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Name CPT Codes
Cytomegalovirus (CMV) DNA Detection/Quant., Specimens other than blood (RPS) 87496

Abbreviation: CMVDO

Specimen Type: Default

Storage Temperature: Refrigerate

Tubes / Containers: Bone marrow, Bronchial wash/BAL/Sputum, CSF, Amniotic fluid, Body fluid, Urine and Tissue (fixed or snap frozen)

Instrument / Location: RPS

Host Code: YCMVDO

Volume: 1 mL

Tab Assignment: RPS Sendouts

Lyme Disease (Borrelia Species) by PCR, Tick (RPS) 87801

Abbreviation: BTICK

Specimen Type: Default

Storage Temperature: Refrigerate

Tubes / Containers: Specimen Cup (1)

Instrument / Location: RPS

Host Code: YBTICK

Volume: Transfer one deer tick in 70% ethanol or in wet tissue.

Tab Assignment: RPS Sendouts

Mycoplasma and Ureaplasma Species (Urogenital) by PCR (RPS) 87798

Abbreviation: MURTP

Specimen Type: Default

Storage Temperature: Refrigerate

Tubes / Containers: Viral Transport Media (1)

Instrument / Location: RPS

Host Code: YMURTPRA

LOINC: 31208-2, 6933-0, 51988-4, 68546-1, 69935-5

Volume: 1 mL urine or genital swab

Tab Assignment: RPS Sendouts


Additional Information: Transfer genital swab or 1 mL urine in viral transport media

Umbilical Cord Drug Screen, CORD STAT 12 (RPS) 80307

Abbreviation: CORD12

Specimen Type: Default

Storage Temperature: Refrigerate

Tubes / Containers: Special (1) *** Call Lab for Collection Kit ***

Instrument / Location: RPS

Host Code: YCORD12

Volume: 6-8 inch section of umbilical cord, drained

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Specimen tested for: Amphetamines, Benzodiazapines, Barbiturates, Cocaine, Methadone, Meperidine, Opiates, Phenylcylidine, Oxycodone, Cannabinoids, Propoxyphene, Tramadol. Confirmation included if results are above screen limits.


Additional Information: Cut 6-8 inch of umbilical cord and drain and discard any blood. Rinse the cord segment with normal saline. Avoid using ethanol liquid or vapor with the umbilical cord. Place the cord in umbilical container( obtain collection kit from lab.) The kit has specimen handling instructions and a requisiton form. Form must be signed by the collector and sealed inside the kit. Distribution of copies: one copy sealed in kit, one copy to medical records, one copy to lab (keep this copy outside the kit.).


Documents: https://www.testmenu.com/nebraska/Tests/277357

Vitamin B1 (Thiamine) (RPS) 84425

Abbreviation: VITB1

Specimen Type: EDTA

Storage Temperature: Frozen - protect from light

Tubes / Containers: EDTA whole bld/prtc from light Frozen (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YVITB1

LOINC: 74444-1

Volume: 3 mL

Minimum Volume: 0.6 mL

Tab Assignment: RPS Sendouts

Cytomegalovirus (CMV) DNA Detection & Quantitation, Blood (RPS) 87497

Abbreviation: CMVQB

Specimen Type: EDTA Plasma

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YCMVQB

LOINC: 72493-0, 72494-8, 48767-8

Volume: 1 mL

Tab Assignment: RPS Sendouts


Additional Information: Plasma must be separated from cells within 48 hours of collection.

DDimer (PSPC) 85379

Abbreviation: DDIMER

Specimen Type: EDTA Plasma

Storage Temperature: Frozen

Tubes / Containers: Purple top tube (EDTA)

Instrument / Location: PSPC

Host Code: YDDIMER

LOINC: 48065-7

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: General


Additional Information: No more than a single freeze/thaw cycle is recommended. Avoid using severely hemolyzed specimens whenever possible.

Glucagon, Plasma (Mayo Clinic via RPS) 82943

Abbreviation: GLCGP

Specimen Type: EDTA Plasma

Storage Temperature: Frozen

Instrument / Location: RPS

Host Code: YGLCGP

Herpes Simplex Virus (HSV) 1 & 2, DNA & Genotype by PCR, Blood (RPS) 87529

Abbreviation: HSDB

Specimen Type: EDTA Plasma

Storage Temperature: Refrigerate

Tubes / Containers: Plasma (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YHSDB

Volume: 1 mL

Tab Assignment: RPS Sendouts


Additional Information: Plasma must be separated from cells within 48 hours of collection.

JC Virus (JCV) Quan Real-time PCR (IBT via RPS) 87799

Abbreviation: JCVQTP

Specimen Type: EDTA Plasma

Storage Temperature: Frozen

Tubes / Containers: Purple top tube

Instrument / Location: RPS

Host Code: YJCVQTP

Volume: 4 mL

Minimum Volume: 2 mL plasma

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: TAT: Same day

Metanephrine, Fractionated, Plasma Free (RPS) 83835

Abbreviation: MFPF

Specimen Type: EDTA Plasma

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YMFPF

Volume: 2 mL

Minimum Volume: 1 mL

Tab Assignment: RPS Sendouts


Additional Information: Collect into a chilled EDTA tube and place specimen in ice bath. Centrifuge, separate, and freeze plasma within one hour of collection.

Toxoplasma gondii by PCR (RPS) 87798

Abbreviation: TGPR

Specimen Type: EDTA Plasma

Storage Temperature: Refrigerate

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YTGPR

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts


Additional Information: Refrigerate plasma up to 5 days and then freeze.

ACTH (Adrenocorticotropic) Hormone Level (RPS) 82024

Abbreviation: ARACTH

Specimen Type: EDTA plasma

Storage Temperature: CRITICAL FROZEN. (Plasma must be separated from the cells within 2 hours of collection and frozen immediately).

Tubes / Containers: Purple top tube

Instrument / Location: RPS

Host Code: YARACTH

LOINC: 2141-0

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performed everyday / Reported within 24 hrs


Additional Information: Morning collection (7 a.m. to 10 a.m.) is preferred. Collection tube must be siliconized glass or plastic. CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.

Arginine Vasopressin Hormone (ADH) (RPS) 84588

Abbreviation: ADH

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YADH

Volume: 6 mL

Minimum Volume: 2.5 mL

Tab Assignment: RPS Sendouts

Complement Component 1Q (C1q) (RPS) 86160

Abbreviation: CC1Q

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YCC1Q

Volume: 1 mL

Minimum Volume: 0.25 mL

Tab Assignment: RPS Sendouts

Complement Component Level 4a (RPS) 86160

Abbreviation: CC4A

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YCC4A

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts


Additional Information: Separate plasma from cells within 1 hour of collection.

Histamine, Plasma (RPS) 83088

Abbreviation: HISTP

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YHISTP

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts


Additional Information: Collect in a pre-chilled tube and place on ice. Centrifuge tube and separate plasma within 20 minutes of collection.

HIV-1 GenoSURE PRIme (RPS) 87900, 87901, 87906

Abbreviation: HIVGSP

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YHIVGSP

Volume: 6 mL

Tab Assignment: RPS Sendouts

Human Herpesvirus 6 (HHV-6A & HHV-6B) Quant by PCR (RPS) 87533

Abbreviation: HH6DP

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YHH6DP

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts


Additional Information: Serum or CSF is also acceptable to submit for this code.

Lyme Disease (Borrelia Species) by PCR, Blood (RPS) 87476

Abbreviation: LYMPCR

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YLYMPCR

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts

Melanocyte Stimulation Hormone, Alpha (a-MSH) (RPS) 83519

Abbreviation: MSHA

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YMSHA

Volume: 1 mL

Minimum Volume: 0.5 mL

Tab Assignment: RPS Sendouts


Additional Information: Separate plasma from cells within 1 hour of collection.

Parathyroid Hormone Related Peptide (PTHrP) (Mayo via RPS) 82397

Abbreviation: PTHRP

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1)

Instrument / Location: RPS

Host Code: YPTHRP

Tab Assignment: RPS Sendouts

Somatostatin (RPS) 84307

Abbreviation: SOMS

Specimen Type: EDTA Plasma-FROZEN

Storage Temperature: Frozen

Tubes / Containers: Frozen - EDTA plasma (1), Purple Top Tube (1)

Instrument / Location: RPS

Host Code: YSOMS

LOINC: 2961-1

Volume: 1.8 mL

Minimum Volume: 0.6 mL

Tab Assignment: RPS Sendouts


Additional Information: Collect sample into a chilled EDTA tube, transport on ice, spin and freeze plasma immediately.

Dilated Cardiomyopathy Panel, Sequencing (ARUP via RPS) 81439

Abbreviation: DCMPS

Specimen Type: EDTA whole blood

Storage Temperature: Refrigerated

Tubes / Containers: Purple top tube or Yellow (ACD Solution A/B)

Instrument / Location: RPS

Host Code: YDCMPS

LOINC: N/A

Volume: 3 mL

Minimum Volume: 1.5 mL

Tab Assignment: RPS Sendouts

PSPC Testing Schedule: Performance varies / Reported 3 weeks


Additional Information: ARUP # 3001581


Documents: Cardiomyopathy/Arrhythmia Genetic Testing Patient History Form

BCR-ABL1 Mutation Analysis for Tyrosine Kinase Inhibitor (AR 81170

Abbreviation: BCRNGS

Specimen Type: EDTA Whole Blood

Storage Temperature: Refrigerate

Instrument / Location: RPS

Host Code: YBCRNGS

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