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Salicylates, Serum

Test Code: 1247 CPT Code: 80196
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:

Salicylates are used in the treatment of fever, analgesia and in the treatment of acute rheumatic fever, rheumatoid arthritis and for inhibition of platelet aggregation in patients with CAD. When treating rheumatoid arthritis, salicylates reduce the inflammation in joint tissues. Salicylate levels are monitored to assess toxicity.

Run Day: Tue
Reporting Day: Next day

Salivary Gland, Resection for tumor

Test Code: 1433 CPT Code: 88307
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: 4th day

Salmonella Typhi Antibodies, IgM, Rapid (Typhi Check)

Test Code: 7465 CPT Code: 86768
Specimen Type: Serum (yellow-top tube)/ plasma EDTA/ EDTA whole blood
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Grosshemolysis and hyperlipemic
Methodology: Immunochromatography
Special Requirements: No special precautions needed
Clinical Significance:

Typhoid fever is a life threatening illness caused by the bacterium Salmonella typhi, in which an early diagnosis is highly desirable. The diagnosis of typhoid consists of isolation of the bacilli and the demonstration of antibodies.
The isolation of the bacilli is time consuming. Typhi Check can be a valuable tool in diagnosis
of acute stage in typhoid fever. It is a qualitative test for the detection of IgM antibodies to S. typhi in human serum, plas-
ma, or whole blood. It should, however, be used as a screening test in clinically suspected cases only, and its results should be confirmed by other supplemental method before taking clinical decisions.

Run Day: Daily
Reporting Day: Same day

Scl 70 AutoAntibodies, Serum

Test Code: 15976 CPT Code: 86235
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: Immunoblot
Special Requirements: Clinical details required
Clinical Significance:

Scl 70 (topoisomerase 1) is a nucleolar enzyme. Scl 70 antibodies are considered to be specific for scleroderma (systemic sclerosis) and are found in up to 60% of these patients. Scl 70 antibodies are more common in patients with extensive skin involvement and interstitial pulmonary fibrosis, and are considered a poor prognostic sign.

Run Day: Thurs
Reporting Day: Same day

Scrub Typhus Antibodies, IgM, Serum

Test Code: 17187 CPT Code: 86757
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: Clinical history is required
Clinical Significance:

Scrub Typhus is an infectious disease caused by Orientia tsutsugamushi (formerly Rickettsia), belonging to the family Rickettsiaceae. It is transmitted by bite from the larval trombiculid mite. Early diagnosis of acute scrub typhus infection is important not only for patient management, but also for the prevention of complications. This assay aids in diagnosis of acute scrub typhus.

Run Day: Thurs
Reporting Day: Same day

Selenium, Serum

Test Code: 9498 CPT Code: 84255
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated condition
Specimen Rejection Criteria: Gross icterus
Methodology: ICPMS
Special Requirements: If gadolinium, iodine, or barium-containing contrast media has been administered, a Specimen should not be collected for 96 hours.
Clinical Significance:

Selenium is an essential element and is a cofactor necessary for activity of glutathione peroxidase (GSH-Px). The absence of selenium correlates with loss of GSH-Px activity and is associated with damage to cell membranes due to accumulation of free radicals.
This assay is useful for monitoring selenium replacement therapy.

Run Day: Daily
Reporting Day: 17th day

Semen Analysis

Test Code: 423 CPT Code: 89320
Specimen Type: Collect into a sterile, wide- mouth plastic container. Note date and time of collection. Spec- imen shouldbe delivered to the laboratory within 30 minutes from time of collection. Keep at body temperature
Sample Volume: 1.0 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: Collection in condom and sample more then 3 hrs old after collection.
Methodology: Microscopy
Special Requirements: Walking patient. If the sample is collected in a remote location, it should be sent to laboratory within 30 mins of collection in room temperature condition. Please mention the time of collection on the TRF or vial.
Clinical Significance:

Test is used for evaluation of infertility cases.

Run Day: Daily
Reporting Day: Same day

Semen Fructose

Test Code: 424 CPT Code: 82757
Specimen Type: Semen in sterile leak proof container
Sample Volume: 3.0 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: Collection in a condom
Methodology: Manual
Special Requirements: No special precautions needed
Clinical Significance:

Fructose is the energy source for sperm motility. A positive fructose is considered normal. Azoospermia and fructose negative results may indicate an absence of seminal vesicles/ vas deferens in the area of seminal vesicles.

Run Day: Daily
Reporting Day: Next day

Serotonin, Serum

Test Code: 6949 CPT Code: 84260
Specimen Type: Serum collected in a red-top tube
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Frozen condition
Specimen Rejection Criteria: Room temperature
Methodology: Immunoassay
Special Requirements: Keep away from heat or direct sunlight
Clinical Significance:

Serotonin concentrations are greatly increased in patients with carcinoid syndrome. Carcinoid tumors are associated with multiple endocrine neoplasia (MEN) types I and II. These tumors are associated with flushing, diarrhea, pain, and other symptoms.

Run Day: Wed: 1st, 3rd
Reporting Day: 2nd day

Sex Hormone Binding Globulin (SHBG), Serum

Test Code: 6150 CPT Code: 84270
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 hormones testosterone, dihydrotestosterone and estrogens are bound to SHBG. SHBG concentrations are increased in pregnancy, birth control pills usage, and decreased in obesity. Changes in SHBG will influence the total hormone concentration but not the free hormone concentrations.

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

Skeletal Muscle, Incisional Biopsy

Test Code: 1364 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

Run Day: Daily, except Fri
Reporting Day: 4th day

Skin Scrapping for Fungus

Test Code: 426 CPT Code: 87220
Specimen Type: Skin scrap
Sample Volume: Skin scrap in sterile leak proof container
Transport Condition: Room temperature
Specimen Rejection Criteria: Insufficient quantity of specimen, unlabeled or mislabeled specimen, leaky containers and contaminated specimens
Methodology: Microscopy
Special Requirements: No special precautions needed
Clinical Significance:

Fungal infections are more common in immunocompromised patients. Direct examination provide an immediate early presumptive diagnosis and enables initiation of antifungal therapy.

Run Day: Daily
Reporting Day: Same day

Skin Swab Culture

Test Code: 415 CPT Code: 87070
Specimen Type: Skin/ skin swab
Sample Volume: Swab from skin or skin in sterile container
Transport Condition: Room temperature
Specimen Rejection Criteria: Sample in unsterile conditions
Methodology: Culture & sensitivity
Special Requirements: No special precautions needed
Clinical Significance:

For pathogen detection / MRSA screening

Run Day: Daily
Reporting Day: 4th day

Skin, Excision for Malignant Tumor, Specimens larger than 5 cm in greatest length

Test Code: 1434 CPT Code: 88309
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: 4th day

Skin, Excision for Malignant Tumor, Specimens upto 5 cm in greatest length

Test Code: 1407 CPT Code: 88309
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: 4th day

Skin, Excision of Benign Lesion

Test Code: 1385 CPT Code: 88307
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: 4th day

Skin, Punch Biopsy

Test Code: 1365 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

Run Day: Daily, except Fri
Reporting Day: 4th day

Small Bowel, Endoscopic Biopsy

Test Code: 1367 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

Run Day: Daily, except Fri
Reporting Day: 4th day

Small Bowel, Resection for Tumor

Test Code: 1466 CPT Code: 88309
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: 4th day

Small Bowel, Segmental Resection for Non Tumoral Condition

Test Code: 1408 CPT Code: 88307
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: 4th day

Smith (Sm) Antibodies, Serum

Test Code: 17225 CPT Code: 86235
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: Immunoblot
Special Requirements: Clinical history is required
Clinical Significance:

Sm is a small nuclear ribonucleoprotein composed of several protein autoantigens designated B, B1, D, E, F, and G. Sm Antibodies are highly specific for systemic lupus erythematosus (SLE) and occur in approximately 30% of SLE patients. This assay aids in diagnosis of SLE.

Run Day: Thurs
Reporting Day: Same day

Sodium, 24 hrs, Urine

Test Code: 312 CPT Code: 84300
Specimen Type: 24 hrs urine in sterile leak proof container
Sample Volume: 10 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: NA
Methodology: ISE
Special Requirements: 24 hrs urine without preservative. Clinical history is mandatory. Mention 24 hrs urine volume on the requisition form.
Clinical Significance:

The excretion of sodium varies with dietary intake. There is a diurnal variation of sodium excretion with excretion being greater during daytime than during the night. Decreased levels are seen in congestive heart failure, excessive sweating, diarrhea, pyloric obstruction, malabsorption and primary aldosteronism. Increased levels may be due to increased salt intake, failure of the adrenal glands, diabetic acidosis, salt losing renal disease, diuretic therapy and water deprivation dehydration. The creatinine value provides evidence of proper 24 hour urine collection.

Run Day: Daily
Reporting Day: Same day

Sodium, Random, Urine

Test Code: 3997 CPT Code: 84300
Specimen Type: Urine in sterile leak proof container
Sample Volume: 10 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: NA
Methodology: ISE
Special Requirements: No special precautions needed
Clinical Significance:

The excretion of sodium varies with dietary intake. There is a diurnal variation of sodium excretion with excretion being greater during daytime than during the night. Decreased levels are seen in congestive heart failure, excessive sweating, diarrhea, pyloric obstruction, malabsorption and primary aldosteronism. Increased levels may due to increased salt intake, failure of the adrenal glands, diabetic acidosis, salt losing renal disease, diuretic therapy and water deprivation dehydration. The creatinine value provides evidence of proper 24 hour collection

Run Day: Daily
Reporting Day: Same day

Soft tissue, Excision of Benign Tumor

Test Code: 1386 CPT Code: 88307
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: 4th day

Soft tissue, Resection for Malignant Tumor

Test Code: 1435 CPT Code: 88309
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: 4th day

Soluble Liver Antigen (SLA) Autoantibody, Serum

Test Code: 9997 CPT Code: 83520
Specimen Type: Serum (yellow-top tube)
Sample Volume: 3.0 mL (1.0mL - min)
Transport Condition: Refrigerated/ frozen condition
Specimen Rejection Criteria: Gross hemolysis and hyperlipemic. Microbially contaminated serum. Heavy visible particulate in specimen
Methodology: Enzyme immunoassay
Special Requirements: No special precautions needed
Clinical Significance:

Anti-soluble liver antigen antibodies are detected in 10-30% of patients with type 1 autoimmune hepatitis (AIH). It is not detect-
ed in patients with type 2 AIH, primary sclerosing cholangitis or primary biliary cirrhosis. This antibody is directed against a
UGA suppressor tRNA associated protein. In certain AIH patients, this antibody may be the only autoantibody detected by currently available assays.

Run Day: Thurs
Reporting Day: Same day

Special Stain

Test Code: 2895 CPT Code: 88312,88313
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:

Please ask for details

Run Day: Daily, except Fri
Reporting Day: 4th day

Special Stain, I & R Group III Enzyme Consituents

Test Code: 4899 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:

Please ask for details

Run Day: Daily, except Fri
Reporting Day: 5th day

Spleen, Splenectomy

Test Code: 1366 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

Run Day: Daily, except Fri
Reporting Day: 4th day

Spleen, Splenectomy, Two Blocks

Test Code: 3362 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

Run Day: Daily
Reporting Day: 4th day

Sputum, Routine

Test Code: 429 CPT Code: 87070
Specimen Type: Sputum sample in leak proof container
Sample Volume: 10 mL
Transport Condition: Room temperature
Specimen Rejection Criteria: Leaked and frozen specimen
Methodology: microscopy
Special Requirements: No special precautions needed
Clinical Significance:

For detection of malignant/ inflammatory/ infectious conditions

Run Day: Daily
Reporting Day: Same day

STD Panel 10 (C. trachomatis, N. gonorrhoeae, M. gnitalium, Trichomonas vaginalis, Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, HSV 1 , HSV 2 & Treponema pallidum)

Test Code: 13505 CPT Code: Use individual CPTCodes
Specimen Type: Genital/ rectal swabs, culture, urine and LBC (Thin prep/ SurePath)
Sample Volume: Swab: 1, culture/ urine/ LBC: 3-5 mL
Transport Condition: Refrigerated condition/ room temperature
Specimen Rejection Criteria: Calcium alginate-tipped swab, wood swab, or transport swab containing gel
Methodology: Multiplex Real Time PCR
Special Requirements: Clinical history
Clinical Significance:

C. trachomatis, N. gonorrhoeae, M. gnitalium, Trichomonas vaginalis, Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, HSV 1 , HSV 2 and Treponema pallidum are most common pathogens causing STDs. This panel is used for rapid detection of DNA
of these pathogens in clinical specimens by Multiplex RT PCR, therby aiding in the diagnosis of STDs caused by them.

Run Day: Sat, Tue
Reporting Day: 3rd day

Stomach, Gastrectomy for Ulcer/ Tumor

Test Code: 1437 CPT Code: 88309
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: 4th day

Stomach, Gastric Endoscopic Biopsy along with Giemsa Stain

Test Code: 1368 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. Giemsa stain can aid in the detection of H. pylori.

Run Day: Daily, except Fri
Reporting Day: 4th day

Stool Analysis, Routine, with Occult Blood

Test Code: 432 CPT Code: 87177,82270
Specimen Type: Stool
Sample Volume: Stool in sterile leak proof container
Transport Condition: Room temperature
Specimen Rejection Criteria: NA
Methodology: Microscopy
Special Requirements: No special precautions needed
Clinical Significance:

For parasite and occult blood detection

Run Day: Daily
Reporting Day: Same day

Stool Analysis, Routine, without Occult Blood

Test Code: 7117 CPT Code: 87177
Specimen Type: Stool
Sample Volume: Stool in sterile leak proof container
Transport Condition: Room temperature
Specimen Rejection Criteria: NA
Methodology: Microscopy
Special Requirements: No special precautions needed
Clinical Significance:

For detection of parasites and pus cells.

Run Day: Daily
Reporting Day: Same day

Strep A Rapid Test

Test Code: 1114 CPT Code: 87880
Specimen Type: Throat swab
Sample Volume: Throat swab
Transport Condition: Room temperature
Specimen Rejection Criteria: Received frozen
Methodology: Manual
Special Requirements: No special precautions needed
Clinical Significance:

This rapid antigen testing to detect group A streptococcal (GAS) infection provides important information for the antibiotic decision making for patients presenting with acute pharyngitis.The Infectious Diseases Society of America (IDSA) guideline on streptococcal pharyngitis
recommends using a rapid test in patients with a modest probability of GAS infection, treating those with a positive rapid test and withholding antibiotics in rapid test negative patients. The guideline recommends culturing rapid test negative children and treating them in case cultures are positive.

Run Day: Daily
Reporting Day: Same day