Day: Same day

Herpes Simplex Virus (HSV) Type 1 Antibodies, IgM, Serum

Test Code: 361 CPT Code: 86695
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition/ frozen condition
Specimen Rejection Criteria: Gross hemolysis, and hyprlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Daily
Reporting Day: 4th day

Herpes Simplex Virus (HSV) Type 2 Antibodies, IgG, Serum

Test Code: 1124 CPT Code: 86696
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition/ frozen condition
Specimen Rejection Criteria: Gross hemolysis, and hyperlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Daily
Reporting Day: Same day

Herpes Simplex Virus (HSV) Type 2 Antibodies, IgM, Serum

Test Code: 6262 CPT Code: 86696
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition/ frozen condition
Specimen Rejection Criteria: Gross hemolysis and hyperlipemia
Methodology: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Herpes Simplex Virus (HSV) is responsible for several clinically significant human viral diseases, with severity ranging form inapparent to fatal. Clinical manifestations include genital tract infections, neonatal herpes, meningoencephalitis, keratoconjunctivitis, and gingivostomatitis. There are two HSV serotypes that are closely related antigenically. HSV type 2 is more commonly associated with genital tract and neonatal infections while HSV type 1 is more commonly associated with infections of non-genital sites. Specific typing is not usually required for diagnosis or treatment. The mean time to seroconversion using the type specific assay is 25 days. The performance of this assay has not been established for use in a pediatric population, for neonatal screening, or for testing of immunocompromised patients.

Run Day: Daily
Reporting Day: 4th day

Herpes Simplex Virus DNA Detector (Multiplex PCR: For HSV 1 & 2 Seperately)

Test Code: 7091 CPT Code: 87529
Specimen Type: Serum in yellow-top tube/ CSF
Sample Volume: 3.0 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received room temperature
Methodology: Multiplex PCR
Special Requirements: No special precautions needed
Clinical Significance:

DNA testing is analytically more sensitive than culture, especially in patients with encephalitis or meningitis. DNA testing may be useful in diagnosis of infection in neonates. Neonates who have been exposed to HSV can develop disseminated infection and encephalitis. Encephalitisis usually due to HSV I whereas meningitis is usually due to HSV
II. This multiplex PCR method can detect and define the HSV Type.

Run Day: Daily
Reporting Day: 7th day

Herpes Simplex Virus DNA Detector (PCR: Single Sharing Gene for Both HSV 1 & 2)

Test Code: 6159 CPT Code: 87529
Specimen Type: Serum in yellow-top tube/ CSF
Sample Volume: 3.0 mL
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Received room temperature
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

DNA testing is analytically more sensitive than culture, especially in patients with encephalitis or meningitis. DNA testing may be useful in diagnosis of infection in neonates. Neonates who have been exposed to HSV can develop disseminated infection and encephalitis. Encephalitisis usually due to HSV I whereas meningitis is usually due to HSV
II. This PCR assay detects HSV by amplification of single sharing
gene for both HSV 1 & 2.

Run Day: Tue, Sat
Reporting Day: 7th day

High Vaginal Swab (HVS), Routine

Test Code: 418 CPT Code: 87070
Specimen Type: Vaginal swab
Sample Volume: Vaginal swab
Transport Condition: Room temperature
Specimen Rejection Criteria: Any other swab
Methodology: Microscopy
Special Requirements: Clinical history is essential
Clinical Significance:

To look for trichomonas, candidiasis, and anaerobic bacterial vaginosis.

Run Day: Daily
Reporting Day: Next day

High-Sensitivity C Creative Protein (hsCRP), Serum

Test Code: 1307 CPT Code: 86141
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: Immunotirbidometry
Special Requirements: No special precautions needed
Clinical Significance:

C-reactive protein (CRP) is a biomarker of inflammation. Plasma CRP concentrations increase rapidly and dramatically in response to tissue injury or inflammation. High-sensitivity CRP (hs-CRP) is more precise than standard CRP when measuring baseline concentrations and enables a measure of chronic inflammation. hs-CRP has been endorsed by multiple guidelines as a biomarker of atherosclerotic cardiovascular disease risk. It
has been found to be useful in assessment of risk of developing myocardial infarction in patients presenting with acute coronary syndromes and assessment of risk of developing cardiovascular disease or ischemic events in individuals who do not manifest disease at present.

Run Day: Daily
Reporting Day: Next day

Hirsutism Panel (DHEA, Testosterone, Free Testosterone)

Test Code: 6246 CPT Code: Use individual CPTCodes
Specimen Type: Serum collected in a yellow-top tube
Sample Volume: 2 tubes of 3.0 mL
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Immunoassay
Special Requirements: Clinical history is essential
Clinical Significance:

See individual assays.

Run Day: Sun, Wed
Reporting Day: Same day

Histamine, Plasma

Test Code: 7144 CPT Code: 83088
Specimen Type: Plasma EDTA (Lavender-top)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Frozen
Specimen Rejection Criteria: Hemolysis, received room temperature, received refrigerated
Methodology: Enzyme immunoassay
Special Requirements: Cool sample immediately on ice. Centrifuge at 1500 rpm for 10 min. Centrifugation to be performed within 20 minutes of collection. Remove EDTA plasma from the upper part of the tube. Freeze and send frozen. Avoid taking antihistamines, oral corticosteroids and substances which block H2 receptors 24 hrs prior to collection.
Clinical Significance:

Histamine is a mediator of the allergic response. Histamine release causes itching, flushing, hives, vomiting, syncope, and even shock. Some patients with gastric carcinoids may show high concentrations of histamine.

Run Day: 2nd, 4th Wed
Reporting Day: 4th day

Histochemical Stain, Alcian Blue

Test Code: 3781 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains acidic mucin in tissues

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, Congo Red

Test Code: 3782 CPT Code: 88305
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains amyloid in tissues

Run Day: Daily
Reporting Day: 4th day

Histochemical Stain, Giemsa

Test Code: 3783 CPT Code: 88312
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

For histopathological exam

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, Gram

Test Code: 3784 CPT Code: 88312
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

For histopathological exam

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, Melanin Bleach

Test Code: 3787 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

For histopathological exam

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, Mucicarmine

Test Code: 3788 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains mucoproteins

Run Day: Daily
Reporting Day: 5th day

Histochemical Stain, PAS

Test Code: 3789 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains glycogen & mucin in tissues

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, PAS Diastase

Test Code: 3790 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains glycogen & mucin in tissues

Run Day: Daily
Reporting Day: 2nd day

Histochemical Stain, PTAH

Test Code: 3792 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains skeletal muscle

Run Day: Daily
Reporting Day: 4th day

Histochemical Stain, Van Gieson

Test Code: 3793 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

Stains connective tissue

Run Day: Daily
Reporting Day: 4th day

Histochemical Stain, Zeihl Neelsen

Test Code: 3794 CPT Code: 88313
Specimen Type: Tissue
Sample Volume: formalin-fixed, paraffin-embedded tissue block
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Histochemical stain
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

For AFB detection in tissues

Run Day: Daily
Reporting Day: 2nd day

Histopathology, Second Opinion

Test Code: 7462 CPT Code: 88321,88323, 88325
Specimen Type: Histopathology slides/ tissue blocks
Sample Volume: 1 or more slides/ 1 or more tissue blocks
Transport Condition: Room temperature
Specimen Rejection Criteria: Slide broken in transit beyond ability to repair if only slide submitted
Methodology: Microscopy
Special Requirements: Clinical history, 1st histopathological examination report
Clinical Significance:

Consultation service on difficult diagnostic problems in histopathology. This service is useful for obtaining a timely, expert histopathology second opinion on referrals by the clinicians.

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

Histoplasma Antibodies, Serum

Test Code: 362 CPT Code: 86698
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: Immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Histoplasma capsulatum causes disease that is usually self-limited, affects the lungs, and is asymptomatic. It can also cause chronic cavitary pulmonary disease, disseminated disease, and meningitis may occur which can be fatal, especially in young children and in immunosuppressed patients. Patients infected with Histoplasma capsulatum demonstrate a serum antibody with a rising titer within 6 weeks of infection. A rising titer is associated with progressive infection.
Specific antibody may persists for a few weeks to a year.

Run Day: Daily
Reporting Day: 3rd day

HIV 1 & 2 Antibodies, Serum

Test Code: 363 CPT Code: 86703
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: Received room temperature
Methodology: EIA
Special Requirements: No special precautions needed
Clinical Significance:

The combination HIV -1/HIV-2 includes detection of subtypes of HIV. Repeated positive results are confirmed by the highly specific Western blot.

Run Day: Daily
Reporting Day: Same day

HIV DNA Detector, Qualitative, Blood

Test Code: 9499 CPT Code: 87535
Specimen Type: Whole Blood EDTA (lavender top)
Sample Volume: 5.0 mL
Transport Condition: Room temperature/ Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis. Moderately to severely clotted
Methodology: Polymerase Chain Reaction
Special Requirements: Clinical history is required. Spin down and remove plasma from cells within 6 hours of draw.
Clinical Significance:

This assay is useful for virologic detection of HIV infection in infants less than 18 months of age (serologic tests are unreliable in this age group) born to HIV infected mothers, early detection of acute HIV infection in children and adults who are receiving antiretroviral prophylaxis, and evaluating HIV infection status in individuals receiving combination highly active antiretroviral therapies.

Run Day: Mon, Wed, Fri
Reporting Day: Same day

HIV-1 Viral Load, Blood

Test Code: 9821 CPT Code: 87536
Specimen Type: Whole Blood EDTA (lavender top)
Sample Volume: 3.0 mL
Transport Condition: Frozen condition
Specimen Rejection Criteria: Green top (heparin) tube
Methodology: COBAS AmpliprepCOBAS TAQMAN Real Time PCR
Special Requirements: Centrifuge and remove plasma from cells within 6 hours of draw. Freeze plasma immediately
Clinical Significance:

This assay is useful in quantifying plasma viral load in HIV-1-infected patients: (i) Before initiating anti-HIV-1 drug therapy (baseline viral load), (ii) Patients who may have developed HIV-1 drug resistance while on anti-HIV-1 therapy(iii) Patients who may be noncompliant with anti-HIV-1 drug therapy. It can be also used for
monitoring HIV-1 disease progression while on or off antiretroviral drug therapy.

Run Day: Sun, Wed
Reporting Day: Next day

HIV, Western Blot

Test Code: 364 CPT Code: 86689
Specimen Type: Serum/ whole blood in lavender-top (EDTA) tube.
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross hemolysis
Methodology: Western blot
Special Requirements: No special precautions needed
Clinical Significance:

This is confirmatory test for HIV infection.

Run Day: Mon, Wed, Fri
Reporting Day: Next day

HLA B-27

Test Code: 365 CPT Code: 81374
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: Hemolysis, lithium heparin anti-coagulated (green-top tube), clotted and frozen
Methodology: PCR
Special Requirements: No special precautions needed
Clinical Significance:

HLA-B27 positive individuals have a higher possibility of developing ankylosing spondylitis as opposed to HLA-B27 negative individuals

Run Day: Daily
Reporting Day: Next day

HLA Class II DR Locus

Test Code: 13342 CPT Code: 81375
Specimen Type: Whole blood EDTA (lavender-top)
Sample Volume: 6.0 mL (3.0mL - min)
Transport Condition: Room temperature
Specimen Rejection Criteria: Nil
Methodology: PCR-SSP (Sequence Specific primers)
Special Requirements:
Clinical Significance:

The human major histocompatibility complex HLA is located on the short arm of chromosome
6. It is known to be the most polymorphic genetic system in humans. Human leukocyte antigens are regulators of the
immune response, and play a key role in transplantation. This assay is useful for determining HLA Class II compatibility on specimens from bone marrow and solid organ transplant candidates and their donors.

Run Day: Daily
Reporting Day: 8th day

Homocysteine, Serum

Test Code: 1089 CPT Code: 83090
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: No special precautions needed
Clinical Significance:

Elevated levels of homocysteine are observed in patients at risk for coronary heart disease and stroke.

Run Day: Sat, Mon, Wed
Reporting Day: 2nd day

HTLV I & II Antibodies, Serum

Test Code: 7474 CPT Code: 86689
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:

Human T-cell lymphotropic virus types I and II (HTLV-I and HTLV-II) are closely related exogenous human retroviruses. This assay is useful in detection of HTLV-I and HTLV-II specific IgG antibodies
in human serum specimens, and for differentiating HTLV-I from HTLV-II. For accurate diagnosis of HTLV-I or HTLV-II infection, this test-reactive results should be verified by a confirmatory test, such as Western blot test.

Run Day: Mon
Reporting Day: Same day

Human Papilloma Virus (HPV) Testing

Test Code: 3581 CPT Code: 87621
Specimen Type: Thin prep vial
Sample Volume: Specimen in Thin prep vial
Transport Condition: Room temperature
Specimen Rejection Criteria: Bloody sample
Methodology: Liquid base cytology
Special Requirements: Clinical history and sample site are essential
Clinical Significance:

HPV is the causative agent of cervical dysplasia and cervical carcinoma

Run Day: Daily
Reporting Day: 3rd day