Magnesium, 24 Hrs, Urine
Test Code: 16322 |
CPT Code: 83735 |
Specimen Type: 24 hrs Urine |
Sample Volume: 5 mL |
Transport Condition: Refrigerated condition |
Specimen Rejection Criteria: NA |
Methodology: Spectrophotometry |
Special Requirements: 24 hrs urine with 24 mL 6 N HCL. Refrigerate specimen within 4 hours of completion of 24-hour collection. Mention 24 hrs urine volume. |
Clinical Significance: Magnesium, along with potassium, is a major intracellular cation.Renal handling of magnesium is effected by the combination of filtration and reabsorption.
Causes of renal magnesium wasting include endocrine disorders (hyperaldosteronism, hyperparathyroidism), congenital defects (Barter, Gitelman syndromes), exposure to drugs (diuretics,
cis-platinum, aminoglycoside antibiotics, calcineurin inhibitors). 24 hrs urinary magnesium is useful in assessing the cause of abnormal serum magnesium concentrations, determining adequacy of nutritional magnesium, computing urinary calcium oxalate and calcium phosphate supersaturation, and assessing kidney stone risk.
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Run Day: Daily |
Reporting Day: Same day |
Magnesium, Random, Urine
Test Code: 1246 |
CPT Code: 83735 |
Specimen Type: Urine in sterile leak proof container |
Sample Volume: 10 mL |
Transport Condition: Refrigerated/ frozen condition |
Specimen Rejection Criteria: NA |
Methodology: Spectrophotometry |
Special Requirements: No special precautions needed |
Clinical Significance: Urinary magnesium concentration often decline before serum concentration. Adverse effects, such as arrhythmias, can be observed while serum concentrations are within range.
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Run Day: Daily |
Reporting Day: Same day |
Malaria Antibodies, Serum
Test Code: 371 |
CPT Code: 86750 |
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: ECLIA |
Special Requirements: No special precautions needed |
Clinical Significance: Malaria is a protozoan parasitic infection, prevalent in subtropical and tropical parts of the world. The test may be helpful in evaluation of tropical spenomegaly. This test is not to be used in lieu of conventional smear diagnosis.
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Run Day: Daily |
Reporting Day: Same day |
Malarial Antigen, Blood
Test Code: 3618 |
CPT Code: 87899 |
Specimen Type: Whole blood in lavender-top (EDTA) tube |
Sample Volume: 3.0 mL (1.0mL - min) |
Transport Condition: Refrigerated condition |
Specimen Rejection Criteria: Clot/ gross hemolysis |
Methodology: Chromatography |
Special Requirements: No special precautions needed |
Clinical Significance: Malaria is a protozoan parasitic infection, prevalent in subtropical and tropical parts of the world. This test is not to be used in lieu of conventional smear diagnosis. Occasionally, test may show negativity even in presence of smear positivity.
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Run Day: Daily |
Reporting Day: Same day |
Malarial Parasites on PBF
Test Code: 453 |
CPT Code: 87207 |
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: Staining/Microscopic |
Special Requirements: No special precautions needed |
Clinical Significance: The identification of malarial parasites on peripheral blood smear used for diagnosis, treatment and prognosis.
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Run Day: Daily |
Reporting Day: Same day |
Male Infertility Profile (FSH, LH, Prolactin, Estradiol, Testosterone, Semen Analysis)
Test Code: 3360 |
CPT Code: Use individual CPTCodes |
Specimen Type: Serum collected in a red-top tube, semen sample (collected complete in a clean container , should reach lab within 30 min) |
Sample Volume: 3.0 mL (1.0
mL - min) |
Transport Condition: Room temperature |
Specimen Rejection Criteria: Gross hemolysis |
Methodology: GC/MS |
Special Requirements: Clinical history is essential. 3 days of abstinence is mandatory. Sample should ready the laboratory within 30 mins of collection |
Clinical Significance: Investigation for infertility.
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Run Day: Daily, Testoster- one - Sun, Wed |
Reporting Day: Next day |
MEFV Gene Mutation (Mediterranean Fever) Detection
Test Code: 16030 |
CPT Code: 81404 |
Specimen Type: Whole blood EDTA (lavender-top) |
Sample Volume: 3.0 mL (1.0mL - min) |
Transport Condition: Refrigerated condition |
Specimen Rejection Criteria: Nil |
Methodology: PCR, DNA
sequencing |
Special Requirements: Specimen preferred to arrive within 96 hours of draw. Clinical history required. |
Clinical Significance: Familial Mediterranean fever (FMF) is a hereditary auto-inflammatory disease which is most prevalent in Mediterranean populations. It is characterized by recurrent febrile episodes with abdominal pain, pleuritis, arthritis, and, sometimes, pericarditis and meningitis. FMF is caused
by mutations in the MEFV gene encoding pyrin. FMF is typically inherited as an autosomal recessive condition, but heterozygous mutation carriers may also develop symptoms. This assay aids in confirmation of FMF.
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Run Day: Daily |
Reporting Day: 35th day |
Mercury, Quantitative, Serum
Test Code: 4731 |
CPT Code: 83825 |
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: Inductively Coupled Plasma Mass Spectrometry (ICPMS) |
Special Requirements: No special precautions needed |
Clinical Significance: The primary clinical utility of blood mercury is the determination of abnormal exposures seen at levels over 20 mcg/L. Mercury is absorbed via the respiratory tract (mercury vapors), skin, and gastrointestinal tract. Mercury poisoning can cause kidney damage. The chronic effect of mercury poisoning includes inflammation of mouth and gums, loosening of the teeth, kidney damage, nervousness, depression and spasms.
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Run Day: Daily |
Reporting Day: 10th day |
Metanephrines, 24 Hrs, Urine
Test Code: 16059 |
CPT Code: 83835 |
Specimen Type: 24 hrs Urine |
Sample Volume: 20 mL |
Transport Condition: Frozen condition |
Specimen Rejection Criteria: NA |
Methodology: Competitive ELISA |
Special Requirements: 24 hrs urine (Preservative: 15 20 mL 6N HCL). Should not consume banana, pineapple, chocolates, coffee, ice-creams, diet high in cereals, vanilla, potatoes, B-Complex and other vitamins 48 hrs prior to the collection of the specimen.Discontinue alpha methyldopa, MAO & COMT inhibitors and anti hypertensives at least 72 hrs prior to specimen collection. Medication if taken, should be strictly on the advice of referring physician, and should be mentioned. Freeze the specimen immediately after collection. Clinical details, CT scan, USG findings & medication history required. Mention 24 hrs urine volume. |
Clinical Significance: The 24-hour urinary metanephrines may be used as the first test for low suspicion cases of catecholamine-secreting pheochromocytomas and paragangliomas and also as a confirmatory study in patients with a less than 2-fold elevation in plasma free metanephrines. It can be also used to confirm positive plasma metanephrine results.
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Run Day: Tue |
Reporting Day: Next day |
Methamphetamine, Urine
Test Code: 9824 |
CPT Code: 80324 |
Specimen Type: Urine |
Sample Volume: 10 mL |
Transport Condition: Refrigerated condition |
Specimen Rejection Criteria: Nil |
Methodology: Flowchromatographic Immunoassay |
Special Requirements: Collect a random urine specimen.No preservative. |
Clinical Significance: Amphetamines are sympathomimetic amines that stimulate the central nervous system activity. Methamphetamine is a prescription drugs for weight loss, and because of its stimulant effects, it may be abused. This assay is useful for confirming drug exposure.
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Run Day: Daily |
Reporting Day: 3rd day |
Methylmalonic Acid (MMA), Quantitative, Urine
Test Code: 13734 |
CPT Code: 83921 |
Specimen Type: Random urine |
Sample Volume: 20 mL (10mL - min) |
Transport Condition: Refrigerated condition |
Specimen Rejection Criteria: Nil |
Methodology: Biochemistry |
Special Requirements: Overnight fast required. Collect second-voided specimen after an overnight fast. |
Clinical Significance: Elevated levels of methylmalonic acid (MMA) result from inherited defects of enzymes involved
in MMA metabolism or inherited or acquired deficiencies of vitamin B12 or its downstream metabolites. This assay is used for evaluating children with signs and symptoms of methylmalonic academia, and for evaluating individuals with signs and symptoms associated with a variety of causes of cobalamin deficiency.
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Run Day: Daily |
Reporting Day: 6th day |
Microalbuminuria, 24 hr Urine/ Timed Collection
Test Code: 1229 |
CPT Code: 82043 |
Specimen Type: Urine in sterile leak proof container |
Sample Volume: 10 mL |
Transport Condition: Room temperature |
Specimen Rejection Criteria: NA |
Methodology: Immunoturbidometry |
Special Requirements: 24 hrs urine with 10 mL 6 N HCL |
Clinical Significance: Microalbuminuria is defined as levels of albumin ranging from 30 to 300 mg in a 24 hr urine collection. Microalbuminuria is a well known predictor of poor renal outcomes in patients with type 2 diabetes and in essential hypertension. Microalbuminuria has also been shown more recently to be a predictor of cardiovascular outcomes in these populations. There is emerging data that reduction of albuminuria leads to reduced risk of adverse renal and cardiovascular events.
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Run Day: Daily |
Reporting Day: Same day |
Microfilaria Detection, Peripheral Blood
Test Code: 454 |
CPT Code: 87210 |
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: NA |
Methodology: Microscopy |
Special Requirements: No special precautions needed |
Clinical Significance: Filariasis is a disease resulting from parasitization by thread like or filiform worms called filariae. The embryos circulate in lymphatic tissues and blood as microfilaria leading to lymphan-
gitis, lymphadenitis, elephantiasis and tropical eosinophilia.
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Run Day: Daily |
Reporting Day: Next day |
MRSA Culture Screening
Test Code: 6948 |
CPT Code: 87081 |
Specimen Type: Nasal Swab/ other swabs from wound site, skin swab |
Sample Volume: 1 or 2 swabs |
Transport Condition: Room temperature. In case of delay for >2 hours, place in a transportmedium for 24 hours at room temperature. |
Specimen Rejection Criteria: Inappropriate specimen transport device, mislabeled specimen, unlabeled specimen, specimen received
after prolonged delay (usually more than 24 hours), Specimen received in expired transport medium. |
Methodology: Culture & Sensitivity |
Special Requirements: Not Applicable |
Clinical Significance: Methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization among inpatients is a well-established risk factor. Additional screening for MRSA needs to be performed, not only to establish the size of the problem and to allow initiation of decolonization measures to prevent the onset of clinical disease, but also to allow implementation of infection control measures that will
be necessary to control the epidemic.
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Run Day: Daily |
Reporting Day: 4th day |
Mumps Antibodies, IgG & IgM, Serum
Test Code: 6169 |
CPT Code: 86735 |
Specimen Type: Serum (yellow-top tube) |
Sample Volume: 3.0 mL (1.0mL - min) |
Transport Condition: Refrigerated condition/frozen temperature |
Specimen Rejection Criteria: Gross hemolysis |
Methodology: Immunoassay |
Special Requirements: No special precautions needed |
Clinical Significance: For the diagnosis of mumps virus infection.
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Run Day: Sat, Tue, Thurs |
Reporting Day: Same day |
Mumps Antibodies, IgG, Serum
Test Code: 6170 |
CPT Code: 86735 |
Specimen Type: Serum (yellow-top tube) |
Sample Volume: 3.0 mL (1.0mL - min) |
Transport Condition: Refrigerated condition/frozen temperature |
Specimen Rejection Criteria: Gross hemolysis, hyperlipemia |
Methodology: Immunoassay |
Special Requirements: No special precautions needed |
Clinical Significance: Mumps is an acute, usually self-limited systemic illness
characterized by paroditis, high fever and fatigue. One third of infections are asymptomatic. A live attenuated vaccine is available. The mumps EIA IgG Antibodies test is sufficiently sensitive to establish immune status of the patient.
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Run Day: Sat, Tue, Thurs |
Reporting Day: Same day |
Mumps Antibodies, IgM, Serum
Test Code: 6167 |
CPT Code: 86735 |
Specimen Type: Serum (yellow-top tube) |
Sample Volume: 3.0 mL (1.0mL - min) |
Transport Condition: Refrigerated condition/frozen temperature |
Specimen Rejection Criteria: Gross hemolysis, hyperlipemia |
Methodology: Immunoassay |
Special Requirements: No special precautions needed |
Clinical Significance: Clinical use is for detection of IgM antibodies to mumps virus
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Run Day: Sat, Tue, Thurs |
Reporting Day: Same day |
Mycobacterium Speciation, Molecular
Test Code: 13863 |
CPT Code: 87150 |
Specimen Type: Culture/ sputum/ BAL/ pus |
Sample Volume: 5.0 mL (3.0mL - min) |
Transport Condition: Room temperature |
Specimen Rejection Criteria: Specimens of patients with AFB smear less than 1+ are not acceptable |
Methodology: PCR Sequencing |
Special Requirements: Clinical history. Specimen source is required |
Clinical Significance: Tuberculosis remains a global pandemic. The increased prevalence and mortality of TB warrants an urgent call to enhance rapid diagnosis. This molecular assay not only allows for a rapid and accurate identification of mycobacteria in a variety of specimens, but also enables precise speciation of Mycobacterium tuberculosis complex (MTB) and its differentiation from non-tuberculous mycobacterium (NTM).
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Run Day: Mon |
Reporting Day: 5th day |
Mycobacterium Tuberculosis Complex, Culture
Test Code: 3619 |
CPT Code: 87116 |
Specimen Type: Sputum/ BAL/ urine/ FNAC/ ascitic / pleural / CSF fluids/ tissue in sterile normal saline / bone marrow-EDTA/ paraffin block (Swabs and blood specimen not accepted) |
Sample Volume: 3.0 mL (2.0)
mL / 1 |
Transport Condition: Room temperature |
Specimen Rejection Criteria: Insufficient quantity of specimen, unlabeled or mislabeled specimen, leaky containers and contaminated specimens |
Methodology: Culture |
Special Requirements: No special precautions needed |
Clinical Significance: Tuberculosis (TB) is caused by one of several mycobacterial species that belong to the Mycobacterium tuberculosis complex. The human pathogens
are M. tuberculosis, M. africanum, and M. bovis. The other member of the complex, M. microti, is a rodent pathogen. Tuberculosis can develop through progression of recently acquired infection (primary disease), reactivation
of latent infection, or exogenous reinfection.
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Run Day: Daily |
Reporting Day: 4 Weeks |
Mycoplasma Hominis, Culture & Sensitivity
Test Code: 9951 |
CPT Code: 87109 |
Specimen Type: Urethral, vaginal, cervical swabs (dry or with media acceptable but preferred with media)/ semen in sterile leak proof container |
Sample Volume: 1 or 2swabs/ 2 mL |
Transport Condition: Room temperature/ Refrigerated |
Specimen Rejection Criteria: Inappropriate specimen transport device, mislabeled specimen, unlabeled specimen |
Methodology: Culture & Sensitivity |
Special Requirements: Not Applicable |
Clinical Significance: Mycoplasma hominis are frequently isolated from the cervical and vaginal tracts of women. Mycoplasma hominis has been associated with a number of clinically significant infections, although it is also part of the normal genital flora. Although Mycoplasma hominis may be a co-factor in bacterial vaginosis, it has otherwise not been implicated as a cause of lower tract disease.
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Run Day: Daily |
Reporting Day: 2 weeks |
Myoglobin, Serum
Test Code: 1245 |
CPT Code: 83874 |
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: ECLIA |
Special Requirements: No special precautions needed |
Clinical Significance: The breakdown of skeletal muscle (rhabdomyolysis) releases myoglobin.
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Run Day: Daily |
Reporting Day: Same day |
Myoglobin, Urine
Test Code: 7116 |
CPT Code: 83874 |
Specimen Type: Urine in sterile leak proof container |
Sample Volume: 10 mL |
Transport Condition: Frozen condition |
Specimen Rejection Criteria: NA |
Methodology: Nephelometry |
Special Requirements: No special precautions needed |
Clinical Significance: The breakdown of skeletal muscle (rhabdomyolysis) releases myoglobin. Very high concentrations of myoglobin may increase the risk of acute renal failure.
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Run Day: Daily |
Reporting Day: 6th day |
Myomectomy, Fibroids of more than 2 cm size
Test Code: 2882 |
CPT Code: 88305 |
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
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Run Day: Daily, except Fri |
Reporting Day: 4th day |