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ANA Screen, IFA, Reflex Titer/Pattern, and Reflex to Multiplex 11 Ab Cascade

Test Code: 16814

CPT Code(s): 86038

Methodology: Immunofluorescent Assay (IFA)

Clinical Significance: Antinuclear antibodies are associated with rheumatic diseases including Systemic Lupus Erythematous (SLE), mixed connective tissue disease, Sjogren's syndrome, scleroderma, polymyositis, CREST syndrome, and neurologic SLE.

Includes: The ANA Screen, IFA, Reflex Titer/Pattern, and Reflex to Multiplex 11 Ab Cascade begins with an ANA Screen, IFA.

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Albumin

Test Code: 223

CPT Code(s): 82040

Methodology: Spectrophotometry (SP)

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C-reactive Protein

Test Code: 4420

CPT Code(s): 86140

Methodology: Nephelometry

Limitations: Oral contraceptives, IUDs, pregnancy, and menstruation may raise CRP levels. Levels are lowest during ovulation.

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Creatine Kinase (CK), Total

Test Code: 374

CPT Code(s): 82550

Methodology: Spectrophotometry (SP)

Clinical Significance: Test for myocardial infarction and skeletal muscle damage. Elevated results may be due to: myocarditis, myocardial infarction (heart attack), muscular dystrophy, muscle trauma or excessive exercise.

Alternative Name(s): CK, CPK

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Childhood Allergy (Food and Environmental) Profile

Test Code: 10659

CPT Code(s): 82785, 86003 (x16)

Includes: IgE allergy testing for: Alternaria alternate (a mold) (m6); Cat dander (e1); Cladosporium herbarum (m2); Cockroach (i6); Codfish (f3); Cow's Milk (f2); Dermatophagoides farina (d2); Dermatophagoides pteronyssinus (d1); Dog dander (e5); Egg White (f11); Mouse Urine Proteins (e72); Peanut (f13); Shrimp (f24); Soybean (f14); Walnut (f256); Wheat (f4); Immunoglobin E

Methodology: Immunoassay

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Bordetella pertussis/parapertussis DNA, Qualitative, Real-Time PCR

Test code: 11365

CPT code(s): 87798 (x2)

Methodology: Real-time polymerase chain reaction (RT-PCR)

Includes: B. pertussis DNA PCR and B. parapertussis DNA PCR

Alternative name(s): Whooping Cough; D. parapertussis/pertussis DNA

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Calcium, Ionized

Test Code: 306

CPT Code(s): 82330

Includes: Ionized Calcium

Methodology: Ion Specific Electrode

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Antithrombin III Activity

Test code: 216

CPT code(s): 85301

Methodology: Chromogenic

Clinical Significance: Aids in the detection of hypercoagulable states associated with venous thrombotic episodes. May be useful in patients who apprear to be hyporeponsive to heparin.

Includes: Antithrombin III Activity

Alternative Name(s): Antithrombin III Functional; AT-3 Activity; AT3

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Acetaminophen

Test Code: 201

CPT Code(s): 80329

Includes: Acetaminophen

Methodology: Immunoturbidimeteric, Enzymatic

Clinical Significance: Acetaminophen is an analgesic/anti-inflammatory agent that may be hepatotoxic when ingested in quatities exceeding 150mg/kg.

Additional names: Acet; Tylenol; Acetm

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C. difficile Toxin/GDH w/ Reflex to PCR

Test code: 91664

CPT code(s): 87449, 87324

Methodology: Immunoassay

Includes: If the GDH Antigen is detected and the Toxin A and B are not detected or the GDH Antigen is not detected and the Toxin A and B are detected, Clostridium difficile Toxin B, Qualitative, Real-Time PCR will be performed at an additional charge (CPT code(s): 87493).

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