LABORATORY

TEST DIRECTORY

2013

The printed version of ARUP’s Laboratory Test Directory contains information that is
current as of December 19, 2012. All information contained herein is subject to change.
For current, up-to-date test information, including test-collection specifications, please
view the electronic Laboratory Test Directory on www.aruplab.com.

DECEMBER 2012
The printed version of ARUP’s Laboratory Test Directory contains information that is current as of
December 19, 2012. All information contained herein is subject to change. For current, up-to-date
test information, including test-collection specifications, please view the electronic Laboratory Test
Directory on www.aruplab.com.
 0049360 1p/19q Deletion by FISH 1P19Q
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 6 unstained 5
micron slides. (Min: 3 slides) Protect paraffin block from excessive heat. Transport block(s) and/or slide(s) in a tissue transport kit (ARUP supply
#47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Frozen specimens. Specimens fixed or processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-
4 or B-5). No tumor in tissue. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88368 x4

0099746 18-Hydroxycorticosterone 18 HYDCORT

Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells within 1 hour of draw. Transfer 3 mL serum to an ARUP Standard Transport Tube and freeze
immediately. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 82542

0010003 ABO Group & Rh Type IRL-ABORH

Methodology: Hemagglutination
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Do not freeze red cells.
Transport 7 mL whole blood (plain red). OR 3 mL whole blood (EDTA).
Pediatric: Transport 0.5 mL (10 drops) whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86900 ABO; 86901 Rh Typing

0010014 ABO-Rh Prenatal ABORH-PR

Methodology: Hemagglutination
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transport 7 mL whole blood. (Min: 3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86900 ABO; 86901 Rh

0010025 ABO-Rh Type ABORH-A

Methodology: Hemagglutination
Specimen Required: Collect: Testing is limited to the University of Utah Health Sciences Center, Primary Children's Medical Center, and Intermountain Shriners
Hospital (1017) only.

Lavender (EDTA) or pink (K2EDTA).

Specimen Preparation: Do not freeze. Transport 7 mL whole blood. (Min: 3 mL)
Storage/Transport Temperature: Room temperature.
Remarks:
Unacceptable Conditions: Frozen specimens. Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86900 ABO; 86901 Rh Typing

0060245 Acanthamoeba and Naegleria Culture ACANT

Methodology: Qualitative Culture/Microscopy
Specimen Required: Collect: Corneal scrapings, vitreous fluid or tissue.
Specimen Preparation: Place corneal scrapings, vitreous fluid, or tissue in 2 mL of Page's amoeba saline (ARUP supply #31917). Available online
through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Unacceptable Conditions: Specimens in media or preservatives.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87081

2002584 Acanthamoeba and Naegleria Culture and Stains, CSF ACANTCSF

Methodology: Qualitative Culture/Microscopy/Calcofluor Stain/Giemsa Stain
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 1 mL CSF to a sterile ARUP Standard Transport Tube (ARUP supply # 43115). Available online through eSupply
using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens in media or preservatives.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87081 Culture; 87206 Calcofluor Stain; 87207 Giemsa Stain

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 0090001 Acetaminophen ACET
Methodology: Spectrophotometry
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Specimens collected in separator tubes, sodium fluoride/potassium oxalate, or sodium citrate anticoagulants.
Stability: After separation from cells: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 45 days
CPT Code(s): 82003

0091533 Acetaminophen and Oxycodone Quantitation, Serum or Plasma PERCOC SP

Methodology: Quantitative Gas Chromatography-Mass Spectrometry/Immunoassay
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.9 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 23 days; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83925 Opiates; 82003 Acetaminophen

0091404 Acetaminophen and Oxycodone Quantitation, Whole Blood PERCOCET B

Methodology: Quantitative Gas Chromatography-Mass Spectrometry/High Performance Liquid Chromatography
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Transfer 4 mL whole blood to an ARUP Standard Transport Tube. (Min: 1.6 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 23 days; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83925 Opiates; 82003 Acetaminophen

0091366 Acetazolamide, Serum or Plasma ACETAZOLAM

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 80299

0091374 Acetazolamide, Urine ACETAZO U

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 80299

0090005 Acetone, Quantitative AC

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), green (sodium heparin), or gray (sodium fluoride/potassium oxalate).
Avoid use of separator tubes.
Specimen Preparation: Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 5 days (if tightly capped); Refrigerated: 1 week (if tightly capped); Frozen: 1 month
CPT Code(s): 82010

0091322 Acetophenazine, Serum or Plasma ACETOPHEN

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA).
Specimen Preparation: Protect from light. Transfer 3 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

2005639 Acetylcholine Receptor Antibodies and Striated Muscle Antibody Reflexive Panels, and Titin Antibody MGT R PAN
Methodology: Quantitative Radioimmunoassay/Semi-Quantitative Radioreceptor Assay/Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-
Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Flow Cytometry
Specimen Required: Collect: Plain red top or Serum Separator Tube (SST).
Specimen Preparation: Transport 1.5 mL serum. (Min. 0.7 mL) Separate serum from cells ASAP or within one hour of collection. Transfer to an
ARUP Standard Transport Tube.
Storage/Transport Temperature: Refrigerated. Frozen is also acceptable.
Remarks: Repeated freeze-thaw cycles should be avoided.
Unacceptable Conditions: Plasma. Hemolyzed, lipemic, moderately icteric serum or contaminated specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83519 ACHR Binding Ab; 83519 ACHR Blocking Ab; if reflexed, add 88182TC ACHR Modulating Ab; 83516 TITIN AB; 86255 STM screen; if
reflexed, add 86256 STM titer

2001571 Acetylcholine Receptor Antibody Reflexive Panel ACHR R PAN

Methodology: Quantitative Radioimmunoassay/Semi-Quantitative Radioimmunoassay/Semi-Quantitative Flow Cytometry

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Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83519 ACHR Binding Ab; 83519 ACHR Blocking Ab; if reflexed, add 88182TC ACHR Modulating Ab

0080009 Acetylcholine Receptor Binding Antibody ACHRBIN

Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83519

0099580 Acetylcholine Receptor Blocking Antibody ACHRBLO

Methodology: Semi-Quantitative Radioimmunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83519

0099521 Acetylcholine Receptor Modulating Antibody ACHRMOD

Methodology: Semi-Quantitative Flow Cytometry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 88182TC

2006848 Acetylcholinesterase and Fetal Hemoglobin, Amniotic Fluid ACETYL AF

Methodology: Qualitative Gel Electrophoresis/Radial Immunodiffusion
Specimen Required: Collect: Amniotic Fluid
Specimen Preparation: Transfer 2 mL amniotic fluid to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Ambient.
Remarks: Include the Amniotic Fluid AFP and MoM results, if available.
Stability: Ambient; 2 weeks; Refrigerated: 4 months; Frozen: 3 years
CPT Code(s): 82013 Acetylcholinesterase; 83033 Fetal Hemoglobin

0051266 Achondroplasia (FGFR3) 2 Mutations AD PCR

Methodology: Polymerase Chain Reaction/Fluorescence Resonance Energy Transfer
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Do not freeze. Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Serum. Frozen specimens. Hemolyzed specimens.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report. Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0051265 Achondroplasia (FGFR3) 2 Mutations, Fetal AD PCR FE

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluency of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluency of cultured
amniocytes. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal Cell Contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report. FCC: 83900 Multiplex amplification;
83901 x14 Additional amplification; 83909 Capillary electrophoresis. MCC MAT (0050608): 83891 Isolation; 83900 Multiplex amplification;
83901 x14 Additional amplification; 83909 Capillary electrophoresis, 83912 Interpretation and report.
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 0060325 Acid Fast Stain, Partial or Modified (for Nocardia spp.) MS PAFS
Methodology: Stain/Microscopy
Specimen Required: Collect: Aspirate, fluid, respiratory specimen, or tissue.
Specimen Preparation: Transport fluid or aspirate in sterile container. OR Tissue: Place on gauze moistened with sterile non-bacteriostatic saline
to prevent drying and transport in sterile container.
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 72 hours; Refrigerated: 72 hours; Frozen: Unacceptable
CPT Code(s): 87206

0049010 Acid Hemolysin (Ham Test) HAM

Methodology: Visual Identification
Specimen Required: Collect: Plain red AND lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transport 3 mL serum AND 5 mL whole blood. (Min: 1.5 mL
serum AND 1 mL whole blood).
Storage/Transport Temperature: Room temperature. Specimens should be received within 24 hours of collection and testing must be performed
within 48 hours of collection.
Remarks: Indicate patient's blood type on test request form.
Unacceptable Conditions: Serum specimens that have not been separated from the cells within 2 hours of collection.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 85475

0020544 Acid Phosphatase, Total, Serum ACS

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow specimen to clot completely at room temperature. Transfer 1.5 mL serum to an ARUP Standard Transport Tube.
(Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Plasma. Non-frozen specimens. Hemolyzed specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 84060

0060152 Acid-Fast Bacillus (AFB) Culture and AFB Stain MC AFB

Methodology: Stain/Culture
Specimen Required: Patient Preparation: Recommended collection: Three sputum specimens at 8-24 hour intervals (24 hours when possible) and at least one first-
morning specimen. An individual order must be submitted for each specimen.
Collect: Sputum. OR body fluid, CSF, gastric aspirate, tissue, or urine.
Specimen Preparation: Sputum: Transfer (for each collection) 5-10 mL to a sterile container. (Min: 1 mL)
Body Fluids or CSF: Transfer 5 mL to a sterile container. (Min: 1 mL)
Gastric Aspirates: Must be neutralized (pH7) with sodium carbonate if transport is delayed for more than four hours. Transfer 5-10 mL to a
sterile container. (Min: 1 mL)
Tissue: Transfer to a sterile container. (Min: Visible)
Urine: Transfer at least 40 mL to a sterile container. (Min: 10 mL)
Place each specimen in an individual, sealed bag.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required. Acid fast stain will not be performed on stool specimens, CSF if less than 5 mL, or urine specimens if less
than 40 mL.
Unacceptable Conditions: Dry material or material collected and transported on a swab.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 87116 Culture. CPT codes for identification and susceptibility vary based on method.

0060738 Acid-Fast Bacillus (AFB) Culture and AFB Stain with Reflex to Mycobacterium tuberculosis Amplified Direct MC AFBR
Detection
Methodology: Stain/Culture
Patient Preparation: Three sputum specimens should be collected at 8-24 hour intervals (24 hours when possible) and should include at least
one first-morning specimen. An individual order must be submitted for each specimen.
Specimen Required: Collect: Respiratory specimen.
Specimen Preparation: Transfer (for each collection) 5-10 mL respiratory specimen to a sterile container. (Min: 1 mL) Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Multiple same-site specimens (more than one in 24 hours), dry material, or material collected and transported on a
swab. Specimens other than respiratory.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 87116 Culture. CPT codes for identification and susceptibility vary based on method. If reflexed, add 87556 Amplified probe.

0060999 Acid-Fast Bacillus (AFB) Identification MC AFBID

Methodology: Identification
Identification methods may include biochemical, sequencing, nucleic acid probe, or polymerase chain reaction.
Specimen Required: Collect: Actively growing organism, in pure culture.
Specimen Preparation: Transport sealed container with pure culture on solid or in liquid media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature. Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Remarks: Indicate source of organism and any other pertinent information, such as the growth rate of the organism or DNA probe results. Probes
can be performed directly from Middlebrook 7H9 broth. MGIT is not
suitable for direct probe testing.
Unacceptable Conditions: Mixed cultures or non-viable organisms. Organisms submitted on an agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
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CPT Code(s): CPT codes for identification vary based on method.

0060997 Acid-Fast Bacillus (AFB) Identification with Reflex to Susceptibility MC AFBIS

Methodology: Identification/Susceptibility
Specimen Required: Collect: Actively growing organism, in pure culture.
Specimen Preparation: Transport sealed container with pure culture on solid or in liquid media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Remarks: Indicate source of organism and any other pertinent information such as growth rate of the organism or DNA probe results.
Unacceptable Conditions: Mixed cultures or non-viable organisms. Organisms submitted on agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): CPT codes for identification and susceptibility vary based on method.

0060151 Acid-Fast Bacillus (AFB) Stain Only MS AFB

Methodology: Auramine O Stain
Specimen Required: Collect: Sputum or other respiratory specimen.
Specimen Preparation: Transfer 5-10 mL specimen to a sterile container (Min: 1 mL). Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Non-respiratory specimens. Swabs from any sites.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 87206 Acid-fast stain; 87015 Concentration

2003427 ACTH by Immunohistochemistry ACTH IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0091246 Actifed, Serum or Plasma ACTIFED SP

Methodology: Quantitative High Performance Liquid Chromatography/Mass Spectrometry/Gas Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours. Transfer 6 mL serum or plasma to ARUP Standard Transport Tubes.
(Min: 2.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 82491 Triprolidine; 82542 Pseudoephedrine

2002647 Acute Lymphocytic Leukemia (ALL) Panel by FISH, Adult FISH A ALL
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Whole blood in green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer bone marrow to a green (sodium heparin). Transport 3 mL bone marrow OR 5 mL whole blood. (Min: 1 mL bone
marrow OR 2 mL whole blood)
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetics slides are not submitted, a processing fee will apply.
This test must be ordered using Cytogenetic test request form #43099 or through ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted or paraffin-embedded specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x5 DNA probe; 88275 x5 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT codes modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

2002719 Acute Lymphocytic Leukemia (ALL) Panel by FISH, Pediatric FISH P ALL
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Whole blood in green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer bone marrow to a green (sodium heparin). Transport 3 mL bone marrow (Min: 1 mL) OR 5 mL whole blood
(Min: 2 mL).
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetics slides are submitted, a processing fee will not apply.
This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Clotted or paraffin-embedded specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x5 DNA probe; 88275 x5 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT codes modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

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 2002653 Acute Myelogenous Leukemia (AML) with Myelodysplastic Syndrome (MDS) or Therapy-Related AML, by F TAML MDS
FISH
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Whole blood in green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer bone marrow to a green (sodium heparin). Transport 3 mL bone marrow OR 5 mL whole blood. (Min: 1 mL bone
marrow OR 2 mL whole blood)
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetics slides are submitted, a processing fee will not apply. This test must be ordered using Cytogenetic
test request form (#43099) or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Clotted or paraffin-embedded specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x3 DNA probe; 88275 x3 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT codes modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

2002384 Acute Myelogenous Leukemia Panel by FISH FISH AML P

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Whole blood in green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer bone marrow to a green (sodium heparin). Transport 3 mL bone marrow (Min: 1 mL) OR 5 mL whole blood
(Min: 2 mL).
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetics slides are not submitted, a processing fee will apply.
This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted or paraffin-embedded specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x3 DNA probe; 88275 x3 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT codes modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

0091328 Acyclovir, Serum or Plasma ACYCLOV

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA) or Gray (sodium fluoride/potassium oxalate)..
Specimen Preparation: Separate serum or plasma from cells within 2 hours. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube.
(Min: 0.21 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature and frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299

0091376 Acyclovir, (Zovirax®), Urine ACYCLOVI U

Methodology: High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299-90

0040033 Acylcarnitine Quantitative Profile, Plasma ACYLCARN

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Plain red.
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.2 mL) Avoid hemolysis.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (eg, TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Room temperature specimens. Specimens that have been refrigerated for longer than 12 hours.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 12 hours; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 82017

0081170 Acylglycines, Quantitative, Urine ACYLGLY

Methodology: Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 6 mL urine to ARUP Standard Transport Tubes and freeze immediately. (Min: 3 mL) Avoid dilute urine when
possible.
Storage/Transport Temperature: Frozen.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Stability: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 2 weeks
CPT Code(s): 82544

0030056 ADAMTS13 Activity ADAMTS-13

Methodology: Fluorescence Resonance Energy Transfer
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 1 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Page | 6
 Unacceptable Conditions: Hemolyzed specimens. Serum or EDTA plasma.
Stability: Ambient: 3 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 85397

2006098 Adenosine Deaminase, CSF ADA CSF

Methodology: Quantitative Spectrophotometry
Patient Preparation: Collect specimens in leak-proof container.
Specimen Required: Collect: Cerebrospinal Fluid.
Specimen Preparation: Centrifuge specimen at room temperature. Transfer 0.3 mL fluid to an ARUP Standard Transport Tube and freeze. (Min:
0.1 mL)
Storage/Transport Temperature: Frozen. Specimen must remain frozen until received in lab.
Remarks: Indicate source on requisition.
Unacceptable Conditions: Whole blood. Bronchoalveolar lavage (BAL) specimens. Turbid specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84311

2006101 Adenosine Deaminase, Peritoneal Fluid ADA PERIT

Methodology: Quantitative Spectrophotometry
Patient Preparation: Collect specimens in leak proof container.
Specimen Required: Collect: Peritoneal Fluid.
Specimen Preparation: Centrifuge specimen at room temperature. Transfer 0.3 mL fluid to an ARUP Standard Transport Tube and freeze. (Min:
0.1 mL)
Storage/Transport Temperature: Frozen. Specimen must remain frozen until received in lab.
Remarks: Indicate source on requisition.
Unacceptable Conditions: Whole blood. Bronchoalveolar Lavage (BAL) specimens. Turbid specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84311

2006096 Adenosine Deaminase, Pleural Fluid ADA PLEURA

Methodology: Quantitative Spectrophotometry
Patient Preparation: Collect specimens in leak-proof container.
Specimen Required: Collect: Pleural Fluid.
Specimen Preparation: Centrifuge specimen at room temperature. Transfer 0.3 mL fluid to an ARUP Standard Transport Tube and freeze. (Min:
0.1 mL)
Storage/Transport Temperature: Frozen. Specimen must remain frozen until received in lab.
Remarks: Indicate source on requisition.
Unacceptable Conditions: Whole blood. Bronchoalveolar lavage (BAL) specimens. Turbid specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84311

0083001 Adenosine Deaminase, RBC ADA

Methodology: Kinetic Spectrophotometry
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Do not freeze. Transport 1 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: Ambient: 15 days; Refrigerated: 15 days; Frozen: Unacceptable
CPT Code(s): 84311

0065066 Adenovirus 40-41 Antigens by EIA ADENO AG

Methodology: Qualitative Enzyme Immunoassay
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5 g stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using
ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 g)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Diapers. Specimens in media or preservatives.
Stability: Ambient: 2 hours; Refrigerated: 72 hours; Frozen: 1 week
CPT Code(s): 87301

0051077 Adenovirus Antibodies, IgG & IgM ADENO PAN

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent samples must be received within 30 days of the acute samples. Mark
specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Plasma. Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86603 x2

0051073 Adenovirus Antibody, IgG ADENO G

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days of the acute specimens. Mark
specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Plasma. Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Page | 7
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86603

0051078 Adenovirus Antibody, IgM ADENO M

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days of the acute specimens. Mark
specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Plasma. Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86603

2003430 Adenovirus by Immunohistochemistry ADENOV IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2002088 Adenovirus DNA, Qualitative, RT-PCR ADENO QUAL

Methodology: Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), yellow (ACD Solution A), plasma preparation tube, or serum separator tube. OR throat,
nasopharyngeal, or eye swabs.
Specimen Preparation: Separate serum or plasma from cells within two hours of collection. Transfer 0.85 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.35 mL) OR transfer swabs to 3 mL viral transport media (Microtest M4 or UTM) (ARUP supply #12884).
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Calcium alginate swabs.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 87798

2007192 Adenovirus, Quantitative PCR ADENO QNT

Methodology: Quantitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or serum separator tube
Specimen Preparation: Do not freeze whole blood specimens. Transport 1 mL whole blood, serum or plasma in a sterile container. (Min: 0.5 mL).
Storage/Transport Temperature: Refrigerated
Remarks: Specimen source required.
Unacceptable Conditions: Frozen whole blood. Heparinized specimens.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 year
CPT Code(s): 87799

0070262 Adiponectin ADIP

Methodology: Quantitative Enzyme-Linked Immunosorbent Assay
Patient Preparation: Patient should fast overnight prior to collection.
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens from non-fasting patients. Specimens not separated from the red cells. Lipemic specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 83520

0092330 Adrenal Steroid Quantitative Panel by LC-MS/MS, Serum or Plasma ADSTEROID

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Serum separator tube. Also acceptable: Plain red, lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.25 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 6 months
CPT Code(s): 82634 11-Deoxycortisol; 83498 17-Hydroxyprogesterone; 84143 17-Hydroxypregnenolone; 84140 Pregnenolone

0070010 Adrenocorticotropic Hormone ACTH

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA). Collection tube must be siliconized glass or plastic.
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL plasma to an ARUP Standard Transport
Tube and freeze immediately. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Page | 8
 Unacceptable Conditions: Serum, tissue or urine. Heparinized plasma. Grossly hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 72 hours; Frozen 3 months.
CPT Code(s): 82024

0070031 Adrenocorticotropic Hormone Stimulation, 0 Minutes CORTISOL 0

Methodology: Quantitative Chemiluminescent Immunoassay
Patient Preparation: Collect 1 timed specimen at 0 minutes.
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL) Specimen must be labeled with time drawn.
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82533

0070032 Adrenocorticotropic Hormone Stimulation, 30 Minutes CORTISOL30

Methodology: Quantitative Chemiluminescent Immunoassay
Patient Preparation: Collect 1 timed specimen at 30 minutes.
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL) Specimen must be labeled with time drawn.
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82533

0070033 Adrenocorticotropic Hormone Stimulation, 60 Minutes CORTISOL60

Methodology: Quantitative Chemiluminescent Immunoassay
Patient Preparation: Collect 1 timed specimen at 60 minutes.
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL) Specimen must be labeled with time drawn.
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82533

0060115 Aerobic Organism Identification MC ORG

Methodology: Identification
Identification methods may include biochemical, mass spectrometry, or sequencing.
Specimen Required: Collect: Actively growing organism, in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or on a swab in bacterial transport media. Place each specimen in
an individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Specimen source required. Indicate suspected pathogen.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87077 and/or 87153; CPT codes for identification vary based upon method.

0065070 Aerobic Organism Identification with Reflex to Susceptibility MC ORGIS

Methodology: Identification
Identification methods may include biochemical, mass spectrometry, or sequencing.
Specimen Required: Collect: Actively growing organism, in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or on a swab in bacterial transport media. Place each specimen in
an individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Specimen source required. Indicate suspected pathogen.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87077 and/or 87153; CPT codes for identification and susceptibility vary based on method.

2006230 Alagille Syndrome (JAG1) by Targeted Sequencing and Deletion/Duplication JAG1 FGA
Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x22 Amplification; 83894 x11 Gel separation; 83904 x22 Sequencing; 88386 Array-based evaluation of multiple
molecular probes, 251-500; 83892 x2 Digestion; 83912 Interpretation and report.

0020008 Alanine Aminotransferase, Serum or Plasma ALT

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Sodium fluoride/potassium oxalate used as an anticoagulant. Hemolyzed specimens. Specimens containing cellular
material.
Page | 9
 Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 84460

0050024 Albumin, Body Fluid ALB-BF

Methodology: Quantitative Nephelometry/Quantitative Spectrophotometry
Specimen Required: Collect: Body fluid.
Specimen Preparation: Centrifuge and separate to remove cellular material. Transfer 1 mL body fluid to an ARUP Standard Transport Tube. (Min:
0.35 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on the test request form.
Unacceptable Conditions: Contaminated or grossly hemolyzed specimens. Needle sent with specimen.
Stability: After separation from cellular material: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 82042

0050671 Albumin by Nephelometry ALB N

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube. Also acceptable: Green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard
Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year (if frozen within 24 hours)
CPT Code(s): 82040

0050200 Albumin, CSF ALB CSF

Methodology: Quantitative Nephelometry
Specimen Required: Collect: CSF.
Specimen Preparation: Centrifuge and separate to remove cellular material. Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.4
mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Grossly bloody, contaminated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year (if frozen within 24 hours) (avoid repeated freeze/thaw cycles)
CPT Code(s): 82042

0080700 Albumin, Glycated GLY ALB

Methodology: Quantitative Boronate Affinity Chromatography/Immunoturbidimetry
Specimen Required: Collect: Serum separator tube, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Frozen.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 8 days; Frozen: 3 months
CPT Code(s): 82985

0020030 Albumin, Serum or Plasma by Spectrophotometry ALB

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Serum separator tube or plasma separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 5 months; Frozen: 6 months
CPT Code(s): 82040

0091312 Albuterol, Serum or Plasma ALBUTEROL

Methodology: Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours. Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube.
(Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299

0090131 Alcohols ALCT

Methodology: Quantitative Gas Chromatography
Patient Preparation: For medical purposes only.
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA), or gray (sodium fluoride/potassium oxalate).
Specimen Preparation: Do not freeze whole blood. Separate serum from cells within two hours of collection. Transfer 2 mL serum or plasma to a
tightly-capped tube to minimize alcohol loss. (Min: 0.3 mL) Specimens collected in gray (sodium fluoride/potassium oxalate) may be transported
in the original container.
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week (if tightly capped); Refrigerated: 2 weeks (if tightly capped); Frozen: 1 month (except
whole blood)
CPT Code(s): 84600

0020012 Aldolase, Serum ALDOLASE

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Serum separator tube.

Page | 10
 Specimen Preparation: Allow specimen to clot completely at room temperature. Transfer 1 mL serum to an ARUP Standard Transport Tube.
(Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimen types other than serum. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 6 months
CPT Code(s): 82085

0070016 Aldosterone 30 Minute ALDO 30

Methodology: Quantitative Radioimmunoassay
Patient Preparation: If upright specimen is collected, patient should be seated or standing for at least 2 hours.
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Transport 1 mL serum. (Min: 0.45 mL) Also acceptable: Heparinized plasma.
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma.
Stability: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82088

0070017 Aldosterone 60 Minute ALDO 60

Methodology: Quantitative Radioimmunoassay
Patient Preparation: If upright specimen is collected, patient should be seated or standing for at least 2 hours.
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Transport 1 mL serum. (Min: 0.45 mL) Also acceptable: Heparinized plasma.
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma.
Stability: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82088

2002582 Aldosterone & Renin, Direct with Ratio A/DR

Methodology: Quantitative Radioimmunoassay/Quantitative Immunoradiometry
Patient Preparation: Supine: 1. Both specimens should be obtained between 8 a.m. and 10 a.m. (after at least two hours in supine position); 2.
Normal sodium diet (100-200 mEq/day) for at least three days; 3. Receiving no medications known to affect renin-aldosterone system.
Upright: 1. Both specimens should be obtained before noon (after at least two hours in upright position; seated or standing). 2. Normal sodium
diet (100-200 mEq/day) for at least three days. 3. Receiving no medications known to affect renin-aldosterone system.
Contact Medical Director if more information is needed.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin) AND lavender (EDTA) or pink (K2EDTA). Do not collect in refrigerated
tubes.
Specimen Preparation: Separate from cells ASAP. Transfer 1 mL serum or heparinized plasma AND 2 mL EDTA plasma to individual ARUP
Standard Transport Tubes and freeze immediately. (Min: 0.5 mL serum or heparinized plasma AND 1 mL EDTA plasma)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when additional tests are ordered.
Unacceptable Conditions: Refrigerated plasma. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82088 Aldosterone; 84244 Renin, Direct

0070073 Aldosterone/Renin Activity Ratio A/RA

Methodology: Quantitative Radioimmunoassay
Patient Preparation: Supine: 1. Both specimens should be obtained between 8 a.m. and 10 a.m. (after at least two hours in supine position); 2.
Normal sodium diet (100-200 mEq/day) for at least three days; 3. Receiving no medications known to affect renin-aldosterone system.
Upright: 1. Both specimens should be obtained before noon (after at least two hours in upright position, seated or standing); 2. Normal sodium
diet (100-200 mEq/day) for at least three days; 3. Receiving no medications known to affect renin-aldosterone system.
Contact Medical Director if more information is needed.
Specimen Required: Collect: From either a supine or upright patient, serum separator tube or green (sodium or lithium heparin) AND lavender (EDTA) or pink
(K2EDTA). Do not collect in refrigerated tubes.
Specimen Preparation: Separate from cells ASAP. Transfer 1 mL serum or heparinized plasma AND 2 mL EDTA plasma to individual ARUP
Standard Transport Tubes and freeze immediately. (Min: 0.5 mL serum or heparinized plasma AND 1.2 mL EDTA plasma)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when additional tests are ordered.
Unacceptable Conditions: Refrigerated plasma. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82088 Aldosterone, 84244 Renin activity

0070015 Aldosterone, Serum ALDOST

Methodology: Quantitative Radioimmunoassay
Patient Preparation: If upright specimen is collected, patient should be seated or standing for at least 2 hours.
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Also acceptable: Heparinized plasma.
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82088

Page | 11
 0070480 Aldosterone, Urine ALDO U
Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: 24-hour urine. Urine must be refrigerated during collection.
Specimen Preparation: Add 1 g boric acid per 100 mL urine. Transfer 4 mL aliquot of urine from a 24-hour collection to an ARUP Standard
Transport Tube. (Min: 0.5 mL) Record total volume and collection time interval on transport tube and test request form. Also acceptable:
Preserved urine if the pH of the specimen is adjusted to 2-4 with 6M HCl or 50 percent acetic acid or unpreserved urine if frozen immediately
after collection.
Storage/Transport Temperature: Frozen. Also acceptable: Refrigerated, if preserved with HCl or acetic acid.
Stability: Ambient: 2 hours; Refrigerated (with preservative): 1 week; Frozen: 1 month
CPT Code(s): 82088

2006102 ALK Gene Rearrangements in NSCLC for Crizotinib Eligibility by FISH ALK GENE
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tumor tissue. Transport tissue block or 4 unstained,
consecutively cut, 5-micron thick sections, mounted on positively charged glass slides. (Min: 4 slides) Protect paraffin block and/or slides from
excessive heat.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Remarks: Include surgical pathology report with reason for referral. The laboratory will not reject specimens that arrive without a pathology report
but will hold the specimen until this information is received.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88271 x2 DNA probe each, 88274 Interphase in situ hybridization 25-99 each; 88291 Interpretation and report

2005736 Alkaline Phosphatase Isoenzymes, CSF CSF ALKP I

Methodology: Quantitative Heat Inactivation/Enzymatic
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 2 mL CSF to an ARUP Standard Transport Tube and refrigerate or freeze ASAP or within 2 hours. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated or frozen.
Unacceptable Conditions: Specimens collected in EDTA, potassium oxalate, or sodium fluoride. Grossly hemolyzed or lipemic specimens
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84075 ALKP total; 84080 ALKP isoenzymes

0021020 Alkaline Phosphatase Isoenzymes, Serum or Plasma ALKP-ISO

Methodology: Quantitative Heat Inactivation/Enzymatic
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin).
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2
hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube and refrigerate or freeze immediately. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in EDTA, sodium fluoride, or potassium oxalate. Grossly hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 1 hour; Refrigerated: 1 week (total activity will increase 2 percent per day); Frozen: 1 year
CPT Code(s): 84075 ALKP total; 84080 ALKP isoenzymes

0020005 Alkaline Phosphatase, Serum or Plasma ALKP

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in EDTA or sodium fluoride/potassium oxalate. Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 84075

0055421 Allergen, Drugs, Amoxicillin AMOXICIL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055422 Allergen, Drugs, Ampicillin AMPICIL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099628 Allergen, Drugs, Penicillin G (major) PENICIL G

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Page | 12
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099629 Allergen, Drugs, Penicillin V (minor) PENICIL V

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099635 Allergen, Epidermals and Animal Proteins, Australian Parrot Droppings IgE PARROT DRP
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099714 Allergen, Epidermals & Animal Proteins, Budgerigar Droppings (Parakeet) PARA DROP
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055006 Allergen, Epidermals & Animal Proteins, Cat Dander CATEPI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055378 Allergen, Epidermals & Animal Proteins, Chicken Feathers CHICKFEATH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055044 Allergen, Epidermals & Animal Proteins, Cow Hair & Dander COW H/D
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099568 Allergen, Epidermals & Animal Proteins, Dog Dander DOG DANDER
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Page | 13
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2003300 Allergen, Epidermals and Animal Proteins, Duck Feathers IgE DUCKFEATH
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube.Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055037 Allergen, Epidermals and Animal Proteins, Feather Mix FEATHER

Methodology: Qualitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055188 Allergen, Epidermals and Animal Proteins, Goat Epithelium IgE GOAT EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055177 Allergen, Epidermals & Animal Proteins, Goose Feathers GOOSE FEAT
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055190 Allergen, Epidermals and Animal Proteins, Guinea Pig Epithelium IgE G PIG EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055189 Allergen, Epidermals & Animal Proteins, Hamster Epithelium HAMPST EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055059 Allergen, Epidermals & Animal Proteins, Horse Hair & Dander HORSE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Page | 14
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055191 Allergen, Epidermals & Animal Proteins, Mouse Epithelium MOUSE EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055192 Allergen, Epidermals and Animal Proteins, Mouse Urine IgE MOUSE U
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055193 Allergen, Epidermals & Animal Proteins, Parakeet Feathers (Budgerigar) PARAK FTHR
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055195 Allergen, Epidermals and Animal Proteins, Pig (Swine) Epithelium IgE PIG EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055196 Allergen, Epidermals and Animal Proteins, Pigeon Stools IgE PIGEON STL
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099544 Allergen, Epidermals & Animal Proteins, Rabbit Epithelium RABBIT EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 15
 0055197 Allergen, Epidermals and Animal Proteins, Rat Epithelium IgE RAT EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055198 Allergen, Epidermals and Animal Proteins, Rat Urine IgE RAT URINE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055199 Allergen, Epidermals & Animal Proteins, Sheep Epithelium/Wool SHEEP EPI
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099577 Allergen, Food, Almond ALMOND

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0090284 Allergen, Food, Almond IgG ALMOND IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0099543 Allergen, Food, Alpha-Lactalbumin ALPHA-LACT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093498 Allergen, Food, Anchovy IgE ANCHOVY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099632 Allergen, Food, Apple APPLE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Page | 16
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055423 Allergen, Food, Apricot APRICOT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2007179 Allergen, Food, Artichoke IgE ARTI IGE

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098873 Allergen, Food, Asparagus IgE ASPARAGUS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099695 Allergen, Food, Avocado AVOCADO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055079 Allergen, Food, Baker's Yeast/Brewer's Yeast BAKE YEAST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097706 Allergen, Food, Baker's Yeast IgG YEAST IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0099634 Allergen, Food, Banana BANANA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Page | 17
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0090286 Allergen, Food, Banana IgG BANANA IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055056 Allergen, Food, Barley BARLEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097707 Allergen, Food, Barley IgG BARLEY IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0093496 Allergen, Food, Basil IgE BASIL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099692 Allergen, Food, Bass Black IgE BASS

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0093494 Allergen, Food, Bay Leaf IgE BAY LEAF

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055096 Allergen, Food, Beef BEEF

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 18
 0097708 Allergen, Food, Beef IgG BEEF IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2006689 Allergen, Food, Beet Root IgE BEET ROOT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055074 Allergen, Food, Beta-Lactoglobulin BETA-LACT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055214 Allergen, Food, Black Olive IgG OLIVE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86001

0055424 Allergen, Food, Black Pepper BK PEPPER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055425 Allergen, Food, Blue Mussel MUSSEL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055426 Allergen, Food, Blueberry BLUEBERRY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099574 Allergen, Food, Brazil Nut BRAZIL NUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Page | 19
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098531 Allergen, Food, Broccoli BROCCOLI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0092597 Allergen, Food, Buckwheat IgE (Fagopyrum esculentum) BUCKWH IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum to an ARUP Standard Transport
Tube.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055094 Allergen, Food, Cabbage CABBAGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2001903 Allergen, Food, Caraway Seed IgE CARAWAY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2001905 Allergen, Food, Cardamom Seed IgE CARD SEED

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2001907 Allergen, Food, Carob Gum/Locust Bean IgE CAROB GUM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055005 Allergen, Food, Carrot CARROT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003
Page | 20
 0055081 Allergen, Food, Casein CASEIN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097653 Allergen, Food, Casein (Cow's Milk) IgG CASEIN IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0099573 Allergen, Food, Cashew CASHEW

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097629 Allergen, Food, Catfish IgE CATFISH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099054 Allergen, Food, Celery CELERY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099583 Allergen, Food, Cheese, Cheddar CHEDDAR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099593 Allergen, Food, Cheese Mold CHEESEMOLD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 21
 0099466 Allergen, Food, Cherry IgE CHERRY
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055254 Allergen, Food, Chestnut CHESTNU

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055008 Allergen, Food, Chicken CHICK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097656 Allergen, Food, Chicken IgG CHICK IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055200 Allergen, Food, Chickpea (Garbanzo Bean) CHICKPEA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099642 Allergen, Food, Chocolate CHOCOLATE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097657 Allergen, Food, Chocolate IgG CHOCO IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0098876 Allergen, Food, Cinnamon CINNAMON

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 22
 Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099488 Allergen, Food, Clam CLAM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098875 Allergen, Food, Clove IgE CLOVE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099473 Allergen, Food, Coconut COCONUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055036 Allergen, Food, Codfish IgE COD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099757 Allergen, Food, Coffee COFFEE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097302 Allergen, Food, Coffee IgG COFFEE IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055078 Allergen, Food, Corn CORN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Page | 23
 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097658 Allergen, Food, Corn IgG CORN IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055011 Allergen, Food, Crab CRAB

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098874 Allergen, Food, Cranberry IgE CRANBERRY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0097637 Allergen, Food, Crayfish IgE CRAY IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098868 Allergen, Food, Cucumber IgE CUCUMBER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2001909 Allergen, Food, Currant Red, IgE CURRANT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Separate serum from cells within 10 minutes. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5
mL/allergen)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0093492 Allergen, Food, Dill IgE DILL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 24
 0097639 Allergen, Food, Eel IgE EEL IGE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055013 Allergen, Food, Egg White EGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097659 Allergen, Food, Egg White IgG EGG IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055381 Allergen, Food, Egg Whole EGGWHOLE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055212 Allergen, Food, Egg Yolk EGG YOLK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097315 Allergen, Food, Egg Yolk IgG EGGYOLKIGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055432 Allergen, Food, Eggplant EGGPLANT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093490 Allergen, Food, Fennel, Fresh IgE FENNEL FR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Page | 25
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2003298 Allergen, Food, Flaxseed/Linseed IgE FLAX

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099739 Allergen, Food, Flounder (Plaice) FLOUNDER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099479 Allergen, Food, Garlic GARLIC

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0090287 Allergen, Food, Garlic IgG GARLIC IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2001911 Allergen, Food, Gelatin Bovine IgE GEL BOVINE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2001913 Allergen, Food, Gelatin Porcine IgE GEL PORC

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098865 Allergen, Food, Ginger IgE GINGER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099569 Allergen, Food, Gluten GLUTEN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 26
 Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0090289 Allergen, Food, Gluten IgG GLUTEN IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055015 Allergen, Food, Grape GRAPE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099641 Allergen, Food, Grapefruit GRAPEFRUIT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099649 Allergen, Food, Green Bean (String) STRINGBEAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2001917 Allergen, Food, Gum Guar IgE GUM GUAR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098864 Allergen, Food, Haddock IgE HADDOCK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098516 Allergen, Food, Halibut HALIBUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Page | 27
 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098617 Allergen, Food, Hazelnut (Filbert) HAZELNUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097631 Allergen, Food, Herring IgE HERRIN IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055435 Allergen, Food, Honeydew Melon/Cantaloupe HONEY DEW

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055436 Allergen, Food, Hops HOPS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055440 Allergen, Food, Kidney Bean KIDNEYBEAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055203 Allergen, Food, Kiwi KIWI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099631 Allergen, Food, Lamb LAMB

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Page | 28
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098270 Allergen, Food, Lemon LEMON

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099659 Allergen, Food, Lentil LENTIL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055019 Allergen, Food, Lettuce LETTUCE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097651 Allergen, Food, Lettuce IgG LETT IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0099766 Allergen, Food, Lima Bean/White Bean LIMA BEAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098271 Allergen, Food, Lime LIME

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 29
 0099062 Allergen, Food, Lobster LOBSTER
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093246 Allergen, Food, Macadamia Nut IgE MACADA NUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098474 Allergen, Food, Mackerel MACKEREL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099744 Allergen, Food, Malt MALT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097652 Allergen, Food, Malt IgG MALT IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055204 Allergen, Food, Mango MANGO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055020 Allergen, Food, Milk (Cow's) MILK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 30
 0099770 Allergen, Food, Mushroom MUSHROOM
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097299 Allergen, Food, Mushroom IgG MUSH IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055443 Allergen, Food, Mustard MUSTARD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055022 Allergen, Food, Navy Bean NAVY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093502 Allergen, Food, Nutmeg IgE NUTMEG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055040 Allergen, Food, Oat OAT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097654 Allergen, Food, Oat IgG OAT IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2001919 Allergen, Food, Octopus IgE OCTOPUS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Page | 31
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099474 Allergen, Food, Onion ONION

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097306 Allergen, Food, Onion IgG ONION IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055023 Allergen, Food, Orange ORANGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097647 Allergen, Food, Orange IgG ORANGE IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0093500 Allergen, Food, Oregano IgE OREGANO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098862 Allergen, Food, Orris Root IgE ORRIS

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

Page | 32
 2006436 Allergen, Food, Ovalbumin IgE OVALBUMIN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2006434 Allergen, Food, Ovomucoid IgE OVOMUCOID

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Remarks: N/A
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099638 Allergen, Food, Oyster OYSTER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055250 Allergen, Food, Papaya PAPAYA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099492 Allergen, Food, Parsley PARSLEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099895 Allergen, Food, Pea PEA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099582 Allergen, Food, Peach PEACH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003
Page | 33
 0055024 Allergen, Food, Peanut PEANUT
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2007211 Allergen, Food, Peanut Components (uKnow®) IgE PEANUT COM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided
Specimen Required: Collect: Serum separator tube (SST). Multiple specimen tubes should be avoided
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.4 mL serum to an ARUP Standard Transport
Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x7

0097648 Allergen, Food, Peanut IgG PEANUT IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055207 Allergen, Food, Pear PEAR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099572 Allergen, Food, Pecan PECAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055002 Allergen, Food, Pepper C. annuum IgE BELL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055428 Allergen, Food, Pepper C. frutescens IgE CHILI PEP

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 34
 0099687 Allergen, Food, Perch IgE PERCH
Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055445 Allergen, Food, Pine (Pinon) Nut PINON NUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099477 Allergen, Food, Pineapple PINEAPPLE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055447 Allergen, Food, Pistachio PISTACHIO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055448 Allergen, Food, Plum PLUM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098858 Allergen, Food, Poppy Seed IgE POPPY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099780 Allergen, Food, Pork PORK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097649 Allergen, Food, Pork IgG PORK IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 35
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055051 Allergen, Food, Potato POTATO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097641 Allergen, Food, Potato (White) IgG POTATO IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86001

2001921 Allergen, Food, Pumpkin Seed IgE PUMPKIN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099493 Allergen, Food, Raspberry IgE RASPBERRY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2001923 Allergen, Food, Red Dye/Carmine (Red 4) IgE RED DYE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0097628 Allergen, Food, Red Snapper IgE RED SNAP

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055054 Allergen, Food, Rice RICE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 36
 0097323 Allergen, Food, Rice IgG RICE IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2001925 Allergen, Food, Rosemary IgE ROSEMARY

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055026 Allergen, Food, Rye RYE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097642 Allergen, Food, Rye IgG RYE IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86001

0093514 Allergen, Food, Sage IgE SAGE IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099680 Allergen, Food, Salmon SALMON

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097638 Allergen, Food, Sardine IgE SARDIN IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099495 Allergen, Food, Scallop SCALLOP

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Page | 37
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099698 Allergen, Food, Sesame Seed SESAME

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055030 Allergen, Food, Shrimp SHRIMP

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093512 Allergen, Food, Sole IgE SOLE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055031 Allergen, Food, Soybean SOY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097643 Allergen, Food, Soybean IgG SOY IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum at to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055208 Allergen, Food, Spinach SPINACH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097632 Allergen, Food, Squid IgE SQUID IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 38
 0099639 Allergen, Food, Strawberry STRAWBERRY
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098645 Allergen, Food, Sugar Beet IgE SUGARBEET

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099736 Allergen, Food, Sugar Cane IgE SUGARCANE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0097911 Allergen, Food, Sugar Cane IgG4 SUGAR IGG4

Methodology: Quantitative Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 2 months
CPT Code(s): 86001

0099122 Allergen, Food, Summer Squash IgE SQUASH SUM

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099496 Allergen, Food, Sunflower Seed IgE SUNFL SEED

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097326 Allergen, Food, Sweet Potato IgE SWTPOTATO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097633 Allergen, Food, Swordfish IgE SWORD IGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

Page | 39
 0055451 Allergen, Food, Tea TEA
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093510 Allergen, Food, Thyme IgE THYME

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2003296 Allergen, Food, Tilapia IgE TILAPIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055033 Allergen, Food, Tomato TOMATO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099727 Allergen, Food, Trout TROUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055062 Allergen, Food, Tuna TUNA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099627 Allergen, Food, Turkey TURKEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055452 Allergen, Food, Vanilla VANILLA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.

Page | 40
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055209 Allergen, Food, Walnut (Juglans spp.) IgE WALNUT ENG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055157 Allergen, Food, Watermelon WATERME

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055034 Allergen, Food, Wheat WHEAT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097636 Allergen, Food, Wheat IgG WHEAT IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055453 Allergen, Food, Whey WHEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0090291 Allergen, Food, Whey IgG WHEY IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

Page | 41
 0097634 Allergen, Food, Whitefish IgE WFISH
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0097325 Allergen, Food, Yam IgE YAM

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099134 Allergen, Food, Zucchini IgE ZUCCHINI

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0050147 Allergen, Fungi & Molds, Trichophyton mentagrophytes, Interdigitale Variant TRICOPHYT
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055001 Allergen, Fungi & Molds, Alternaria alternata (tenuis) ALTER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097773 Allergen, Fungi and Molds, Alternaria tenuis IgG ALTER IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86001

0055061 Allergen, Fungi & Molds, Aspergillus fumigatus ASP RAST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0092598 Allergen, Fungi and Molds, Aspergillus niger IgE ASPNIG IGE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Page | 42
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055383 Allergen, Fungi & Molds, Aureobasidium pullulans AUREOBASID

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097305 Allergen, Fungi and Molds, Aureobasidium pullulans IgG AUREO IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2004670 Allergen, Fungi and Molds, Botrytis cinerea IgE BOTRYTIS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube. Multiple specimen draws should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055004 Allergen, Fungi & Molds, Candida albicans CAN RAST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097304 Allergen, Fungi and Molds, Candida albicans IgG CANDIDAIGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0098522 Allergen, Fungi & Molds, Cephalosporium CEPHALOSPO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097314 Allergen, Fungi and Molds, Cladosporium IgG CLADO IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055377 Allergen, Fungi & Molds, Curvularia lunata CURVULARIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 43
 Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099599 Allergen, Fungi & Molds, Epicoccum EPICOCCUM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055376 Allergen, Fungi & Molds, Fusarium moniliforme FUSARIUMMO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093454 Allergen, Fungi and Molds, Fusarium proliferatum/moniliforme IgG FUS M IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001-90

0099541 Allergen, Fungi & Molds, Helminthosporium HELMIN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097313 Allergen, Fungi and Molds, Helminthosporium halodes/Setomelanomma rostrata IgG HELMINIGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055038 Allergen, Fungi & Molds, Hormodendrum (Cladosporium) HORMO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055442 Allergen, Fungi & Molds, Mucor racemosus MUCOR RAC

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.

Page | 44
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097316 Allergen, Fungi and Molds, Mucor racemosus IgG MUCOR IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0097310 Allergen, Fungi and Molds, Penicillium chrysogenum/notatum IgG PENI N IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055080 Allergen, Fungi & Molds, Penicillium notatum PENICIL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055390 Allergen, Fungi & Molds, Phoma betae PHOMA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097309 Allergen, Fungi and Molds, Phoma betae IgG PHOMAB IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

2006438 Allergen, Fungi and Molds, Pityrosporum orbiculare/Malassezia IgE MALASSEZIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099555 Allergen, Fungi & Molds, Rhizopus nigricans RHIZOPUS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Page | 45
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097307 Allergen, Fungi and Molds, Rhizopus nigricans IgG RHIZO IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0092590 Allergen, Fungi and Molds, Staphylococcal Enterotoxin A IgE STAPHA IGE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0092588 Allergen, Fungi and Molds, Staphylococcal Enterotoxin B IgE STAPHB IGE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050357 Allergen, Fungi & Molds, Stemphylium botryosum STEMPHYLIU

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen tested

0099551 Allergen, Fungi and Molds, Stemphylium solani IgE STEMPH

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0090393 Allergen, Fungi and Molds, Trichophyton rubrum IgG TRICHO IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86671

0099901 Allergen, Grass, Alfalfa IgE ALFALFA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055151 Allergen, Grass, Bahia BAHIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Page | 46
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098644 Allergen, Grass, Barley Pollen, Cultivated IgE BARLEY POL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055057 Allergen, Grass, Bent Grass/Redtop Grass BENT GRASS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055070 Allergen, Grass, Bermuda BERMUDA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099774 Allergen, Grass, Brome Grass BROMEGRASS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050536 Allergen, Grass, Canary Grass CANARY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098641 Allergen, Grass, Cultivated Corn Pollen CORN POL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050533 Allergen, Grass, Cultivated Oat Pollen CUL OAT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Page | 47
 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098642 Allergen, Grass, Cultivated Wheat Pollen WHEAT POL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055047 Allergen, Grass, Johnson Grass JOHN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055017 Allergen, Grass, June Grass/Kentucky Bluegrass JUNE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055053 Allergen, Grass, Meadow Fescue MEADOW

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055052 Allergen, Grass, Orchard Grass/Cocksfoot ORCHARD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055028 Allergen, Grass, Perennial Rye Grass RYEGRASS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 48
 0055184 Allergen, Grass, Reed Pollen, Common IgE REED POL
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098470 Allergen, Grass, Salt Grass IgE SALT GRASS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099667 Allergen, Grass, Sweet Vernal Grass VERNAL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055032 Allergen, Grass, Timothy Grass TIM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055091 Allergen, House Dust Greer HOUSEGREER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055092 Allergen, House Dust Stier HOUSESTIER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055210 Allergen, Insect, Mosquito, IgE MOSQUITO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050151 Allergen, Insects & Venom, Cockroach, American COCKROAAM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 49
 Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055088 Allergen, Insects & Venom, Cockroach, German COCKROACH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098272 Allergen, Insects & Venom, Fire Ant, Imported FIRE ANT
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055039 Allergen, Insects and Venom, Honey Bee IgE HONEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055400 Allergen, Insects and Venom, Honey Bee IgG HON B IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055048 Allergen, Insects & Venom, Paper Wasp WASP PAPER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055415 Allergen, Insects and Venom, Paper Wasp IgG PAP-W IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055405 Allergen, Insects and Venom, White-Faced Hornet IgG WH F IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Page | 50
 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055046 Allergen, Insects & Venom, White-Faced Hornet HORNET WF

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055420 Allergen, Insects and Venom, Yellow Hornet IgG YE F IGG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055410 Allergen, Insects and Venom, Yellow Jacket IgG YEL J IGG
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001

0055139 Allergen, Insects & Venom, Yellow Jacket Venom YELLOW J

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055065 Allergen, Insects & Venom, Yellow-Faced Hornet HORNET YF

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0092580 Allergen, Latex Specific IgE Panel by RIA LATEX RIA

Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min 1 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Stability: After separation from cells: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003 x3

0055009 Allergen, Mites, Acarus siro IgE A SIRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 51
 2006019 Allergen, Mites, B. tropicalis BTROPIC
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each
additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL/additional allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; frozen: 1 year
CPT Code(s): 86003

0055064 Allergen, Mites, D. farinae DFARI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055060 Allergen, Mites, D. microceras IgE D MICROCER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055063 Allergen, Mites, D. pteronyssinus DPTER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055087 Allergen, Mites, Euroglyphus maynei IgE E MAYNEI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055095 Allergen, Mites, Glycyphagus domesticus IgE G DOMESTIC

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050143 Allergen, Mites, Lepidoglyphus destructor LEPIDOGLY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055183 Allergen, Mites, Tyrophagus putrescentiae IgE T PUTRE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 52
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2006687 Allergen, Occupational, Cotton Seed IgE COTTONSEED

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098421 Allergen, Occupational, Ethylene Oxide IgE ETHYLENE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098423 Allergen, Occupational, Formaldehyde IgE FORMALD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2001915 Allergen, Occupational, Gum Carageenan IgE GUM CARAGE

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098418 Allergen, Occupational, Isocyanate HDI ISO HDI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098419 Allergen, Occupational, Isocyanate MDI ISO MDI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098420 Allergen, Occupational, Isocyanate TDI ISO TDI

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 53
 0099614 Allergen, Occupational, Latex LATEX
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098422 Allergen, Occupational, Phthalic Anhydride IgE ANHYD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0099548 Allergen, Occupational, Tobacco TOB

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2005894 Allergen Panel, IgE by ImmunoCap ISAC ISAC MICRO

Methodology: Semi-Quantitative ImmunoCAP® Solid-phase Allergen Chip
Specimen Required: Collect: Serum separator tube. Also acceptable: Lavender (EDTA) or green (sodium or lithium) heparin.
Specimen Preparation: Transfer 0.4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Unacceptable Conditions: Ambient specimens.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen at -20 °C: 1 month;
Frozen at -70 °C: Indefinite
CPT Code(s): 86003 x112

0055213 Allergen, Parasite, Ascaris ASCARIS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055141 Allergen, Tree, Acacia Tree ACACIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099486 Allergen, Tree, Alder Tree ALDER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055153 Allergen, Tree, American Beech Tree AMBEE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Fasting specimen preferred. Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Page | 54
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055150 Allergen, Tree, Arizona Cypress IgE ARIZ CYP

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098870 Allergen, Tree, Bayberry IgE BAYBERRY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL/additional allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055058 Allergen, Tree, Birch Tree BIRCH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0092053 Allergen, Tree, Black Locust IgE BLK LOCUST

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055003 Allergen, Tree, Box Elder/Maple Tree BOX

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097794 Allergen, Tree, California Pepper IgE PEPPERTREE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055156 Allergen, Tree, Cedar/Red Tree CEDARRED

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

Page | 55
 0055010 Allergen, Tree, Cottonwood Tree COTTON
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

2003216 Allergen, Tree, Douglas Fir IgE DOUGLAS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055042 Allergen, Tree, Elm Tree ELM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055098 Allergen, Tree, Eucalyptus Tree EUCAL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098871 Allergen, Tree, Groundsel IgE BUCCHARIS

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0093506 Allergen, Tree, Hazelnut IgE HAZEL NUT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097934 Allergen, Tree, Hickory Shagbark IgE SHAGBARK

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0098867 Allergen, Tree, Italian Cypress IgE CYPRESS IT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Page | 56
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055187 Allergen, Tree, Japanese Cedar Tree J CEDAR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098863 Allergen, Tree, Melaleuca Tree IgE MELALEUCA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055140 Allergen, Tree, Mesquite Tree MESQUITE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055007 Allergen, Tree, Mountain Cedar (Juniper) Tree CEDAR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0093504 Allergen, Tree, Mulberry Red IgE MULBERRY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0097933 Allergen, Tree, Oak Red IgE OAK RED

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055045 Allergen, Tree, Oak Tree OAK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003
Page | 57
 0055155 Allergen, Tree, Olive Tree OLIVE TREE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098861 Allergen, Tree, Palm/Queen Tree IgE PALM Q

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055145 Allergen, Tree, Pecan (White Hickory) Tree PECAN TREE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055089 Allergen, Tree, Pine/Australian Tree PINEAUS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098859 Allergen, Tree, Poplar White IgE POPLAR W

Methodology: Quantitative Conventional RAST
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

0055152 Allergen, Tree, Privet Tree PRIVET

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055380 Allergen, Tree, Sweet Gum Tree SWEETGUMTR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055090 Allergen, Tree, Sycamore Tree SYCAMORE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Page | 58
 Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055449 Allergen, Tree, Virginia Live Oak Tree VOAK

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055093 Allergen, Tree, Walnut Tree WALNUT TR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055073 Allergen, Tree, White Ash Tree ASH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099554 Allergen, Tree, White Mulberry Tree MULB

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055082 Allergen, Tree, White Pine Tree PINE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055083 Allergen, Tree, Willow Tree WILLOW

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099472 Allergen, Weed, Cocklebur COCKLEBUR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Page | 59
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055085 Allergen, Weed, Common/Short Ragweed CRAG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055086 Allergen, Weed, Dandelion DANDY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055049 Allergen, Weed, English Plantain ENGLISH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055014 Allergen, Weed, False Ragweed FRAG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055084 Allergen, Weed, Giant Ragweed GRAG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098471 Allergen, Weed, Goldenrod GOLDENROD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055018 Allergen, Weed, Kochia/Firebush KOCHIA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Page | 60
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055160 Allergen, Weed, Lamb's Quarters LAMBS QTR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0050910 Allergen, Weed, Marsh Elder MARSHELDER

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055021 Allergen, Weed, Mugwort MUGWORT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099775 Allergen, Weed, Nettle NETTLE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055025 Allergen, Weed, Pigweed PIG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055027 Allergen, Weed, Russian Thistle RUSSIAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055029 Allergen, Weed, Sagebrush/Wormwood SAGE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.

Page | 61
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099553 Allergen, Weed, Scale SCALE

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0099785 Allergen, Weed, Sheep Sorrel SHEEP SORR

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055185 Allergen, Weed, Sunflower Pollen IgE SUNFL POL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL/allergen)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 year
CPT Code(s): 86003

2006021 Allergen, Weed, Wall pellitory (P. officinalis) WALL PELL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL/additional allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0055035 Allergen, Weed, Western Ragweed WRAG

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0098433 Allergen, Weed, Yellow Dock (Rumex crispus) DOCK YEL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional
allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003

0051833 Allergens, Additional Molds Profile IgE MOLD PRO

Methodology: ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL to an ARUP Standard Transport Tube.
(Min: 0.45 mL)
Storage/Transport Temperature: Refrigerated.
Page | 62
 Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x5 IgE specific allergens

0055122 Allergens, Animal, Dog/Cat Epithelium Profile EPI PAN 2

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.35 mL serum to an ARUP Standard Transport
Tube. (Min: 0.28 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055120 Allergens, Animal Epithelium/Dander/Feather Mix Profile EPI PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055170 Allergens, Dust/Mite Profile DUSTPRO 4

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.55 mL serum to an ARUP Standard Transport
Tube. (Min: 0.36 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055350 Allergens, Food, Cereal Profile CEREAL

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0050486 Allergens, Food, Common Adult Food FOOD ADULT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.25 mL serum to an ARUP Standard Transport
Tube. (Min: 1.04 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen; 82785 IgE

2007215 Allergens, Food, Common Panel IgG G FOOD COM

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001 x18

Page | 63
 0055100 Allergens, Food, Comprehensive Profile 1 FOOD PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.75 mL serum to an ARUP Standard Transport
Tube. (Min: 1.24 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

2007213 Allergens, Food, Extended Panel IgG G FOOD PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001 x19

2007036 Allergens, Food, Fish Profile IgE FISH GROUP

Methodology: ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube (SST). Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transport 0.8 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient 2 days; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x6 IgE-specific allergens

2007216 Allergens, Food, IgG Panel IGG FOOD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001 x11

2007214 Allergens, Food, Meat Panel IgG IGG MEATS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL/allergen)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86001 x3

0055345 Allergens, Food, Nut Mix Profile NUT MIX

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0051831 Allergens, Food, Nuts MIXEDNUTS

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.52 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055142 Allergens, Food, Profile 4 ALL PRO B

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Page | 64
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.55 mL serum to an ARUP Standard Transport
Tube. (Min: 0.36 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055133 Allergens, Food, Profile 8 FOOD 8

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.52 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055104 Allergens, Food, Profile 9 FOOD PAN 9

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.05 mL serum to an ARUP Standard Transport
Tube. (Min: 0.56 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055174 Allergens, Food, Profile 10 FOODPRO 10

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055301 Allergens, Food, Profile 13 FOOD 13

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.72 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055172 Allergens, Food, Profile 19 FOODPRO 19

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.05 mL serum to an ARUP Standard Transport
Tube. (Min: 0.96 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055340 Allergens, Food, Salad Profile SALAD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055335 Allergens, Food, Seafood Profile SEAFOOD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Page | 65
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0051835 Allergens, Food, Shell Fish Profile SHELLFISH

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.85 mL serum to an ARUP Standard Transport
Tube. (Min: 0.48 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055384 Allergens, Food, Southeast Profile GAFOODPROF

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.25 mL serum to an ARUP Standard Transport
Tube. (Min: 1.04 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055370 Allergens, Food, Southwest Basic Profile SWFOOD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.25 mL serum to an ARUP Standard Transport
Tube. (Min: 0.64 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055330 Allergens, Food, Vegetable Profile VEG PRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055218 Allergens, Food, West Kentucky Group WKTFOOD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.15 mL serum to an ARUP Standard Transport
Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x10 IgE-specific allergens; 82785 IgE, Total Quantitative

2002124 Allergens, Foods, Common 10 COMMONFOOD

Methodology: ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.7 mL to an ARUP Standard Transport Tube.
(Min: 0.8 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x10

0055130 Allergens, Grass Profile GRASS PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.

Page | 66
 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.52 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055105 Allergens, Hymenoptera, Bee Venom Profile BEE PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055368 Allergens, Inhalant Multiallergen IgE, Qualitative INHALALL

Methodology: Qualitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 6 months
CPT Code(s): 83516

0055309 Allergens, Inhalants, California Environmental CA ENV PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055306 Allergens, Inhalants, California Pollen CA POL PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055312 Allergens, Inhalants, Comprehensive Profile AZ TOT PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.85 mL serum to an ARUP Standard Transport
Tube. (Min: 1.68 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen; 82785 IgE, Total Quantitative

0055231 Allergens, Inhalants, Comprehensive Profile 2 REGRAST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.75 mL serum to an ARUP Standard Transport
Tube. (Min: 0.84 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055305 Allergens, Inhalants, Environmental Profile 10 ENVIRO 10

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Page | 67
 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055114 Allergens, Inhalants/Foods, Comprehensive Profile 1 COMP PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.05 mL serum to an ARUP Standard Transport
Tube. (Min: 1.36 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055099 Allergens, Inhalants/Foods, Comprehensive Profile 2 COMP 29

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.05 mL serum to an ARUP Standard Transport
Tube. (Min: 1.36 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055307 Allergens, Inhalants/Foods, Environmental Profile FOOD ENV

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.85 mL serum to an ARUP Standard Transport
Tube. (Min: 0.88 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055131 Allergens, Inhalants/Foods, Pacific Northwest Profile PACIFIC NW

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.85 mL serum to an ARUP Standard Transport
Tube. (Min: 0.88 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055126 Allergens, Inhalants/Foods, Profile A ALL PRO A

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.72 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055240 Allergens, Inhalants/Foods, Southeast Profile SE PRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.35 mL serum to an ARUP Standard Transport
Tube. (Min: 1.08 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055129 Allergens, Inhalants/Foods, Western Allergy Profile WEST PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.55 mL serum to an ARUP Standard Transport
Tube. (Min: 1.16 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Page | 68
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0050493 Allergens, Inhalants, Hawaii Perennial Panel PER PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.92 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen tested

0051830 Allergens, Inhalants, Indoor INDOOR

Methodology: ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.85 mL to an ARUP Standard Transport Tube.
(Min: 0.48 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x7 IgE specific allergens

0055138 Allergens, Inhalants, Midwest Comprehensive 1 MIDWEST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.25 mL serum to an ARUP Standard Transport
Tube. (Min: 1.04 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055171 Allergens, Inhalants, Midwest Comprehensive 2 MWPRO 19

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.05 mL serum to an ARUP Standard Transport
Tube. (Min: 0.96 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055116 Allergens, Inhalants, Northeast Comprehensive NORTHEAST

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.8 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055113 Allergens, Inhalants Panel 11 IgE INHALE 11

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.15 mL to an ARUP Standard Transport Tube.
(Min: 1.00 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric or lipemic samples.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x10 IgE specific allergens; 82785 Total IgE

Page | 69
 0055175 Allergens, Inhalants, Profile 13 IgE COMPPRO 13
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.72 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x12

0055178 Allergens, Inhalants, Profile 18 IgE COMPPRO 18

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.92 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x17

2002123 Allergens, Inhalants, Profile 28 IgE INHALE 28

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.14 mL to an ARUP Standard Transport Tube.
(Min: 1.6 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x28

0055149 Allergens, Inhalants, Southeast Coastal Comprehensive SECOASTPAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.35 mL serum to an ARUP Standard Transport
Tube. (Min: 1.08 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055111 Allergens, Inhalants, Southern California Profile SO CAL PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055043 Allergens, Inhalants, Southwest Basic SW PRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.05 mL serum to an ARUP Standard Transport
Tube. (Min: 0.56 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055360 Allergens, Inhalants, Southwest Comprehensive 1 SWADULT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.15 mL serum to an ARUP Standard Transport
Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

Page | 70
 0055367 Allergens, Inhalants, Southwest Comprehensive 2 SWINHALE
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.55 mL serum to an ARUP Standard Transport
Tube. (Min: 1.16 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055375 Allergens, Inhalants, Southwest Extended Profile SWEXT

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3.25 mL serum to an ARUP Standard Transport
Tube. (Min: 1.44 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055230 Allergens, Inhalants, Southwest Valley Profile SW VALLEY

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055395 Allergens, Isocyanate Panel ISOCYANPAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.32 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055245 Allergens, Latex/Cross-Reactive Food Panel LATEX FOOD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.15 mL serum to an ARUP Standard Transport
Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen tested; 82785 IgE

0055125 Allergens, Mold Profile MOLD PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055387 Allergens, Mold Profile, Southeast Comprehensive SEMOLDPRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.15 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

Page | 71
 0050529 Allergens, Pediatric Allergy, March (Progression) Profile PED MARCH
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2.35 mL serum to an ARUP Standard Transport
Tube. (Min: 1.08 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen; 82785 IgE

0055300 Allergens, Pediatric Foods/Inhalants Profile PED PAN 2

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.25 mL serum to an ARUP Standard Transport
Tube. (Min: 0.64 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055121 Allergens, Pediatric Foods Profile 1 PED PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055365 Allergens, Pediatric Inhalants, Southwest SWPED

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.25 mL serum to an ARUP Standard Transport
Tube. (Min: 0.64 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0050152 Allergens, Pediatric Profile IgE M PED PRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.65 mL to an ARUP Standard Transport Tube.
(Min: 0.80 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Hemolyzed, icteric or lipemic samples.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x15 IgE specific allergens

2005717 Allergens, Respiratory Panel, Region 1, North Atlantic (CT, MA, NJ, PA, VT, ME, NH, NY, RI) REG1 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x29 IgE specific allergens; 82785 Total IgE

2006038 Allergens, Respiratory Panel, Region 10, Southwestern Grasslands (OK, TX) REG10 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x 29 IgE specific allergens; 82785 Total IgE

Page | 72
 2006039 Allergens, Respiratory Panel, Region 11, Rocky Mountain (AZ, ID, NM, WY CO, MT, UT) REG11 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Remarks: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x28 IgE specific allergens; 82785 Total IgE

2006040 Allergens, Respiratory Panel, Region 12, Arid Southwest (S. AZ, S.E. CA) REG12 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE

2006041 Allergens, Respiratory Panel, Region 13, Southern Coastal (CA) REG13 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x28 IgE specific allergens; 82785 Total IgE

2006042 Allergens, Respiratory Panel, Region 14, Central California (CA) REG14 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x27 IgE specific allergens; 82785 Total IgE

2006043 Allergens, Respiratory Panel, Region 15, Intermountain West (NV, S. ID) REG15 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE

2006044 Allergens, Respiratory Panel, Region 16, Inland Northwest (OR, Central and East WA) REG16 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x25 IgE specific allergens; 82785 Total IgE

2006045 Allergens, Respiratory Panel, Region 17, Pacific Northwest (NW CA, W. OR, WA) REG17 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x 27 IgE specific allergens; 82785 Total IgE

Page | 73
 2006046 Allergens, Respiratory Panel, Region 18, Alaska REG18 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 3 mL serum to an ARUP Standard Transport
Tube. (Min: 1.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x19 IgE specific allergens; 82785 Total IgE

2006047 Allergens, Respiratory Panel, Region 19, Puerto Rico REG19 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x25 IgE specific allergens; 82785 Total IgE

2005718 Allergens, Respiratory Panel, Region 2, Mid-Atlantic (DE, MD, VA, DC, NC) REG2 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x27 IgE specific allergens; 82785 Total IgE

2006048 Allergens, Respiratory Panel, Region 20, Hawaii REG20 PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x27 IgE specific allergens; 82785 Total IgE

2006025 Allergens, Respiratory Panel, Region 3, South Atlantic (GA, SC, N. FL) REG3 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE

2006026 Allergens, Respiratory Panel, Region 4, Subtropic Florida (S. of Orlando) REG4 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE
86003 x26 IgE specific allergens; 82785 Total IgE
86003 x26 IgE specific allergens; 82785 Total IgE
86003 x26 IgE specific allergens; 82785 Total IgE

2006031 Allergens, Respiratory Panel, Region 5, Ohio Valley (IN, OH, TN, WV, KY) REG5 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Page | 74
 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x30 IgE specific allergens; 82785 Total IgE

2006032 Allergens, Respiratory Panel, Region 6, South Central (AL, AR, LA, MS) REG6 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE

2006033 Allergens, Respiratory Panel, Region 7, Northern Midwest (MI, WI, MN) REG7 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x27 IgE specific allergens; 82785 Total IgE

2006034 Allergens, Respiratory Panel, Region 8, Central Midwest (IL, MO, IA) REG8 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided
Specimen Required: Collect: Serum separator tube (SST). Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x29 IgE specific allergens; 82785 Total IgE

2006037 Allergens, Respiratory Panel, Region 9, Great Plains (KS, NE, ND, SD) REG9 PAN
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 4 mL serum to an ARUP Standard Transport
Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x26 IgE specific allergens; 82785 Total IgE

0092584 Allergens, Staphylococcal aureus Panel STAPHPANII

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum in an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x2 Staph A, B; 82785 IgE

0055115 Allergens, Tree Profile TREE PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.72 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

Page | 75
 0055148 Allergens, Tree Profile 4 TREE PRO 4
Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055385 Allergens, Tree, Southeast Profile GATREEPRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.95 mL serum to an ARUP Standard Transport
Tube. (Min: 0.52 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0051355 Allergens, Upper Respiratory Disease Profile, Region 9A R9A URD

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.80 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric or lipemic specimens
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 x15 IgE-specific allergens

0055110 Allergens, Weed Profile WEED PAN

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.45 mL serum to an ARUP Standard Transport
Tube. (Min: 0.72 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055112 Allergens, Weed Profile 5 WEED PAN 5

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

0055379 Allergens, Weeds, Southeast Basic Profile GAWEEDPRO

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay
Patient Preparation: Multiple patient encounters should be avoided.
Specimen Required: Collect: Serum separator tube. Multiple specimen tubes should be avoided.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.65 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86003 per allergen

2004243 Allergic Bronchopulmonary Aspergillosis (ABPA) Panel ABPA

Methodology: Quantitative ImmunoCAP® Fluorescent Enzyme Immunoassay/Qualitative Immunodiffusion
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 2.3 mL serum to an ARUP Standard Transport Tube.
(Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Multiple specimen tubes and multiple patient encounters should be avoided.
Unacceptable Conditions: Plasma. Hemolyzed, icteric or lipemic specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82785 Immunoglobulin E; 86003 Allergen specific IgE; 86606 x2 Aspergillus

Page | 76
 0091204 Allopurinol, Serum or Plasma ALLOPUR SP
Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

2003418 Alpha-1-Antichymotrypsin (A1ACT) by Immunohistochemistry A1 ACT IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0050001 Alpha-1-Antitrypsin A1A

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Plasma separation tube or serum separator tube. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months (avoid repeated freeze/thaw cycles)
CPT Code(s): 82103

2003424 Alpha-1-Antitrypsin (AAT) by Immunohistochemistry A1 AT IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0099991 Alpha-1-Antitrypsin, Feces A1A FECES

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5 g stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using
ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 g)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Diapers. Specimens in media or preservatives.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 week
CPT Code(s): 82103

0080500 Alpha-1-Antitrypsin Phenotype (Includes Alpha-1-Antitrypsin) A1A PHENO

Methodology: Qualitative Isoelectric Focusing/Immunoturbidimetry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
CPT Code(s): 82104 Alpha-1-antitrypsin, phenotype; 82103 Alpha-1-antitrypsin, total

0051256 Alpha-1-Antitrypsin (SERPINA1) Enzyme Concentration and 2 Mutations with Reflex to Alpha-1-Antitrypsin A1A GENO
Phenotype
Methodology: Immunoturbidimetry/Polymerase Chain Reaction/Fluorescence Monitoring/Isoelectric Focusing
Specimen Required: Collect: Serum separator tube AND lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Allow serum to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transport 0.5 mL serum AND 3 mL whole blood. (Min: 0.5 mL serum AND 0.5 mL whole blood)
Storage/Transport Temperature: Refrigerated.
Stability: Serum: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 2 weeks
Whole Blood: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

Page | 77
CPT Code(s): 82103 A1A; 83891 Isolation; 83898 x2 Amplification; 83896 x4 Nucleic acid probes; 83912 Interpretation and report. If reflexed, add 82104
Phenotype. Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003436 Alpha-1-Fetoprotein (AFP) by Immunohistochemistry AFP IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0050043 Alpha-1-Microglobulin, Urine A1M

Methodology: Quantitative Nephelometry
Specimen Required: Collect: 24-hour urine. Specimen must be refrigerated during collection.
Specimen Preparation: Transfer a 4 mL aliquot from a well-mixed 24-hour collection to an ARUP Standard Transport Tube. (Min: 0.4 mL) Do not
add acid or other preservatives. Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen or preserved specimens.
Stability: Ambient: 8 hours; Refrigerated: 8 days; Frozen: Unacceptable
CPT Code(s): 83883

0098727 Alpha-2-Antiplasmin, Activity ALPHA 2A

Methodology: Chromogenic Assay
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines
Specimen Preparation: Transfer 1 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 85410

0050005 Alpha-2-Macroglobulin A2M

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL) Also acceptable: CSF or pleural fluid (centrifuge and separate to remove cellular material).
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year (if frozen within 24 hours). Avoid repeated
freeze/thaw cycles. Ambient: 8 hour sample prep time.
CPT Code(s): 83883

0080427 Alpha Fetoprotein (Amniotic Fluid) with Reflex to Acetylcholinesterase and Fetal Hemoglobin AFP AF
Methodology: Chemiluminescent Immunoassay/Electrophoresis
Patient Preparation: Amniocentesis.
Specimen Required: Collect: Amniotic fluid.
Specimen Preparation: Transport 2.5 mL amniotic fluid. (Min: 1.5mL)
Storage/Transport Temperature: Room temperature.
Remarks: Include gestational age at time of collection or estimated due date, physician name and phone number on the test request form.
Unacceptable Conditions: Specimens contaminated with fetal blood.
Stability: Ambient: 2 weeks; Refrigerated: 4 months; Frozen: 3 years
CPT Code(s): 82106 AFP; if reflexed, add 82013 Acetylcholinesterase and 83033 Fetal Hemoglobin

0020729 Alpha Fetoprotein, CSF (Tumor Marker) AFP CSF

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 0.5 mL CSF to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Any specimens other than CSF.
Stability: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 year
CPT Code(s): 86316

0080428 Alpha Fetoprotein, Serum (Tumor Marker) AFP TM

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells within 4 hours of collection. Transfer 1
mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF (refer to Alpha Fetoprotein, CSF (Tumor Marker), ARUP test code 0020729) or plasma. Grossly hemolyzed
specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 year
CPT Code(s): 82105
Page | 78
 0081208 Alpha Fetoprotein, Total and L3 Percent AFP L3
Methodology: Quantitative Liquid Chromatography/Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Plasma.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months (avoid repeated freeze/thaw cycles)
CPT Code(s): 82107

2003204 Alpha Galactosidase, Serum A GALACTO

Methodology: Fluorometry
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate from cells. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Room temperature or refrigerated specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 82657

2001582 Alpha Globin (HBA1 and HBA2) Sequencing AG FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Contact ARUP's genetic counselor at (800) 242-2787 extension 2141 prior to test submission.
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83904 x6 Sequencing; 83909 capillary electrophoresis; 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2006289 Alpha Subunit of Pituitary Glycoprotein Hormones (Alpha-PGH) A SUBUNIT

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Frozen. Also acceptable: Refrigerated.
Unacceptable Conditions: Grossly hemolyzed specimens.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 83520

2003419 Alpha-Synuclein by Immunohistochemistry ASYN IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0051495 Alpha Thalassemia (HBA1 & HBA2) 7 Deletions ALPHA THAL

Methodology: Polymerase Chain Reaction/Gel Electrophoresis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification multiplex; 83901 x8 Additional amplification; 83894 Gel separation; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0050002 Alpha-1-Acid Glycoprotein A1A GLYCO

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year
CPT Code(s): 82985

Page | 79
 0051710 Alport Syndrome, X-Linked (COL4A5) 3 Mutations ALPORT DNA
Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83900 Multiplex amplification; 83896 x 6 Nucleic acid probe; 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002394 Alport Syndrome, X-linked (COL4A5) Deletion/Duplication ALPORT DD

Methodology: Polymerase Chain Reaction/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83896 x2 Nucleic acid probes; 83898 x2 Amplification; 83914 x2 Extension; 83909 x2
Capillary electrophoresis; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for
oncologic or inherited disorders.

0051786 Alport Syndrome, X-linked (COL4A5) Sequencing ALPORT FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x46 Amplification; 83904 x46 Sequencing; 83909 x2 capillary electrophoresis; 83912 Interpretation and report. -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002398 Alport Syndrome, X-linked (COL4A5) Sequencing and Deletion/Duplication ALPORT FGA
Methodology: Polymerase Chain Reaction/ Sequencing/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): Sequencing: 83891 Isolation; 83898 x46 Amplification; 83904 x46 Sequencing; 83909 x2 capillary electrophoresis.
Del/Dup: 83896 x2 Nucleic Acid Probes; 83898 x2 Amplification; 83914 x2 Extension; 83909 x2 Capillary Electrophoresis; 83912 Interpretation
and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0090010 Alprazolam ALPR

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 80154

0099266 Aluminum, Serum AL S

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (no additives) or Royal blue (EDTA)
Specimen Preparation: Centrifuge; do not allow serum or plasma to remain on cells. Transfer 2 mL serum or plasma to an ARUP Trace Element-
Free Transport Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)
522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Separator tubes. Specimens that are not separated from the red cells or clot within 6 hours.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 82108

0099408 Aluminum, Urine AL U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82108
Page | 80
 0091195 Amantadine (Symmetrel®), Serum or Plasma AMANTADIN
Methodology: Gas Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 5 months
CPT Code(s): 80299

0091162 Amantadine (Symmetrel®), Urine AMANTAD U

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 5 months
CPT Code(s): 80299

0090295 Amikacin, Peak Level AMIKP

Methodology: Immunoassay
Patient Preparation: Draw 30 minutes following completion of drug infusion.
Specimen Required: Collect: Plain red. Also acceptable: Green (sodium heparin).
Specimen Preparation: Separate serum or plasma from cells within one hour of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. If transport is prolonged: Frozen.
Unacceptable Conditions: Specimens collected in citrate or oxalate/fluoride. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 80150

0090015 Amikacin, Random Level AMIK

Methodology: Immunoassay
Specimen Required: Collect: Plain red. Also acceptable: Green (sodium heparin).
Specimen Preparation: Separate serum or plasma from cells within one hour of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. If transport is prolonged: Frozen.
Unacceptable Conditions: Specimens collected in citrate or oxalate/fluoride. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 14 days
CPT Code(s): 80150

0090300 Amikacin, Trough Level AMIKT

Methodology: Immunoassay
Patient Preparation: Draw 5-90 minutes before next infusion.
Specimen Required: Collect: Plain red. Also acceptable: Green (sodium heparin).
Specimen Preparation: Separate serum or plasma from cells within one hour of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. If transport is prolonged: Frozen.
Unacceptable Conditions: Specimens collected in citrate or oxalate/fluoride. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 80150

0080137 Amino Acids Quantitative, CSF CSFAA QNT

Methodology: Ion Exchange Chromatography
Specimen Required: Collect: CSF.
Specimen Preparation: Centrifuge CSF to separate and remove cellular material. Freeze supernatant. Transport 0.5 mL CSF. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Stability: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 1 month
CPT Code(s): 82139

0080710 Amino Acids Quantitative, Plasma AA QNT

Methodology: Ion Exchange Chromatography
Patient Preparation: Adults: Fasting specimen preferred.
Infants and children: Draw specimen prior to feeding or 2-3 hours after a meal.
Specimen Required: Collect: Green (sodium or lithium heparin).
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Avoid transferring buffy coat material. Transfer 0.5 mL
plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.25 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 1 month
CPT Code(s): 82139

0080044 Amino Acids Quantitative, Urine UAA QNT

Methodology: Ion Exchange Chromatography
Page | 81
 Patient Preparation: First morning urine preferred.
Specimen Required: Collect: Random urine. Avoid dilute urine when possible.
Specimen Preparation: Mix urine well. Transfer 8 mL aliquot of urine to ARUP Standard Transport Tubes and freeze immediately. (Min: 3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (eg, TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Website or by contacting
ARUP Client Services.
Stability: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 1 month
CPT Code(s): 82139

0091284 Aminocaproic Acid, Serum or Plasma AMINOCAPR

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 80299

0091375 Aminocaproic Acid, Urine AMINOC UR

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 82491

0080103 Aminolevulinic Acid (ALA), Urine ALA U

Methodology: Quantitative Ion Exchange Chromatography/Spectrophotometry
Patient Preparation: Refrain from alcohol consumption 24 hours prior to collection.
Specimen Required: Collect: 24 hour or random urine. Refrigerate 24-hour specimens during collection.
Specimen Preparation: Protect from light. Transfer a 4 mL aliquot from a well-mixed 24 hour or random collection to an ARUP Amber Transport
Tube. (Min: 1.2 mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body fluids other than urine.
Stability: Ambient: Unacceptable; Refrigerated: 4 days; Frozen: 1 month
CPT Code(s): 82135

0090161 Amiodarone and Metabolite AMIOD

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Amber
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 month; Refrigerated: 6 weeks; Frozen: 6 weeks
CPT Code(s): 80299 x2

0090158 Amitriptyline and Nortriptyline AMIT/NORT

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80152 Amitriptyline; 80182 Nortriptyline

0020043 Ammonia, Plasma AMMON

Methodology: Colorimetry
Specimen Required: Collect: Green (sodium or lithium heparin). Collect on ice.
Specimen Preparation: Separate plasma from cells and freeze within 15 minutes of draw time. Specimens need to be spun in a refrigerated
centrifuge. Transfer 2 mL plasma to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum or blood. Non-frozen specimens. Specimens containing oxalate or citrate
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 3 weeks (do not thaw)
CPT Code(s): 82140

0080276 Amniotic Bilirubin Scan AMBIL

Methodology: Quantitative Spectrophotometry
Patient Preparation: Amniocentesis.
Specimen Required: Collect: Amniotic fluid.
Specimen Preparation: Protect from light during collection, storage, and shipment. Transfer 3 mL amniotic fluid to an ARUP Amber Transport
Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens not protected from light.
Stability: If specimen is protected from light: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 year
CPT Code(s): 82143
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 0090978 Amobarbital, Serum or Plasma AMOBARB SP
Methodology: Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0091500 Amobarbital, Urine AMOBARB U

Methodology: Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0060250 Amoeba Calcofluor Stain ACANTSTAIN

Methodology: Qualitative Calcofluor Stain/Microscopy
Specimen Required: Collect: Corneal scrapings or vitreous fluid.
Specimen Preparation: Place corneal scrapings or vitreous fluid in 2 ml of Page's amoeba saline (ARUP supply #31917). Available online through
eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens in media or preservatives. Dry specimens.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87206

0091236 Amoxapine and Metabolite Quantitation, Serum or Plasma AMOXAPINE

Methodology: Quantitative High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 10 months
CPT Code(s): 80299

0091237 Amoxapine and Metabolite Quantitation, Urine AMOXAPIN U

Methodology: Quantitative High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 10 months
CPT Code(s): 80299

0020506 Amylase, Body Fluid AMY-FL

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Body fluid. Also acceptable: Fluid collected in plain red or green (sodium or lithium heparin).
Specimen Preparation: Centrifuge to remove cellular material. Transfer 1 mL body fluid to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test request form.
Unacceptable Conditions: Breast milk and salivary fluid. Specimens too viscous to be aspirated by instrument.
Stability: After separation from cellular material: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 82150

0020804 Amylase, Isoenzymes AMYISO

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Lavender (EDTA) or green (sodium or lithium heparin).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body Fluids (refer to Amylase, Body Fluid, ARUP test code 0020506). Hemolyzed specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 82150 Amylase, total; 82150 Amylase, pancreatic

0020013 Amylase, Serum or Plasma AMY

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body Fluid (refer to Amylase, Body Fluid, ARUP test code 0020506). Urine (refer to Amylase, Urine, ARUP test code
0020471). Specimens containing calcium chelating anticoagulants such as oxalates, citrates, or EDTA.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 82150

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 0020471 Amylase, Urine UAMY
Methodology: Enzymatic
Specimen Required: Collect: 24-hour or timed urine collection with no preservatives. Refrigerate during collection.
Specimen Preparation: Mix timed urine collection well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL) Record total
volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens containing acetic acid, concentrated HCl, nitric acid or sodium carbonate.
Stability: Ambient: 2 days; Refrigerated: 10 days; Frozen: 3 weeks
CPT Code(s): 82150

0089110 Anabolic Steroids Panel ANAB

Methodology: Qualitative Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transport 40 mL urine. (Min: 12 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: Indefinitely
CPT Code(s): 80100

0060143 Anaerobe Culture and Gram Stain MC ANA

Methodology: Stain/Culture/Identification
Specimen Required: Collect: Contact the laboratory prior to collection of the specimen if consultation on collection containers or transport is needed. Aspirate, body
fluids, tissues, or material collected from areas without normal anaerobic flora.
Specimen Preparation: Place specimen immediately into anaerobe transport media (ARUP supply #16426). Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required. Indicate if Actinomyces is suspected.
Unacceptable Conditions: Specimen from site with normal anaerobic flora. Aerobic conditions.
Stability: Ambient: 48 hour; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87075 Culture; identification and susceptibility CPT codes may vary based on method.

0060164 Anaerobic Organism Identification MC ANAID

Methodology: Identification
Identification methods may include macrobroth dilution or microbroth dilution.
Specimen Required: Collect: Actively growing organism in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant in anaerobic transport pouch or on a swab in anaerobic transport
media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87076 and/or 87153; CPT codes for identification vary based upon method.

0060198 Anaerobic Organism Identification with Reflex to Susceptibility MC ANAIS

Methodology: Identification
Identification methods may include macrobroth dilution or microbroth dilution.
Specimen Required: Collect: Actively growing organism, in pure culture
Specimen Preparation: Transport sealed container with pure culture on agar slant in anaerobic transport pouch or on a swab in anaerobic transport
media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87076 and/or 87153; CPT codes for identification and susceptibility tests vary based upon method.

0097303 Anaplasma phagocytophilum (HGA) Antibodies, IgG & IgM HGE G/M
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.05 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bacterially contaminated, heat-inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86666 x2

0097317 Anaplasma phagocytophilum (HGA) Antibody, IgG HGE IGG

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.05 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bacterially contaminated, heat inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86666

0097318 Anaplasma phagocytophilum (HGA) Antibody, IgM HGE IGM

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.05 mL)
Storage/Transport Temperature: Refrigerated.
Page | 84
 Unacceptable Conditions: Bacterially contaminated, heat inactivated, hemolyzed, icteric, lipemic, or turbid specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86666

2003439 Anaplastic Lymphoma Kinase 1 (ALK-1) by Immunohistochemistry ALK1 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2006480 ANCA-Associated Vasculitis Profile (ANCA/MPO/PR-3) with Reflex to ANCA Titer ANCA PRO
Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF, plasma, urine, or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83516 MPO; 83516 PR-3; 86255 ANCA; if reflexed, add 86256 ANCA titer

2005419 Androstanediol Glucuronide Quantitative ANDRO GLUC

Methodology: Quantitative Radioimmunoassay/Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells within 1 hour. Transfer 2 mL serum to an ARUP Standard Transport Tube and freeze
immediately. (Min: 0.7 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 82154

2001638 Androstenedione ANDRO TMS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Specimen should be collected between 6-10 a.m.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL) Also acceptable: EDTA plasma.
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82157

0040208 Aneuploidy Panel by FISH FISHANEU

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 5 mL whole blood. (Min: 1 mL) Specimen and completed
test request form, including clinical indication, must be received within 48 hours of collection.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Cytogenetic (Chromosome) Studies with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x5 DNA probe; 88275 x5 Interphase in situ hybridization 100-300 each; 88291 Interpretation and report - Additional CPT code modifiers
may be required for procedures performed to test for oncologic or inherited disorders.

2005077 Angelman Syndrome and Prader-Willi Syndrome by Methylation AS PWS

Methodology: Methylation Sensitive Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures
performed to test for oncologic or inherited disorders.

2005564 Angelman Syndrome (UBE3A) Sequencing UBE3A FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): Sequencing: 83891 Isolation; 83898 x16 Amplification; 83904 x16 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

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 0098771 Angiotensin II ANGIO II
Methodology: Immunoassay
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Keep cold during centrifugation. Transfer 1 mL plasma
to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Received room temperature or refrigerated. Hemolyzed specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82163

0098974 Angiotensin Converting Enzyme, CSF ACE CSF

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Hemolyzed or xanthochromic specimens.
Stability: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82164

0080001 Angiotensin Converting Enzyme, Serum ACE

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: EDTA or heparin plasma. CSF (refer to Angiotensin Converting Enzyme, CSF test code 0098974)
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 82164

0081335 1,5 Anhydroglucitol (GlycoMark®) GLYCO MARK

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Serum separator tube or lavender (EDTA).
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84378

0050392 Ankylosing Spondylitis (HLA-B27) Genotyping HLAB27 PCR

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Do not freeze. Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83912 Interpretation and report. Additional CPT code modifiers may be required for procedures performed
to test for oncologic or inherited disorders.

2003463 Anti-Human Epithelial Antigen, Ber-EP4 by Immunohistochemistry BEREP4 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003126 Anti-IgA Antibody ANTI IGA

Methodology: Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions:
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 months
CPT Code(s): 83520

Page | 86
 2002656 Anti-Mullerian Hormone AMH
Methodology: Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Transport 0.5 mL serum. (Min: 0.2 mL)
Storage/Transport Temperature: Critical Frozen.
Unacceptable Conditions: Room temperature specimens. Hemolyzed or lipemic specimens.
Stability: Ambient: Unacceptable; Refrigerated: 48 hours; Frozen: 30 days (avoid repeated freeze/thaw cycles)
CPT Code(s): 83520

0050811 Anti-Neutrophil Cytoplasmic Antibody, IgG ANCA IFA

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma, urine, or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86255 ANCA; if positive, add 86256 ANCA titer

0050080 Anti-Nuclear Antibodies (ANA), IgG by ELISA with Reflex to ANA, IgG by IFA ANA
Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or urine. Contaminated, grossly hemolyzed, heat-inactivated, severely lipemic specimens or inclusion of fibrin
clots.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86038 ANA; if reflexed, add 86039 ANA titer

0060845 Antibiotic Level, Aztreonam ML AZTREO

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL).
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299

2004886 Antibiotic Level, Ceftazidime ML CEFTAZ

Methodology: Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours (local clients only); Frozen: 1 week
CPT Code(s): 80299

0060844 Antibiotic Level, Meropenem ML MERO

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299

0060843 Antibiotic Level, Nafcillin ML NAF

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL).
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299
Page | 87
 0060842 Antibiotic Level, Piperacillin ML PIP
Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299

0060841 Antibiotic Level, Ticarcillin ML TICAR

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299

0010004 Antibody Detection, RBC IRL-ABSC

Methodology: Hemagglutination
Specimen Required: Collect: Plain red AND lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze.
Transport 10 mL whole blood (plain red) (Min: 7 mL). AND 5 mL whole blood (EDTA) (Min: 3 mL).
Pediatric: Transport 1 mL whole blood (plain red). AND 0.5 mL whole blood (EDTA).
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86850

0013003 Antibody ID Package (IRL) IRL-AB PKG

Methodology: Hemagglutination
Specimen Required: Collect: Plain red AND lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze. Transport 10 mL whole blood (plain red) AND 10 mL whole blood (EDTA). (Min: 7 mL plain red AND 5
mL EDTA).
Storage/Transport Temperature: Refrigerated. Deliver to lab immediately.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86900 ABO; 86901 Rh; 86906 Rh Phen; 86880 DC; 86870 x3 ABID

0013005 Antibody Identification, RBC (Prenatal Only) IRL-ABID

Methodology: Hemagglutination
Specimen Required: Collect: Plain red AND lavender (EDTA), pink (K2EDTA) or yellow (ACD solution).
Specimen Preparation: Do not freeze. Transport 10 mL whole blood (plain red) (Min: 7 mL). AND 5 mL whole blood (EDTA) (Min: 3 mL) Also
acceptable: Plasma, serum, or clot.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86900 ABO; 86901 Rh; 86880 DC; 86870 ABID; 86906 Rh Phenotyping

0010020 Antibody Screen RBC with Reflex to Identification ABSC-R

Methodology: Solid Phase
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze. Transport 7 mL whole blood. (Min: 3 mL)
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Plasma Separator Tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86850 Ab Screen; if reflexed as part of Prenatal Reflexive Panel (0095044): add 86870 Ab Identification; 86880 Direct Coombs; and 86906 Rh
Phenotype

Page | 88
 0013006 Antibody Titer IRL-ABTR1
Methodology: Hemagglutination
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Do not freeze. Transport 10 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86886

0090601 Antidepressant Panel Quantitation, Serum or Plasma ANTIDEP

Methodology: Quantitative Gas Chromatography/Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 82542

0096048 Antidepressant Panel Quantitation, Urine ANTIDEP U

Methodology: Quantitative Gas Chromatography/Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Random urine.
Storage/Transport Temperature: 2 mL urine at 2-8°C. (Min: 0.7 mL) Submit specimen in an ARUP Standard Transport Tube.
Stability: Ambient: 1 week; Refrigerated: 11 days; Frozen: 2 weeks
CPT Code(s): 82542

0060846 Antifungal Level, 5-Fluorocytosine (5-FC) ML 5-FLUOR

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Aseptically remove 2 mL serum to a sterile tube (ARUP supply #43115) and freeze. Available online through eSupply
using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL).
Storage/Transport Temperature: Frozen.
Remarks: Required information includes: time and date of collection, time of last dose, and list of all antibiotics that the patient is receiving or has
received in the past 48 hours.
Unacceptable Conditions: Plasma.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 80299

0013298 Antigen Testing, AHG - Specify Individual RBC Antigen IRL-AG/AHG

Methodology: Hemagglutination
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze. Transport 7 mL whole blood.
Pediatric: Transport 0.5 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86905 each antigen

0013297 Antigen Testing, Direct - Specify Individual RBC Antigen IRL-AG/DIR

Methodology: Hemagglutination
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze.
Transport 7 mL whole blood.
Pediatric: Transport 0.5 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86905 each antigen

0013020 Antigen Testing, RBC Phenotype Extended IRL-EXPHEN

Methodology: Hemagglutination
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Do not freeze.
Transport 7 mL whole blood (plain red) OR 5 mL whole blood (EDTA).
Pediatric: Transport 0.5 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86905 x7. Other antigen: add 86905 for each additional antigen not listed above

0013019 Antigen Testing, Rh Phenotype IRL-RHPHEN

Methodology: Hemagglutination
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Do not freeze. Transport 7 mL whole blood (plain red) OR 5 mL whole blood (EDTA).
Page | 89
 Pediatric: Transport 0.5 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Serum or plasma separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86906

0092103 Antimicrobial Level - Amphotericin B by HPLC AMPHO B

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Protect from light. Transfer 2 mL serum to an ARUP Amber Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Thawed specimens. Specimens not protected from light. Serum separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 80299

0099972 Antimicrobial Level - Capreomycin (Serum) by HPLC CAPREOMY

Methodology: High Performance Liquid Chromatography
Patient Preparation: Draw two hours post does and just prior to next dose.
Specimen Required: Collect: Plain red.
Specimen Preparation: Freeze at -70°C ASAP. Transport 2 mL serum on dry ice. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Drugs which may interfere with this assay include: Sulindac. List all other antimicrobials being used to treat the patient.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 80299

0093142 Antimicrobial Level - Doxycycline (Serum), BA DOXY

Methodology: Quantitative Bioassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: List all other antimicrobials being used to treat the patient.
Unacceptable Conditions: Thawed specimens. Separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 80299

0099428 Antimicrobial Level - Isoniazid (Serum) by HPLC ISONIAZID

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Transport 2 mL serum. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Remarks: Include draw time on request form. Drugs which may interfere with this assay include: Iproniazid. List all other antimicrobials being
used to treat the patient.
Unacceptable Conditions: Separator tubes. Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 80299

0099438 Antimicrobial Level - Rifampin (Serum), HPLC RIFAMPIN

Methodology: Semi-Quantitative High Performance Liquid Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Protect from light. Transport 2 mL serum. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Serum separator tubes. Room temperature or refrigerated specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 80299

0092065 Antimicrobial Level - Streptomycin, HPLC STP MYCIN

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: List all other antimicrobials being used to treat the patient.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: Indefinitely
CPT Code(s): 80299

0060217 Antimicrobial Susceptibility - AFB/Mycobacteria MA AFB

Methodology: Macrobroth Dilution/Microbroth Dilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transfer viable organism to sealed container.
Storage/Transport Temperature: Room temperature.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Unacceptable Conditions: Mixed cultures or non-viable organisms. Organisms submitted on an agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks

0060347 Antimicrobial Susceptibility - AFB/Mycobacterium tuberculosis Primary Panel MA MTBPRIM

Methodology: Broth Macrodilution
Page | 90
Specimen Required: Collect: Actively growing isolate of Mycobacterium tuberculosis in pure culture.
Specimen Preparation: Transport sealed container with pure culture on solid or liquid media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Unacceptable Conditions: Mixed cultures or non-viable organisms. Organisms submitted on agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87188 x4

0060202 Antimicrobial Susceptibility - Anaerobe MA ANA

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing organism in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant in anaerobic transport pouch or on a swab in anaerobic transport
media. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required.
Unacceptable Conditions: Aerobic conditions. Mixed cultures or non-viable organisms.
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060204 Antimicrobial Susceptibility - Bactericidal Assay MA BCT

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture AND serum or body fluid. Collect using aseptic technique.
Specimen Preparation: Organism: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen
in an individually sealed bag.
AND Serum or Body Fluid: Transfer 2 mL serum or body fluid to a sterile container and freeze. (Min: 1 mL)
Storage/Transport Temperature: Organism: Room temperature.
Serum or Body Fluid: Frozen.
Remarks: A list of all antibiotics that the patient is receiving or has received in the past 48 hours must be provided (this information is essential for
performing this assay; missing information may cause delays in turnaround time).
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Organism: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
Serum or Body Fluid: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 week
CPT Code(s): 87197

2001503 Antimicrobial Susceptibility - Carbapenem Resistance MA KPC

Methodology: Disk Diffusion
Specimen Required: Collect: Actively growing Enterobacteriaceae species in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 87184

0060059 Antimicrobial Susceptibility - D-Test (Macrolide, Lincosamide, Streptogramin Resistance) MA DTEST

Methodology: Disk Diffusion
Specimen Required: Collect: Actively growing Staphylococcus species or beta-hemolytic Streptococcus species in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87184

0060706 Antimicrobial Susceptibility - Enterobacteriaceae MA ENTER

Methodology: Automated Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060708 Antimicrobial Susceptibility - Enterococcus MA ENTERO

Methodology: Automated Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 87186

Page | 91
 0063999 Antimicrobial Susceptibility - Extended Spectrum Beta Lactamase MA ESBL
Methodology: Disk Diffusion
Specimen Required: Collect: Actively growing E. coli, Klebsiella species, or Proteus mirabilis in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required. Proteus mirabilis is tested only when isolated from a significant source (e.g.,
blood).
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 87184

0060345 Antimicrobial Susceptibility - Fastidious Organism MA FAST

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060346 Antimicrobial Susceptibility - Gram Positive Rod MA GPR

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060211 Antimicrobial Susceptibility - mecA Gene by PCR MA MEC

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Actively growing Staphylococcus aureus or coagulase-negative Staphylococcus, in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 87641

0060201 Antimicrobial Susceptibility - MIC, Individual MA MIC

Methodology: Gradient Diffusion/Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in
individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Isolate identification and specimen source required. Individual antibiotics must be specified.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87181 Gradient dilution or 87186 Broth dilution

0060203 Antimicrobial Susceptibility - MIC/MBC MA MBC

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant or in bacterial transport media. Place each specimen in
individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required. Individual antibiotics must be specified.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186 MIC; 87187 MBC

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 0060227 Antimicrobial Susceptibility - Mould Susceptibility MA MOULD
Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing mould in pure culture.
Specimen Preparation: Transport sealed container with pure culture on fungal medium slant. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable moulds. Agar plates.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87186

0060193 Antimicrobial Susceptibility - Nocardia MA NOC

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing Nocardia isolate in pure culture.
Specimen Preparation: Transport sealed container with isolate in pure culture on agar slant. Place each specimen in individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 month; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87186

0060216 Antimicrobial Susceptibility - Nonfermenter MA NF

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 87186

0060707 Antimicrobial Susceptibility - Staphylococcus MA STAPH

Methodology: Automated Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 87186

0060221 Antimicrobial Susceptibility - Streptococcus pneumoniae MA SPN

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060222 Antimicrobial Susceptibility - Viridans Streptococcus MA VIRS

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87186

0060235 Antimicrobial Susceptibility - Yeast Susceptibility MA YST

Methodology: Broth Microdilution
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Isolate identification and specimen source required.
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87186

0060200 Antimicrobial Susceptibility - Not Otherwise Specified MA SENS

Methodology: Broth Microdilution/Disk Diffusion/Gradient Diffusion
Specimen Required: Collect: Actively growing isolate in pure culture.
Specimen Preparation: Transport sealed container with pure culture on agar slant. Place each specimen in individually sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected of being a microorganism listed as infectious substance affecting
humans on IATA list, submit specimen according to Biological Substance, Category A, shipping guidelines.
Remarks: Isolate identification and specimen source required.
Page | 93
 Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): CPT codes may vary based on method.

0099007 Antimony, Blood ANT B

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA).
Specimen Preparation: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 83018

0099409 Antimony, Urine ANT U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room Temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83018

2002068 Anti-Neutrophil Cytoplasmic Antibody with Reflex to Titer and MPO/PR-3 Antibodies ANCA PN
Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF, plasma, urine, or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86255 ANCA; if reflexed, add 86256 ANCA titer, 83516 MPO and 83516 PR-3

0050317 Anti-Nuclear Antibodies (ANA), IgG by ELISA with Reflexes to ANA, IgG by IFA and to dsDNA, RNP, Smith, ANA REF
SSA, and SSB Antibodies, IgG
Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.0 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Non-serum specimens. Contaminated, grossly hemolyzed, heat-inactivated, severely lipemic, specimens or inclusion of
fibrin clots.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86038 ANA; if reflexed, add 86039 ANA titer; if reflexed add 86235 RNP and 86235 Smith and 86235 SSA and 86235 SSB and 86225 dsDNA;
if dsDNA reflexed, add 86256 dsDNA titer.

2003222 Antiphospholipid Syndrome Reflexive Panel PHOS SYN

Methodology: Clotting/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Lt. blue (sodium citrate) for Lupus Anticoagulant Reflexive Panel (refer to the Specimen Handling at aruplab.com for
hemostasis/thrombosis specimens handling guidelines) AND serum separator tube for cardiolipin and beta-2 glycoprotein antibodies.
Specimen Preparation: Separate platelet-poor plasma and serum from cells within 10 minutes of draw. Transport 2 mL plasma (Min: 1 mL) AND
1 mL serum (Min: 0.6 mL).
Storage/Transport Temperature: Plasma: CRITICAL FROZEN. Separate specimens must be submitted when mulitiple tests are ordered.
Serum: Refrigerated.
Unacceptable Conditions: For Lupus Anticoagulant Reflexive Panel (Plasma): Serum and non-sodium citrate plasma.
For cardiolipin and beta-2 glycoprotein antibodies (Serum): Plasma and other body fluids, heat-inactivated, hemolyzed, lipemic, or contaminated
specimens.
Stability: For Lupus Anticoagulant Reflexive Panel (Plasma): Ambient: 4 hours; Refrigerated: 24 hours; Frozen: 1 week;
For cardiolipin and beta-2 glycoprotein antibodies (Serum): Ambient: 48 hours; Refrigerated: 2 weeks; Frozen 1 year (avoid repeated freeze/thaw
cycles).
CPT Code(s): Anti-Cardiolipin Antibody G/M: 86147 x2; Beta-2 Glycoprotein I, G/M: 86146 x2; 85610 Prothrombin time (PT); 85730 Partial Thromboplastin
Time (PTT); 85613 dRVVT. If PTT is abnormal, add 85670 Thrombin Time. If Thrombin time is abnormal, add 85635 Reptilase Time. If
Reptilase Time is normal, add PTT Heparin Neutralization 85730 and 85525. If PTT Heparin Neutralization is abnormal, add 85732 PTT 1:1 mix.
If PTT 1:1 mix is abnormal, add 85597 Platelet neutralization procedure (PNP). If dRVVT is abnormal, add 85613 dRVVT 1:1 mix. If dRVVT
1:1 mix is abnormal, perform 85613 dRVVT confirmation. If PNP and dRVVT conf are normal, add 85598 Hexagonal Phospholipid
Neutralization.

0030015 Antithrombin, Antigen AT3AG

Methodology: Microlatex Particle-Mediated Immunoassay
Page | 94
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 1 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Serum. Hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 8 hours; Frozen: 1 month
CPT Code(s): 85301

0030010 Antithrombin, Enzymatic (Activity) AT3

Methodology: Chromogenic Assay
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 1.5 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: 8 hours; Frozen: 1 month
CPT Code(s): 85300

0030370 Antithrombin Panel AT3 PAN

Methodology: Chromogenic Assay/Microlatex Particle-Mediated Immunoassay
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 2 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: 8 hours; Frozen: 1 month
CPT Code(s): 85300 AT III; 85301 AT III Ag

2006546 Aortopathy Deletion/Duplication, 10 Genes AORT DD

Methodology: Exonic Oligonucleotide-based CGH Microarray
Specimen Required: Collect: Lavender (EDTA) or yellow (ACD Solution A or B). Peripheral blood required.
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Submit the Patient History Form for Aortopathy Disorders with the Electronic Packing List.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 88386 Array-based evaluation of multiple molecular probes; 251 through 500

2006540 Aortopathy Panel, Sequencing and Deletion/Duplication, 10 Genes AORT PANEL

Methodology: Massive Parallel Sequencing/Exonic Oligonucleotide-based CGH Microarray
Specimen Required: Collect: Lavender (EDTA) or yellow (ACD Solution A or B). Peripheral blood required.
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Remarks: Submit the Patient History Form for Aortopathy Disorders with the Electronic Packing List.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83909 x3 Capillary electrophoresis; 83898 x3 Amplification; 83904 x10 Sequencing; 88386 Array-based evaluation of multiple
molecular probes; 251 through 500; 83912 Interpretation and report.

2006617 Aortopathy Sequencing, 10 Genes AORT SEQ

Methodology: Massive Parallel Sequencing
Specimen Required: Collect: Lavender (EDTA) or yellow (ACD Solution A or B). Peripheral blood required.
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Submit the Patient History Form for Aortopathy Disorders with the Electronic Packing List.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83909 x3 Capillary electrophoresis; 83898 x3 Amplification; 83904 x10 Sequencing; 83912 Interpretation and report.

0030127 APC Resistance Profile APC RST

Methodology: Clotting
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 1.5 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: 4 hours; Frozen: 2 weeks
CPT Code(s): 85307

0030192 APC Resistance Profile with Reflex to Factor V Leiden APC R

Methodology: Clotting/Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lt. blue (sodium citrate) AND lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). Refer to Specimen Handling at
aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transport 1.5 mL platelet-poor plasma AND 3 mL whole blood. (Min: 1 mL/each)
Storage/Transport Temperature: Plasma: Frozen. Whole Blood: Refrigerated.
Unacceptable Conditions: Plasma: Non-frozen specimens.
Stability: Plasma: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen at -20°C: 3 months; Frozen at -70°C: 6 months
Whole Blood: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 85307 APC; if reflexed, add 83891 Isolation; 83896 Nucleic acid probes; 83898 Amplification; 83912 Interpretation and report; - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0050030 Apolipoprotein A-1 APO A-1

Methodology: Quantitative Nephelometry
Patient Preparation: Freshly drawn fasting specimen.
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Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Separate serum from cells ASAP.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months
CPT Code(s): 82172

0050029 Apolipoprotein B APO B-100

Methodology: Quantitative Nephelometry
Patient Preparation: Fasting specimen.
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months
CPT Code(s): 82172

0050028 Apolipoprotein B/A Ratio APO B/A

Methodology: Quantitative Nephelometry
Patient Preparation: Fasting specimen recommended.
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 3 months
CPT Code(s): 82172 Apolipoprotein, B; 82172 Apolipoprotein, A-1

0055654 Apolipoprotein B (APOB) Mutation Detection APO B

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0055566 Apolipoprotein E (APOE) 2 Mutations, Cardiovascular Risk APO E

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0091000 Aprobarbital, Serum or Plasma APROBAR SP

Methodology: Gas Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 82205

0091176 Aprobarbital, Urine APROBAR U

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 82205

2003036 Aquaporin-4 Receptor Antibody AQP4

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF, amniotic fluid, ocular fluid peritoneal fluid, synovial fluid, or plasma. Contaminated, hemolyzed, icteric, or
lipemic specimens.
Stability: After separation from cells: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 83516
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 2001597 Arbovirus Antibodies, IgG & IgM, CSF ARBOCSF GM
Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 4 mL CSF to an ARUP Standard Transport Tube. (Min: 2.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 x2 Encephalitis, California (La Crosse); 86652 x2 Encephalitis, Eastern Equine; 86653 x2 Encephalitis, St. Louis; 86654 x2 Encephalitis,
Western Equine; 86789 West Nile Virus IgG; 86788 West Nile Virus IgM

2001594 Arbovirus Antibodies, IgG and IgM, Serum ARBOSER GM

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube. Also acceptable: Plain red.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 x2 Encephalitis, California (La Crosse); 86652 x2 Encephalitis, Eastern Equine; 86653 x2 Encephalitis, St. Louis; 86654 x2 Encephalitis,
Western Equine; 86789 West Nile Virus IgG; 86788 West Nile Virus IgM

2001596 Arbovirus Antibodies, IgG, CSF ARBO CSF G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 4 mL CSF to an ARUP Standard Transport Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 Encephalitis, California (La Crosse); 86652 Encephalitis, Eastern Equine; 86653 Encephalitis, St. Louis; 86654 Encephalitis, Western
Equine; 86789 West Nile Virus

2001593 Arbovirus Antibodies, IgG, Serum ARBO SER G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube. Also acceptable: Plain red.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic, specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 Encephalitis, California (La Crosse); 86652 Encephalitis, Eastern Equine; 86653 Encephalitis, St. Louis; 86654 Encephalitis, Western
Equine; 86789 West Nile Virus IgG

2001595 Arbovirus Antibodies, IgM, CSF ARBO CSF M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 4 mL CSF to an ARUP Standard Transport Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated , or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 Encephalitis, California (La Crosse); 86652 Encephalitis, Eastern equine; 86653 Encephalitis, Saint Louis; 86654 Encephalitis, Western
equine; 86788 West Nile Virus

2001592 Arbovirus Antibodies, IgM, Serum ARBO SER M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube. Also acceptable: Plain red.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651 Encephalitis, California (La Crosse); 86652 Encephalitis, Eastern Equine; 86653 Encephalitis, St. Louis; 86654 Encephalitis, Western
Equine; 86788 West Nile Virus

0070027 Arginine Vasopressin Hormone AVH PLASMA

Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Transfer 6 mL plasma to ARUP Standard Transport
Tubes and freeze immediately. (Min: 2.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 84588

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 2003178 Aripiprazole, Serum or Plasma ARIPIPRAZ
Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours of draw. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min:
0.5 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 83789

0091580 Aromatic Primary Amines, Urine AROMAT AMI

Methodology: Spectrophotometry
Patient Preparation: Collect at end of shift.
Specimen Required: Collect: Urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 84311

0091435 Aromatic Solvents Panel, Whole Blood AROMATIC B

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Lavender (EDTA) or gray (potassium oxalate or sodium fluoride).
Specimen Preparation: Transfer 2 mL whole blood to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Unacceptable; Refrigerated: 5 days; Frozen: 5 days
CPT Code(s): 84600

2006216 Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) Panel, 7 Genes ARVC PANEL
Methodology: Massive Parallel Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x51 Additional amplification; 83904 x51 Sequencing; 83909 x3 Capillary electrophoresis; 83912
Interpretation and report.

2007342 Arsenic Analysis, Hair ARS HAIR

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Specimen Required: Collect: Collect a pencil-thick segment of hair. Bundle, cut at roots, wrap with twist tie at root end.
Specimen Preparation: Transfer 500 mg hair to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116) available online through
eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 500 mg)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Stability: Ambient: Undetermined Refrigerated: Undetermined Frozen: Undetermined

2007344 Arsenic Analysis, Nails ARS NAILS

Methodology: Quantitative Inductively Coupled Plasma/Mass Spectrometry
Specimen Required: Collect: Nails.
Specimen Preparation: Transfer 500 mg nails to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116) available online through
eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 500 mg)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Stability: Ambient: Undetermined Refrigerated: Undetermined Frozen: Undetermined
CPT Code(s): 82175 Arsenic; 80103 Tissue preparation

0099045 Arsenic, Blood ARS B

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patient should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician) and
avoid shellfish and seafood for 48 to 72 hours.
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA).
Specimen Preparation: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 82175

0090664 Arsenic, Fluid ARSENIC FL

Methodology: Inductively Coupled Plasma/Mass Spectrometry
Patient Preparation: Avoid seafood consumption for 48 hours prior to specimen collection.
Specimen Required: Collect: Fluid.
Specimen Preparation: Transfer 3 mL fluid to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: This test can be used for arsenic in water (no drinking water).
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 82175

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 0020734 Arsenic, Fractionated, Urine AS UF
Methodology: Quantitative High Performance Liquid Chromatography/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container and should be refrigerated during collection. ARUP
studies indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately if tested within 14 days of
collection.
Specimen Preparation: Transfer an 8 mL aliquot of urine from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP
supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL)
Record total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82175

0025000 Arsenic, Urine with Reflex to Fractionated ARS U

Methodology: Quantitative High Performance Liquid Chromatography/Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications (upon the advice of their physician), and avoid
shellfish and seafood for 48 to 72 hours. High concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing
medications or contrast agents for at least 1 month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container and refrigerated during collection. ARUP studies
indicate that refrigeration of urine alone, during and after collection, preserves specimens adequately if tested within 14 days of
collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82175; if reflexed, add 82175

ARUP Drug Screen Cup (Point-of-Care test only)

Methodology: Qualitative Competitive Immunoassay, uses CLIA-waived device
Patient Preparation: Do not open test device pouch until ready to collect specimen.
Specimen Required: Collect: Random urine. Requires 30 mL urine to use Testing Cup (NexScreen cup) provided in kit (ARUP supply #49204). Available online
through eSupply using ARUP ConnectTM or contact ARUP Client Services at (800) 522-2787. Collect directly in Testing Cup; may also use
another collection container then pour into Testing Cup.

CONFIRMATION TESTING: If the result of the Testing Cup is not negative (presumptive positive) and is inconsistent with clinical
expectations and pharmacy history, it should be confirmed using a second, more-specific and quantitative technology such as LC-MS/MS or GC-
MS. If the patient is expected to be taking Benzodiazepines and/or Opiates/oxycodone, results should be confirmed by quantitative LC-MS/MS
regardless of the screen result. Transfer 4 mL urine from the Testing Cup into an ARUP Standard Transport Tube. Transport one tube for each test
requested.
Specimen Preparation: If specimen, control, or test devices have been stored at refrigerated temperatures, warm to room temperature (59-83 before
testing.
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles
Stability: Results must be read at exactly 5 minutes after urine is placed in the Testing Cup.
Stability for confirmation testing: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80104; G0434 (medicare/medicaid only)

0095227 Arylsulfatase A, Urine ARYLSULF A

Methodology: Quantitative Kinetic Colorimetry
Specimen Required: Collect: 24-hour urine. Do not use preservatives.
Specimen Preparation: Transfer 10 mL urine to ARUP Standard Transport Tubes. (Min. 5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate total volume.
Unacceptable Conditions:
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 84311

0051415 Ashkenazi Jewish Diseases (BLM, ASPA, IKBKAP, FANCC, GBA, MCOLN1, SMPD1, HEXA) AJP
Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Enzymatic digestion; 83900 Amplification multiplex (first two amplifications); 83901 x16 Amplification multiplex
(each additional amplification); 83914 x31 Mutation identification; 83909 Separation and identification; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0020007 Aspartate Aminotransferase, Serum or Plasma AST

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.

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 Unacceptable Conditions: Specimens containing sodium fluoride/potassium oxalate, EDTA, or citrate. Hemolyzed specimens. Specimens
containing cellular material.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84450

0050101 Aspergillus Antibodies by CF and ID ASPER PRO

Methodology: Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86606 Aspergillus Ab (CF); 86606 Aspergillus Ab (ID)

0050100 Aspergillus Antibody by CF ASPER

Methodology: Semi-Quantitative Complement Fixation
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86606

0050171 Aspergillus Antibody by ID ASPER PPT

Methodology: Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body fluid.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86606

0097771 Aspergillus fumigatus Antibody, IgG by ELISA ASPFUM IGG

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, lipemic, or turbid specimens.
Stability: After separation form cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86606

2003150 Aspergillus Galactomannan Antigen by EIA, Bronchoscopy ASPERAGB

Methodology: Semi-quantitative Enzyme Immunoassay
Specimen Required: Collect: Lower respiratory material by bronchoscopy (BAL ,brushings, and washings).
Specimen Preparation: Transfer 2 mL bronchoscopy specimen to a sterile ARUP Standard Transport Tube (ARUP Supply #43115). Available
online through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 0.6 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Sputum. Specimens in media or preservatives. Grossly bloody specimens.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 87305

0060068 Aspergillus Galactomannan Antigen by EIA, Serum ASPERAG

Methodology: Semi-quantitative Enzyme Immunoassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube
(ARUP Supply #43115). Available online through eSupply using ARUP Connector contact Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Plasma. Serum separator tube. Hemolyzed specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 87305

0091570 Aspirin and Oxycodone Quantitation, Serum or Plasma PERCODAN S

Methodology: Quantitative Gas Chromatography-Mass Spectrometry/Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 3 mL serum or plasma to ARUP Standard Transport Tubes. (Min:1.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 23 days; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83925 Opiates; 80196 Salicylate

0091317 Atenolol, Serum or Plasma ATENOLO

Methodology: High Performance Liquid Chromatography/Mass Spectrometry
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Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0096047 Atenolol, Urine ATENOLO U

Methodology: Liquid Chromatography/Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0091333 Atropine, Serum or Plasma ATROPIN SP

Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours. Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube.
(Min: 1.2)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 82542

0091171 Atropine, Urine ATROPIN U

Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 29 days; Frozen: 29 days
CPT Code(s): 82542

2007210 Autoimmune Liver Disease Evaluation with Reflex to Smooth Muscle Antibody (SMA), IgG by IFA LIVER EVAL
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.0 mL serum to an ARUP Standard Transport
Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Non-serum specimens. Contaminated, heat-inactivated, grossly hemolyzed, grossly icteric, severely lipemic specimens
or inclusion of fibrin clot.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83516 M2 IgG ; 86376 LKM-1 IgG; 83516 F-Actin IgG; if reflexed, add 86256 SMA, IgG titer.

0095505 Autoimmune Lymphoproliferative Profile ALPS

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transport 5 mL whole blood. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks: Specimens must be analyzed within 48 hours of collection.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens older than 48 hours. Clotted or hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86356 CD3; 86356 CD4; 86356 CD5; 86356 CD8; 86356 CD20; 86356 ALPHA/BETA; 86356 HLA-DR

0092099 B-Cell CD20 Expression CD20

Methodology: Flow Cytometry
Specimen Required: Collect: Green (sodium heparin). Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transport 5 mL whole blood.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated. Specimen should be received within 48 hours of collection for
optimal viable testing.
Remarks: Provide CBC, Wright's stained smear, clinical history, differential diagnosis, and any relevant pathology reports.
Unacceptable Conditions: Frozen specimens. Specimens greater than 48 hours old. Clotted or hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88184 First marker and 88185 Each additional marker; AND 88187 interpretation for 2-8 markers

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 0095940 B-Cell Immunodeficiency Profile B-CELL
Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transport 5 mL whole blood. (Min: 3 mL)
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks: Specimens must be analyzed within 48 hours of collection.
New York State Clients: Specimens in heparin must be analyzed within 48 hours of collection; specimens in EDTA must be analyzed within 30
hours of collection.
Unacceptable Conditions: Clotted, frozen, or refrigerated specimens. Specimens older than 48 hours.
New York State Clients: Clotted, frozen, or refrigerated specimens. Specimens in heparin that are more than 48 hours old and specimens in
EDTA that are more than 30 hours old.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
New York State Clients: Ambient: 48 hours in heparin, 30 hours in EDTA; Refrigerated: Unacceptable; Frozen: Unacceptable.
CPT Code(s): 86356 CD19; 86356 PSIG; 86356 IGA; 86356 IGD; 86356 IGG; 86356 IGM; 86356 HLA-DR

2003442 B Cell Specific Octamer Binding Protein-1 (BOB-1) by Immunohistochemistry BOB1 IHC
Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0030191 B-Type Natriuretic Peptide BNP

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells within 2 hours of collection. Transfer 2 mL plasma to an ARUP Standard Transport Tube and
freeze within 4 hours of collection. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Frozen whole blood. Specimens collected in non-EDTA tubes. Specimens frozen in separator tube. Specimen exposed
to repeated freeze/thaw cycles. Refrigerated or room temperature specimens more than 4 hours old. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 4 hours; Frozen: 4 months
CPT Code(s): 83880

0093048 Babesia microti Antibodies, IgG & IgM by IFA BAB MIC AB
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard
Transport Tube. (Min: 0.1 mL) Parallel testing is preferred, and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bacterially contaminated, hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86753 IgG; 86753 IgM

0093049 Babesia microti Antibody, IgG by IFA BAB IGG

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bacterially contaminated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86753

0093050 Babesia microti Antibody, IgM by IFA BAB IGM

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bacterially contaminated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86753

2005275 Baclofen Quantitation, Fluid BACLO FL

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Fluid.
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 Specimen Preparation: Transfer 1 mL fluid to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

2005273 Baclofen Quantitation, Serum or Plasma BACLO SP

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0060182 Bacterial Strain Characterization by Pulsed-Field Gel Electrophoresis MC PFGE

Methodology: Pulsed-Field Gel Electrophoresis
Specimen Required: Collect: Multiple bacterial isolates that are epidemiologically related or are recurrent isolates from the same patient.
Specimen Preparation: Transport individual isolates on agar slants or on swabs in bacterial transport media. Package isolates together in a sealed
container.
Storage/Transport Temperature: Room temperature.
Remarks: Contact the Microbiology Laboratory at (800) 242-2787, extension 2248, prior to submission of the isolates. One report will be
generated for each batch tested; billing is per isolate. Order one test, using Infection control, #### (your ARUP client number) as the patient name.
Include a list of isolate identifiers (do not use patient names) on the requisition or as an order note for electronic orders. Identifiers on the
requisition must match identifiers on the isolate samples. Print the following instructions and include in the package:
Unacceptable Conditions: Mixed cultures or non-viable organisms.
Stability: Isolate: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable.
CPT Code(s): 87152

0091093 Barbital, Serum or Plasma BARBIT SP

Methodology: Gas Chromatography
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0091377 Barbital, Urine BARBIT URN

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0091282 Barium, Serum or Plasma BARIUM SP

Methodology: Inductively Coupled Plasma/Mass Spectrometry
Specimen Required: Collect: Royal blue (no additive or EDTA)
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Also acceptable: Plasma
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Separator tubes
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 83018

0091165 Barium, Urine BARIUM URN

Methodology: Inductively Coupled Plasma/Mass Spectrometry
Specimen Required: Collect: Random urine in trace metal-free or acid-washed urine bottle.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83018

2002280 Bartonella henselae & B. quintana Antibodies, IgG & IgM BARTONELLA
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611 Bartonella henselae IgG; 86611 Bartonella henselae IgM; 86611 Bartonella quintana IgG; 86611 Bartonella quintana IgM

0050091 Bartonella henselae Antibody, IgG by IFA HENS G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.

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 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611

0050092 Bartonella henselae Antibody, IgM by IFA HENS M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611

0050108 Bartonella henselae (Cat Scratch) Antibodies, IgG & IgM by IFA CATSCRATCH
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611 Bartonella henselae IgG; 86611 Bartonella henselae IgM

0050106 Bartonella quintana Antibodies, IgG & IgM by IFA BART PAN
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611 Bartonella quintana Ab, IgG; 86611 Bartonella quintana Ab, IgM

0050094 Bartonella quintana Antibody, IgG by IFA QUINT G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611

0050093 Bartonella quintana Antibody, IgM by IFA QUINT M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86611

0093057 Bartonella Species by PCR BART DNA

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or serum separator tube. Also acceptable: CSF or tissue.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL serum, plasma or CSF to a sterile container. (Min: 0.5 mL). OR
Tissue: Transfer to a sterile container and freeze immediately.
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Whole blood (refer to Bartonella Species by PCR, Whole Blood, ARUP test code 0060762). Heparinized specimens.
Stability: Tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month. All Others: Ambient: 24 hours; Refrigerated: 5 days;
Frozen: 1 month.
CPT Code(s): 87471

0060762 Bartonella Species by PCR, Whole Blood BARTPCR WB

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
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 Specimen Preparation: : Do not freeze specimen. Transport 1 mL whole blood. (Min: 0.5 mL).
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Plasma (refer to Bartonella Species by PCR, ARUP test code 0093057). Frozen specimens. Heparinized specimens.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable.
CPT Code(s): 87471

0020399 Basic Metabolic Panel BMP

Methodology: Immunoturbidimetry/Polymerase Chain Reaction/Fluorescence Monitoring/Isoelectric Focusing
Specimen Required: Collect: Green (sodium or lithium heparin), plasma separator tube, or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 30 minutes of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in EDTA, citrate, or oxalate.
Stability: After separation from cells: Ambient: Calcium and CO2: 4 hours, All others: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 80048

0055592 B-Cell Clonality Assessment by Restriction Fragment Southern Blot Hybridization BCRFSBHF
Methodology: Restriction Fragment Southern Blot Hybridization
Specimen Required: Collect: Lavender (EDTA) OR bone marrow (EDTA) OR fresh tissue..
Specimen Preparation: Whole blood: Transport 10 mL (Min: 3 mL) OR Bone marrow: Transport 3 mL (Min: 3 mL) OR Fresh tissue: Freeze
immediately. Transport 100 mg or 0.5-2.0 cm3 tissue. Transport frozen tissue in a tissue transport kit (ARUP supply #47808) available online
through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Whole blood OR Bone marrow: Refrigerated. OR Fresh tissue: Frozen on dry ice.
Unacceptable Conditions: Serum. Frozen whole blood or bone marrow. Clotted or grossly hemolyzed specimens. Paraffin-embedded tissue.
Stability: Whole blood OR Bone marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Fresh tissue: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year
CPT Code(s): 83891 Isolation; 83892 x4 Enzymatic digestion; 83894 Gel separation; 83897 Southern transfer; 83896 Nucleic acid probe; 83912 Interpretation
and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2006193 B-Cell Clonality Screening (IgH and IgK) by PCR BCELL SCRN
Methodology: Polymerase Chain Reaction/Capillary Electrophoresis
Specimen Required: Collect: Lavender (EDTA) OR bone marrow (EDTA) OR tissue.
Specimen Preparation: Whole blood: Transport 10 mL (Min: 3 mL) OR Bone marrow: Transport 3 mL (Min: 3 mL) OR Fresh tissue: Freeze
immediately. Transport 100 mg or 0.5-2.0 cm3 tissue. Transport frozen tissue in a tissue transport kit (ARUP supply #47808) available online
through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Whole blood OR Bone marrow: Refrigerated. Fresh tissue: Frozen on dry ice. FFPE tumor tissue: Room
temperature or refrigerated. Ship in cooled container during summer months.
Unacceptable Conditions: Whole blood OR Bone marrow: Frozen specimens. Clotted or grossly hemolyzed specimens. FFPE tumor tissue:
Specimens fixed/processed in alternative fixatives or heavy metal fixatives (B-4 or B-5) or tissue sections on slides. Decalcified specimens.
Stability: Whole blood OR Bone marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Fresh Tissue: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year
FFPE tumor tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x6 Amplification; 83896 x5 Nucleic acid probes; 83909 x5 Capillary electrophoresis; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2006283 B-Cell Clonality Screening (IgH and IgK) by PCR with Reflex to B-Cell Clonality Assessment by Restriction BCELL RFLX
Fragment Southern Blot Hybridization
Methodology: Polymerase Chain Reaction/Capillary Electrophoresis/Restriction Fragment Southern Blot Hybridization
Specimen Required: Collect: Lavender (EDTA) OR bone marrow (EDTA) OR fresh tissue.
Specimen Preparation: Whole blood: Transport 10 mL (Min: 3 mL) OR Bone marrow: Transport 3 mL (Min: 3 mL) OR Fresh tissue: Freeze
immediately. Transport 100 mg or 0.5-2.0 cm3 tissue. Transport frozen tissue in a tissue transport kit (ARUP supply #47808) available online
through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Whole blood OR Bone marrow: Refrigerated. OR Fresh tissue: Frozen on dry ice.
Unacceptable Conditions: Serum. Frozen whole blood or bone marrow. Clotted or grossly hemolyzed specimens. Paraffin-embedded tissue.
Stability: Whole blood OR Bone marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
Fresh Tissue: Ambient: Unacceptable; Refrigerated: 2 hours; Frozen: 1 year
CPT Code(s): 83891 Isolation; 83898 x6 Amplification; 83896 x5 Nucleic acid probes; 83909 x5 Capillary electrophoresis; 83912 Interpretation and report. If
reflexed, add 83892 x4 Enzymatic digestion; 83894 Gel separation; 83897 Southern transfer; 83896 Nucleic acid probe; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2004513 BCL-2 by Immunohistochemistry BCL2 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003457 BCL-6 by Immunohistochemistry BCL6 IHC

Methodology: Immunohistochemistry
Page | 105
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0055553 BCR-ABL, t(9;22) Translocation Qualitative by RT-PCR BCR-ABL

Methodology: Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed specimens. Frozen or
clotted specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x6 Amplification; 83894 x3 Gel separation; 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0040138 BCR-ABL1 Kinase Domain Mutation Analysis BCRABL MUT

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Frozen or clotted specimens. Specimens collected in anticoagulants other than EDTA. Severely
hemolyzed specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x4 Amplification; 83894 Gel detection; 83912 Interpretation and report. If sequencing is
performed, add: 83892 Enzyme digestion; 83904 Sequencing and 83909 Capillary electrophoresis. Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2005017 BCR-ABL1, Major (p210), Quantitative BCR MAJ

Methodology: Quantitative Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed specimens. Frozen or
clotted specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x2 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2005016 BCR-ABL1, Minor (p190), Quantitative BCR MIN

Methodology: Quantitative Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed specimens. Frozen or
clotted specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x2 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2005010 BCR-ABL1, Qualitative with Reflex to BCR-ABL1 Quantitative BCR RFLX

Methodology: Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Severely hemolyzed specimens. Frozen or
clotted specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x6 Amplification; 83894 x3 Gel separation; 83912 Interpretation and report. If reflexed add
83902 Reverse transcription; 83898 x2 Amplification; 83896 x2 Nucleic acid probes; 83912 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2004924 BCR-ABL1, T315I Mutation Detection, Quantitative ABL T315I

Methodology: Reverse Transcription Polymerase Chain Reaction/Pyrosequencing
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).

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 Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens collected in anticoagulants other than EDTA. Frozen specimens. Clotted or severely
hemolyzed specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x2 Amplification; 83904 Sequencing; 83912 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0091315 Belladonna Alkaloids Panel BELLADONNA

Methodology: High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 82542 x2 Atropine, scopolamine

2002464 Bence Jones Protein Detection, Quantitation and Characterization with Reflex to Quantitative Free Kappa BJP-U REFLEX
and Lambda Light Chains, Urine
Methodology: Semi-Quantitative Electrophoresis/Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Urine supernatant.
Specimen Preparation: Transfer two 4 mL aliquots from well-mixed 24 hour collection to individual ARUP Standard Transport Tubes. (Min: 3
mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Non-refrigerated specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84156 Total protein; 84166 Protein fractionation; 86335 IFE; if reflexed, add 83883 x2 Nephelometry, kappa/lambda

0050161 Bence Jones Protein, Qualitative Free Kappa & Lambda Light Chains, Urine BJQUAL
Methodology: Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Random specimens and urine supernate.
Specimen Preparation: Transfer two 4 mL aliquots from a well-mixed 24-hour urine collection to individual ARUP Standard Transport Tubes.
(Min: 4 mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Non-refrigerated specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84156 Total protein; 86335 IFE

0050618 Bence Jones Protein, Quantitative Free Kappa and Lambda Light Chains, Urine BJ QUANT
Methodology: Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Random urine specimens and urine supernate.
Specimen Preparation: Transfer two 4 mL aliquots from a well-mixed 24-hour collection to individual ARUP Standard Transport Tubes. (Min: 3
mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Non-refrigerated specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84156 Total protein; 86335 IFE; 83883 x2 Nephelometry, kappa/lambda

0050689 Bence Jones Protein, Quantitative Free Kappa Light Chains, Urine BJQNTKAPP
Methodology: Quantitative Nephelometry/Qualitative Immunofixation Electrophoresis
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Urine supernate.
Specimen Preparation: Transfer two 4 mL aliquots from a well-mixed 24-hour urine collection to individual ARUP Standard Transport Tubes.
(Min: 3 mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Random specimens. Non-refrigerated specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84156 Total protein; 86335 IFE; 83883 Nephelometry, kappa

0050682 Bence Jones Protein, Quantitative Free Lambda Light Chains, Urine BJQNTLAMB
Methodology: Quantitative Nephelometry/Qualitative Immunofixation Electrophoresis
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Urine supernate.
Specimen Preparation: Transfer two 4 mL aliquots from a well-mixed 24-hour urine collection to individual ARUP Standard Transport Tubes.
(Min: 3 mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Random specimens. Non-refrigerated specimens.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84156 Total protein; 86335 IFE; 83883 Nephelometry, lambda

0091209 Bendiocarb, Serum or Plasma BENDIOC SP

Methodology: High Performance Thin Layer Chromatography
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 82491

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 0091201 Benzene Quantitation, Whole Blood BENZ BLD
Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Gray (potassium oxalate/sodium fluoride) or lavender (EDTA).
Specimen Preparation: Transfer 2 mL whole blood to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 3 weeks
CPT Code(s): 84600

0090367 Benzodiazepines Detection S BNZ

Methodology: Fluorescence Polarization Immunoassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in separator tubes or fluoride. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 2 months
CPT Code(s): 80101

0091516 Benztropine, Serum or Plasma BENZTROP S

Methodology: Gas Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 5 mL serum or plasma to ARUP Standard Transport Tubes. (Min: 2.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 80299

0091098 Benztropine, Urine BENZTR U

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 80299

0091278 Beryllium, Serum or Plasma BERYLLIUM

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Specimen Required: Collect: Plain red or Royal blue (trace metal-free).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: 72 Hours; Refrigerated: 2 weeks; Frozen: Indefinite
CPT Code(s): 83018

0091154 Beryllium, Urine BERYLL URN

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry/Colorimetry
Patient Preparation: High concentrations of gadolinium are known to interfere with most metals tests. If gadolinium-containing contrast media
has been administered, a specimen cannot be collected for 48 hours.
Specimen Required: Collect: Urine in a trace metal-free or acid-washed plastic container.
Specimen Preparation: Transfer 3 mL urine to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1.8 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 82570 Creatinine; 83018 Beryllium heavy metal, quantitative

0051288 Beta-2-Adrenergic Receptor (ADBR2) Haplotyping ADRB2 HAP

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 x2 Nucleic acid probe; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0050321 Beta-2 Glycoprotein 1 Antibodies, IgG & IgM B2GPI PAN

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, grossly icteric, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86146 Beta-2 Glycoprotein I, IgG; 86146 Beta-2 Glycoprotein I, IgM

2002569 Beta-2 Glycoprotein 1 Antibodies, IgG, IgM & IgA B2GPI PAN3
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay

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Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, grossly icteric, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86146 Beta-2 Glycoprotein I, IgG; 86146 Beta-2 Glycoprotein I, IgM; 86146 Beta-2 Glycoprotein I, IgA

0050324 Beta-2 Glycoprotein 1 Antibody, IgA B2GPI A

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, grossly icteric, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86146

0080054 Beta-2 Microglobulin, CSF B2M CSF

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: CSF. Also acceptable: CSF collected in plain red or green (sodium or lithium heparin).
Specimen Preparation: Centrifuge to remove cellular material. Transfer 0.5 mL CSF to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cellular material: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 82232

0080053 Beta-2 Microglobulin, Serum or Plasma B2M S

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: CSF (refer to Beta-2 Microglobulin, CSF, ARUP test code 0080054)
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 6 months
CPT Code(s): 82232

0080432 Beta-2 Microglobulin, Urine B2M U

Methodology: Quantitative Chemiluminescent Immunoassay
Patient Preparation: Void the urinary bladder, then drink a large glass of water and collect a urine specimen within 1 hour.
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer one 3 mL aliquot from a well-mixed random collection to an ARUP Standard Transport Tube. (Min: 1 mL)
If pH is greater than 8, lower pH to 6-8 by adding 1M HCL. If pH less than 6, increase pH to 6-8 by adding 5% NaOH. Titrate with appropriate
preservative until pH of 6-8 has been reached. Record the pH on the transport tube and test request form.
Storage/Transport Temperature: Frozen
Stability: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 2 months
CPT Code(s): 82232

0050047 Beta-2 Transferrin B2TRNSF

Methodology: Qualitative Immunofixation Electrophoresis
Specimen Required: Collect: Serum separator tube (SST) or plain red AND aural or nasal fluid in sterile container.
Specimen Preparation: Do not freeze. Separate serum from cells ASAP or within 2 hours of collection. Transport 2 mL serum AND 2 mL aural or
nasal fluid in a tube without preservative. (Min: 0.5 mL serum and 1 mL aural or nasal fluid)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma.
Stability: Ambient: 4 hours; Refrigerated: 72 hours; Frozen: Unacceptable
CPT Code(s): 86334 IFE Serum; 86335 IFE Fluid

2003454 Beta-Catenin-1 by Immunohistochemistry BCAT1 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2002434 (1,3)-Beta-D-Glucan (Fungitell®) BDGLUCAN

Methodology: Semi-Quantitative Colorimetry
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to a sterile ARUP Standard Transport Tube
(ARUP supply # 43115). Available online through eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 0.5
mL)
Storage/Transport Temperature: Refrigerated.
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 Unacceptable Conditions: Hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: Unacceptable, Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 87449

0050578 Beta Globin (HBB) Gene Sequencing BGSEQ

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA). Also acceptable: Yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x4 Amplification; 83894 Gel electrophoresis; 83904 x3 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation
and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051421 Beta Globin (HBB) HbS, HbC, & HbE Mutations HB SCE
Methodology: Polymerase Chain Reaction/Fluorescence Resonance Energy Transfer
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83896 x3 Nucleic acid probe; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0051422 Beta Globin (HBB) HbS, HbC, and HbE Mutations, Fetal HB SCE FE
Methodology: Polymerase Chain Reaction/Fluorescence Resonance Energy Transfer
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluency of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluency of cultured
amniocytes. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal Cell Contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83896 x3 Nucleic acid probes; 83912 Interpretation and report. FCC: 83900 Multiplex amplification
(first two sequences); 83901 x14 Additional amplification; 83909 Capillary electrophoresis. If MCC Maternal Cell (0050608) is performed, add:
83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0050388 Beta Globin (HBB) Sequencing, Fetal BGSEQ FE

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluent of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).

OR Whole Blood in lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluent of cultured amniocytes
filled with culture media. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood (Min: 1 mL)

OR Whole Blood: Transport 3 mL whole blood (Min: 1 mL)

Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Whole Blood or Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Whole Blood or Maternal Cell contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x4 Amplification; 83894 Gel separation; 83904 x3 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and
report. FCC: 83900 Multiplex amplification; 83901 x14 Additional Amplification; 83909 Capillary electrophoresis. For MCC Maternal cell
(0050608) add: 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis; 83912
Interpretation and report.

0070029 Beta-hCG, Quantitative (Tumor Marker) BHCG TM

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube. Also acceptable: Lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF (refer to Beta-hCG, Quantitative (Tumor Marker) CSF, ARUP test code 0020730). Specimens left to clot at 2-8°C
or specimens subjected to repeated freeze/thaw cycles.
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 Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 84702

0020730 Beta-hCG, Quantitative (Tumor Marker), CSF BHCG CSF

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: CSF. Also acceptable: CSF collected in plain red or green (sodium or lithium heparin).
Specimen Preparation: Transfer 0.5 mL CSF to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Any other body fluids.
Stability: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 84702

0020063 Beta-hCG, Serum Qualitative BHCG-S

Methodology: Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 2 months
CPT Code(s): 84703

0070025 Beta-hCG, Serum Quantitative BHCG QNT

Methodology: Chemiluminescent Immunoassay
Specimen Required: Collect: Plasma separator tube (PST), serum separator tube (SST), or plain red.
Specimen Preparation: Serum specimens must sit for 15-20 minutes for proper clot formation and to assure the absence of fibrin in the serum,
which can interfere with this test. Separate serum from cells within 24 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: This test is not appropriate for tumor marker studies and should not be performed on males.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles. Test ordered for tumor markers or on males.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 1 year
CPT Code(s): 84702

0020229 Beta-hCG, Urine Qualitative BHCG-U

Methodology: Immunoassay
Specimen Required: Collect: Urine in a plastic container. First-morning urine is the preferred specimen as it usually contains the highest concentration of beta-hCG;
however, any specimen is suitable for testing.
Specimen Preparation: Transfer 1 mL aliquot of urine to an ARUP Standard Transport Tube. If frozen, mix after thawing. Do not refreeze.
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 6 months (one freeze/thaw cycle is acceptable)
CPT Code(s): 81025

0080045 Beta-Hydroxybutyric Acid B-OH

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Serum separator tube, lavender (EDTA), pink (K2EDTA), green (sodium or lithium heparin), or gray (sodium fluoride/potassium oxalate).
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82010

2003466 BF-1 by Immunohistochemistry BF1 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0020245 Bicarbonate (HCO3), Urine BICARB

Methodology: Enzymatic
Specimen Required: Collect: Random urine in sealed container.
Specimen Preparation: Immediately upon collection, mix and transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 0.3 mL) Do not
expose to air.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Room temperature or refrigerated specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month (unstable if thawed and refrozen)
CPT Code(s): 82374

0092610 Bile Acids, Fractionated and Total by LC-MS/MS BILE ACIDS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
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 Patient Preparation: Patient should fast for a minimum of eight hours prior to specimen collection.
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: After clot formation, centrifuge specimen and pour off serum into a transport tube. Transfer 1 mL serum to an ARUP
Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated. Store specimen refrigerated or frozen.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 83789

0070189 Bile Acids, Total BILE AC

Methodology: Quantitative Enzymatic
Patient Preparation: Patient should fast for 8 hours prior to collection.
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature before centrifugation. Transfer 1 mL serum to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body fluids. Heparinized specimens. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 82239

2005248 Bilirubin, CSF BILCSF

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: CSF. Collect at least 12 hours after suspected hemorrhage. Use the last (ideally the fourth) specimen post lumbar puncture. AND serum
separator tube.
Specimen Preparation: CSF: Transport to local lab quickly and avoid pneumatic tube transport if possible. Protect from light during collection,
storage and shipment. Centrifuge for 5 minutes ASAP or within 1 hour of collection. Transfer 2 mL CSF to an ARUP Amber Transport Tube.
(Min: 1 mL) Do not freeze.
Serum: Protect from light during collection, storage and shipment. Allow specimen to clot completely at room temperature. Separate from cells
ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Amber Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens not protected from light. Frozen CSF.
Stability: CSF: Ambient: 4 hours; Refrigerated: 1 week; Frozen: Unacceptable
Serum: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 84311 Net absorbance, Bilirubin, CSF; 84311 Net absorbance, Oxyhemoglobin, CSF; 82247 Total serum bilirubin

0020426 Bilirubin, Direct & Total, Serum or Plasma BILI

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Protect from light during collection, storage, and shipment. Allow serum tube to clot completely at room temperature.
Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 0.2
mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells if protected from light: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82247 Total bilirubin; 82248 Direct bilirubin

0020033 Bilirubin, Direct, Serum or Plasma BILID

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Protect from light during collection, shipment and storage. Allow serum tube to clot completely at room temperature.
Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 0.2
mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells if protected from light: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82248

0020510 Bilirubin, Total, Body Fluid TBILI-FL

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Body fluid.
Specimen Preparation: Protect from light during collection, storage, and shipment. Transfer 0.5 mL body fluid to an ARUP Amber Transport
Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated
Remarks: Specimen source required.
Unacceptable Conditions: Amniotic fluid, (refer to Amniotic Bilirubin Scan, ARUP test code 0080276) or CSF (refer to Bilirubin, CSF, ARUP
test code 2005248). Breast milk and salivary fluid. Specimens too viscous to be aspirated by instrument.
Stability: If protected from light: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82247

0020032 Bilirubin, Total, Serum or Plasma BILIT

Methodology: Spectrophotometry
Specimen Required: Collect: Plasma separator tube or serum separator tube. Also acceptable: Lavender (EDTA), pink (K2EDTA) or green (sodium or lithium heparin).
Specimen Preparation: Protect from light during collection, storage and shipment. Allow serum tube to clot completely at room temperature.
Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 0.2
mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells if protected from light: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82247

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 0051700 Biotinidase Deficiency (BTD) 5 Mutations BTD MUT
Methodology: Polymerase Chain Reaction/Capillary Electrophoresis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x2 Additional amplification; 83914 x5 Extension; 83909 Capillary electrophoresis; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051730 Biotinidase Deficiency (BTD) Sequencing BTD FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x6 Amplification; 83904 x6 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report.

0093362 Biotinidase, Serum (with Paired Normal Control) BTD ENZ

Methodology: Spectrophotometry
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient. Collect control specimen within 30 minutes of patient specimen.
Specimen Required: Collect: Plain red or serum separator tube (patient) AND plain red serum separator tube (control).
Specimen Preparation: Separate serum from cells and freeze ASAP or within 2 hours of collection. Transfer 2 mL serum (patient) AND 2 mL
serum (control) to individual ARUP Standard Transport Tubes. (Min: 0.2 mL (patient) AND 0.2 mL (control)). Label control tube as "Control for
[patient name]".
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered. Ship patient
and control specimens together.
Unacceptable Conditions: Refrigerated or room temperature specimens. Specimens subjected to more than one freeze/thaw cycle.
Stability: After separation from cells: Ambient: 1 hour; Refrigerated: 1 hour; Frozen: 1 month
CPT Code(s): 82261

0055691 BIRC2-MALT1 (API2-MALT1) Translocation, t(11;18) by RT-PCR API2-MLT1

Methodology: Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Tissue.
Specimen Preparation: Freeze fresh tissue immediately. Transport 100 mg or 0.5 cm3 tissue.
OR Formalin fix (10% neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 4 tissue scrolls (tissue shavings), 10
microns thick. Protect paraffin block from excessive heat.
Storage/Transport Temperature: Fresh tissue: Frozen at -70°C.
OR formalin-fixed, paraffin-embedded tissue: Room temperature or refrigerated. Ship in cooled container during summer months.
Unacceptable Conditions: Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-4 or B-5). Slides.
Decalcified tissue.
Stability: Fresh tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen at -70°C: 48 hours
Formalin-fixed, paraffin-embedded tissue: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x3 Amplification; 83894 Gel separation; 83912 Interpretation and report - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0099478 Bismuth, Blood BS B

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA).
Specimen Preparation: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 83018

0099410 Bismuth, Urine BS U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83018

0090067 BK Virus, Quantitative PCR BK QNT

Methodology: Quantitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or serum separator tube. OR Urine.
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 Specimen Preparation: Do not freeze whole blood specimens. Transport 1 mL whole blood, serum, plasma or urine in a sterile container. (Min: 0.5
mL).
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Frozen whole blood. Heparinized specimens.
Stability: Ambient: 24 hours; Refrigerated: 72 hours; Frozen: 1 month
CPT Code(s): 87799

2002304 BK Virus, Quantitative PCR, Blood BK QNT BLD

Methodology: Quantitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or serum separator tube
Specimen Preparation: Do not freeze whole blood specimens. Transport 1 mL whole blood, serum or plasma in a sterile container. (Min: 0.5 mL).
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Urine (refer to BK Virus, Quantitative PCR, Urine, ARUP test code 2002310). Frozen whole blood. Heparinized
specimens.
Stability: Ambient: 24 hours; Refrigerated: 72 hours; Frozen: 1 month
CPT Code(s): 87799

2002310 BK Virus, Quantitative PCR, Urine BK QNT URN

Methodology: Quantitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Urine.
Specimen Preparation: Transfer 1 mL urine to a sterile container. (Min: 0.5 mL).
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Plasma, serum or whole blood (refer to BK Virus, Quantitative PCR, Blood, ARUP test code 2002304).
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 month.
CPT Code(s): 87799

8100500 Bladder Tumor Associated Antigen BT REPORT

Methodology: Qualitative Immunoassay
Specimen Required: Collect: Urine.
Specimen Preparation: Transport 2 mL urine.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bladder washings, plasma, serum, or whole blood.
Stability: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 86294

0050626 Blastomyces Antibodies by CF & ID BLASTO PAN

Methodology: Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.25 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86612 Blastomyces Ab (CF); 86612 Blastomyces Ab (ID)

0050130 Blastomyces Antibody by CF BLASTO

Methodology: Semi-Quantitative Complement Fixation
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86612

0050172 Blastomyces Antibody by ID BLASTO PPT

Methodology: Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body fluids.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86612

2002926 Blastomyces dermatitidis Antigen EIA BLAST DERM

Methodology: Quantitative Enzyme Immunoassay
Specimen Required: Collect: Random urine. OR plain red, serum separator tube, or green (sodium or lithium heparin). Also acceptable: CSF or BAL.
Specimen Preparation: Transfer 2 mL urine, serum, or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: EDTA plasma.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: Indefinitely
CPT Code(s): 87449-90
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 0062224 Blastomyces dermatitidis Identification by DNA Probe MC BP
Methodology: Nucleic Acid Probe
Specimen Required: Collect: Actively growing fungal isolate in pure culture
Specimen Preparation: Transport sealed container with pure culture on non-blood containing fungal medium. Place each specimen in individually
sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Results may be delayed if growth of the organism is inadequate.
Unacceptable Conditions: Mixed or non-viable organisms. Agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87149

2003417 Bleeding Disorders (Common) BLEED COM

Methodology: Microlatex Particle-Mediated Immunoassay/Platelet Agglutination/Electromagnetic Mechanical Clot Detection
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 4 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen at -20°C: 3 months; Frozen at -70°C: 6 months
CPT Code(s): 85240 F8; 85246 vWF/AG; 85245 vWF/RCF; 85250 Factor IX ; 85270 Factor XI; 85610 PT; 85730 PTT

2003947 Bleeding Disorders (Uncommon) with Reflex to Factor XIII 1:1 Mix and/or Fibrinogen Antigen BLEED UCOM
Methodology: Electromagnetic Mechanical Clot Detection/Solubility/Radial Immunodiffusion
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 8 mL platelet-poor plasma to ARUP Standard Transport Tubes. (Min: 6 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 85610 PT; 85730 PTT; 85210 Factor II; 85220 Factor V; 85230 Factor VII; 85260 Factor X; 85291 Factor XIII: if reflexed add factor 13 1:1 mix
85291; 85384 Fibrinogen; if reflexed add 85385 Fibrinogen Antigen

0060102 Blood Culture MC BLD

Methodology: Continuous Monitoring Blood Culture/Identification
Patient Preparation: Aseptic draw.
Specimen Required: Collect: Bactec® aerobic resin bottle and standard anaerobic bottle. For infants, use pediatric bottle.
Specimen Preparation: Transfer blood to a Bactec® aerobic resin bottle and standard anaerobic bottle using aseptic techniques, as defined for
blood culture collection. Site of specimen draw is required (e.g. left antecubital, A-line, etc).
Adult minimum: 3 mL blood (aerobic: 8-10 mL recommended, anaerobic: 5-7 mL recommended).
Pediatric minimum: 1 mL blood (1-3 mL recommended).
*Low volume will result in decreased recovery of pathogens.
Storage/Transport Temperature: Room temperature.
Remarks: Note in the order if the patient is suspected of having Bartonella, Brucella, or any other unusual organism. Refer to Brucella Culture
(ARUP test code 0060159) or Legionella Species Culture (ARUP test code 0060113) for additional information.
Unacceptable Conditions: More than four blood culture sets per 24 hours.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87040

0060060 Blood Culture, Acid-Fast Bacillus (AFB) MC BAFB

Methodology: Continuous Monitoring Blood Culture/Identification
Patient Preparation: Aseptic draw.
Specimen Required: Collect: Whole blood in yellow (SPS) (ARUP supply #24964) or in Bactec® Myco/F Lytic bottle (ARUP supply # 31916).
OR bone marrow in yellow (SPS) (ARUP supply # 24964).
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Whole Blood: Transport 7 mL in tube or 5 mL bottle. (Min: 1 mL)
Bone Marrow: Transport 7 mL in tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room Temperature
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87116

0060024 Blood Culture, AFB and Fungal MC BLDAF

Methodology: BACTEC® Continuous Monitoring Blood Culture/Identification
Patient Preparation: Aseptic draw.
Specimen Required: Collect: Whole blood in yellow (SPS) (ARUP supply #24964) or in Bactec® Myco/F Lytic bottle (ARUP supply # 31916).
OR bone marrow in yellow (SPS) (ARUP supply # 24964).
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Whole Blood: Transport 7 mL in tube or 5 mL bottle. (Min: 1 mL)
Bone Marrow: Transport 7 mL in tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room Temperature
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87103 Fungal culture, blood; 87116 AFB culture

0060070 Blood Culture, Fungal MC BFUNG

Methodology: Continuous Monitoring Blood Culture/Identification
Patient Preparation: Aseptic draw.
Specimen Required: Collect: Whole blood in yellow (SPS) (ARUP supply #24964) or in Bactec® Myco/F Lytic bottle (ARUP supply # 31916).
OR bone marrow in yellow (SPS) (ARUP supply # 24964).
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
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 Specimen Preparation: Whole Blood: Transport 7 mL in tube or 5 mL bottle. (Min: 1 mL)
OR Bone Marrow: Transport 7 mL in tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room Temperature
Stability: Ambient: 72 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87103

2004741 Blood Group (5 Minor Antigens) Genotyping by Bead Array BLD GROUP5
Methodology: Polymerase Chain Reaction/Bead Array
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Transfer 7 mL whole blood to ARUP Standard Transport Tubes. (Min: 2 mL) Specimen must be labeled with patient's
name, date of birth, and the date and time of draw.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 Digestion; 83900 Multiplex amplification; 83901 x16 Additional amplification; 83914 x25 Mutation identification; 83909
Separation and identification; 83912 Interpretation and report - Additional CPT code modifiers 4H (Kell) or 4Z (blood typing) may be required.

2004743 Blood Group (9 Minor Antigens) Genotyping by Bead Array BLD GROUP9
Methodology: Polymerase Chain Reaction/Bead Array
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Transfer 7 mL whole blood to ARUP Standard Transport Tubes. (Min: 2 mL) Specimen must be labeled with patient's
name, date of birth, and the date and time of draw.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 Digestion; 83900 x2 Multiplex amplification; 83901 x21 Additional amplification; 83914 x31 Mutation identification;
83909 Separation and identification; 83912 Interpretation and report - Additional CPT code modifiers 4H (Kell) or 4Z (blood typing) may be
required.

2004739 Blood Group (ABO & 8 Minor Antigens) Genotyping by Microarray BLD GROUP8
Methodology: Polymerase Chain Reaction/ASH Microarray
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Transfer 7 mL whole blood to ARUP Standard Transport Tubes. (Min: 2 mL) Specimen must be labeled with patient's
name, date of birth, and date and time of draw.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 83890 Isolation; 83892 Digestion; 83898 Amplification; 83900 x2 Multiplex amplification; 83901 x30 Additional amplification; 88386
Microarray, 250-500 probes; 83912 Interpretation and report

0051433 Bloom (BLM) 2281del6/ins7 Mutation BLM

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Enzymatic digestion; 83898 Amplification; 83914 Mutation identification; 83909 Separation and identification; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051434 Bloom (BLM) 2281del6/ins7 Mutation, Fetal BLM FE

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluency of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluency of cultured
amniocytes. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal Cell Contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Digestion; 83898 Amplification; 83914 Extension; 83909 Capillary electrophoresis 83912 Interpretation and report.
FCC: 83900 Multiplex amplification (first two sequences); 83901 x14 Additional amplification; 83909 Capillaryelectrophoresis. If MCC MAT
(0050608) is performed: 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis;
83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited
disorders.

0060108 Body Fluid Culture and Gram Stain MC BF

Methodology: Stain/Culture/Identification
Specimen Required: Collect: Aspirate of amniotic, culdocentesis, pericardial, peritoneal, synovial, thoracentesis, or fluid.
OR body fluid collected in blood culture bottle(s), accompanied by original fluid (if possible).
Specimen Preparation: Transfer aspirate to a sterile tube, sterile container, or anaerobe gel transport tube. Place each specimen in an individual
sealed bag.
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 Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required. Anaerobe Culture (ARUP test code 0060143) will be performed on properly collected and transported
specimens.
Unacceptable Conditions: Specimens submitted in anticoagulant other than SPS. Syringes with needle attached.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87070

0060103 Bone Culture MC BONE

Methodology: Culture/Identification
Specimen Required: Collect: Bone.
Specimen Preparation: Transfer bone to a sterile container and place on gauze moistened with sterile non-bacteriostatic saline to prevent drying.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Unacceptable Conditions: Dry specimens.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87070

0060104 Bone Marrow Culture MC BM

Methodology: Culture/Identification
Specimen Required: Collect: Bone marrow, aspirate in sterile SPS Vacutainer® tube (ARUP Supply #24964). Available online through eSupply using ARUP
Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Transport bone marrow in SPS tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source required.
For AFB and fungal culture order Blood Culture, AFB & Fungal (ARUP test code 0060024).
Unacceptable Conditions: Specimens submitted in anticoagulant other than SPS.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87070

Bone Marrow Services

Methodology: Microscopy
Specimen Required: Collect: Contact your ARUP Business Development Manager or the Hematopathology Department at (800) 242-2787 for more information.

Bone marrow in lavender (EDTA) or pink (K2EDTA).

Specimen Preparation: Transport 5 mL bone marrow (Min: 5 mL).
AND transport 2 unfixed bone marrow aspirate slides for each stain requested (Min: 2 slides/stain).
Storage/Transport Temperature: Room temperature.
Remarks: Collection/Submission instructions must be followed. Submit clinical history and a preliminary report. If special studies are anticipated
such as cytogenetics, flow cytometry, etc., submit additional specimens in appropriate anticoagulant/fixative if required.
Unacceptable Conditions: Specimens older than 24 hours. Clotted or hemolyzed specimens.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): Varies, depending upon actual testing performed.

0070053 Bone Specific Alkaline Phosphatase BSAP

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube. Also acceptable: Green (sodium or lithium heparin).
Specimen Preparation: Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen
Unacceptable Conditions: Urine. Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 48 hours; Frozen: 2 months
CPT Code(s): 84080

2001774 Bordetella pertussis Antibodies, IgA and IgG by ELISA with Reflex to Immunoblot BORDPAN2
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL) Parallel testing is preferred, and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86615 x2 Bordetella IgA and IgG; if reflexed, add 86615 for each Bordetella Immunoblot

2001775 Bordetella pertussis Antibodies, IgA, IgG, and IgM by ELISA with Reflex to Immunoblot BORDPAN3
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL) Parallel testing is preferred, and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615 x3 Bordetella (IgA, IgG, & IgM); if reflexed, add 86615 for each Bordetella Immunoblot

2004328 Bordetella pertussis Antibodies, IgA, IgG, & IgM by Immunoblot BORD BLOTS
Methodology: Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.

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 Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615 x3

2001784 Bordetella pertussis Antibodies, IgG and IgM by ELISA with Reflex to Immunoblot BORDPAN
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615 x2 Bordetella (IgG & IgM); if reflexed add 86615 for each Bordetella Immunoblot

2004316 Bordetella pertussis Antibody, IgA by Immunoblot BORDA BLOT

Methodology: Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615

2005268 Bordetella pertussis Antibody, IgG by ELISA BORDIGG

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86615

2001768 Bordetella pertussis Antibody, IgG by ELISA with Reflex to Immunoblot BORDG
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86615 Bordetella IgG; if reflexed add 86615 Bordetella IgG Immunoblot

2004327 Bordetella pertussis Antibody, IgG by Immunoblot BORDG BLOT

Methodology: Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615

2001769 Bordetella pertussis Antibody, IgM by ELISA with Reflex to Immunoblot BORDM
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86615 Bordetella IgM; if reflexed add 86615 for Bordetella IgM Immunoblot

2004326 Bordetella pertussis Antibody, IgM by Immunoblot BORDM BLOT

Methodology: Qualitative Immunoblot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Heat-inactivated specimens.
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 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86615

0065078 Bordetella pertussis by PCR BPERT

Methodology: Polymerase Chain Reaction
Specimen Required: Collect: Respiratory specimens on rayon or Dacron® swab, or direct respiratory specimen such as BAL, respiratory aspirate, or sputum.
Specimen source is required.
Storage/Transport Temperature: 2 mL respiratory specimen on swab or direct respiratory specimen should be sent in sterile container, or in viral
transport media (Microtest M4 or UTM) (ARUP supply #12884), frozen. (Min: 0.5 mL)
Unacceptable Conditions: Calcium-alginate swabs (shown to inhibit PCR). Respiratory aspirates in collection containers with tubing.
Stability: Ambient: 4 hours; Refrigerated: 2 days; Frozen: 2 weeks
CPT Code(s): 87798

0060117 Bordetella pertussis Culture MC PERT

Methodology: Culture/Identification
Specimen Required: Collect: Nasal aspirate or washing or nasopharyngeal swab.
Specimen Preparation: Aspirate or Washing: Transfer to a sterile container.(Min: 0.5 mL). Nasopharyngeal Swab: Place swab in Regan-Lowe
transport media and incubate for 24-48 hours at 35°C (ARUP supply# 24962). Available online through eSupply using ARUP Connect™ or
contact ARUP Client Services at (800) 522-2787. Also acceptable: Swab in Jones Kendrick media or Amies with charcoal media, or swabs in
described media sent directly without incubation.
Storage/Transport Temperature: Room temperature or refrigerated.
Remarks: Specimen source preferred.
Unacceptable Conditions: Sputum, Eswabs or medias other than listed above.
Stability: Incubated Regan-Lowe: Ambient: 4 days; Refrigerated: 4 days; Frozen: Unacceptable
Unincubated Regan-Lowe, Amie with charcoal swab, Aspirate or Washing: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 87081 presumptive identification. If definitive identification required, add 87077.

2004667 Bordetella pertussis DFA PERTFA

Methodology: Direct Fluorescent Antibody Stain
Specimen Required: Collect: Nasal aspirate or washing or nasopharyngeal swab.
Specimen Preparation: Aspirate or Washing: Transfer to a sterile container.(Min: 0.5 mL)
Nasopharyngeal Swab: Place swab in Regan-Lowe transport media and incubate for 24-48 hours at 35°C (ARUP supply# 24962). Available
online
through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Also acceptable: Swab in Jones Kendrick media or
Aimes
with charcoal media, or swabs in described media sent directly without incubation.
If both culture and DFA are ordered, two swabs or swab plus slides are required.
Storage/Transport Temperature: Room temperature or refrigerated.
Remarks: Source of specimen is preferred.
Unacceptable Conditions: Sputum. Swabs or media other than listed above.
Stability: Incubated Regan-Lowe: Ambient: 4 days; Refrigerated: 4 days; Frozen: Unacceptable.
Unincubated Regan-Lowe, Aimes with charcoal swab, Aspirate or Washing: Ambient: 48 hours; Refrigerated: 48 hours; Frozen:
Unacceptable.
Slides: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 87265

0065080 Bordetella pertussis/parapertussis by PCR BORD PCR

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Respiratory specimen: Aspirate, bronchoalveolar lavage (BAL), swab or sputum.
Specimen Preparation: Fluid: Transfer 2 mL respiratory specimen to a sterile container. (Min: 0.5 mL) Also acceptable: Transfer to viral transport
media (ARUP supply #12884). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787
Swabs: Place in viral transport media.
Storage/Transport Temperature: Frozen
Remarks: Specimen source required.
Unacceptable Conditions: Calcium-alginate swabs.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 2 weeks.
CPT Code(s): 87801

0091330 Boron, Serum or Plasma BORON SP

Methodology: Quantitative Inductively Coupled Plasma-Optical Emission Spectrometry
Specimen Required: Collect: Royal blue, plastic (trace metal-free; EDTA) or royal blue, plastic (trace metal-free; no additive).
Specimen Preparation: Separate from cells within 2 hours of draw. Transfer 2 mL serum or plasma to an ARUP Trace Element-Free Transport
Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
(Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Glass containers or separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83018

0091331 Boron, Urine BORON URN

Methodology: Quantitative Inductively Coupled Plasma-Optical Emission Spectrometry
Patient Preparation: High concentrations of gadolinium are known to interfere with most metals tests. If gadolinium-containing contrast media
has been administered, a specimen cannot be collected for 48 hours.
Specimen Required: Collect: Random urine in a plastic trace metal-free or acid-washed container.
Specimen Preparation: Transfer 6 mL urine to ARUP Trace Element-Free Transport Tubes (ARUP supply #43116). Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 2.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Glass containers.
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 Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 83018

0050254 Borrelia burgdorferi Antibodies, IgG & IgM by Western Blot LYME WB
Methodology: Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617 Lyme IgG; 86617 Lyme IgM

0055260 Borrelia burgdorferi Antibodies, IgG & IgM by Western Blot (CSF) LYME WBCSF
Methodology: Qualitative Western Blot
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617 B. burgdorferi IgG WB; 86617 B. burgdorferi IgM WB

0050216 Borrelia burgdorferi Antibodies, Total by ELISA LYME EIA

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86618

0099483 Borrelia burgdorferi Antibodies, Total by ELISA (CSF) LYME CSF

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86618

0050267 Borrelia burgdorferi Antibodies, Total by ELISA with Reflex to IgG & IgM by Western Blot (Early Disease) LYME ACUTE
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86618 B. burgdorferi total Ab. IgG/IgM; if reflexed, add 86617 B. burgdorferi Western blot IgG and 86617 B. burgdorferi Western blot IgM

0050255 Borrelia burgdorferi Antibody, IgG by Western Blot LYME G WB

Methodology: Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617

0055259 Borrelia burgdorferi Antibody, IgG by Western Blot (CSF) LYMEGWBCSF

Methodology: Qualitative Western Blot
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617

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 0050253 Borrelia burgdorferi Antibody, IgM by Western Blot LYME M WB
Methodology: Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617

0055258 Borrelia burgdorferi Antibody, IgM by Western Blot (CSF) LYMEMWBCSF

Methodology: Qualitative Western Blot
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86617

0051044 Borrelia burgdorferi C6 Peptide Antibodies, Total by ELISA C6 PEP

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Remove serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86618

0051046 Borrelia burgdorferi C6 Peptide Antibodies, Total by ELISA (CSF) C6 PEP CSF
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test requisition.
Unacceptable Conditions: Specimen types other than CSF. Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen 1 year
CPT Code(s): 86618

0051043 Borrelia burgdorferi C6 Peptide Antibodies, Total by ELISA with Reflex to IgG & IgM by Western Blot C6 ACUTE R
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86618 C6 Peptide; if positive add, 86617 x2 Lyme IgG/IgM

0051045 Borrelia burgdorferi C6 Peptide Antibodies, Total by ELISA with Reflex to IgG by Western Blot C6 CHRON R
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86618 C6 Peptide; if positive, add 86617 Lyme IgG

0050268 Borrelia burgdorferi Total Antibodies, IgG and/or IgM by ELISA with Reflex to IgG by Western Blot (Late LYME CHRO
Disease)
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF or plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86618 B. burgdorferi total Ab. IgG/IgM; if reflexed, add 86617 Borrelia burgdorferi Western blot IgG

0093170 Borrelia hermsii Antibody Panel, IFA BORRELIA

Methodology: Semi-Quantitative Immunofluorescence Assay
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red.
Specimen Preparation: Tranfer 1 mL serum to an ARUP Standard Transport Tube (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86619 IgG; 86619 IgM
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 0055570 Borrelia Species by PCR (Lyme Disease) LYMEPCR
Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or serum separator tube. OR CSF, synovial fluid or tissue.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL serum, plasma, CSF or synovial fluid to a sterile container. (Min: 0.5
mL). Tissue: Transfer to a sterile container and freeze immediately.
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Heparinized specimens.
Stability: Tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 year
All Others: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 1 year
CPT Code(s): 87476

2006297 Borrelia Species by PCR (Lyme Disease), Tick LYME TICK

Methodology: Qualitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Deer tick
Specimen Preparation: Transfer one deer tick in 70 percent ethanol or in wet tissue to an ARUP Standard Transport Tube.
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 87476

2002498 BRAF Codon 600 Mutation Detection by Pyrosequencing BRAF PCR

Methodology: Polymerase Chain Reaction/Pyrosequencing
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport
tissue block or 5 unstained 5-micron slides. (Min: 3 slides).
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Less than 25 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal
fixatives. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88381 Microdissection; 83907 Lysis; 83898 Amplification; 83904 Sequencing; 83912 Interpretation and report. Additional CPT code modifiers
may be required for procedures performed to test oncologic or inherited disorders.

0051750 BRAF Codon 600 Mutation Detection with Reflex to MLH1 Promoter Methylation BRAF RFLX
Methodology: Polymerase Chain Reaction/Pyrosequencing
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 5 unstained 5
microns slides. (Min: 3 slides). Protect paraffin block and/or slides from excessive heat.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Less than 25 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal
fixatives. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 83907 Lysis; 88381 Microdissection; 83904 Sequencing; 83898 Amplification; 83912 Interpretation and report; if reflexed, add 83896 x2 Nucleic
Acid Probes; 83898 x2 Amplification; 83912 Interpretation and report. Additional CPT code modifiers may be required for procedures performed
to test oncologic or inherited disorders.

2006516 BRAF V600E Mutation Detection by Allele-Specific PCR, Fine Needle Aspirate BRAF FNA
Methodology: Polymerase Chain Reaction
Specimen Required: Collect: Tumor cells by Fine Needle Aspiration (FNA).
Specimen Preparation: Prepare FNA smear and Diff-Quick or equivalent stain by standard methods.
Storage/Transport Temperature: Two FNA slides (min: 1 slide) Transport slide(s) in a tissue transport kit (ARUP supply # 47808) available online
through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Remarks: Include cytology report. For a general FNA collection and smear preparation refer to ARUP's Laboratory Test Directory: Cytology, Fine
Needle Aspiration Collection at http://www.aruplab.com/guides/ug/tests/arup014.jsp
Unacceptable Conditions: Slides with less than 50 atypical or tumor cells.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88381 Microdissection; 83907 Lysis; 83898 x2 Amplification; 83896 Nucleic acid probe; 83912 Interpretation and report. Additional CPT code
modifiers may be required for procedures performed to test oncologic or inherited disorders.

2007132 BRAF V600E Mutation Detection in Hairy Cell Leukemia by Real-Time PCR, Quantitative BRAF HCL
Methodology: Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) OR bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood. (Min: 1 mL) OR 3mL bone marrow (Min: 1 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Serum, plasma, FFPE tissue blocks/slides, or frozen tissue. Specimens collected in anticoagulants other than EDTA.
Clotted or severely hemolyzed specimens
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83896 x2 Nucleic Acid Probe; 83912 Interpretation and report

2003472 Breast 2 (GCDFP-15) by Immunohistochemistry BRST2 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
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 Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003445 Breast Carcinoma b72.3 by Immunohistochemistry B72.3 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0091291 Bretylium, Serum or Plasma BRETYLIUM

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 months
CPT Code(s): 80299

0096065 Bretylium, Urine BRETYLIU

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 months
CPT Code(s): 80299

0090035 Bromide BR
Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: Indefinitely
CPT Code(s): 80299

0060700 Bronchoscopy Culture MC BAL

Methodology: Quantitative Culture/Identification
Specimen Required: Collect: Lower respiratory material by bronchoscopy (BAL fluid or protected brush specimens).
Specimen Preparation: Transfer fluids to a sterile container.
Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Stability: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable
CPT Code(s): 87071

0050135 Brucella Antibody (Total) by Agglutination BRUC

Methodology: Semi-Quantitative Agglutination
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.2 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 6 months (avoid repeated freeze/thaw cycles)
CPT Code(s): 86622

0060159 Brucella Culture MC BRUC

Methodology: Culture/Identification
Specimen Required: Collect: Blood in sterile SPS Vacutainer® tube for microbiology (ARUP Supply #24964) or Bactec® Blood Culture bottles. Available online
through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. OR abscess, aspirate, body fluid, CSF, or tissues.
Specimen Preparation: Adult Blood: Transport 7 mL whole blood. (Min: 3 mL)*
Pediatric Blood: Transport 3 mL whole blood. (Min: 1 mL)*
Abscess, Aspirate, Body fluid, CSF: Transfer to a sterile container. Place each specimen in an individually sealed bag.
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 Tissue: Transfer tissue to a sterile container and place on gauze moistened with sterile non-bacteriostatic saline to prevent drying.
*Low volume will result in decreased recovery of pathogens.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Unacceptable Conditions: Swabs. Specimens submitted in anticoagulant other than SPS. Clotted blood specimens.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87081 presumptive identification. If definitive identification required, add 87077.

2006218 Brugada Syndrome Panel, 7 Genes BRS PANEL

Methodology: Massive Parallel Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x51 Additional amplification; 83904 x51 Sequencing; 83909 x3 Capillary electrophoresis; 83912
Interpretation and report.

0092566 Bullous Pemphigoid (180 kDa and 230 kDa) Antigens, IgG BP180 230G
Methodology: Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 72 hours; Refrigerated: 3 months; Frozen: Indefinitely
CPT Code(s): 83516 x2

2002742 Buprenorphine and Metabolites - Confirmation/Quantitation - Serum/Plasma BUPREN SP

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 83925

2002749 Buprenorphine and Metabolites - Confirmation/Quantitation - Urine BUPREN UR

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 83925

0099184 Bupropion BUPROPION

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 1.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered
Remarks:
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 80299

0091299 Buspirone Quantitation, Serum or Plasma BUSPIRON

Methodology: Quantitative Gas Chromatography
Patient Preparation: Recommended peak draw 40-90 minutes post dose.
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 5 mL serum or plasma to ARUP Standard Transport Tubes. (Min: 2.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 17 months
CPT Code(s): 80299

0091164 Buspirone, Urine BUSPIRO U

Methodology: Gas Chromatography
Specimen Required: Collect: Urine. Recommended peak collection at 40-90 minutes post dose.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Room temperature
Remarks: Recommended peak occurs at 40 to 90 minutes post dose.
Stability: Ambient: 1 week; Refrigerated: 2 weeks: Frozen: 17 months
CPT Code(s): 82491

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 0090980 Butabarbital, Serum or Plasma BUTABAR SP
Methodology: Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0091170 Butabarbital, Urine BUTABA UR

Methodology: Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82205

0090045 Butalbital BUTAL

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 3 months; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 82205

0091521 Butorphanol, Serum or Plasma - Screen with Reflex to Confirmation/Quantitation STADOL SP

Methodology: Qualitative High Performance Liquid Chromatography-Tandem Mass Spectrometry/Quantitative High Performance Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 10 days; Frozen: 1 month
CPT Code(s): 80101 Drug screen, if positive, add 83925

0091520 Butorphanol, Urine - Screen with Reflex to Confirmation/Quantitation STADOL UR

Methodology: Qualitative High Performance Liquid Chromatography-Tandem Mass Spectrometry/Quantitative High Performance Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 10 days; Frozen: 1 month
CPT Code(s): 80101 Drug screen; if positive, add 83925

0050139 C-1-Esterase Inhibitor Panel C1 INH PAN

Methodology: Immunoturbidimetry/Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer three 1 mL aliquots of serum to individual
ARUP Standard Transport Tubes and freeze immediately. (Min: 0.5 mL/tube)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens.
Stability: Refer to individual components.
CPT Code(s): 86160 Complement C4; 86160 C-1-Esterase inhibitor; 86161 C-1 Esterase inhibitor functional

0081121 C-Peptide, 24-Hour Urine CPEP UR

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Random urine (no reference intervals).
Specimen Preparation: Transfer 2 mL aliquot from a well-mixed 24-hour urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 1 month
CPT Code(s): 84681

0070103 C-Peptide, Serum or Plasma C PEP

Methodology: Quantitative Chemiluminescent Immunoassay
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink
(K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP. Submit specimen in
an ARUP Standard Transport Tube.
Storage/Transport Temperature: Transport 1 mL serum or plasma, frozen. (Min: 0.5 mL)
Unacceptable Conditions: Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 2 days; Frozen: 1 month
CPT Code(s): 84681

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 0050180 C-Reactive Protein CRP
Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube. Also acceptable: Plasma separator tube, green (lithium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 11 days; Refrigerated: 2 months; Frozen: 3 years (if frozen within 24 hours)
CPT Code(s): 86140

0050182 C-Reactive Protein, High Sensitivity HSCRP

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube. Also acceptable: Plasma separator tube, lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 months; Frozen: 1 year
CPT Code(s): 86141

0050181 C-Reactive Protein, Neonatal CRPN

Methodology: Immunoassay
Specimen Required: Collect: Plasma separator tube (PST) microtainer. Also acceptable: Serum separator tube (SST), lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma or serum from cells within 2 hours of collection. If serum is used allow specimen to clot completely at
room temperature. Transport 0.2 mL serum. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 11 days; Refrigerated: 2 months; Frozen: 3 years
CPT Code(s): 86140

0070416 C-Telopeptide, Beta-Cross-Linked, Serum CTX

Methodology: Quantitative Electrochemiluminescent Immunoassay
Patient Preparation: For patients receiving therapy with high biotin doses (e.g. greater than 5 mg/day), specimen should not be drawn until at
least 8 hours after the last biotin administration.
Specimen Required: Collect: Serum separator tube, pink (K2EDTA), or green (sodium heparin).
Specimen Preparation: Allow serum separator tube to sit for 15-20 minutes at room temperature for proper clot formation. Centrifuge and separate
serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min:
0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 hours; Frozen: 3 months
CPT Code(s): 82523

0050140 C1-Esterase Inhibitor C1ESTER

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86160

0050141 C1-Esterase Inhibitor Functional C1 INH F

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86161

0050301 C1q Binding Assay C1Q

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Let stand on clot for two hours. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) If ordered in
conjunction with a Raji Cell Assay, transfer two 1 mL aliquots of serum to individual ARUP Standard Transport Tubes.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
CPT Code(s): 86332

2003475 C4D by Immunohistochemistry C4D IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.

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 Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0099675 Cadmium, Blood CADMIUM B

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA).
Specimen Preparation: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 82300

0025013 Cadmium Exposure Panel - OSHA CD EXP

Methodology: Cadmium, Urine & Blood: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Urine: Spectrophotometry
Urine: Chemiluminescent Immunoassay
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA) AND minimum 40 mL urine using spot technique (single void) in an open-top urine collection cup.
To avoid contamination, please collect specimens at the beginning of work shift. Blood and urine should be collected the same day.
Specimen Preparation: Blood: Transport 7 mL whole blood.
Urine for -2-Microglobulin: Transfer aliquot from original urine collection to an ARUP Standard Transport Tube. Adjust the pH of this
specimen immediately after pouring off collection so that the pH is between 6 and 8. Use 1M HCl or 5% NaOH to adjust the urine pH. Label tube
as -2-Microglobulin. Freeze within one hour of collection.
Urine for Cadmium: Transfer aliquot from original urine collection to an ARUP Standard Transport Tube. Add 0.1 mL of the 12M HNO3 to the
aliquot. Label tube as Cadmium.
Urine for Creatinine: Transfer aliquot from original urine collection to an ARUP Standard Transport Tube. Label tube as Creatinine.
Storage/Transport Temperature: Blood: Refrigerated.
Urine for -2-Microglobulin: Frozen.
Urine for Cadmium: Refrigerated.
Urine for Creatinine: Refrigerated.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies).
Stability: Refer to individual components.
CPT Code(s): 82300 Cadmium, blood; 82300 Cadmium, urine; 82232 2 Microglobulin; 82570 Creatinine, Urine

0025040 Cadmium, Urine CADMIUM U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82300

0090050 Caffeine CAF

Methodology: Quantitative Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA), pink (K2EDTA or K3EDTA), green (sodium or lithium heparin), or gray (sodium
fluoride/potassium oxalate). Also acceptable (avoid if possible): Serum separator tube or plasma separator tube (follow preparation instructions
below).
Specimen Preparation: Separate serum or plasma from cells within 6 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.2 mL)
SST or PST: Serum or plasma in a gel separator tube stored at room temperature is acceptable if separated from the gel within 6 hours. Serum or
plasma in a gel separator tube stored refrigerated is acceptable if separated from the gel within 2 hours.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Citrated plasma. Tubes that contain liquid anticoagulant.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 80299

0070006 Calcitonin CALCI

Methodology: Quantitative Chemiluminescent Immunoassay
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Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. EDTA plasma. Grossly hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82308

2003481 Calcitonin by Immunohistochemistry CALCIT IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0020135 Calcium, Ionized, Serum IONCA-S

Methodology: Ion-Selective Electrode/pH Electrode
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Do not open the tube or split the specimen. Do not freeze separator tube. Do not expose specimen to air at any time
during collection or transport process. Centrifuge with stopper in place within one hour of collection. Transport 5 mL serum in original serum
separator tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated. Ship upright in original serum separator collection tube and transport in the ARUP shipping rack.
Do not ship on dry ice.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 82330

0020140 Calcium, Ionized, Whole Blood IONCA-WB

Methodology: Ion-Selective Electrode/pH Electrode
Specimen Required: Collect: Testing available to UUHC clients only.
Green (sodium or lithium heparin). Collect on ice.
Pediatric Collect: 2 full heparinized capillary tubes (call lab for tube).
Specimen Preparation: Do not freeze. Transport minimum 0.5 mL specimen.
Pediatric Specimen Preparation: Transport 2 full heparinized capillary tubes.
Storage/Transport Temperature: Deliver to lab within 10 minutes on wet ice.
Unacceptable Conditions: Frozen or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: Unacceptable
CPT Code(s): 82330

0020027 Calcium, Serum or Plasma CA

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Serum separator tube or plasma separator tube. Do not use powdered gloves during collection.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens from patients receiving EDTA therapy or Hypaque. EDTA, citrate, or oxalate.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 3 weeks; Frozen: 8 months
CPT Code(s): 82310

0020472 Calcium, Urine UCA

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: 24-hour urine specimens. Urine must be refrigerated during collection. Also acceptable: Random urine.
Specimen Preparation: Adjust pH to 1.5-2.0 by adding 6M HCl in 1 mL increments. Transfer one 3 mL aliquot from a well-mixed 24-hour
collection to an ARUP Standard Transport Tube. (Min: 0.5 mL) Record total volume, collection time interval, and pH on transport tube and test
request form.
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 48 hours; Refrigerated: 4 days; Frozen: 3 weeks
CPT Code(s): 82340

0099460 Calculi (Stone) Analysis CALCULI

Methodology: Quantitative Reflectance Fourier Transform Infrared Spectroscopy/Quantitative Polarizing Microscopy
Specimen Required: Collect: Calculi specimen.
Specimen Preparation: Air-dry calculi and transfer to an ARUP Standard Transport Tube. Larger calculi specimens may be transferred to a
clean, empty urine cup (150 mL) or similar container.
Storage/Transport Temperature: Room temperature. Also acceptable: Frozen or refrigerated.
Remarks: Calculi specimens transported in liquid or contaminated with blood require special handling which will delay analysis. Specimens that
are wrapped in tape or embedded in wax will delay or prevent analysis and should not be submitted.
Unacceptable Conditions: Any collection or shipping container with a needle attached.
Stability: Ambient: Indefinitely; Refrigerated: Indefitnitely; Frozen: Indefinitely
CPT Code(s): 82365

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 2005231 Calculi (Stone) Analysis with Photo CALCPHOTO
Methodology: Quantitative Reflectance Fourier Transform Infrared Spectroscopy/Quantitative Polarizing Microscopy
Specimen Required: Collect: Calculi specimen greater than 2 mg.
Specimen Preparation: Air dry calculi and transfer to an ARUP Standard Transport Tube. Larger calculi specimens may be transported in a
clean, empty urine cup (150 mL) or similar container.
Storage/Transport Temperature: Room temperature.
Remarks: Calculi specimens that are transported in liquid and received wet or bloody will be dried for 48-72 hours, which will cause a delay in
processing.
Unacceptable Conditions: Specimens that are wrapped in tape or embedded in wax will delay or prevent analysis and should not be submitted.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Indefinitely
CPT Code(s): 82365

2003484 Caldesmon by Immunohistochemistry CALDES IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0098893 California Encephalitis Antibody, IgG by IFA, CSF CAL G CSF

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 2 mL CSF to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651

0050508 California Encephalitis Antibody, IgG by IFA, Serum CALIF

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Please mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651

0098898 California Encephalitis Antibody, IgM by IFA, CSF CAL M CSF

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 2 mL CSF to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651

0098731 California Encephalitis Antibody, IgM by IFA, Serum CAL M SER

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Remove from serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard
Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the
acute specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Heparinized specimens. Contaminated, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86651

2003487 Calponin by Immunohistochemistry CALPON IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
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 Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0092303 Calprotectin, Fecal CALPRO

Methodology: Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5 g stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens in media or preservatives.
Stability: Ambient: 5 days; Refrigerated: 5 days; Frozen: 1 year
CPT Code(s): 83993

2003490 Calretinin by Immunohistochemistry CALRET IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0058002 Campylobacter Antigen CAMPY

Methodology: Qualitative Immunochromatography
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5 g stool to an unpreserved stool transport vial (ARUP supply #40910).OR place 5 g stool in enteric transport
media (Cary-Blair) within one hour of collection (ARUP supply #29799). (Min: 1 g)
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens in any transport media other than indicated above.
Stability: Ambient: Unacceptable; Refrigerated: 4 days; Frozen: 2 weeks
CPT Code(s): 87899

0098841 Campylobacter jejuni Antibody, IgG CAMP JEJ

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transport 1 mL serum. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86625

0051454 Canavan (ASPA) 4 Mutations, Fetal ASPA FE

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluency of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluency of cultured
amniocytes. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal Cell Contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Digestion; 83900 Multiplex amplification (first two amplifications); 83901 Additional amplification; 83914 x5
Extension; 83909 Capillary electrophoresis; 83912 Interpretation and report. FCC: 83900 Multiplex amplification (first two sequences); 83901
x14 Additional amplification; 83909 Capillary electrophoresis. If MCC MAT (0050608) is performed: 83891 Isolation; 83900 Multiplex
amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis; 83912 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051453 Canavan Disease (ASPA) 4 Mutations ASPA

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable

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CPT Code(s): 83891 Isolation; 83892 x2 Enzymatic digestion; 83900 Amplification multiplex (first two amplifications); 83901 Amplification multiplex (each
additional amplification) 83914 x5 Mutation identification; 83909 Separation and identification; 83912 Interpretation and report - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0080392 Cancer Antigen 27.29 CA27.29

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Plasma.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 3 months
CPT Code(s): 86300

0080462 Cancer Antigen 125 CA125

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Plasma separator tube or serum separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months
CPT Code(s): 86304

2003478 Cancer Antigen 125 by Immunohistochemistry CA125 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0080464 Cancer Antigen-Breast (CA 15-3) CA-BREAST

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink
(K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months
CPT Code(s): 86300

0080461 Cancer Antigen-GI (CA 19-9) CA-GI

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink
(K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Body Fluid (refer to Cancer Antigen-GI (CA19-9), Body Fluid, ARUP test code 0020746). Specimens collected in
sodium citrate.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months
CPT Code(s): 86301

0020746 Cancer Antigen-GI (CA 19-9), Body Fluid CA-GI FL

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Body fluid.
Specimen Preparation: Transport 1 mL body fluid. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test request form.
Unacceptable Conditions: Breast milk and salivary fluid. Specimens too viscous to be aspirated by instrument.
Stability: Ambient: 8 hours; Refrigerated: 5 days; Frozen: 3 months
CPT Code(s): 86301

0095200 Candida albicans Antibodies IgA, IgG, and IgM by ELISA CANDIDA AB
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 6 months
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CPT Code(s): 86628 x3

0055565 Candida Antibody by ID CAN PPT

Methodology: Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body fluids.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86628

0091339 Canrenone, Serum or Plasma CANRENON

Methodology: Spectrofluorometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Protect from light. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens not protected from light.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

0091502 Canrenone, Urine CANREN UR

Methodology: Spectrofluorometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube.
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

0091166 Carbamazepine - 10,11 Epoxide, Urine CARB EP U

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 10 months
CPT Code(s): 80156

0092211 Carbamazepine Epoxide and Total CARB EPOXT

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry/Quantitative Enzyme Multiplied Immunoassay Technique
Patient Preparation: Obtain trough specimen after steady-state is achieved (3-5 days). Draw within one hour prior to next dose. The epoxide
half-life is 6-10 hours.
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 6 days; Frozen: 1 month
CPT Code(s): 80156; Carbamazepine, total; 80299 Carbamazepine, Epoxide

0090615 Carbamazepine, Free and Total FCARB

Methodology: Quantitative Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Plain red. Also acceptable (avoid if possible): Serum separator tube (follow preparation instructions below).
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min:
1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Separate serum from cells ASAP.
Unacceptable Conditions: Citrated plasma. Tubes that contain liquid anticoagulant.
Stability: After separation from cells: Ambient: 5 days; Refrigerated: 5 days; Frozen: 4 months
CPT Code(s): 80156 Carbamazepine, total; 80157 Carbamazepine, free

0090260 Carbamazepine, Total TEG

Methodology: Enzyme Immunoassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow specimen to clot completely at room temperature. Ensure complete clot formation has taken place prior to
centrifugation. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube.
(Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes or potassium oxalate/sodium fluoride tubes. EDTA plasma.
Stability: After separation from cells: Ambient: 2 days; Refrigerated: 7 days; Frozen: 1 month
CPT Code(s): 80156

0091352 Carbidopa and Levodopa Quantitation, Serum or Plasma SINEMET SP

Methodology: Quantitative High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of draw. Transfer 2 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Separator tubes.
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 Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 week
CPT Code(s): 80299

0070412 Carbohydrate Deficient Transferrin for Alcohol Use CDT

Methodology: Quantitative Electrophoresis
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Plasma. Hemolyzed specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 10 days; Frozen: 1 month
CPT Code(s): 82373

2002918 Carbohydrate Deficient Transferrin for Congenital Disorders of Glycosylation CARBOH-CDG

Methodology: Affinity Chromatography/Mass Spectrometry
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.1 mL serum to an ARUP Standard Transport Tube. (Min: 0.05 mL)
Storage/Transport Temperature: Frozen.
Remarks: Patient age is required on the test request form. Provide reason (eg, diagnosis) for referral with each specimen.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 82373

0020004 Carbon Dioxide, Serum or Plasma CO2

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transport 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Other body fluids. Specimens containing citrate as anticoagulant.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week (in a closed container); Frozen: 1 month (in a closed container)
CPT Code(s): 82374

2005757 Carboxyhemoglobin Quantitation, Whole Blood by Co-Oximetry CARBOXY HB

Methodology: Spectrophotometry
Specimen Required: Collect: Green (sodium or lithium heparin). Do not collect by finger stick or heel stick. Collect Sunday-Thursday only.
Specimen Preparation: Keep specimen anaerobic; do not remove cap from collection tube. Refrigerate within 30 minutes after collection.
Transport 5 mL whole blood. (Min: 0.5 mL) Specimen should be received within 24 hours of collection.
Storage/Transport Temperature: Refrigerated. Separate specimens must be submitted when multiple tests are ordered. Ship Sunday- Thursday
only.
Unacceptable Conditions: Specimens collected in EDTA tubes or not anaerobically. Specimens that have been opened or exposed to room air.
Frozen or room temperature specimens. Specimens containing air bubbles or clots.
Stability: Ambient: Unacceptable; Refrigerate: 72 hours; Frozen: Unacceptable
CPT Code(s): 82375

0080080 Carcinoembryonic Antigen CEA

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Unacceptable Conditions: Body Fluid (refer to Carcinoembryonic Antigen, Fluid, ARUP test code 0020742). Plasma.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82378

0020742 Carcinoembryonic Antigen, Fluid CEA FL

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Body fluid.
Specimen Preparation: Transfer 1 mL body fluid to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate a source on test request form.
Unacceptable Conditions: Breast milk and salivary fluid. Specimens too viscous to be aspirated by instrument.
Stability: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82378

2003824 Carcinoembryonic Antigen, Monoclonal (CEA M) by Immunohistochemistry CEA M IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

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 2003827 Carcinoembryonic Antigen, Polyclonal (CEA P) by Immunohistochemistry CEA P IHC
Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0051600 Cardiolipin and Non-Criteria Anti-Phospholipid Syndrome (APS) Antibody Panel PHOS PAN
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine or plasma. Contaminated, heat-inactivated, grossly hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86147 x3 aCL IgG, IgM, & IgA; 86148 x3 aPS IgG, IgM, & IgA; 83520 x9 aPE, aPG, aPI IgG, IgM, & IgA

0099344 Cardiolipin Antibodies, IgG and IgM ANTI-CARD

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86147 x2

0051162 Cardiolipin Antibodies, IgG, IgM, and IgA CARD PAN

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86147 AC-IgG; 86147 AC-IgM; 86147 AC-IgA

0098358 Cardiolipin Antibody, IgA CARDIO IGA

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86147

0050901 Cardiolipin Antibody, IgG AC-IGG

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86147

0050902 Cardiolipin Antibody, IgM AC-IGM

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86147

0090600 Carisoprodol and Meprobamate CARIS

Methodology: Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
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 Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 months
CPT Code(s): 83805 Meprobamate; 80299 Carisoprodol

2007234 Carisoprodol and Metabolite, Urine CARIS URN

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Urine
Specimen Preparation: Transport 2 mL urine in an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen
Stability: Ambient: 3 weeks; Refrigerated: 3 weeks; Frozen: 3 weeks
CPT Code(s): 80299 Carisoprodol; 83805 Meprobamate

0080065 Carnitine, Free CARN

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Plain red.
Specimen Preparation: Separate serum or plasma from cells and freeze ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to
an ARUP Standard Transport Tube and freeze immediately. (Min: 0.2 mL) Avoid hemolysis.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Room temperature specimens. Specimens that have been refrigerated for greater than 12 hours.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 12 hours; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 83789

0080068 Carnitine, Free & Total (Includes Carnitine, Esterified) CARN F&T
Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Plain red.
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.2 mL) Avoid hemolysis.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Room temperature specimens. Specimens refrigerated greater than 12 hours.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 12 hours; Frozen: 1 month (avoid repeated freeze/thaw cycles)
CPT Code(s): 82379

0081308 Carnitine, Free & Total, Urine CARN URINE

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Freeze specimen immediately after collection. Transport 5 mL urine. (Min: 2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82379

0081309 Carnitine, Free, Urine CARNU FREE

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Freeze specimen immediately after collection. Transport 5 mL urine. (Min: 2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 83789

0081110 Carnitine Panel CARNPAN

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Plain red.
Specimen Preparation: Separate plasma or serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.2 mL) Avoid hemolysis.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Room temperature specimens. Specimens that have been refrigerated for greater than 12 hours.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 12 hours; Frozen: 1 month
CPT Code(s): 82017 Acylcarn; 82379 Carnitine

0080067 Carnitine, Total CARN TOTAL

Methodology: Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Plain red.
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.2 mL) Avoid hemolysis.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Room temperature specimens. Specimens that have been refrigerated for greater than 12 hours.
Stability: Ambient: Unacceptable; Refrigerated: 12 hours; Frozen: 1 month (avoid repeated freeze thaw cycles)
CPT Code(s): 83789

0081307 Carnitine, Total, Urine CARNU TOT

Methodology: Tandem Mass Spectrometry
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Specimen Required: Collect: Random urine.
Specimen Preparation: Freeze specimen immediately after collection. Transport 5 mL urine. (Min: 2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 83789

0080512 Carnitine Transport, Fibroblasts CARNIFIBRO

Methodology: Radioassay
Specimen Required: Collect: Fibroblasts from skin biopsy.
Specimen Preparation: Cells should be kept in 37°C incubator until shipped. Transport two T-25 flasks of fibroblasts from skin biopsy.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE. Call lab before shipping. Ship Monday-Thursday only.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in improper media. Dead cells.
Stability: Ambient: 4 days; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 84238

0080055 Carotene, Serum Total CARO

Methodology: Quantitative Spectrophotometry
Patient Preparation: Fasting specimens preferred.
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: CRITICAL: Protect from light immediately after collection and during storage and shipment. Transfer 3 mL serum to
ARUP Amber Transport Tube. (Min: 1.1 mL)
Storage/Transport Temperature: Frozen. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Any specimen other than serum. Refrigerated or room temperature specimens. Hemolyzed or icteric specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 4 hours; Frozen: 1 month
CPT Code(s): 82380

0021021 Carotenes, Fractionated, Plasma or Serum CARO FRAC

Methodology: Quantitative High Performance Liquid Chromatography
Patient Preparation: Patient should fast overnight for 12 hours and should not consume alcohol for 24 hours prior to blood draw.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin).
Specimen Preparation: CRITICAL: Protect from light within one hour of collection and during storage and shipment. Transfer 1 mL serum or
plasma to an ARUP Amber Transport Tube ASAP or within 2 hours of collection. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: EDTA plasma, whole blood, or body fluids. Room temperature specimens. Hemolyzed specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 72 hours; Frozen: 1 year
CPT Code(s): 82380

2003496 Caspase-3 by Immunohistochemistry CASPA3 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2006224 Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) Panel, 3 Genes CPVT PANEL
Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x51 Additional amplification; 83904 x51 Sequencing; 83909 x3 Capillary electrophoresis; 83912
Interpretation and report.

0080407 Catecholamines Fractionated by LC-MS/MS, Urine Free CATE UF

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Abstain from medications for 72 hours prior to collection.
Specimen Required: Collect: 24-hour or random urine. Refrigerate 24-hour specimen during collection.
Specimen Preparation: Transfer a 4 mL aliquot from a well-mixed 24-hour or random collection to an ARUP Standard Transport Tube. (Min: 2.5
mL) Preservation can be enhanced by adjusting the pH to 2-3 by adding an acid such as 6 mol/L HCl. Catecholamines are not stable above pH 7.
The pH of such specimens must be adjusted by the addition of acid prior to transport. A pH less than 2 can cause assay interference. Record total
volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: 1 month; Frozen: 6 months
CPT Code(s): 82384
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 0080957 Catecholamines Fractionated (Epinephrine, Norepinephrine), Plasma CATE PF,EN
Methodology: Quantitative High Performance Liquid Chromatography
Patient Preparation: Patient should be calm and supine for 30 minutes prior to collection.
Specimen Required: Collect: Green (sodium or lithium heparin). Collect on ice.
Specimen Preparation: Specimen should be centrifuged and frozen within one hour (refrigerated centrifuge is preferred but not required). Transfer
4 mL plasma to an ARUP Standard Transport Tube. (Min: 2.1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma, serum, or urine.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen at -20°C: 1 month; Frozen at -70°C: 1 year
CPT Code(s): 82384

0080216 Catecholamines Fractionated, Plasma CATE PF

Methodology: Quantitative High Performance Liquid Chromatography
Patient Preparation: Patient should be calm and supine for 30 minutes prior to collection.
Specimen Required: Collect: Green (sodium or lithium heparin). Collect on ice.
Specimen Preparation: Specimen should be centrifuged and frozen within one hour (refrigerated centrifuge is preferred but not required). Transfer
4 mL plasma to an ARUP Standard Transport
Tube. (Min: 2.1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma, serum, or urine.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen at -20°C: 1 month; Frozen at -70°C: 1 year
CPT Code(s): 82384

0040002 CBC with Platelet Count CBC

Methodology: Automated Cell Count
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transport 3 mL whole blood. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens. Clotted or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: MPV: 8 hours, All Others: 24 hours; Frozen: Unacceptable
CPT Code(s): 85027

0040003 CBC with Platelet Count and Automated Differential CBCAD

Methodology: Automated Cell Count/Differential
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA) AND unstained whole blood smears.
Specimen Preparation: Transport 3 mL whole blood AND 2 unstained whole blood smears. (Min: 0.5 mL. Tube must contain at least 0.25 mL of
specimen AND two unstained blood smears.)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens. Clotted or grossly hemolyzed specimens.
Stability: Ambient: 8 hours (without smears); Refrigerated: MPV: 8 hours, All others: 24 hours; Frozen: Unacceptable
CPT Code(s): 85025

0092209 CBFB-MYH1, inv(16) by RT-PCR INV(16)

Methodology: Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood or 3 mL bone marrow. (Min: 1 mL whole blood or 1 mL bone marrow) Specimens must be
received within 48 hours of collection due to lability of RNA.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Frozen or clotted specimens. Specimens collected in anticoagulants other than EDTA. Severely
hemolyzed specimens.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83902 Reverse transcription; 83898 x5 Amplification; 83894 x3 Gel separation; 83912 Interpretation and report - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003502 CD1a by Immunohistochemistry CD1A IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003505 CD2 by Immunohistochemistry CD2 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Page | 137
 Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003508 CD3 by Immunohistochemistry CD3 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003511 CD4 by Immunohistochemistry CD4 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003514 CD5 by Immunohistochemistry CD5 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003517 CD7 by Immunohistochemistry CD7 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003520 CD8 by Immunohistochemistry CD8 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Page | 138
 Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003523 CD10 (CALLA) by Immunohistochemistry CD10 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003526 CD14 by Immunohistochemistry CD14 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003529 CD15, Leu M1 by Immunohistochemistry CD15 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2005114 CD19 by Immunohistochemistry CD19 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003532 CD20, L26 by Immunohistochemistry CD20 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite, Refrigerated: Indefinite, Frozen: Unacceptable
CPT Code(s): 88342
Page | 139
 2003535 CD21 (Dendritic Cell) by Immunohistochemistry CD21 IHC
Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003541 CD23 by Immunohistochemistry CD23 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite, Refrigerated: Indefinite, Frozen: Unacceptable
CPT Code(s): 88342

2003544 CD25 by Immunohistochemistry CD25 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003547 CD30 (Ki-1) by Immunohistochemistry CD30 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003550 CD31 by Immunohistochemistry CD31 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003553 CD33 by Immunohistochemistry CD33 IHC

Methodology: Immunohistochemistry
Page | 140
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003556 CD34, QBEnd/10 by Immunohistochemistry CD34 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003559 CD35 by Immunohistochemistry CD35 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Unacceptable
CPT Code(s): 88342

2003565 CD42b by Immunohistochemistry CD42b IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite, Refrigerated: Indefinite, Frozen: Indefinite
CPT Code(s): 88342

2003568 CD43, L60 (Leu 22) by Immunohistochemistry CD43 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003571 CD44 by Immunohistochemistry CD44 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.

Page | 141
 Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003574 CD45 by Immunohistochemistry CD45 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003586 CD52 (CAMPATH-1) by Immunohistochemistry CD52 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003589 CD56 (NCAM) by Immunohistochemistry CD56 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003592 CD57 by Immunohistochemistry CD57 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003595 CD61 (Platelet Gycoprotein IIIA) by Immunohistochemistry CD61 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.

Page | 142
 Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003598 CD68, KP1 by Immunohistochemistry CD68 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003800 CD79A by Immunohistochemistry CD79A IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003806 CD117 (c-Kit) by Immunohistochemistry CD117 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003809 CD123 by Immunohistochemistry CD123 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003812 CD138 (Syndecan-1) by Immunohistochemistry CD138 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.

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 Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2003815 CD163 by Immunohistochemistry CD163 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2005534 CDK4 by Immunohistochemistry CDK4 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2004927 CDKL5-Related Disorders (CDKL5) Deletion/Duplication CDKL5 DD

Methodology: Polymerase Chain Reaction/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83896 x21 Nucleic acid probes; 83898 x21 Amplification; 83914 x21 Extension; 83909 Capillary electrophoresis; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2004931 CDKL5-Related Disorders (CDKL5) Sequencing CDKL5 FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x26 Amplification; 83904 x26 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2004935 CDKL5-Related Disorders (CDKL5) Sequencing and Deletion/Duplication CDKL5 FGA

Methodology: Polymerase Chain Reaction/Sequencing/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): Sequencing: 83891 Isolation; 83898 x26 Amplification; 83904 x26 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report.
DelDup: 83896 x21 Nucleic Acid Probes; 83898 x21 Amplification; 83914 x21 Extension; 83909 Capillary Electrophoresis - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003821 CDX2 by Immunohistochemistry CDX2 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Page | 144
 Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

2004247 CEBPA Mutation Detection CEBPA MUT

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA) OR bone marrow (EDTA).
Specimen Preparation: Transport 5 mL whole blood (Min: 1 mL) OR 3 mL bone marrow (Min: 1 mL).
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Frozen or clotted specimens. Specimens collected in anticoagulants other than EDTA. Severely
hemolyzed specimens.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83894 Gel separation; 83904 x2 Sequencing, 83912 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051689 Celiac Disease Dual Antigen Screen TTG DGP

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, heat-inactivated, hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83516

2002026 Celiac Disease Dual Antigen Screen with Reflex CELIAC SCRN
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or grossly lipemic specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year (if frozen within 24 hours)
CPT Code(s): 83516 Dual antigen screen. If Dual antigen screen is 20 Units or greater, add 83516 tTG IgA and 83516 Gliadin IgA. If tTG IgA and Gliadin IgA
are negative, add 83516 tTG IgG and 83516 Gliadin IgG.

2005018 Celiac Disease (HLA-DQA1*05, HLA-DQB1*02, and HLA-DQB1*03:02) Genotyping HLA CELIAC
Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature or refrigerated.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83900 Multiplex amplification; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

0051065 Celiac Disease Reflexive Panel CELIAC TTG

Methodology: Quantitative Nephelometry/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Specify age of patient on test request form.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or grossly lipemic specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 days; Frozen: 1 year (if frozen within 24 hours)
CPT Code(s):
82784 IgA; if less than 7 mg/dL, add 83516 tTG IgG and 83516 Gliadin IgG. If IgA is greater than or equal to 7 mg/dL, add 83516 tTG IgA and
83516 Gliadin IgA

0095019 Cell Count, Body Fluid FLD

Methodology: Cell Count/Differential
Specimen Required: Collect: Body fluid in liquid EDTA or sodium heparin.
Specimen Preparation: Do not freeze. Transport 3 mL body fluid. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test request form.
Unacceptable Conditions: BAL fluid, gastric fluid, or seminal fluid. Synovial fluids collected in powdered EDTA or powdered lithium heparin.
Specimens sent with needle. Frozen specimens. Clotted specimens.
Stability: Ambient: 4 hours; Refrigerated: Crystal Analysis: 12 hours, All Others: 24 hours; Frozen: Unacceptable
CPT Code(s): 89051

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 0095018 Cell Count, CSF CSF
Methodology: Cell Count/Differential
Specimen Required: Collect: CSF.
Specimen Preparation: Do not freeze. Transport 0.5 mL CSF.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 4 hours; Refrigerated: 24 hours; Frozen: Unacceptable
CPT Code(s): 89051

0051273 Cell-Mediated Immune Function Screen LMPS

Methodology: Cell Culture/Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Green (sodium heparin). Specimen must be collected within 30 hours of test performance.
Specimen Preparation: Transport 3 mL whole blood in original collection tube. (Min: 0.5 mL) LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE. Do not refrigerate or freeze.
Unacceptable Conditions: Refrigerated or frozen specimens. Specimens older than 30 hours.
Stability: Ambient: 30 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86352

0050714 Centromere Antibody, IgG ANTICENT

Methodology: Semi-Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 83516

2003172 Cerebral Cavernous Malformation (CCM1, CCM2 and CCM3) Deletion/Duplication CCM DELDUP
Methodology: Polymerase Chain Reaction/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83896 x2 Nucleic Acid Probes; 83898 x2 Amplification; 83914 x2 Extension; 83909 x2 Capillary Electrophoresis; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003152 Cerebral Cavernous Malformation (CCM1) Sequencing CCM1 FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x16 Amplification; 83904 x16 Sequencing; 83909 Capillary electrophoresis, 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003164 Cerebral Cavernous Malformation (CCM1) Sequencing with Reflex to (CCM1, CCM2 and CCM3) CCM COMP
Deletion/Duplication with Reflex to (CCM2) Sequencing with Reflex to (CCM3) Sequencing
Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): CCM1 Sequencing: 83891 Isolation; 83898 x16 Amplification; 83904 x16 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation
and report.
If reflexed to Del/Dup: 83896 x2 Nucleic Acid Probes; 83898 x2 Amplification; 83914 x2 Extension; 83909 x2 Capillary electrophoresis. If
reflexed to CCM2 Sequencing, add 83898 x10 Amplification; 83904 x10 Sequencing; 83909 Capillary electrophoresis. If reflexed to CCM3
Sequencing, add 83898 x7 Amplification; 83904 x7 Sequencing; 83909 Capillary electrophoresis. - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2003156 Cerebral Cavernous Malformation (CCM2) Sequencing CCM2 FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x10 Amplification; 83904 x10 Sequencing; 83909 Capillary electrophoresis, 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003160 Cerebral Cavernous Malformation (CCM3) Sequencing CCM3 FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x7 Amplification; 83904 x7 Sequencing; 83909 Capillary electrophoresis, 83912 Interpretation and report - Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.
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 0060106 Cerebrospinal Fluid (CSF) Culture and Gram Stain MC CSF
Methodology: Stain/Culture/Identification
Specimen Required: Collect: CSF.
Specimen Preparation: Do not refrigerate for bacterial culture. Transfer 1 mL CSF to a sterile container. Place each specimen in an individually
sealed bag.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87070

0050160 Ceruloplasmin CERU

Methodology: Quantitative Immunoturbidimetry
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Serum separator tube or plasma preparation tube. Also acceptable: Plasma collected in green (lithium heparin).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: EDTA plasma or hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 1 month
CPT Code(s): 82390

2006222 CHARGE Syndrome (CHD7) Sequencing CHARGE FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x43 Additional amplification; 83894 x45 Gel separation; 83904 x90 Sequencing; 83892 x2
Digestion; 83912 Interpretation and report.

2002067 Chimerism, Donor STR-DONOR

Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). OR bone marrow in lavender (EDTA). OR buccal brushes from
donor.
Specimen Preparation: Transport 3 mL whole blood (Min: 1 mL) OR 1 mL bone marrow OR 2 buccal brushes in a sterile, dry tube.
Storage/Transport Temperature: Refrigerated.
Remarks: Post-transplantation results will be compared to pre-transplant recipient and donor genotypes, therefore, donor and recipient
samples must be obtained and genotyped before the transplant event occurs.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Multiplex amplification; 83909 Capillary Electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002066 Chimerism, Post-Transplant STR-POST

Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). OR bone marrow in lavender (EDTA).
Specimen Preparation: Transport 3 mL whole blood OR 1 mL bone marrow.
Storage/Transport Temperature: Refrigerated.
Remarks: Post-transplantation results will be compared to pre-transplant recipient and donor genotypes, therefore, donor and recipient
specimens must be obtained and genotyped before the transplant event occurs.
If cell sorting is required, refer to Chimerism, Post-Transplant, Sorted Cells (ARUP test code 2002064).
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Multiplex amplification; 83909 Capillary electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002064 Chimerism, Post-Transplant, Sorted Cells STR-POSTSC

Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). OR bone marrow.
Specimen Preparation: Transport 3 mL whole blood. (Min: 3 mL) OR 1 mL bone marrow. Ship overnight. If cell sorting is required, specimens
should be received within 24 hours of collection for optimal isolation of the requested cell line(s). Increase the amount of blood/bone marrow
submitted based on the number of cell lines requested and for patients with low cell counts.
Storage/Transport Temperature: Ambient.
Remarks: Post-transplantation genotypes will be compared to pre-transplant recipient and donor genotypes. Therefore, donor and
recipient specimens must be obtained and genotyped before the transplant event occurs. Please provide the results and date of the patient's
most recent WBC and differential counts. When submitting bone marrow specimens for cell sorting, please provide information regarding the
general cellularity of the patient's bone marrow. See Cell Isolation Request for Chimerism, Post-Transplant, Sorted Cells.
Unacceptable Conditions: Frozen specimens. Clotted or hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002065 Chimerism, Recipient Pre-Transplant STR-PRE

Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B). OR bone marrow in lavender (EDTA). OR buccal brushes from
recipient.
Specimen Preparation: Transport 3 mL whole blood (Min: 1 mL) OR 1 mL bone marrow OR 2 buccal brushes in a sterile, dry tube.
Storage/Transport Temperature: Refrigerated.

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 Remarks: Post-transplantation results will be compared to pre-transplant recipient and donor genotypes, therefore, donor and recipient
specimens must be obtained and genotyped before the transplant event occurs.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary Electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0065100 Chlamydia Antibody Panel, IgG & IgM by IFA V CHLM PAN
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.
Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or hyperlipemic sera.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86631 C. trachomatis IgG; 86631 C. pneumoniae IgG; 86631 C. psittaci IgG; 86632 C. trachomatis IgM; 86632 C. pneumoniae IgM; 86632 C.
psittaci IgM

0065139 Chlamydia Antibody Panel, IgG by IFA CHLAM G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or hyperlipemic sera.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86631 C. trachomatis IgG; 86631 C. pneumoniae IgG; 86631 C. psittaci

0065105 Chlamydia Antibody Panel, IgM by IFA V CHLAM M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or hyperlipemic sera.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86632 C. trachomatis IgM; 86632 C. pneumoniae IgM; 86632 C. psittaci IgM

0060715 Chlamydia pneumoniae by PCR CPNEUMOPCR

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Respiratory specimen: Bronchoalveolar lavage (BAL), nasal wash, nasopharyngeal swab, or pleural fluid.
Specimen Preparation: Fluid: Transfer 2 mL respiratory specimen to a sterile container. (Min: 0.5 mL) Also acceptable: Transfer to viral transport
media (ARUP supply #12884). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Place each specimen in a separate, individually sealed bag. Swabs: Place in viral transport media
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Stability: Ambient: 24 hours; Refrigerated: 14 days; Frozen: 1 month.
CPT Code(s): 87486

0060241 Chlamydia trachomatis and Neisseria gonorrhoeae by Amplified Detection (APTIMA®) CGAMD
Methodology: Qualitative Target Amplification Nucleic Acid Probe
Specimen Required: Collect: Endocervical or vaginal swab, first catch urine, or male urethral swabs. Collect in APTIMA® Combo 2 Assay transport media (ARUP
Supply: Swabs #28907, Urine #28908). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-
2787. Refer to "Sample Collection for the Diagnosis of STD" under Specimen Handling at www.aruplab.com for specific specimen collection and
transport instructions.
Specimen Preparation: Transfer swab or urine to APTIMA® Combo 2 Assay transport media. (Min: 2 mL urine)
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source is required.
Unacceptable Conditions: Large white swab is for preparatory cleaning of the endocervix and is unacceptable for testing. Specimens in any
transport media other than indicated above. Specimen in swab transport media without a swab.
Stability: Unpreserved Urine: Ambient: 24 hours; Refrigerated: 24 hours; Frozen: Unacceptable. APTIMA® Transport Media: Swab:
Ambient: 2 months; Refrigerated: 2 months; Frozen: 12 months Urine: Ambient: 1 month; Refrigerated: 1 month; Frozen: 12 months
CPT Code(s): 87491 Chlamydia trachomatis, 87591 Neisseria gonorrhoeae

0060774 Chlamydia trachomatis and Neisseria gonorrhoeae by Amplified Detection (APTIMA®), M4/UTM Specimens CTNG M4
Methodology: Qualitative Target Amplification Nucleic Acid Probe
Specimen Required: Collect: Endocervical or urethral swab in viral transport media (M4) or UTM (ARUP supply #12884). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Refer to "Sample Collection for the Diagnosis of STD" under Specimen
Handling at www.aruplab.comwww.aruplab.com for specific specimen collection and transport instructions.
Specimen Preparation: Transport swab in 3 mL viral transport media (M4 or UTM). (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Specimens in any transport media other than indicated above.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 months
CPT Code(s): 87491 Chlamydia trachomatis, 87591 Neisseria gonorrhoeae

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 2001551 Chlamydia trachomatis and Neisseria gonorrhoeae by Amplified Detection (APTIMA®) on SurePath™ CTNG SP
Methodology: Qualitative Target Amplification Nucleic Acid Probe
Specimen Required: Collect: Cervical brush in SurePath™ liquid-based Pap test Media. Refer to "Sample Collection for the Diagnosis of STD" under Specimen
Handling at www.aruplab.com for specific specimen collection and transport instructions.
Specimen Preparation: Vortex SurePath™ media and transfer a 1 mL aliquot to APTIMA® Combo 2 transport media (ARUP supply #42711)
within 24 hours of collection. Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. To
reduce the potential for contamination SurePath® specimens should be poured off, using sterile technique, into the APTIMA® Specimen Transfer
Tube prior to Cytology Testing.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source is required.
Unacceptable Conditions: Specimens in any transport media other than indicated above.
Stability: SurePath™ Media: Ambient: 24 hours; Refrigerated: 48 hours; Frozen: 1 week
APTIMA® Media: Ambient: 2 weeks; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 87491 Chlamydia trachomatis, 87591 Neisseria gonorrhoeae

0060734 Chlamydia trachomatis and Neisseria gonorrhoeae by Amplified Detection (APTIMA®) on ThinPrep™ CG MATP
Methodology: Qualitative Target Amplification Nucleic Acid Probe
Specimen Required: Collect: Cervical brush in ThinPrep® transport Pap Test™ Media. Refer to "Sample Collection for the Diagnosis of STD" under Specimen
Handling at www.aruplab.com for specific specimen collection and transport instructions.
Specimen Preparation: Vortex Pap Test™ media and transfer a 1 mL aliquot to APTIMA® Combo 2 transport media (ARUP supply #42711).
Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. To reduce the potential for
contamination, ThinPrep® specimens should be poured off, using sterile technique, into the APTIMA® Specimen Transfer Tube prior to
Cytology Testing.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source is required.
Unacceptable Conditions: Specimens in any transport media other than indicated above.
Stability: Specimen in ThinPrep® media: Ambient: 1 month; Refrigerated: 1 month; Frozen: Unacceptable
Specimen in APTIMA® transport media: Ambient: 2 weeks; Refrigerated: 1 month; Frozen: 12 months
CPT Code(s): 87491 Chlamydia trachomatis, 87591 Neisseria gonorrhoeae

0060224 Chlamydia trachomatis and Neisseria gonorrhoeae DNA Probe GCCHP

Methodology: Qualitative Nucleic Acid Probe
Patient Preparation: For urethral swab specimens, patients should not have urinated for at least 1 hour prior to collection.
Specimen Required: Collect: Endocervical or male urethral swabs. Collect in Gen-ProbePace 2 collection and transport kit (ARUP Supply: Female kit: #12575, Male
kit: #12576). Available online through eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Transport swab in Gen-Probe® Pace 2 transport media.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens in any transport media other than indicated above. Specimen in swab transport media without a swab. Gross
presence of blood in the specimen.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 87800

0060243 Chlamydia trachomatis by Amplified Detection (APTIMA®) CTAMD

Methodology: Qualitative Target Amplification Nucleic Acid Probe
Specimen Required: Collect: Endocervical or vaginal swab, first catch urine, or male urethral swabs . Collect in APTIMA® Combo 2 Assay transport media (ARUP
supply: Swabs #28907, Urine #28908). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-
2787. Refer to Sample Collection for the Diagnosis of STD under Specimen Handling at www.aruplab.com for specific specimen collection and
transport instructions.
Specimen Preparation: Transfer swab or urine to APTIMA® Combo 2 Assay transport media. (Min: 2 mL urine)
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source is required.
Unacceptable Conditions: Large white swab is for preparatory cleaning of the endocervix and is unacceptable for testing. Specimens in any
transport media other than indicated above. Specimen in swab transport media without a swab.
Stability: Unpreserved Urine: Ambient: 24 hours; Refrigerated: 24 hours; Frozen: Unacceptable. APTIMA®Transport Media: Swab:
Ambient: 2 months; Refrigerated: 2 months; Frozen: 12 months Urine: Ambient: 1 month; Refrigerated: 1 month; Frozen: 12 months
CPT Code(s): 87491

0060850 Chlamydia trachomatis Culture CHLAM

Methodology: Cell Culture/Immunofluorescence
Specimen Required: Collect: Cervical, eye, rectal, urethral swab, or peritoneal fluid. Also acceptable for newborns: Nasopharyngeal aspirate, swab or washing.
Specimen Preparation: Transfer specimen immediately to Chlamydia transport media (UTM) (ARUP supply #12884). Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. Place each specimen in an individually sealed bag. Also
acceptable: Any transport media validated for Chlamydia transport.
Storage/Transport Temperature: Frozen on dry ice.
Remarks: Specimen source preferred.
Unacceptable Conditions: Urine. Specimens not preserved in Chlamydia culture transport media. Calcium alginate, dry, or wood swabs.
Stability: Ambient: 1 hour; Refrigerated: 48 hours; Frozen at -70°C: 1 month
CPT Code(s): 87110 Culture; 87140 Stain

0060287 Chlamydia trachomatis DFA CHLAF

Methodology: Direct Fluorescent Antibody Stain
Specimen Required: Collect: Eye, genital, nasopharyngeal, or rectal swab.
For Chlamydia DFA only, collection kits with fixative are available (ARUP supply #16578). Available online through eSupply using ARUP
Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Fix slide as directed by collection kit. Transport fixed slide.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Unacceptable Conditions: Swabs in gel. Transport systems designed for use with other methodologies of Chlamydia testing. Dry swabs.
Page | 149
 Stability: Fixed Slide: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 week
CPT Code(s): 87270

0065059 Chlamydia trachomatis DNA Probe CHLDNAP

Methodology: Qualitative Nucleic Acid Probe
Patient Preparation: For urethral swab specimens, patients should not have urinated for at least 1 hour prior to collection.
Specimen Required: Collect: Conjunctival, endocervical or male urethral swabs. Collect in Gen-Probe® Pace 2 collection and transport media (ARUP Supply: Female
kit: #12575, Male kit: #12576). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Transport swab in Gen-Probe® Pace 2 transport media.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimen in swab transport media without a swab. Gross presence of blood in the specimen.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: 1 month.
CPT Code(s): 87490

0091267 Chloral Hydrate, Serum or Plasma TRICHLOROE

Methodology: Gas Chromatography
Specimen Required: Collect: Plain red or gray (sodium fluoride/potassium oxalate).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 14 months
CPT Code(s): 82491

0090346 Chloramphenicol CHLORAM

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transport 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 3 weeks; Frozen: 3 weeks
CPT Code(s): 82415

0020381 Chloride, Fecal FE-CL

Methodology: Quantitative Ion-Selective Electrode
Specimen Required: Collect: Liquid random stool.
Specimen Preparation: Transfer 5 g aliquot of liquid random stool to an unpreserved stool transport vial (ARUP Supply #40910). (Min: 1 g) Do
not add saline or water to liquefy specimen.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Formed or viscous stool.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82438

0020163 Chloride, Fluid CL FL

Methodology: Quantitative Ion-Selective Electrode
Specimen Required: Collect: Body fluid.
Specimen Preparation: Centrifuge to remove cellular material. Transfer 1 mL body fluid to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test request form.
Unacceptable Conditions: Breast milk and salivary fluid. Specimens containing sodium fluoride/potassium oxalate as anticoagulants.
Contaminated or hemolyzed specimens. Specimens too viscous to be aspirated by instrument.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82438

0020003 Chloride, Serum or Plasma CL

Methodology: Quantitative Ion-Selective Electrode
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body Fluid (refer to Chloride, Fluid, ARUP test code 0020163). Urine (refer to Chloride, Urine, ARUP test code
0020850). Specimens containing sodium fluoride/potassium oxalate as anticoagulants. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82435

0020850 Chloride, Urine U CL

Methodology: UUHC Clients: Titration
All other clients: Quantitative Ion-Selective Electrode
Specimen Required: Collect: 24-hour urine (without additives). Refrigerate during collection. Also acceptable: Random urine.
Specimen Preparation: Transfer 1 mL aliquot of urine from a well-mixed collection to an ARUP Standard Transport Tube. (Min: 0.5 mL) Record
total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82436

0091310 Chloroquine, Plasma CHLOROQUI

Methodology: Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).

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 Specimen Preparation: Separate plasma from cells within 2 hours of draw. Transfer 1 mL plasma to an ARUP Standard Transport Tube. (Min: 0.4
mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 82101

0090870 Chlorpromazine CHLORP

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 1 mL)
SST or PST: Separate serum or plasma from gel within 6 hours and hold at room temperature or separate within 2 hours and store refrigerated.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Light blue (citrate) or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 12 hours; Refrigerated: 72 hours; Frozen: 5 days
CPT Code(s): 84022

0091216 Chlorpropamide, Serum or Plasma CHLORPRO S

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 4 months
CPT Code(s): 80299

0091494 Chlorpropamide, Urine CHLORPR U

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 4 months
CPT Code(s): 80299

0020714 Cholesterol, Fluid CHOL FL

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Body fluid.
Specimen Preparation: Transport 1 mL body fluid. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on test request form.
Unacceptable Conditions: Breast milk and salivary fluid. Specimens too viscous to be aspirated by instrument.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 84311

0020031 Cholesterol, Serum or Plasma CHOL

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Body Fluid (refer to Cholesterol, Fluid, ARUP test code 0020714).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82465

0020174 Cholinesterase, RBC/Hb Ratio CHE-RBC

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: DO NOT FREEZE. Transport 3 mL whole blood. (Min: 1 mL))
Storage/Transport Temperature: Refrigerated. Do not place whole blood directly on cool packs when shipping.
Unacceptable Conditions: Green (sodium or lithium heparin). Frozen specimens. Clotted or hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 82482

0040203 Chorionic Villus, FISH FISHCVS

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Thaw media prior to collection. Chorionic villus in a sterile, screw-top container filled with tissue culture transport medium (ARUP
Supply #32788). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport chorionic villus (CVS) specimen in a sterile, screw-top container
filled with tissue culture transport medium.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Cytogenetic (Chromosome) Studies with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x5 DNA probe; 88275 Chromosomal in situ hybridization, 100-300 cells; 88291 Interpretation and report

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 2005287 Chromatin Antibody, IgG CHROMATIN
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine or plasma. Contaminated, heat-inactivated, severely hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83516

2005548 Chromium, Joint Fluid CR F

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: High concentrations of iodine may interfere with elemental testing. Patients should abstain from iodine-containing
medications or contrast agents for at least 1 month prior to specimen collection for elemental testing.
Specimen Required: Collect: Joint fluid. The use of betadine-like topical antiseptics should be avoided during specimen collection.
Specimen Preparation: Transfer 1 mL joint fluid to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online
through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes or gels. Fluid collected after administration of a gadolinium (Gd) containing contrast media (may occur
with MRI studies).
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82495

0098830 Chromium, Serum CR S

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (no additive).
Specimen Preparation: Centrifuge; do not allow serum to remain on cells. Transfer 2 mL serum to an ARUP Trace Element-Free Transport Tube
(ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5
mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Separator tubes. Specimens that are not separated from the red cells or clot within 6 hours.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 82495

0025068 Chromium, Urine CR-U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82495

0080469 Chromogranin A CGA SERUM

Methodology: Quantitative Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Plasma. Icteric or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 6 weeks
CPT Code(s): 86316

2003830 Chromogranin A by Immunohistochemistry CHROMO IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342
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 2005749 Chromosome Analysis - Breakage, Ataxia Telangiectasia, Whole Blood BREAKAGEAT
Methodology: Giemsa Band
Patient Preparation: Specimens must be collected and shipped Monday-Thursday only and not the day before a holiday.
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Transport 10 mL whole blood. (Min: 5 mL) Specimens must be received within 48 hours to insure adequate culture of
living cells.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88230 Tissue culture, non-neoplastic; 88248 Baseline breakage

0097688 Chromosome Analysis - Breakage, Fanconi Anemia BREAKAGE

Methodology: Giemsa Band
Patient Preparation: Specimens must be collected and shipped Monday-Thursday only and not the day before a holiday.
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Transport 10 mL whole blood. (Min: 5 mL) Specimens must be received within 48 hours to insure adequate culture of
living cells.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88230 x2 Tissue culture, nonneoplastic; 88248 Baseline breakage; 88249 Score 100 clastogens stress; 88280 Additional karyotypes; 88291
Interpretation and report

2002293 Chromosome Analysis, Amniotic Fluid CHR AF

Methodology: Giemsa Band
Specimen Required: Collect: Amniotic fluid.
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 30 mL amniotic fluid in sterile centrifuge tubes. (Min: 15
mL) Specimen and completed test request form, including clinical indication, must be received within 48 hours of collection.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Prenatal Cytogenetics form (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Bloody specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88269 Chromosome analysis in situ; 88235 Tissue culture; 88280 Additional karyotypes; 88291 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002292 Chromosome Analysis, Bone Marrow CHR BM

Methodology: Giemsa Band
Specimen Required: Collect: Non-diluted bone marrow aspirate. Collect in a heparinized syringe.
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transfer 3 mL bone marrow to a green (sodium heparin). (Min: 0.5
mL)
Storage/Transport Temperature: Room temperature.
Remarks: Although bone marrow is the recommended specimen type for hematological disorder studies, blood can be substituted if bone marrow
cannot be obtained. Refer to Chromosome Analysis, Leukemic Blood (ARUP test code 2002290). This test must be ordered using Cytogenetic test
request form #43099 or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report - Additional CPT code modifiers may be required for
procedures performed to test for oncologic or inherited disorders.

2007130 Chromosome Analysis, Bone Marrow with Reflex to Genomic Microarray BM REFLEX
Methodology: Giemsa Band/Genomic Microarray (Oligo-SNP array)
Specimen Required: Collect: Non-diluted bone marrow aspirate. Collect in a heparinized syringe
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transfer 3 mL bone marrow to a green (sodium heparin). (Min: 0.5
mL)
Storage/Transport Temperature: Room temperature
Submit specimen according to Biological Substance, Category B, shipping guidelines.
Remarks: Although bone marrow is the recommended specimen type for hematological disorder studies, blood can be substituted if bone marrow
cannot be obtained. Refer to Chromosome Analysis, Leukemic Blood with Reflex to Genomic Microarray (ARUP test code 2007131). This test
must be ordered using Cytogenetic test request form (#43099) or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted specimens
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report, if reflexed, add 83891 Isolation; 88386 x6 Array-based
evaluation of multiple molecular probes, 251-500. Additional CPT code modifiers may be required for procedures performed to test for oncologic
or inherited disorders.

2002291 Chromosome Analysis, Chorionic Villus CHR CVS

Methodology: Giemsa Band
Specimen Required: Collect: Thaw media prior to collection. Chorionic villus in a sterile, screw-top container filled with tissue culture transport medium (ARUP
Supply #32788). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. If cytogenetics
tissue media is not available, collect in plain RPMI, Hanks solution, saline, or ringers.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport chorionic villus (CVS) specimen in a sterile, screw-top container
filled with tissue culture transport medium. If specimen size is too large for a normal collection tube, a larger sterile container can be used such as
a sterile urine cup and can be flooded with several tubes of cytogenetic tissue media.
Storage/Transport Temperature: Room temperature

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 Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Prenatal Cytogenetics form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88269 Chromosome analysis in situ; 88235 Tissue culture; 88280 Additional karyotype; 88291 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2002290 Chromosome Analysis, Leukemic Blood CHR LKB

Methodology: Giemsa Band
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Transport 5 mL whole blood. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form (#43099) or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report - Additional CPT code modifiers may be required for
procedures performed to test for oncologic or inherited disorders.

2007131 Chromosome Analysis, Leukemic Blood with Reflex to Genomic Microarray LKB REFLEX
Methodology: Giemsa Band/Genomic Microarray (Oligo-SNP array)
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transfer 5mL whole blood to a green (sodium heparin). (Min: 1.0
mL)
Storage/Transport Temperature: Room temperature
Submit specimen according to Biological Substance, Category B, shipping guidelines.
Remarks: This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface. Submit the Patient History for
Cytogenetic (Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted specimens
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report, if reflexed, add 83891 Isolation; 88386 x6 Array-based
evaluation of multiple molecular probes, 251-500. Additional CPT code modifiers may be required for procedures performed to test for oncologic
or inherited disorders.

2002300 Chromosome Analysis, Lymph Node CHR ONC

Methodology: Giemsa Band
Specimen Required: Collect: Any specimen type for oncology studies other than peripheral blood, bone marrow, and solid tumors.
Thaw media prior to tissue inoculation. Collect tissue in a sterile, screw-top container filled with tissue culture transport medium (ARUP Supply
#32788). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. If no transport media is
available, collect in plain RPMI, Hanks solution, saline, or ringers.
Collect pleural or other body fluids in a green (sodium heparin).
Contact ARUP Genetics Processing for other specimen types or information and specific collection and transportation instructions.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin.
Tissues: Transport 10 mm biopsy in a sterile, screw-top container filled with tissue culture transport media.
Fluid: Transport 5 mL fluid in original collection tube.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Tissue submitted in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report - Additional CPT code modifiers may be required for
procedures performed to test for oncologic or inherited disorders.

2002289 Chromosome Analysis, Peripheral Blood CHR PB

Methodology: Giemsa Band
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 5 mL whole blood. (Min: 2 mL) Specimen and completed
test request form, including clinical indication, must be received within 48 hours of collection.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Please submit the Patient
History for Cytogenetic (Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88262 Chromosome analysis count 15-20 cells; 88230 Tissue culture; 88291 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2005763 Chromosome Analysis, Peripheral Blood, with Reflex to Genomic Microarray PB REFLEX
Methodology: Giemsa Band/Genomic Microarray (Oligo-SNP Array)
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 5 mL whole blood. (Min: 2 mL) Specimen and completed
test request form, including clinical indication, must be received within 48 hours of collection.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Please submit the Patient
History for Cytogenetic (Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88262 Chromosome analysis count 15-20 cells; 88230 Tissue culture; 88291 Interpretation and report; if reflexed, add 83891 Isolation; 88386 x6
Array-based evaluation of multiple molecular probes, 251-500 - Additional CPT code modifiers may be required for procedures performed to test
for oncologic or inherited disorders.

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 2002288 Chromosome Analysis, Products of Conception CHR POC
Methodology: Giemsa Band
Specimen Required: Collect: Thaw media prior to tissue inoculation. Products of conception in a sterile, screw-top container (Wide mouth containers: ARUP supply
#42710) filled with tissue culture transport medium (ARUP Supply # 32788). Available online through eSupply using ARUP Connect™ or
contact ARUP Client Services at (800) 522-2787. If cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or
ringers.
If autopsy is performed: Chest wall cartilage (particularly if macerated), gonad, spleen, kidney, or other internal organs.
If no autopsy is performed: Placenta from fetal side is preferred (e.g. villi).
Also acceptable: Umbilical cord or achilles tendon.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport products of conception in sterile, screw-top container filled with
tissue transport medium. If specimen size is too large for a normal collection tube, a larger sterile container can be used such as a sterile urine cup
and can be flooded with several tubes of cytogenetic tissue media.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Prenatal Cytogenetics with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Intact fetus. Frozen specimens. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88262 Chromosome analysis count 15-20 cells; 88233 Tissue culture; 88291 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2005762 Chromosome Analysis, Products of Conception, with Reflex to Genomic Microarray POC REFLEX
Methodology: Giemsa Band/Genomic Microarray (Oligo-SNP Array)
Specimen Required: Collect: Thaw media prior to tissue inoculation. Products of conception in a sterile, screw-top container (Wide mouth containers: ARUP supply
#42710) filled with tissue culture transport medium (ARUP Supply # 32788). Available online through eSupply using ARUP Connect™ or
contact ARUP Client Services at (800) 522-2787. If cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or
ringers.
If autopsy is performed: Chest wall cartilage (particularly if macerated), gonad, spleen, kidney, or other internal organs.
If no autopsy is performed: Placenta from fetal side is preferred (e.g. villi).
Also acceptable: Umbilical cord or achilles tendon.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport products of conception in sterile, screw-top container filled with
tissue transport medium. If specimen size is too large for a normal collection tube, a larger sterile container can be used such as a sterile urine cup
and can be flooded with several tubes of cytogenetic tissue media.
Storage/Transport Temperature: Refrigerated.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Prenatal Cytogenetics with the electronic packing list (available athttp://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Intact fetus. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88262 Chromosome analysis count 15-20 cells; 88233 Tissue culture; 88291 Interpretation and report; if reflexed, add 83891 Isolation; 88386 x6
Array-based evaluation of multiple molecular probes, 251-500 - Additional CPT code modifiers may be required for procedures performed to test
for oncologic or inherited disorders.

2002287 Chromosome Analysis, Rule Out Mosaicism CHR R/OM

Methodology: Giemsa Band
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 5 mL whole blood. (Min: 2 mL) Specimen and completed
test request form, including clinical indication, must be received within 48 hours of collection.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Cytogenetic (Chromosome) Studies with the electronic packing list (available at http://www.aruplab.com/guides/ug/tests/2002287.jsp).
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88230 Tissue culture; 88263 Chromosome analysis count 45 cells; 88280 Additional karyotypes; 88285 Chromosome analysis, additional cells
counted; 88291 Interpretation and report

0097677 Chromosome Analysis, Sister Chromatid Exchange SCE

Methodology: Giemsa Band
Specimen Required: Collect: Green (sodium heparin).
Specimen Preparation: Transport 10 mL whole blood. (Min: 6 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88230 x2 Tissue culture; 88245 Chromosome analysis breakage syndrome, baseline SCE; 88262 Chromosome analysis count 15-20 cells; 88280
Additional karyotypes; 88291 Interpretation and report

2002286 Chromosome Analysis, Skin Biopsy CHR SKIN

Methodology: Giemsa Band
Specimen Required: Collect: Thaw media prior to tissue inoculation. Skin biopsy in a sterile, screw-top container filled with tissue culture transport medium (ARUP
Supply # 32788) Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. If cytogenetics
tissue media is not available, collect in plain RPMI, Hanks solution, saline, or ringers.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport a 4 mm skin biopsy in a sterile, screw-top container filled with
tissue transport medium. If specimen size is too large for a normal collection tube, a larger sterile container can be used such as a sterile urine cup
and can be flooded with several tubes of cytogenetic tissue media.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for
Cytogenetic (Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88262 Chromosome analysis count 15-20 cells; 88233 Tissue culture; 88291 Interpretation and report
Page | 155
 2002296 Chromosome Analysis, Solid Tumor CHR ST
Methodology: Giemsa Band
Specimen Required: Collect: Thaw media prior to tissue inoculation. Solid tumor biopsy in a sterile, screw-top container filled with tissue culture transport medium
(ARUP Supply #32788). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. If
cytogenetics tissue media is not available, collect in plain RPMI, Hanks solution, saline, or ringers.
Specimen Preparation: DO NOT FREEZE. Do not place in formalin. Transport a 10 mm biopsy in a sterile, screw-top container filled with tissue
culture transport medium. (Min: 5 mm) If specimen size is too large for a normal collection tube, a larger sterile container can be used such as a
sterile urine cup and can be flooded with several tubes of cytogenetic tissue media.
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Specimens preserved in formalin.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88239 Tissue culture; 88264 Analyze 20-25 cells; 88291 Interpretation and report - Additional CPT code modifiers may be required for
procedures performed to test for oncologic or inherited disorders.

2002295 Chromosome FISH, CLL Panel FISH CLLP

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Green (sodium heparin). Also acceptable: Non-diluted bone marrow aspirate collected in a heparinized syringe.
Specimen Preparation: Transport 5 mL whole blood (Min: 2 mL). OR Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.
This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen; Unacceptable.
CPT Code(s): 88271 x4 DNA probe; 88275 x4 Chromosomal in situ hybridization 100-300 cells; 88291 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders

2002298 Chromosome FISH, Interphase CHR FISHI

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe. Also acceptable: Green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL). OR transport 5 mL whole blood (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.
This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 DNA probe each; 88275 Interphase in situ hybridization 100-300 each; 88291 Interpretation and report - Additional CPT codes modifiers
may be required for procedures performed to test for oncologic or inherited disorders

2002299 Chromosome FISH, Metaphase CHR FISHM

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Green (sodium heparin). Also acceptable: Non-diluted bone marrow aspirate collected in a heparinized syringe.
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transport 5 mL whole blood (Min: 2 mL). OR transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL).
Storage/Transport Temperature: Room temperature.
Remarks: It is recommended that all FISH studies be done in conjunction with routine cytogenetic analysis. (Refer to appropriate Chromosome
Analysis test for order instructions). If FISH only is requested, please submit a copy of previous cytogenetics report.
If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.
This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 DNA probe each; 88273 Chromosomal in situ hybridization 10-30 cells each; 88291 Interpretation and report - Additional CPT code
modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2006270 Chromosome FISH, Multiple Myeloma Panel Process and Hold MMF PR &HLD
Methodology: Cell culture/Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow collected in a heparinized syringe. Also acceptable: Green (sodium heparin).
Specimen Preparation: Transfer 3 mL bone marrow to a green (sodium heparin). (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: This test must be ordered using Cytogenetic test request form #43099 or through your ARUP interface.
Unacceptable Conditions: Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88237

2002297 Chromosome FISH, Prenatal CHR FISHP

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Amniotic fluid.
Specimen Preparation: Do not freeze or expose to extreme temperatures. Transport 30 mL amniotic fluid in sterile centrifuge tubes. (Min: 15
mL)
Storage/Transport Temperature: Room temperature.
Remarks: Specimen and completed test request form, including clinical indication, must be received within 48 hours of collection.
It is recommended that FISH be performed in conjunction with routine cytogenetic analysis.

Page | 156
 This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient History for Cytogenetic
(Chromosome) Studies form with the electronic packing list (available at available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Bloody specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x5 DNA probe; 88275 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2006356 Chronic Granulomatous Disease (CYBB Gene Scanning and NCF1 Exon 2 GT Deletion) with Reflex to CYBB CGD PANEL
Sequencing
Methodology: High Resolution Melt Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 Nucleic acid probe; 83900 Multiplex Amplification; 83901 x14 Additional Amplification; 83903
x16 Mutation Scanning; 83912 Interpretation and report. If reflexed, add 83904 Sequencing, each segment. Additional CPT code modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

2006366 Chronic Granulomatous Disease (NCF1) Exon 2 GT Deletion NCF1

Methodology: High Resolution Melt Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 Amplification; 83896 Nucleic acid probe; 83912 Interpretation and report. Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2006361 Chronic Granulomatous Disease, X-Linked (CYBB) Gene Scanning with Reflex to Sequencing CYBB
Methodology: High Resolution Melt Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex Amplification; 83901 x14 Additional Amplification; 83903 x16 Mutation Scanning; 83912 Interpretation and
report. If reflexed, add 83904 Sequencing, each segment. Additional CPT code modifiers may be required for procedures performed to test for
oncologic or inherited disorders.

0093194 Chronic Lymphocytic Leukemia Follow up Phenotyping by Flow Cytometry CLL FLOW
Methodology: Flow Cytometry
Specimen Required: Collect: Green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transport 5 mL whole blood.
Storage/Transport Temperature: Room temperature. Specimen should be received within 24 hours of collection for optimal viable testing.
Remarks: This assay is for follow up after the diagnosis of CLL has been established by previous flow cytometry immunophenotyping. If prior
studies were not performed at ARUP, the outside flow cytometry report and histograms must accompany the specimen. In addition, please provide
CBC, Wright's stained smear, clinical history, and any relevant pathology reports.
Unacceptable Conditions: Frozen specimens. Specimens greater than 48 hours old. Clotted or hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88184 First marker, 88185 x7 Each additional marker, 88187 Interpretation

0098457 Chylomicron Screen, Body Fluid CHYLO FL

Methodology: Qualitative Electrophoresis
Specimen Required: Collect: Body fluid.
Specimen Preparation: Do not freeze. Transport 1 mL body fluid. (Min: 0.2 mL
Storage/Transport Temperature: Refrigerated.
Remarks: Specify type of body fluid.
Unacceptable Conditions: Plasma, serum, or whole blood. Frozen specimens.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 82664

2005160 Chymotrypsin, Fecal CHYMOTRYP

Methodology: Quantitative Enzymatic/Spectrophotometry
Patient Preparation: Patients receiving pancreatic enzymes should discontinue taking the enzymes at least 5 days prior to stool collection.
Specimen Required: Collect: Random stool.
Specimen Preparation: Transfer 1 g stool to a clean, unpreserved stool transport vial (ARUP Supply #40910). (Min: 0.5 g)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 84311

0091337 Cimetidine, Serum or Plasma CIMETIDINE

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80299

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 0091422 Cimetidine, Urine CIMETID U
Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80299

0093399 Circulating Tumor Cell Count (Cell Search™) CTC COUNT

Methodology: Immunomagnetic Separation/Immunofluorescent Stain/Computer Assisted Analysis
Patient Preparation: If the patient is on doxorubicin therapy, allow at least 7 days following administration of a dose of doxorubicin before
blood draw.
Specimen Required: Collect: CellSave®Preservative tube (ARUP supply # 44867). Available online through eSupply using ARUP ConnectTM or contact
ARUP Client Services at (800) 522-2787. Due to stability, collect Monday-Thursday only.
Specimen Preparation: Transport 20 mL whole blood. (Min: 10 mL) The minimum collection amount will not allow for repeat testing.
Storage/Transport Temperature: Room temperature. Do not refrigerate or freeze.
Remarks: HISTORY IS REQUIRED. Specify type of metastatic cancer (breast, colorectal, or prostate). This assay is FDA approved only for these
3 metastatic cancers; other types will not be tested.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens not collected in the CellSave® tube or collected in expired CellSave®
tubes. Short draws.
Stability: Ambient: 4 days; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 0279T

2003302 Citalopram, Serum or Plasma CITALO

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours of draw. Transfer 1 mL serum or plasma into an ARUP Standard Transport Tube. (Min:
0.4 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 82491

0080011 Citric Acid, Serum CITRIC S

Methodology: Spectrophotometry/Enzymatic
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens.
Stability: Ambient: 8 hours; Refrigerated: 18 days; Frozen: 1 month
CPT Code(s): 82507

0020852 Citric Acid, Urine CITRIC U

Methodology: Quantitative Enzymatic
Specimen Required: Collect: 24-hour urine. Refrigerate during collection. Also acceptable: Random urine.
Specimen Preparation: Adjust pH to less than or equal to 2 by adding 6M HCl. Transfer a 4 mL aliquot of urine to an ARUP Standard
Transport Tube. (Min: 0.5 mL) Record total volume, collection time interval, and pH on transport tube and test request form. Also acceptable:
Specimens previously preserved with boric acid.
Storage/Transport Temperature: Refrigerated.
Remarks:
Stability: Ambient: 8 hours; Refrigerated: 1 week; Frozen: Indefinitely
CPT Code(s): 82507

2006261 Citrin Deficiency (SLC25A13) Sequencing CITRIN FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x19 Amplification; 83904 x19 Sequencing; 83909 capillary electrophoresis; 83912 Interpretation and report -Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2007069 Citrullinemia, Type I (ASS1) Sequencing ASS1 FGS

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x14 Amplification; 83904 x14 Sequencing; 83909 Capillary electrophoresis, 83912 Interpretation and report. Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0099336 Clomipramine and Metabolite CLOMIP

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
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 Stability: After separation from cells: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80299 x2

0090055 Clonazepam CLON

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 6 weeks; Refrigerated: 6 weeks; Frozen: 2 months
CPT Code(s): 80154

0091362 Clonidine, Serum or Plasma CLONIDI SP

Methodology: Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299

0091223 Clonidine, Urine CLONID UR

Methodology: Quantitative High Performance Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299

0090196 Clorazepate (Assayed as Nordiazepam) CLORAZ

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 80154

0060140 Clostridium difficile Culture with Reflex to Cytotoxin Cell Assay MC CDIF
Methodology: Culture/Identification
Specimen Required: Collect: Stool: Transfer 5 mL to an unpreserved stool transport vial (ARUP supply #40910). OR place 5 mL in enteric transport media (Cary-
Blair) (ARUP supply #29799). (Min: 1 mL) Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)
522-2787.
Tissue: Transfer specimen immediately into anaerobe transport media (ARUP supply #16426).
Specimen Preparation: Transfer 5 mL stool to an unpreserved stool transport vial (ARUP supply #40910). OR place 5 mL stool in enteric transport
media (Cary-Blair) (ARUP supply #29799). (Min: 1 mL) Available online through eSupply using ARUP Connector contact ARUP Client Services
at (800) 522-2787. Storage/Transport Temperature: Frozen.
Storage/Transport Temperature: Stool: Frozen. Tissue: Room Temperature.
Unacceptable Conditions: Multiple specimens (more than one in 24 hours), formed stools, or stool in PVA or formalin.
Stability: Unpreserved or preserved Stool: Ambient: 2 hours; Refrigerated: 48 hours; Frozen: 1 week. Tissue: Ambient: 48 hours; Refrigerated:
Unacceptable; Frozen: Unacceptable.
CPT Code(s): 87075; if reflexed add 87230

2002552 Clostridium difficile Cytotoxin Antibody by Neutralization CDIFF AB

Methodology: Antibody Neutralization
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 87230

0060851 Clostridium difficile Cytotoxin Cell Assay CDIFTX

Methodology: Cell Culture/Neutralization
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 1 mL stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens in preservatives. Specimens submitted on swabs.
Stability: Ambient: 2 hours; Refrigerated: 72 hours; Frozen at -20°C: 72 hours; Frozen at -70°C: 1 week
CPT Code(s): 87230

2002838 Clostridium difficile toxin B gene (tcdB) by PCR CDIFF PCR

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Soft or liquid stool.
Specimen Preparation: Transfer 1 mL stool to a clean, unpreserved transport vial (ARUP Supply# 40910). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL).
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 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens in media or preservatives.
Stability: Ambient: 48 hours; Refrigerated: 5 days; Frozen: 1 month
CPT Code(s): 87493

0065146 Clostridium difficile Toxins (A & B) by EIA CDIFF

Methodology: Qualitative Enzyme Immunoassay
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5 mL stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Formed stool. Specimens in media or preservatives.
Stability: Unpreserved: Ambient: 2 hours; Refrigerated: 72 hours; Frozen: 1 week
CPT Code(s): 87324

0098930 Clozapine CLOZAPINE

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 5 weeks; Refrigerated: 2 months; Frozen: 2 months
CPT Code(s): 80299

2006476 Clozapine and Metabolite, Serum or Plasma CLOZMET SP

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 8 Days; Refrigerated: 1 Month; Frozen: 1 Month
CPT Code(s): 80299

0099231 Cobalt, Blood COBALT B

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (K2EDTA or Na2EDTA).
Specimen Preparation: Transport 7 mL whole blood in the original collection tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated.
Unacceptable Conditions: Heparin anticoagulant. Frozen specimens.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 83018

2005549 Cobalt, Joint Fluid CO F

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: High concentrations of iodine may interfere with elemental testing. Patients should abstain from iodine-containing
medications or contrast agents for at least 1 month prior to specimen collection for elemental testing.
Specimen Required: Collect: Joint fluid. The use of betadine-like topical antiseptics should be avoided during specimen collection.
Specimen Preparation: Transfer 1 mL joint fluid to an ARUP Trace Element-Free Transport Tube (ARUP supply #43116). Available online
through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes and gels. Fluid collected after administration of a gadolinium (Gd) containing contrast media (may
occur with MRI studies).
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83018

0025037 Cobalt, Serum or Plasma COBALT S

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (no additive) or Royal blue (EDTA)
Specimen Preparation: Centrifuge; Do not allow serum to remain on cells. Transfer 2 mL serum or plasma to an ARUP Trace Element-Free
Transport Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)
522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Separator tubes. Specimens that are not separated from the red cells, or clot, within 6 hours.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 83018

0025032 Cobalt, Urine COBALT U

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.

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Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Ambient or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83018

0050137 Coccidioides Antibodies, IgG & IgM by ELISA COCCI G/M

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube OR CSF.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum OR CSF to an ARUP Standard
Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the
acute specimens. Please Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635 Cocci IgM; 86635 Cocci IgG

0050710 Coccidioides Antibodies Panel, CSF by CF, ID, ELISA COCCI CSF
Methodology: Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer two 1 mL aliquots of CSF to individual ARUP Standard Transport Tubes. (Min: 0.3 mL per aliquot)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Grossly bloody or hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635 Cocci Ab (CF); 86635 Cocci Ab (ID); 86635 Cocci IgG (EIA); 86635 Cocci IgM (EIA)

0050588 Coccidioides Antibodies Panel, Serum by CF, ID, ELISA COCCI PAN
Methodology: Semi-Quantitative Complement Fixation/Qualitative Immunodiffusion/Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer two 1 mL aliquots of serum to individual ARUP
Standard Transport Tube. (Min: 0.3 mL per aliquot) Parallel testing is preferred and convalescent specimens must be received within 30 days
from receipt of the acute specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635 Cocci Ab (CF); 86635 Cocci Ab (ID); 86635 Cocci Ab, IgG (EIA); 86635 Cocci Ab, IgM (EIA)

0050170 Coccidioides Antibody by CF COCCI

Methodology: Semi-Quantitative Complement Fixation
Specimen Required: Collect: Serum separator tube OR CSF.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum OR CSF to an ARUP Standard
Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635

0050183 Coccidioides Antibody by ID COCCI-PPT

Methodology: Qualitative Immunodiffusion
Specimen Required: Collect: Serum separator tube OR CSF.
Specimen Preparation: Transfer 0.5 mL serum OR CSF to an ARUP Standard Transport Tube (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Bloody or grossly hemolyzed specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635

0050179 Coccidioides Antibody, IgG by ELISA COCCI G

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube OR CSF.
Specimen Preparation: Transfer 1 mL serum OR CSF to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635

0050178 Coccidioides Antibody, IgM by ELISA COCCI M

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube OR CSF.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum OR CSF to an ARUP Standard
Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
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 Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86635

0062225 Coccidioides immitis Identification by DNA Probe MC CP

Methodology: Nucleic Acid Probe
Specimen Required: Collect: Actively growing fungal isolate in pure culture.
Specimen Preparation: Transport sealed container pure culture on non-blood containing fungal medium. Place each specimen in an individually
sealed bag.
Storage/Transport Temperature: Room temperature. If culture is suspected to be of a microorganism listed by the IATA as infectious to humans,
submit according to Biological Substance, Category A, shipping guidelines.
Submit specimen according to Infectious Substance, Category A, shipping guidelines.
Remarks: Results may be delayed if growth of the organism is inadequate.
Unacceptable Conditions: Mixed or non-viable organisms. Agar plate.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: Unacceptable
CPT Code(s): 87149

0081119 Coenzyme Q10, Total COENZ Q10

Methodology: Quantitative High Performance Liquid Chromatography
Patient Preparation: Patient should fast overnight prior to specimen collection. Patient may have water. It is not necessary to discontinue
nutritional supplements prior to this test.
Specimen Required: Collect: Plasma separator tube, green (sodium or lithium heparin), serum separator tube, or plain red.
Specimen Preparation: Protect from light within one hour of collection and during storage and shipment. Transfer 1 mL serum or plasma to an
ARUP Amber Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens other than heparinized plasma or serum. Hemolyzed specimens. Specimens exposed to repeated freeze/thaw
cycles.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 3 weeks; Frozen: 1 month
CPT Code(s): 82491

0050175 Cold Agglutinins COLD

Methodology: Semi-Quantitative Hemagglutination
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Keep in warm water (37°C) until processed for transport by laboratory; refrigeration of specimen before separation of
serum from cells will adversely affect test results. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or CSF. Refrigerated whole blood. Contaminated, severely hemolyzed, or lipemic, specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86157

2003839 Collagen IV by Immunohistochemistry COLL 4 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

0093167 Colorado Tick Fever Antibodies, IgG & IgM, IFA COLOR TICK
Methodology: Immunofluorescence Assay
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86790 IgG; 86790 IgM

2005373 Complement Activity, Alternative Pathway (AH50) AH50

Methodology: Semi-Quantitative Radial Immunodiffusion
Specimen Required: Collect: Serum separator tube or plain red.
Specimen Preparation: Allow specimen to clot for one hour at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube and freeze. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Specimen types other than serum. Refrigerated or room temperature specimens. Specimens left to clot at refrigerated
temperature. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86162

0050198 Complement Activity Enzyme Immunoassay, Total CH50

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Plain red.
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 Specimen Preparation: Allow specimen to clot for one hour at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Separator tubes. Specimens left to clot at 2-8°C. Specimens exposed to repeated freeze/thaw cycles. Non-frozen
specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86162

0099078 Complement Component 1, Functional C1

Methodology: Quantitative Hemolytic Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow blood to clot at room temperature for 20-60 minutes. Separate serum from cells and freeze on dry ice or at -70°C
within 2 hours. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 86161

0099130 Complement Component 1Q Level COMP 1Q

Methodology: Radial Immunodiffusion
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL plasma to an ARUP Standard Transport
Tube and freeze immediately. (Min: 0.1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Grossly hemolyzed, hyperlipemic, or room temperature specimens. Serum or non-EDTA plasma.
Stability: Ambient: Unacceptable; Refrigerated: 48 hours; Frozen: 1 month
CPT Code(s): 86160

0050148 Complement Component 2 C2

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot for one hour at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens. Specimens exposed to repeated freeze/thaw cycles. Specimens left to clot at refrigerated
temperature.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86160

0050150 Complement Component 3 C3

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5
mL serum to an ARUP Standard Transport Tube and freeze. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens left to clot at refrigerated temperature. Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 8 hours; Refrigerated: 24 hours; Frozen: 2 weeks
CPT Code(s): 86160

2003304 Complement Component 3A COMP 3A

Methodology: Radioimmunoassay
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Separate from cells within 1 hour of draw. Transfer 1 mL plasma to an ARUP Standard Transport Tube. Freeze at -70or on
dry ice immediately. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable: Frozen at -70°C: 1 month
CPT Code(s): 86160

0050155 Complement Component 4 C4

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube. Also acceptable: Lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Allow specimen to clot at room temperature. Separate serum from cells ASAP or within 2 hours of collection and freeze.
Transport 0.5 mL serum. (Min: 0.3 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens left to clot at refrigerated temperature. Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
CPT Code(s): 86160

2003180 Complement Component 4A COMP 4A

Methodology: Radioimmunoassay
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Separate from cells within 1 hour of draw. Transfer 1 mL plasma to an ARUP Standard Transport Tube. Freeze at -70°C or
on dry ice immediately. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: Frozen at -70°C: 1 year
CPT Code(s): 86160

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 0050156 Complement Component 5 C5
Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot for one hour at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.3 mL) Plasma is not recommended.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Non-frozen specimens. Specimens exposed to repeated freeze/thaw cycles. Specimens left to clot at refrigerated
temperature.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 86160

0099072 Complement Component 6 COMP 6

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Separate plasma from cells within 1 hour. Transfer 1 mL plasma to an ARUP Standard Transport Tube and freeze on dry
ice or at -70(Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 86160

0099131 Complement Component 6 Functional COMP 6 F

Methodology: Quantitative Hemolytic Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow to clot at room temperature for 20-60 minutes. Transfer 1 mL serum to an ARUP Standard Transport Tube. Separate
from clot and freeze at -70°C or on dry ice within 2 hours of draw. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 86161

0099073 Complement Component 7 COMP 7

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86160

0099121 Complement Component 7 Functional COMP 7 F

Methodology: Quantitative Hemolytic Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow blood to clot at room temperature for 20-60 minutes. Separate from clot. Transfer 1 mL serum to an ARUP Standard
Transport Tube and freeze at -70°C or on dry ice within 2 hours of draw. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered. Allow blood to clot at room temperature
for 20 to 60 minutes. Must be separated from clot and frozen at -70° C or on dry ice within 2 hours of draw.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 86161

0099074 Complement Component 8 COMP 8

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 weeks
CPT Code(s): 86160

0099133 Complement Component 8 Functional COMP 8 F

Methodology: Hemolytic Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow blood to clot at room temperature for 20-60 minutes. Separate from clot. Transfer 1 mL serum to an ARUP Standard
Transport Tube and freeze at -70°C or on dry ice within 2 hours of draw. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 86161

0099076 Complement Component 9 COMP 9

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86160

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 0099120 Complement Component 9 Functional COMP 9 F
Methodology: Quantitative Hemolytic Assay
Specimen Required: Collect: Plain red.
Specimen Preparation: Allow blood to clot at room temperature for 20-60 minutes. Separate from clot. Transfer 1 mL serum to an ARUP Standard
Transport Tube and freeze at -70°C or on dry ice within 2 hours of draw. (Min: 1 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
CPT Code(s): 86161

2003499 Complement Component C9 (CCC9) by Immunohistochemistry CCC9 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

0050149 Complement Components 3 and 4 C3C4

Methodology: Quantitative Immunoturbidimetry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1
mL serum to an ARUP Standard Transport Tube and freeze. (Min: 0.6 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens left to clot at refrigerated temperature. Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 8 hours; Refrigerated: 24 hours; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
CPT Code(s): 86160 C3; 86160 C4

0051720 Complement Factor B COMP FAC B

Methodology: Quantitative Radial Immunodiffusion
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot for 30 minutes to one hour at refrigerated temperature. Separate serum from cells ASAP or within 2
hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube and place on refrigerant pack or freeze immediately. (Min: 0.3
mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Room temperature specimens. Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: Unacceptable, Refrigerated: 48 hours; Frozen: 1 year
CPT Code(s): 86160

0020408 Comprehensive Metabolic Panel CMP

Methodology: Quantitative Ion-Selective Electrode/Quantitative Enzymatic/Quantitative Spectrophotometry
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Protect from light. Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells ASAP
or within 30 minutes of collection. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: EDTA, citrate, oxalate, or sodium fluoride/potassium oxalate.
Stability: After separation from cells: Ambient: Calcium and CO2: 4 hours, All others: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 80053

2002282 Congenital Adrenal Hyperplasia Panel, 11-Beta Hydroxylase Deficiency CAH 11-B HYDROX
Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Collect between 6-10 a.m.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin). Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82157 Androstenedione; 83498 17-Hydroxyprogesterone; 84403 Testosterone; 82634 11-Deoxycortisol;
82626 Dehydroepiandrosterone.

2002283 Congenital Adrenal Hyperplasia Panel, 21-Hydroxylase Deficiency CAH 21 HYDROX

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Collect between 6-10 a.m.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin). Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.6 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 6 months
CPT Code(s): 82157 Androstenedione; 83498 17-Hydroxyprogesterone; 84143 17-Hydroxypregnenolone; 82626 Dehydroepiandrosterone
Page | 165
 2002029 Congenital Adrenal Hyperplasia Treatment Panel CAH RX PANEL
Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Collect between 6-10 a.m.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin). Also acceptable: Lavender (EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82157 Androstenedione; 83498 17-Hydroxyprogesterone; 84403 Total Testosterone

2006220 Congenital Amegakaryocytic Thrombocytopenia (CAMT) Sequencing CAMT FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x32 Amplification; 83894 x32 Gel electrophoresis; 83904 x32 Sequencing; 83892 x3 Digestion; 83912 Interpretation and
report.

0051668 Connective Tissue Diseases Profile CONN

Methodology: Semi-Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Bacterially contaminated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86235 x6 ENAs; 83516 Centromere; 83516 RIBPP

0051374 Connexin 26 (GJB2), Sequencing CX26SEQ

Methodology: Nucleic Acid Probe/Fluorescence Signal Amplification/Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation: 83898 x2 Amplification; 83904 x3 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report.

Consultation, Cytopathology
Methodology: Microscopy
Specimen Required: Collect: Submit pap slides, nongynecological slide preparations, any special slides, paraffin-embedded block if applicable, copy of preliminary
cytopathology report, clinical history, and a brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry, PCR,
FISH, EM, IHC, IF, etc., submit additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager or the Anatomic Pathology Business Development Manager at (800) 522-2787 for more
information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are indicated.

Consultation, Dermatopathology
Methodology: Microscopy
Specimen Required: Collect: Submit hematoxylin and eosin slides, any special stain slides, paraffin-embedded block if applicable, copy of preliminary cytopathology
report, clinical history and a brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry, PCR, FISH, EM, IHC,
IF, etc., submit additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager or the Anatomic Pathology Business Development Manager (800) 522-2787 for more
information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are indicated.

Consultation, Head and Neck

Methodology: Microscopy
Specimen Required: Collect: Submit hematoxylin and eosin slides, any special stain slides, paraffin-embedded block , copy of preliminary pathology report, clinical
history and a brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry, PCR, FISH, EM, IHC, IF, etc., submit
additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager or the Anatomic Pathology Business Development Manager (800) 522-2787 for more
information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are indicated.

Consultation, Hematopathology
Methodology: Microscopy

Page | 166
Specimen Required: Collect: Transport prepared slides (Hematoxylin and eosin, Wright stained, etc.) any special stain slides, paraffin-embedded block, copy of
preliminary pathology report, clinical history and a brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry,
PCR, FISH, EM, IHC, IF, etc., submit additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager at (800) 522-2787 for more information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are indicated.

Consultation, Neuropathology
Methodology: Microscopy
Specimen Required: Collect: Submit hematoxylin and eosin slides, any special stain slides, paraffin-embedded block, copy of preliminary pathology report, clinical
history and brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry, PCR, FISH, EM, IHC, IF, etc., submit
additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager or the Anatomic Pathology Business Development Manager (800) 522-2787 for more
information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are indicated.

Consultation, Surgical Pathology

Methodology: Microscopy
Specimen Required: Collect: Transport hematoxylin and eosin slides, any special stain slides, and paraffin-embedded block. Include copy of preliminary pathology
report, clinical history and brief explanatory note. If special studies are anticipated such as cytogenetics, flow cytometry, PCR, FISH, EM, IHC,
IF, etc., submit additional tissue in appropriate fixative if required.

Contact your ARUP Business Development Manager or the Anatomic Pathology Business Development Manager (800) 522-2787 for more
information.
CPT Code(s): 88321 Basic, consultation and report on referred material; or 88323 Moderate, consultation and report on referred material requiring slide
preparation; or 88325 Complex, consultation, with review of records and specimens, and report on referred material. Additional billing may apply
if special studies are included.

0020694 Copper, Liver CU-LIVER

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Specimen Required: Collect: Liver tissue obtained with an 18 gauge needle.
Specimen Preparation: Transport at least a 1 cm long specimen. Tissue can be fresh, paraffin-embedded, or dried. Also acceptable: Formalin-
fixed. Specimens other than paraffin-embedded should be stored and transported in a metal-free container such as a royal blue (no additive).
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens less than 0.25 mg (dry weight). Paraffin blocks that have been processed with Hollandes or other copper-
containing stain.
Stability: Paraffin block, preserved (formalin), or dried: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Indefinitely
Fresh tissue: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Indefinitely
CPT Code(s): 82525

2007252 Copper, RBC COPPER RBC

Methodology: Quantitative Inductively Coupled Plasma-Optical Emission Spectrometry
Specimen Required: Collect: Royal blue (EDTA).
Specimen Preparation: Separate cells within 2 hours of collection. Transfer 2 mL RBCs to an ARUP Trace Element-Free Transport Tube (ARUP
supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 82525

0020096 Copper, Serum COPPER

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (no additive) or Royal blue (EDTA)
Specimen Preparation: Centrifuge; do not allow serum or plasma to remain on cells. Transfer 2 mL serum or plasma to an ARUP Trace Element-
Free Transport Tube (ARUP supply #43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)
522-2787. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Unacceptable Conditions: Separator tubes and specimens that are not separated from the red cells or clot within 6 hours.
Stability: If the specimen is drawn and stored in the appropriate container, the trace element values do not change with time.
CPT Code(s): 82525

0020596 Copper, Serum Free (Direct) COPPER F

Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician).
Specimen Required: Collect: Royal blue (no additive).
Specimen Preparation: Centrifuge. Transfer 2.5 mL serum to an ARUP Trace Element-Free Transport Tube. (Min: 1.5 mL) Do not allow serum to
remain on cells.
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Separator tubes. Specimens that are not separated from the red cells or clot.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82525
Page | 167
 0020461 Copper, Urine COPPER U
Methodology: Quantitative Inductively Coupled Plasma-Mass Spectrometry
Patient Preparation: Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to
discontinue nutritional supplements, vitamins, minerals, and non-essential over-the-counter medications (upon the advice of their physician). High
concentrations of iodine may interfere with elemental testing. Abstinence from iodine-containing medications or contrast agents for at least 1
month prior to collecting specimens for elemental testing is recommended.
Specimen Required: Collect: 24-hour or random urine collection. Specimen must be collected in a plastic container. ARUP studies indicate that refrigeration of
urine alone, during and after collection, preserves specimens adequately, if tested within 14 days of collection.
Specimen Preparation: Transfer an 8 mL aliquot from a well-mixed collection to ARUP Trace Element-Free Transport Tubes (ARUP supply
#43116). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 mL) Record
total volume and collection time interval on transport tube and on test request form.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Urine collected within 48 hours after administration of a gadolinium (Gd) containing contrast media (may occur with
MRI studies). Acid preserved urine.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 82525

2003292 CordStat 12 Reflexive Panel CORD 12

Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/Quantitative Gas Chromatography-Mass Spectrometry/Liquid Chromatography-Tandem Mass
Spectrometry
Specimen Required: Collect: Umbilical cord. Collection instructions are provided with kit (ARUP Supply #46990). Available online through eSupply using ARUP
Connect™ or contact ARUP Client Services at (800) 522-2787.
Specimen Preparation: Avoid any contact of ethanol liquid or vapor with the umbilical cord. Do not place in formalin. Transport 6-inch to 8-inch
segment of umbilical cord.
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Remarks: Submissions require tamper evident seal to be placed on the specimen collection container. Unsealed containers will be rejected.
Stability: Ambient: 1 week; Refrigerated: 3 weeks; Frozen: 1 year
CPT Code(s): 80101 x12 Drug screen; 80103 Tissue preparation; if positive, add 80102 Drug confirmation and 80103 Tissue preparation for each procedure

0098513 Corticosteroid Binding Globulin (CBG) CORTICO BG

Methodology: Radioimmunoassay
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions:
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 years
CPT Code(s): 84449

2003250 Cortisol by LC-MS/MS, Serum or Plasma CORT TMS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: It is recommended that the specimen be collected between 6-11 a.m.
Specimen Required: Collect: Serum separator tube, lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transport 1 mL serum or plasma. (Min: 0.5
mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82533

0092100 Cortisol/Cortisone Urine Free by LC-MS/MS CORTURATIO

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: 24-hour or random urine. Refrigerate 24-hour specimen during collection.
Specimen Preparation: Transport one 4 mL aliquot of urine. (Min: 1 mL) Record total volume and collection time interval on transport tube and
test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens. Acidified specimens or specimens with preservatives.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82530 Cortisol; 83789 LC-MS/MS

0098391 Cortisol, Free FCORTS

Methodology: Equilibrium Dialysis/Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Plain red or serum separator tube. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Centrifuge specimen. Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to
an ARUP Standard Transport Tube. (Min: 0.6 mL) Label plainly as a.m. or p.m. collection.
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens collected in plasma separator tubes containing heparin. Grossly hemolyzed or heparinized specimens.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 5 days; Frozen: 3 months
CPT Code(s): 82530

0081117 Cortisol, Saliva CORT SAL

Methodology: Quantitative Enzyme Immunoassay
Patient Preparation: Do not collect specimen within 60 minutes after eating a meal, within 12 hours after consuming alcohol, immediately after
brushing teeth or after any activity that may cause gums to bleed. Rinse mouth thoroughly with water 10 minutes before specimen collection.
Recommended collection time is between 11:00 p.m. - 1:00 a.m.
Specimen Required: Collect: Saliva. Swab must be completely saturated to ensure sufficient volume for testing.
Specimen Preparation: Transfer saturated swab to plain (non-citric acid) cotton Salivette® collection device (ARUP Supply #41252). Record the
time of collection on the test request form, and on Salivette® transport container.
Page | 168
 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens not collected using the Salivette® collection device. Sodium azide preservative. Specimens with pH values
greater than 9.0 or less than 3.5 must be recollected. Specimens visibly contaminated with blood, cellular debris, food particles, or mucus.
Stability: Ambient: 1 week; Refrigerated: 3 weeks; Frozen: 6 months
CPT Code(s): 82533

0070030 Cortisol, Serum or Plasma CORTISOL

Methodology: Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.6 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Saliva (refer to Cortisol, Saliva, ARUP test code 0080117).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82533

0097222 Cortisol Urine Free by LC-MS/MS CORT UF

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: 24-hour or random urine. Refrigerate 24-hour specimen during collection.
Specimen Preparation: Transport one 4 mL aliquot of urine. (Min: 1 mL) Record total volume and collection time interval on transport tube and
test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens. Acidified specimens or specimens with preservatives.
Stability: Ambient: Unacceptable; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 82530

2003252 Cortisone by LC-MS/MS, Serum or Plasma CONE TMS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: It is recommended that the specimen be collected between 6-11 a.m.
Specimen Required: Collect: Serum separator tube, lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transport 1 mL serum or plasma. (Min: 0.5
mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 83491

0060360 Corynebacterium diphtheriae Culture MC DIPH

Methodology: Culture/Identification
Specimen Required: Collect: Nasopharynx, throat, or wound swab.
Swab nasopharynx and throat at the site of membrane or inflammation to significantly increases recovery. Swab base of cleansed wound, if
present.
Specimen Preparation: Place swab in bacterial transport media.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87081 presumptive identification. If definitive identification required, add 87077.

2007081 Cotinine Screen, Urine COTININE

Methodology: Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Random urine
Specimen Preparation: Transfer 4 mL urine with no additives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles
Stability: Ambient: 10 days; Refrigerated: 10 days; Frozen: 8 months
CPT Code(s): 80101

2003102 Coxiella burnetii (Q-Fever) Antibodies, IgG & IgM by IFA with Reflex to Titer C BURNETII
Methodology: Immunofluorescence Assay
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Stability: Ambient: 4 days; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 86638 x4; if reflexed add 86638 per titer performed

0050462 Coxiella burnetii (Q-Fever) Antibody IgG, Phase I & II by IFA Q-F 1,2
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" and "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86638 Q-Fever Phase I; 86638 Q-Fever Phase II

Page | 169
 0050463 Coxiella burnetii (Q-Fever) Antibody IgG, Phase I by IFA Q-F I
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86638

0050464 Coxiella burnetii (Q-Fever) Antibody IgG, Phase II by IFA Q-F II

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86638

2003097 Coxiella burnetii (Q-Fever) Antibody, IgM by IFA with Reflex to Titer COXIELLA B
Methodology: Semi-Quantitative Immunofluorescence Assay
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Stability: Ambient: 4 days; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 86638 x2; if reflexed add 86638 per titer performed

2002932 Coxsackie A Antibodies (A-2, 4, 7, 9, 10 & 16 Serotypes) COX A AB

Methodology: Complement Fixation
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP standard transport tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86658 x6 A-2, 4, 7, 9, 10 and 16 serotypes

0050503 Coxsackie A9 Virus Antibodies by CF COX A9

Methodology: Semi-Quantitative Complement Fixation
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.25 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86658

0060055 Coxsackie B Virus Antibodies COX B

Methodology: Semi-Quantitative Serum Neutralization
Specimen Required: Collect: Serum separator tube or plain red. OR CSF.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 1 mL serum or CSF to an ARUP Standard Transport Tube.
(Min: 0.3 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark
specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86658 x6 Coxsackie (B1, B2, B3, B4, B5, and B6)

2002328 Creatine Disorders Panel, Plasma or Serum CRTN DIS P

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Green (sodium or lithium heparin), lavender (EDTA), plain red, or serum separator tube.
Specimen Preparation: Separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport
Tube and freeze immediately. (Min: 0.2 mL)
Storage/Transport Temperature: Frozen.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Specimens exposed to more than one freeze/thaw cycle.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 82540 Creatine; 83789 Guanidinoacetic acid

2002333 Creatine Disorders Panel, Urine CRTN DIS U

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Random or timed urine.
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 Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (e.g., TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site at
http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Specimens exposed to more than one freeze/thaw cycle.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 82540 Creatine, 82570 Creatinine, 83789 Guanidinoacetic acid

0020414 Creatine Kinase Isoenzymes CKISO

Methodology: Quantitative Enzymatic/Electrophoresis
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) CK-MB and CK-BB are quite labile;
specimens should be frozen if the assay cannot be performed within 24 hours.
Storage/Transport Temperature: Frozen.
Remarks: This test will detect CK macroenzymes.
Unacceptable Conditions: Specimens preserved in citrate, EDTA, fluoride, heparin, or iodoacetate. Room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: 2 weeks (avoid repeated freeze/thaw cycles)
CPT Code(s): 82552 Creatine kinase isoenzymes; 82550 Creatine kinase, total

0080480 Creatine Kinase, MB CK MB

Methodology: Chemiluminescent Immunoassay
Specimen Required: Collect: Green (sodium or lithium heparin), plasma separator tube, serum separator tube.
Specimen Preparation: SST needs to sit for 15-20 minutes for proper clot formation and to assure the absence of fibrin in the serum which can
interfere with this assay. Centrifuge and remove from cells ASAP or within 2 hours of collection. Specimens must be free of all particulate matter
which can interfere with the assay. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: CK-MB is quite labile. CK-MB relative percent will be calculated only if Creatine Kinase, Total, Serum or Plasma (ARUP test
code 0020010) is ordered.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 3 days; Frozen: 1 month
CPT Code(s): 82553

0020010 Creatine Kinase, Total, Serum or Plasma CK

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma preparation tube or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP. Transfer 1 mL serum
or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in potassium oxalate or sodium fluoride. Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82550

2002340 Creatine, Serum or Plasma CRTN SP

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red, serum separator tube, green (sodium or lithium heparin), or lavender (EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube and freeze immediately. (Min: 0.2 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens exposed to more than one freeze/thaw cycle.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 2 weeks
CPT Code(s): 82540

2001875 Creatine Transport, Fibroblasts CRTN FIBRO

Methodology: Radioassay
Specimen Required: Collect: Fibroblasts from skin biopsy.
Specimen Preparation: Transport two T-25 flasks of fibroblasts from skin biopsy. Cells should be kept in 37°C incubator until shipped.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE. Must call lab before shipping. Ship Monday-Thursday only.
Remarks: Clinical information is needed for appropriate interpretation. Biochemical Genetics Patient History Form is available on the
ARUP Web site at http://www.aruplab.com/patienthistory or by contacting ARUP Client Services.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in improper media. Dead cells.
Stability: Ambient: 4 days; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 84238

2002343 Creatine, Urine CRTN URINE

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens exposed to more than one freeze/thaw cycle.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 2 weeks
CPT Code(s): 82540

0020473 Creatinine, 24-Hour Urine UCRT

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: 24-hour urine. Specimen must be refrigerated during collection. Also acceptable: Random urine (no reference intervals).
Specimen Preparation: Transfer one 3 mL aliquot to an ARUP Standard Transport Tube. (Min: 0.5 mL) Record total volume and collection time
interval on transport tube and test request form. Also acceptable: Specimens previously preserved with 6M HCl, boric acid, or 5% NaOH.
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 Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 24 hours; Refrigerated: 4 days; Frozen: 6 months
CPT Code(s): 82570

0020509 Creatinine, Body Fluid CRT-FL

Methodology: Spectrophotometry
Specimen Required: Collect: Body fluid.
Specimen Preparation: Centrifuge and separate to remove cellular material. Transport 1 mL body fluid. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on the test request form.
Stability: Ambient: 5 days; Refrigerated: 1 month; Frozen: 6 months
CPT Code(s): 82570

0020474 Creatinine Clearance, Urine CRTCL

Methodology: Quantitative Spectrophotometry/Enzymatic
Specimen Required: Collect: 24-hour urine. Specimen must be refrigerated during collection. AND plasma separator tube or serum separator tube, collected within 48
hours of initiating urine collection.
Specimen Preparation: Transfer one 3 mL aliquot from a well-mixed 24-hour collection (Min: 0.5 mL) AND 1 mL serum or plasma (Min: 0.2 mL)
to individual ARUP Standard Transport Tubes. Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Random urine collections.
Stability: Serum: (after separation from cells) Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
Urine: Ambient: 24 hours; Refrigerated: 4 days; Frozen: 6 months.
CPT Code(s): 82575

0020025 Creatinine, Serum or Plasma CRT

Methodology: Quantitative Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL plasma or serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens obtained through catheters used to infuse hyperalimentation fluid. Specimens with potassium oxalate/sodium
fluoride, citrate, or EDTA as anticoagulants.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82565

0091485 Cresols, Urine CRESOL URN

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Random urine in a preservative-free container.
Specimen Preparation: Transfer 3 mL urine to an ARUP Standard Transport Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Specimens preserved with Benzoic Acid.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 84600

2001613 Crohn Disease Prognostic Panel CROHN PAN

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma, other body fluids, grossly icteric, heat-inactivated, grossly hemolyzed, severely lipemic, or contaminated
specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
(avoid repeated freeze/thaw cycles)
CPT Code(s): 86671 gASCA IgG; 83516 Lam Ag IgG; 83516 Man Ag IgG; 83516 Chito Ag IgA

0050190 Cryofibrinogen CRYO FIB

Methodology: Qualitative Cold Precipitation
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Whole blood drawn in a pre-warmed (37°C) syringe. Specimen may be drawn directly into a pre-warmed lt. blue (sodium citrate) or
black (sodium citrate).
Specimen Preparation: Maintain whole blood at 37°C from collection to transport; do not refrigerate or freeze at any time. Immediately
after blood has been obtained, transfer specimen to a pre-warmed blue (sodium citrate) or black (sodium citrate) (if not used for collection).
Separate plasma from cells using a 37°C centrifuge, if possible. Transfer 3 mL plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Proper collection and transport of specimen is critical to the outcome of the assay. Quantities less than 3 mL may affect the sensitivity of
the assay.
Unacceptable Conditions: Refrigerated or frozen specimens. Heparinized specimens. Grossly hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 82585

0050185 Cryoglobulin, Qualitative CRYGB

Methodology: Qualitative Cold Precipitation
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Plain red tube.

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 Specimen Preparation: 1) Draw approximately 7 mL of blood into a pre-warmed (37°C) plain red tube. Alternatively: draw into a pre-warmed
(37°C) syringe and immediately transfer blood to a pre-warmed (37°C) plain red tube. 2) Maintain collected blood at 37°C until clotting is
complete. 3) Separate serum from cells within 1 hour of collection. Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL) See
Remarks.
Storage/Transport Temperature: Room temperature.
Remarks: Proper collection and transport of specimen is critical to the outcome of the test. Submitting quantities less than 3 mL may affect the
sensitivity of the test.
Unacceptable Conditions: Plasma. Refrigerated or frozen specimens. Serum separator tubes (SST or clot-activating tubes). Grossly hemolyzed or
lipemic specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 82595

2002403 Cryoglobulin, Qualitative with Reflex to IFE Typing and Quantitative IgA, IgG, and IgM CRYO TYPING
Methodology: Qualitative Cold Precipitation/Qualitative Immunofixation Electrophoresis/Quantitative Nephelometry
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Whole blood drawn in a pre-warmed (37°C) syringe. Specimen may be drawn directly into a pre-warmed plain red.
Specimen Preparation: Maintain whole blood at 37°C until clotting is complete; do not refrigerate or freeze at any time. Immediately after
blood has been obtained, transfer specimen to a pre-warmed plain red (if not used for collection). Separate plasma from cells using a 37°C
centrifuge, if possible. Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 3 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Proper collection and transport of specimen is critical to the outcome of the assay. Quantities less than 3 mL may affect the sensitivity of
the assay.
Unacceptable Conditions: Plasma. Refrigerated or frozen specimens. Separator tubes. Grossly hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 82595 Cryoglobulin; if reflexed, add 86334 IFE and 82784 x3 (IgA, IgG, IgM)

2002063 Cryoglobulin, Qualitative, with Reflex to Quantitative IgA, IgG, and IgM CRYGB QNT
Methodology: Qualitative Cold Precipitation/Quantitative Nephelometry
Patient Preparation: Fasting specimen preferred.
Specimen Required: Collect: Plain red tube.
Specimen Preparation: 1) Draw approximately 7 mL of blood into a pre-warmed (37 degrees C) plain red tube. Alternatively: draw into a pre-
warmed (37 degrees C) syringe and immediately transfer blood to a pre-warmed (37 degrees C) plain red tube. 2) Maintain collected blood at 37
degrees C until clotting is complete (up to 1 hour). 3) Separate serum from cells ASAP. Transfer 3 mL serum to an ARUP Standard Transport
Tube. (Min: 1 mL) See Remarks.
Storage/Transport Temperature: Room temperature.
Remarks: Proper collection and transport of specimen is critical to the outcome of the test. Submitting quantities less than 3 mL may affect the
sensitivity of the test.
Unacceptable Conditions: Plasma. Refrigerated or frozen specimens. Serum separator tubes (SST or other clot-activating tubes). Grossly
hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 82595 Cryoglobulin; if reflexed, add 82784 x3 (IgA, IgG, IgM)

0098947 Cryptococcus Antibody CRYPTO AB

Methodology: Immunofluorescence Assay
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86641

0050195 Cryptococcus Antigen, CSF CRY CSF

Methodology: Semi-quantitative Enzyme Immunoassay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 1 mL CSF to a sterile ARUP Standard Transport Tube (ARUP supply #43115). Available online through eSupply
using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 hour; Refrigerated: 72 hours; Frozen: Indefinitely
CPT Code(s): 87327

0050196 Cryptococcus Antigen, Serum CRY BLD

Methodology: Semi-quantitative Enzyme Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Separate serum from cells. Transfer 1 mL serum to a sterile ARUP Standard Transport Tube (ARUP supply # 43115).
Available online through eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma.
Stability: Ambient: 1 hour; Refrigerated: 72 hours; Frozen: Indefinitely
CPT Code(s): 87327

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 0060045 Cryptosporidium Antigen by EIA CRYSPOR
Methodology: Qualitative Enzyme Immunoassay
Specimen Required: Collect: Stool.
Specimen Preparation: Preserve 5 g stool in 10 percent formalin within one hour of collection (ARUP supply #16355). Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min: 1 g)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens in any other preservative than indicated above.
Stability: Ambient: 9 months; Refrigerated: 9 months; Frozen: Unacceptable
CPT Code(s): 87328

0009500 Crystals (Local Clients Only) CRYSTALS

Methodology: Microscopy/Polarizing Microscopy
Specimen Required: Collect: Synovial or bile fluid in liquid EDTA or sodium heparin.
Specimen Preparation: Transport 1 mL synovial or bile fluid. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Indicate source on the test request form.
Unacceptable Conditions: Any fluid other than synovial or bile. Synovial or bile fluids collected in powdered EDTA or powdered lithium heparin.
Specimens sent with needle. Frozen specimens.
Stability: Ambient: 4 hours; Refrigerated: 12 hours; Frozen: Unacceptable
CPT Code(s): 89060

0092572 Cutaneous Direct Immunofluorescence, Biopsy CUTDIF

Methodology: Direct Immunofluorescence
(Direct Fluorescent Antibody Stain)
Specimen Required: Collect: Tissue, skin, or mucous membrane.
Specimen Preparation: Transport epidermis/epithelium and dermis tissue (optimal 4-5 mm) in Michel's (or Zeus) medium.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Formalin-fixed tissue.
Stability: Ambient: 10 days; Refrigerated: 10 days; Frozen: Unacceptable
CPT Code(s): 88346 x5 IgG, IgM, IgA, C3, & fibrinogen

0090060 Cyanide CYAN

Methodology: Quantitative Colorimetry
Specimen Required: Collect: Green (sodium or lithium heparin). Also acceptable: Lavender (EDTA) or pink (K2EDTA or K3EDTA).
Specimen Preparation: Do not freeze. Transport 4 mL whole blood in original collection container. (Min: 3 mL) Also acceptable: Transfer
specimen to an ARUP Standard Transport Tube.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Serum or plasma. Frozen or refrigerated specimens. Clotted or hemolyzed specimens.
Stability: Ambient: 72 hours (if tightly capped); Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 82600

0070181 Cyclic AMP, Nephrogenous CAMP-NEPH

Methodology: Quantitative Radioimmunoassay
Patient Preparation: Refer to individual components.
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA) AND urine, timed or random.
Specimen Preparation: Separate plasma from cells and freeze ASAP or within 2 hours of collection. Transfer 1 mL plasma to an ARUP Standard
Transport Tube and freeze immediately. (Min: 0.1 mL) AND transfer 5 mL urine to ARUP Standard Transport Tubes. (Min: 0.1 mL)
Storage/Transport Temperature: Frozen.
Stability: Refer to individual components.
CPT Code(s): 82030 Cyclic AMP, urine; 82030 Cyclic AMP, plasma

0070180 Cyclic AMP, Plasma CAMP

Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL plasma to an ARUP Standard Transport
Tube and freeze immediately. (Min: 0.1 mL)
Storage/Transport Temperature: Frozen.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 hour; Frozen: 3 months
CPT Code(s): 82030

0070485 Cyclic AMP, Urine CAMP-U

Methodology: Quantitative Radioimmunoassay
Specimen Required: Collect: Random urine (unpreserved). Also acceptable: 24-hour urine. Collect in container with 10 mL 6M HCl.
Specimen Preparation: Transfer 5 mL aliquot of urine to ARUP Standard Transport Tubes. (Min: 1 mL) Record total volume and collection time
interval on transport tube and test request form.
Storage/Transport Temperature: Frozen.
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 3 months
CPT Code(s): 82030

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 0055256 Cyclic Citrullinated Peptide (CCP) Antibody, IgG CCP IGG
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine or plasma. Contaminated, hemolyzed, grossly icteric, heat-inactivated, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86200

2003842 Cyclin D1, SP4 by Immunohistochemistry CYCSP4 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, please contact ARUP Client Services.
Unacceptable Conditions: Depleted specimens. Specimens submitted with non-representative tissue type.
Stability: Ambient: Indefinite; Refrigerated: Indefinite; Frozen: Indefinite
CPT Code(s): 88342

0091303 Cyclobenzaprine (Flexeril), Serum or Plasma CYCLOBENZA

Methodology: Gas Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 2.2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: 1 week; Refrigerated: 16 days; Frozen: 1 year
CPT Code(s): 80299

0091155 Cyclobenzaprine (Flexeril), Urine CYCLOBEN U

Methodology: Gas Chromatography/Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 16 days; Frozen: 1 year
CPT Code(s): 82491

0070035 Cyclosporine A by Tandem Mass Spectrometry CYA

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Pre-dose (trough) levels should be drawn.
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transfer 1 mL well-mixed whole blood to a plastic vial. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens left at room temperature for longer than 24 hours. Clotted specimens.
Stability: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 2 months
CPT Code(s): 80158

0058902 Cyclosporine A, C2 by Tandem Mass Spectrometry C2CYA

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Two hour post-dose level should be drawn.
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transport 1 mL whole blood. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Specimens left at room temperature for longer than 24 hours. Clotted specimens.
Stability: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 2 months
CPT Code(s): 80158

0081344 CYFRA 21-1 (Cytokeratin 19 Fragment), Serum CYFRA

Methodology: Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Allow serum specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Icteric, lipemic, or hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 2 months (avoid repeated freeze/thaw cycles)
CPT Code(s): 86316

0095229 Cystatin C, Serum CYSTAT C

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube or plasma separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL)
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 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Grossly hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hourS; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 82610

0056003 Cystic Fibrosis (CFTR) 5T Mutation IVS-8

Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 5 days; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x31 Additional amplification; 83914 x2 OLA; 83909 Capillary electrophoresis; 83912
Interpretation and report

0050098 Cystic Fibrosis (CFTR) 3199del6 Mutation CF3199DEL6

Methodology: Polymerase Chain Reaction/Fluorescence Monitoring
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Do not freeze. Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x2 Amplification; 83896 x4 Nucleic acid probes; 83912 Interpretation and report - Additional CPT code modifiers may be
required for procedures performed to test for oncologic or inherited disorders.

2001933 Cystic Fibrosis (CFTR) 32 Mutations CF PAN

Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Patient History Form is available on the ARUP Web site or by contacting Client Services at (800) 522-2787.
Unacceptable Conditions: Frozen
Stability: Ambient: 3 days; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x30 Multiplex amplification; 83914 x32 OLA; 83909 Capillary electrophoresis; 83912 Interpretation
and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2001969 Cystic Fibrosis (CFTR) 32 Mutations, Atypical CF PAN 5T

Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 3 days; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x30 Multiplex amplification; 83914 x33 OLA; 83909 Capillary electrophoresis; 83912 Interpretation
and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2001970 Cystic Fibrosis (CFTR) 32 Mutations, Fetal CF PAN FE

Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluent of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787.
Maternal Specimen: Lavender (EDTA) or yellow (ACD Solution A or B).
Specimen Preparation: Cultured amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluent of cultured amniocytes.
Backup cultures must be retained at the client's institution until testing is complete.
Maternal Specimen: Transport 3 mL whole blood.
Storage/Transport Temperature: Cultured amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to lability of cells.
Maternal Specimen: Room temperature. Ship with the fetal specimen.
Remarks: Maternal sample is recommended for proper test interpretation; order Maternal Cell Contamination. Patient History Form is
available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x30 Additional amplification; 83914 x32 Mutation identification by OLA; 83909 Capillary
electrophoresis; 83912 Interpretation and report. FCC: 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary
electrophoresis. If MCC Maternal Cell (0050608) is performed, add: 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional
amplification; 83909 Capillary electrophoresis; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures
performed to test for oncologic or inherited disorders.

2001968 Cystic Fibrosis (CFTR) 32 Mutations with Reflex to Sequencing CF PAN-SEQ

Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x30 Additional amplification; 83914 x32 OLA; 83909 Capillary electrophoresis; 83912
Interpretation and report. If reflexed to sequencing, add 83891 Isolation; 83898 x32 Amplification; 83904 x32 Sequencing; 83909 Capillary
electrophoresis - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2001967 Cystic Fibrosis (CFTR) 32 Mutations with Reflex to Sequencing and Reflex to Deletion/Duplication CF COMPR
Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation/Fragment Analysis/Sequencing/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Page | 176
 Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex amplification; 83901 x30 Additional amplification; 83914 x32 OLA; 83909 Capillary electrophoresis; 83912
Interpretation and report. If reflexed to sequencing, add 83891 Isolation; 83898 x32 Amplification; 83904 x32 Sequencing; 83909 Capillary
electrophoresis. If reflexed to Deletion/Duplication, add 83896 Nucleic acid probes; 83898 Amplification; 83914 Extension; 83909 Capillary
electrophoresis - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051642 Cystic Fibrosis (CFTR) Deletion/Duplication CFTRDELDUP

Methodology: Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Patient History Form is available on the ARUP Web site or by contacting ARUP Client Services at (800) 522-2787.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83896 Nucleic Acid Probes; 83898 Amplification; 83914 Extension; 83909 Capillary Electrophoresis; 83912 Interpretation and
report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051110 Cystic Fibrosis (CFTR) Sequencing CF-CFTR

Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Patient History Form is available on the ARUP Web site or by contacting ARUP Client Services at (800) 522-2787.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x32 Amplification; 83904 x32 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report. Additional
CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051640 Cystic Fibrosis (CFTR) Sequencing with Reflex to Deletion/Duplication CFTR FGA
Methodology: Polymerase Chain Reaction/Sequencing/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Patient History Form is available on the ARUP Web site or by contacting ARUP Client Services at (800) 522-2787.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): Sequencing: 83891 Isolation; 83898 x32 Amplification; 83904 x32 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report.
If reflexed to Deletion/Duplication, add 83896 Nucleic Acid Probes; 83898 Amplification; 83914 Extension; 83909 Capillary electrophoresis.
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0056006 Cystic Fibrosis Cis-Trans(CFTR) R117H and 5T Mutations CFCIS-TRAN

Methodology: Polymerase Chain Reaction/Oligonucleotide Ligation
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 5 days; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 Multiplex amplification; 83914 x4 Mutation identification; 83909 Separation and identification;
83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited
disorders.

0060130 Cystic Respiratory Culture MC CYST

Methodology: Culture/Identification
Specimen Required: Collect: Sputum from cystic fibrosis patient.
Specimen Preparation: Transfer sputum to a sterile container. Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Multiple specimens (more than one in 24 hours).
Stability: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: Unacceptable
CPT Code(s): 87070

0055284 Cysticercosis Antibody, IgG by ELISA CYST SER

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent
specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed, icteric, or lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86682

0055285 Cysticercosis Antibody, IgG by ELISA (CSF) CYST CSF

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum. Contaminated, heat-inactivated, hemolyzed, icteric, or lipemic specimens.
Stability: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86682

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 0055283 Cysticercosis Antibody, IgG by Western Blot CYST WB
Methodology: Qualitative Western Blot
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: CSF. Contaminated, heat-inactivated, hemolyzed, icteric, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86682

0055282 Cysticercosis Antibody, IgG by Western Blot (CSF) CYSTCSF WB

Methodology: Qualitative Western Blot
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimen types other than CSF. Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86682

0081106 Cystine Quantitative, Urine QNT CYS U

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: 24-hour or other timed urine collection. Avoid dilute urine when possible. Refrigerate 24-hour/timed specimens during collection.
Specimen Preparation: Mix urine well. Transfer 8 mL aliquot urine to ARUP Standard Transport Tubes and freeze immediately. (Min: 3 mL)
Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (eg, TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP Web site or by contacting
ARUP Client Services.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82131

0081105 Cystinuria Panel CYS PAN

Methodology: Ion Exchange Chromatography
Specimen Required: Collect: Random urine. Avoid dilute urine when possible.
Specimen Preparation: Mix urine well. Transfer 8 mL urine to ARUP Standard Transport Tubes and freeze immediately. (Min: 3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks: Clinical information is needed for appropriate interpretation. Additional required information includes age, gender, diet (eg, TPN
therapy), drug therapy, and family history. Biochemical Genetics Patient History Form is available on the ARUP web site or by contacting
ARUP Client Services.
Unacceptable Conditions: Refrigerated or room temperature specimens.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 82136

0051103 Cytochrome P450 2C9 (CYP2C9) 2 Mutations CYP2C9

Methodology: Polymerase Chain Reaction/DNA Hybridization/Electrochemical Detection
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 Enzymatic Digestion, 83900 Amplification, 83901 Additional Amplification x13, 88384 Array-based evaluation of
multiple molecular probes; 11 through 50 probes, 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures
performed to test for oncologic or inherited disorders.

0051104 Cytochrome P450 2C19 (CYP2C19) 9 Mutations CYP2C19

Methodology: Polymerase Chain Reaction/Primer Extension
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Multiplex Amplification; 83901 x4 Additional Amplification; 83914 x18 Extension; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0051232 Cytochrome P450 2D6 (CYP2D6) 14 Mutations and Gene Duplication CYP 2D6
Methodology: Polymerase Chain Reaction/Primer Extension
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification multiplex; 83901 x6 Amplification; 83914 x12 Mutation identification; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2003414 Cytogenomic SNP Microarray CMA SNP

Methodology: Genomic Microarray (Oligo-SNP Array)
Specimen Required: Collect: Green (sodium heparin) or lavender (EDTA). Peripheral blood required.
Specimen Preparation: Transport 5 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
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 Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 72 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 88386 x 6, Array-based evaluation of multiple molecular probes, 251-500

2006325 Cytogenomic SNP Microarray - Oncology CMA ONC

Methodology: Genomic Microarray (Oligo-SNP Array)
Specimen Required: Collect: Green (sodium heparin). Bone marrow or peripheral blood required.
Specimen Preparation: Transport 3 mL bone marrow. (Min: 1 mL) or 5 mL peripheral blood (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Frozen specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 88386 x 6, Array-based evaluation of multiple molecular probes, 251-500

2006267 Cytogenomic SNP Microarray Buccal Swab CMA BUCCAL

Methodology: Genomic Microarray (Oligo-SNP Array)
Specimen Required: Collect: One buccal swab using the Oracollect collection kit ensuring the sponge tip does not come into contact with any suface prior to collection.
Donor should not eat, drink, smoke or chew gum for 30 minutes before collecting oral sample.
Specimen Preparation: Transport Buccal swab in ORAcollect Collection kit
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimen exposed to extreme temperatures
Stability: Ambient: 72 hours; Refrigerated: 72 hours;
CPT Code(s): 83891 Isolation; 88386 x 6, Array-based evaluation of multiple molecular probes, 251-500

2003851 Cytokeratin 5,6 (CK 5,6) by Immunohistochemistry CYTO56 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable

2003854 Cytokeratin 7 (CK 7) by Immunohistochemistry CYTO 7 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003493 Cytokeratin 8,18 Low Molecular Weight (CAM 5.2) by Immunohistochemistry CAM5.2 IHC
Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003845 Cytokeratin 19 (CK 19) by Immunohistochemistry CYTO19 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Page | 179
 Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003848 Cytokeratin 20 (CK 20) by Immunohistochemistry CYTO20 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0051394 Cytokine Panel 12 by MAFD CYT 12 SE

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube, plain red, or green (lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Additional specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Refrigerated specimens. Contaminated or heat inactivated specimens.
Stability: After separation from cells: Ambient: 30 minutes; Refrigerated: Unacceptable; Frozen: 1 year
CPT Code(s): 83520 x 12

0051524 Cytokine Panel, Monokines by MAFD CYT MON SE

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube, plain red, or green (lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Refrigerated specimens. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 30 minutes; Refrigerated: Unacceptable; Frozen: 1 year
CPT Code(s): 83520 x 4

0051408 Cytokine Panel, TH1 by MAFD CYT TH1 SE

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube, plain red, or green (lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Refrigerated specimens. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 30 minutes; Refrigerated: Unacceptable; Frozen: 1 year
CPT Code(s): 83520 x 4

0051518 Cytokine Panel, TH2 by MAFD CYT TH2 SE

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube, plain red, or green (lithium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Remarks:
Unacceptable Conditions: Refrigerated specimens. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 30 minutes; Refrigerated: Unacceptable; Frozen: 1 year
CPT Code(s): 83520 x 4

0051540 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, 12 Cytokines CYT 12 LY
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 x12 Cytokines
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 0051574 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interferon gamma IFNG L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051580 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 1 beta IL1B L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051571 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 2 IL2 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051572 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 2 Receptor (Soluble) IL2R L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051576 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 4 IL4 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
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CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051577 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 5 IL5 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051581 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 6 IL6 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051582 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 8 IL8 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051578 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 10 IL10 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051579 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Interleukin 13 IL13 L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
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 Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

0051566 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Monokines CYT MON LY
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 x4 Cytokines

0051558 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, TH1 Cytokines CYT TH1 LY
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 x4 Cytokines

0051562 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, TH2 Cytokines CYT TH2 LY
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 x4 Cytokines

0051583 Cytokine Production by Mononuclear Cells in Response to Mitogen Stimulation, Tumor Necrosis Factor alpha TNFA L DO
Methodology: Cell Culture/Quantitative Multiplex Bead Assay
Patient Preparation: A control specimen needs to be sent with the patient specimen. The control specimen needs to be drawn from a normal,
healthy individual who is not biologically related to the patient, and drawn at approximately the same time as and under similar conditions to the
patient specimen.
Specimen Required: Collect: Yellow (ACD Solution A) (patient) AND yellow (ACD Solution A) (control). Patient and control samples must be collected within 48
hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (patient) AND 10 mL whole blood (control) in original collection tubes. (Min: 7 mL whole
blood (patient) AND 7 mL whole blood (control)). LIVE CELLS REQUIRED. Do not refrigerate or freeze.
Infant Minimum: 3 mL whole blood (patient) AND 7 mL whole blood (control).
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Remarks:
Unacceptable Conditions: Frozen or refrigerated specimens. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 86353 x3 Lymphocyte transformation; 83520 Cytokine

8290122 Cytology, Anal AN

Methodology: Microscopy
Patient Preparation: Indications: Cytologic screening for anal squamous intraepithelial lesions (ASIL).
Specimen Required: Collect: Anal sampling.

Supplies: Glass microscope slide for smears or, preferably, collected in SurePath™ or PreservCyt® collection fluid. Available online through
eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Also required: ARUP Cytology test request form and a black lead lab pencil.

Page | 183
 Collection Procedure: To obtain an anal sampling, moisten the Dacron® swab with water, not lubricant. The Dacron® swab should be inserted
approximately 1.5 to 2 inches into the anal canal. It is important to use Dacron® and not a cotton swab, as cells tend to cling to cotton and do not
release easily into cytology collection fluids. Once inserted deep enough into the anus (necessary in order to collect both rectal columnar and anal
squamous cells) the swab should be pulled out, applying some pressure to the wall of the anus, rotating the swab in a spiral motion along the way.
The cells collected can be placed in a cytology collection fluid (preferred) or spread on a glass slide and immediately spray-fixed. The preferred
method of collection is in SurePath™ collection fluid. The collection device should be thoroughly rinsed and swirled in the vial. The vial should
be labeled with the patient's first and last name and collection date, placed in a specimen bag, and shipped to the Cytology Lab. The specimen
must be accompanied by an ARUP Cytology test request form with the requested test marked.
Storage/Transport Temperature: If collected in SurePath™, Cytolyt®, or CytoRich™:
Unacceptable Conditions: Specimens submitted in expired reagents. Refer to the Specimen Rejection section of the Specimen Transport Guide.
Stability: SurePath™: Ambient: 4 weeks
PreservCyt®: Ambient: 3 weeks
CPT Code(s): Depending on collection method: 88112 Selective cellular enhancement with interpretation or 88160 Smear with interpretation - Additional CPT
codes may apply if special studies are required.

8209701 Cytology, Body Cavity Fluid CF

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Body Cavity Fluid Collection for specific collection and transportation guidelines.
CPT Code(s): 88108 Concentration and interpretation and/or 88106 Cytopathology, filter; 88305 Cell block. Additional CPT codes may apply if special studies
are required.

Cytology, Body Cavity Fluid Collection

Patient Preparation: Body cavity fluids are commonly evaluated for the presence of malignant cells from metastatic disease. Body cavity fluids
in general are relatively easy to obtain and are relatively difficult to compromise. However, in some instances, due to a large number of
inflammatory cells, specimens may degenerate rapidly. In addition, if large amounts of protein are present, the specimen may clot, trapping
diagnostic cells within the clot. These fluids include pleural, peritoneal, pericardial, synovial, and pelvic washing.
Specimen Required: Collect: Body Cavity Fluids
Indications: Detection and characterization of malignant cells in body cavity fluids.

Specimen Required: 10 mL (or more) of fluid obtained from an appropriately performed paracentesis.

Supplies: Standard paracentesis equipment. Clean collection container of appropriate size. Fixative (50% ethyl alcohol).

Collection Procedure: Using standard paracentesis technique, obtain a fluid specimen from the desired body cavity. If necessary, move the
patient into multiple positions to suspend cellular material in the fluid. A minimum of 10 mL of specimen is desirable for optimal cytologic
evaluation. If other studies are required, withdraw a fraction of the specimen and submit it to the appropriate laboratory separately, following their
guidelines for specimen collection. Heparin may be added to the specimen to reduce clotting. Place 3 units of heparin per mL capacity of the
collection container. Agitate the container to coat the sides with heparin. Rinse the paracentesis instrument with a small amount of heparin to
prevent clotting of specimen before it is put into the collection container. Add specimen to the heparinized container. Gently agitate to thoroughly
mix the specimen and heparin. Label the container with the patient's first and last name, date of birth, specimen type, and collection date. Submit
the specimen to the Cytopathology Laboratory along with the completed Cytology test request form. If transport of the specimen will be delayed
more than 24 hours, add an equal volume of 50% ethyl alcohol (if sample size is too large to accommodate this volume, a well mixed aliquot of
the specimen with an equal volume of fixative may be utilized). If transport time will be less than 24 hours, or fixative is not available, the
specimen should be refrigerated or kept on wet ice until transport to the lab.

Pelvic Washing
Indications: Detection and characterization of malignant cells in pelvic washing.

Specimen Required: 10 mL (or more) of fluid obtained from an appropriately performed washing.

Supplies: Standard suction equipment. Clean collection container of appropriate size. Fixative (50% ethyl alcohol).

Collection Procedure: Using appropriate sterile technique during intra-abdominal surgery, instill a physiologic solution into the pelvic cavity.
Lavage the area of interest. Aspirate the solution and place in a clean container. Label the container with the patient's first and last name, date of
birth, specimen type and collection date. Submit the specimen and completed Cytology test request form to the Cytopathology Laboratory. If
transport of the specimen will be delayed more than 24 hours, add an equal volume of 50% ethyl alcohol. If transport time will be less than 24
hours, or fixative is not available, the specimen should be refrigerated or kept on wet ice until transport to the lab.

8209700 Cytology, Breast Nipple Secretion BN

Methodology: Microscopy
Patient Preparation: Indications: Detection of malignant cells in nipple discharge specimens.
Specimen Required: Collect: Direct smear of nipple discharge.

Supplies: Two clean glass slides (single-end frosted), fixative (spray fixative or 95% ethanol), test request form.

Collection Procedure: Label the two slides with the patient's first and last name, date of birth and specimen site in pencil on the frosted end.
Collect a small amount of nipple secretion directly onto one of the slides. Oppose a second glass slide onto the first, allowing the collected
material to provide surface tension between the two slides, and then gently and quickly pull the two slides apart in a horizontal motion to distribute
the material in a thin film over both slides. The smears should be immediately fixed either by spray fixative or in 95% ethyl alcohol to prevent air-
drying. Submit the specimen and the completed test request form to the Cytopathology Laboratory.
Unacceptable Conditions: Refer to the Specimen Rejection section in the Specimen Transport Guide.
Stability: Fixed slides: Indefinitely
CPT Code(s): 88104

8280005 Cytology, Bronchoalveolar Lavage, Malignancy BAL 2

Methodology: Microscopy
Patient Preparation: Use this for all nonopportunistic infection indications (e.g., malignancy).
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Specimen Required: Collect: Refer to Cytology, Bronchoalveolar Lavage Specimen Collection for specific collection and transportation guidelines.
CPT Code(s): 88108 Concentration and interpretation or 88112 Selective cellular enhancement with interpretation and/or 88106 Cytopathology, filter.
Additional CPT codes may apply if special studies are required.

8209703 Cytology, Cerebrospinal Fluid CS

Methodology: Microscopy
Patient Preparation: Indications: Detection and characterization of malignant cells in the central nervous system. In cytology, cerebrospinal
fluid is most commonly evaluated to detect and characterize malignancy which may have gained access to the central nervous system. While in
most individuals, CSF specimens are relatively easy to obtain, in some individuals collection may require radiographic guidance. In addition, due
to lack of nutrients in this fluid, cells may rapidly degenerate rendering morphologic evaluation less than optimal if adequate care is not taken.
Specimen Required: Collect: Minimum of 3 mL cerebrospinal fluid (CSF). (10 mL CSF minimum required for immunologic marker studies)

Supplies: Standard cerebrospinal fluid collection equipment. Clean, clear 10 mL collection container for CSF. Fixative (50% ethyl alcohol).

Collection Procedure: Using standard CSF procedure, collect 3 mL of CSF. In general, morphology of cells within the CSF can be adequately
maintained with prompt refrigeration for 24 hours. Although a fresh specimen is preferred, if a longer time period between collection and
processing is anticipated, the specimen may be preserved by adding an equal volume of 50% ethyl alcohol to the specimen. Label the container
with the patient's first and last name, date of birth, specimen type and collection date. Submit the specimen to the Cytopathology Laboratory
along with the completed Cytology test request form.

Note: Specimens submitted for immunocytochemical testing must be submitted fresh.

Unacceptable Conditions: Refer to the Specimen Rejection section in the Specimen Transport Guide.
Stability: Refrigerated: 72 hours
CPT Code(s): 88108 Concentration and interpretation or 88112 Selective cellular enhancement with interpretation and/or 88106 Cytopathology, filter.
Additional CPT codes may apply if special studies are required.

8209713 Cytology, Conjunctival Scraping OS

Methodology: Microscopy
Patient Preparation: Indications: Detection and characterization of inflammatory/infectious processes of the conjunctiva.
Specimen Required: Collect: Direct smear of material collected from the conjunctival surface.

Supplies: Two clean glass slides, fixative (95% ethyl alcohol), conjunctival scraping spatula, test request form.

Collection Procedure: Label the slides with the patient's first and last name, date of birth, and specimen source in pencil on the frosted end and
place in a container filled with 95% ethyl alcohol so that the slides are completely covered. Gently scrape the area of abnormality. Remove one of
the slides from the fixative. Quickly and evenly smear the collected material on one of the glass slides. Immediately re-immerse the slide in
fixative. Repeat the process with the second slide, if necessary, for better diagnostic yield. Submit the specimen and the completed request form to
the Cytopathology Laboratory.
Unacceptable Conditions: Refer to the Specimen Rejection in the Specimen Transport Guide.
Stability: Fixed slides: Indefinitely
CPT Code(s): 88160

8209706 Cytology, Fine Needle Aspirate FA

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Fine Needle Aspiration Collection for specific collection and transportation guidelines.
CPT Code(s): 88173 This CPT code may also be reported in conjunction with aspiration of the specimen (10021) and/or evaluation of fine needle aspirate,
immediate cytohistologic study to determine adequacy for diagnosis (88172, 88177). Additional CPT codes may be reported depending on the
preparation methods, such as: 88305 or 88342.

2006889 Cytology, Fine Needle Aspirate with Reflex to BRAF V600E Mutation Detection by Allele-Specific PCR, Fine FR REQUEST
Needle Aspirate
Methodology: Microscopy/Polymerase Chain Reaction
Patient Preparation: For superficial aspiration, a clean technique suffices for cleansing of the skin. Local anesthetic may or may not be needed.
If more than two or three passes are anticipated, anesthetic is recommended. However, do not contaminate the lesion with a large volume of
anesthetic. Make passes so as to not affect the ability to palpate and localize the lesion. For deep aspiration, sterile technique is required and local
anesthetic is usually needed.

Use good aspiration technique and appropriate processing of the aspirate to ensure an adequate specimen.
Specimen Required: Collect: FNA specimen, include source and completed Cytology Test Request form.
Specimen Preparation: Specimen Required: Slides with air-dried smear or air-dried and Diff-Quick stained smear. Specimen should be
adequately cellular for cytologic evaluation and obtained from an appropriately performed FNA. Specimen must contain enough material for the
cytopathologist to determine if a mass lesion has been sampled.

Supplies: 10 mL syringe or syringe pistol (optional) and 23 to 27 gauge needle of appropriate length. Multiple single-end-frosted glass for
preparation of direct smears. Fixative for needle rinse (e.g., CytoRich Red, CytoLyt, Saccomanno, etc.).

Preparation of Direct Smears

Before performing the FNA, prepare slides. Use a pencil to label each slide with the patient's first and last name, date of birth, and specimen
source. After collection, carefully transfer the aspirate to the prepared slides using a method appropriate to the nature of the aspirate. If the aspirate
is abundant and fluid, gently express onto the slide. Gentle expression allows for better control of the smear and provides the greatest number of
slides per FNA pass. If the aspirate is scant or is more viscous or solid, appropriate force may be needed to express the aspirate. Excessive force
can result in fewer slides per FNA pass if the aspirate splatters off the slide during expression, and additional FNA passes may be needed if more
studies are required.

Aspirate must be smeared after application to the slide. The simplest procedure is to oppose a second glass slide onto the first, allowing the
material to provide surface tension between the two slides. Then, gently and quickly pull the two slides apart in a horizontal, sliding motion to
distribute the material in a thin film over both slides. Immediately air dry.

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 The smears should be: air-dried for Diff-Quik staining (delineate with an "A" on the frosted end of the slide).

If aspirate remains in the needle, use to, prepare additional smears or rinse needle into a tube containing fixative or a physiologic solution such as
normal saline, or RPMI.

Submit the specimen (smears and aspirate rinsed into solution) to the ARUP Cytopathology Laboratory along with a completed Cytology test
request form. If transport of specimen in fluid will be delayed more than 24 hours, submit in fixative. If transport time of fluid specimen will be
less than 24 hours, or fixative is not available, keep refrigerated or on wet ice until transport to the lab.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens received without an air dried slide or Diff-Quik smear slide. Frozen specimens.
Stability: Needle rinse unfixed. Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable
Needle rinse in fixative. Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Unacceptable
Air-dried smear or Diff-Quik stained smear. Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88173 This CPT code may also be reported in conjunction with aspiration of the specimen (10021) and/or evaluation of fine needle aspirate,
immediate cytohistologic study to determine adequacy for diagnosis (88172, 88177). Additional CPT codes may be reported depending on the
preparation methods, such as: 88305 or 88342 if reflexed, add 88381 Microdissection; 83907 Lysis; 83898 x2 Amplification; 83896 Nucleic acid
probe; 83912 Interpretation and report. Additional CPT code modifiers may be required for procedures performed to test oncologic or inherited
disorders.

8209709 Cytology, Gastrointestinal GI

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Gastrointestinal Specimen Collection specific collection and transportation guidelines.
CPT Code(s): 88108 Concentration and interpretation, 88112 Selective cellular enhancement with interpretation and/or 88106 Cytopathology, filter.

8209710 Cytology, Oral GO

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Oral Scraping or Brushing Specimen Collection for specific collection and transportation guidelines.
CPT Code(s): Depending on collection method: 88108 Concentration and interpretation or 88112 Selective cellular enhancement with interpretation or 88104
Smears with interpretation. Additional CPT codes may apply if special studies are required.

2000624 Cytology, Pap Smear GG REQUEST

Methodology: Microscopy
Patient Preparation: 1. In premenopausal patients, obtain specimens during the second half of the menstrual period to avoid contamination by
obscuring blood.
2. Instruct the patient not to douche or engage in sexual intercourse within 24 hours of the procedure.
Specimen Required: Collect: (See below for specific instructions)
1. Label the slide(s) with the patient's first and last name, date of birth, and specimen source directly on the frosted end of the glass, in pencil,
before beginning the procedure. THE LABORATORY WILL NOT ACCEPT UNLABELED SLIDES. Note that a PAP smear folder labeled with
the patient's name is not adequate for patient identification. The patient information must appear on the slide.
2. Obtain all specimens prior to bimanual examination.
3. Place the patient in the lithotomy position. Using an unlubricated vaginal speculum (saline may be used as a lubricant) visualize the cervix as
fully as possible.
4. After collection and proper fixation of specific specimens as outlined below, place slide(s) in a cardboard slide folder and submit to the
Cytopathology Laboratory, with the clinical information.
Specimen Preparation: Routine Cervical/Endocervical (Pap) Smear (1 slide)*
Specimens Required: Unstained cervical or cervical/endocervical slides.
Supplies: Vaginal speculum, plastic extended-tip spatula, cytobrush***, fixative** (spray fixative or bottle of 95 percent ethyl alcohol), clean
glass slide (single-end frosted) and a black lead lab pencil.
Collection Procedure: Label one slide with the patient's first and last name, date of birth, and specimen source (prior to obtaining the specimen).
Obtain specimen prior to bimanual examination. Use an unlubricated speculum (saline or warm water may be used). After visualization of the
cervix is accomplished insert the cytobrush*** into the endocervical canal and rotate half a turn. Withdraw the cytobrush and spread the collected
material quickly and evenly onto the half of the slide opposite the frosted end. The endocervical mucus will prevent air-drying during collection of
the subsequent cervical component. Using the extended-tip spatula, scrape material with the spatula from the whole circumference of the cervix.
Withdraw the spatula and spread the collected material quickly and evenly onto the half of the slide adjacent to the frosted end. Fix immediately
(drop slide into fixative or spray with fixative, holding the spray bottle approximately 8 to 12 inches from the slide). Complete the Cytology test
request form as indicated, including relevant clinical information. Submit the specimen to the Cytopathology Laboratory.

Routine Vaginal Smear - 1 or More Slides

Indications: Can be used in conjunction with routine cervical/endocervical smears in individuals with a uterus, or alone in hysterectomized
patients.
Specimen Required: Lateral vaginal wall smear or smear of sample from a clinically concerning area.
Supplies:Vaginal speculum, one or more plastic cervical spatulas, fixative** (spray fixative or 95% ethyl alcohol), one or more clean glass slides
(single-end frosted) and a black lab pencil.
Collection Procedure: If only a routine lateral vaginal wall sample will be obtained, label one slide with the patient's first and last name, date of
birth, and specimen source. If vaginal sample will be obtained in conjunction with a cervical and endocervical component, make sure that the
slides are also appropriately labeled according to site. If smears from separate vaginal areas are also to be obtained, label the sites accordingly as
to specific site (e.g., left lateral vaginal wall, posterior vaginal wall, etc.). Obtain specimens prior to bimanual evaluation. Use an unlubricated
speculum (saline or warm water may be used). Scrape the desired region of the vaginal mucosa with the spatula. Withdraw the spatula and spread
the material quickly and evenly onto the glass slide (if cervical/endocervical smears are also obtained, or smears from other areas of the vagina are
obtained, make certain that each smear is performed on the correspondingly labeled slide). Fix immediately (drop slide into fixative or spray with
fixative, holding the spray bottle approximately 8 to 12 inches from the slide). Scrape additional areas of the vagina that appear abnormal and
spread and fix as above. Submit the specimen to the Cytopathology Laboratory with relevant clinical history.

Routine Cervical/Endocervical (PAP) Smear (2 or More Slides)*

Specimens Required: Unstained cervical or endocervical slides.
Supplies: Vaginal speculum, plastic extended-tip spatula, cytobrush***, fixative** (spray fixative or bottle of 95% ethyl alcohol), two clean glass
slides (single end frosted) and a black lead lab pencil.

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 Collection Specimen: Label two slides with the patient's first and last name, date of birth, and specimen source (prior to obtaining the specimen).
Obtain specimens prior to bimanual examination. Use an unlubricated speculum (saline or warm water may be used). After visualization of the
cervix is accomplished, scrape material with the spatula from the whole circumference of the cervix. Withdraw the spatula and spread the
collected material quickly and evenly onto the glass slide. Fix immediately (drop slide into fixative or spray with fixative, holding the spray bottle
approximately 8 to 12 inches from the slide). Insert the cytobrush*** into the endocervical canal and rotate half a turn. Withdraw the cytobrush
and spread the collected material quickly and evenly onto the second slide. Fix immediately (drop slide into fixative or spray with fixative,
holding the spray bottle approximately 8 to 12 inches from the slide). Submit the specimen to the Cytopathology Laboratory with relevant clinical
history.

Vaginal Smear, DES Exposure - 2 or more slides

Indications: Evaluation of potential changes associated with in utero DES exposure.
Specimens Required: Lateral vaginal wall sample, cervical sample, endocervical sample.
Supplies: Vaginal speculum, one or more cervical spatulas, one extended-tip spatula, cytobrush***, fixative** (spray fixative or 95% ethyl
alcohol), two or more clean glass slides (single end frosted), black lead lab pencil, and test request form as indicated.
Collection Procedure: Label two or more slides with patient's first and last name, date of birth, and specimen source. Label one slide "C" and one
"LVW." Label others as necessary (see below). Obtain specimens prior to bimanual examination. Use an unlubricated speculum (saline or warm
water may be used). After visualization of the upper 1/3 of the vagina is accomplished, with the spatula scrape the upper 1/3 of either lateral
vaginal wall. Withdraw the spatula and spread the material quickly and evenly onto the slide clearly marked "LVW." Fix immediately (drop slide
into fixative or spray with fixative, holding the spray bottle approximately 8 to 12 inches from the slide). Scrape additional areas of the vagina that
appear abnormal. Label slides accordingly (prior to sampling) and spread and fix as above. Obtain routine cervical and endocervical specimens as
outlined in the respective procedures. These smears should be collected on the slide labeled "C." Submit the specimen to the Cytopathology
Laboratory with relevant clinical history.

* Procedures for collection of the cervical and endocervical components on either one or two slides are provided.
**Most hair sprays no longer contain adequate amounts of alcohol for appropriate fixation.
***Endocervical sampling devices other than a cytobrush may be used. Refer to specific specimen collection procedures provided with these
devices for more information.
Storage/Transport Temperature: Ambient
Unacceptable Conditions: Frozen
Stability: Indefinite
CPT Code(s): CPT codes vary based on testing performed.

8209702 Cytology, Pulmonary CP

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Pulmonary Specimen Collection for specific collection and transportation guidelines.
CPT Code(s): Depending on methodology: 88112 Selective cellular enhancement with interpretation or 88108 Concentration and interpretation or 88104 Smears
with interpretation or 88106 Cytopathology, filter. Additional CPT codes may apply if special studies are required.

8209712 Cytology, Skin Scraping SS

Methodology: Microscopy
Patient Preparation: Indications: Detection and characterization of inflammatory/infectious processes of the skin, especially herpetic
infections (Tzanck smear).
Specimen Required: Collect: Direct smear of material collected from a skin lesion, usually a vesicle.

Supplies: Two (or more) clean glass slides (fully frosted), fixative (95% ethyl alcohol), skin scraping spatula, test request form.

Collection Procedure: Label the slides with the patient's first and last name, date of birth, and specimen source in pencil on the frosted end and
place in a container filled with 95% ethyl alcohol so the slides are completely covered. Gently scrape the area of abnormality. If the abnormality is
a vesicle, remove the covering and scrape both at the base of the vesicle and around the rim. Remove one of the slides from the fixative. Quickly
and evenly smear the collected material on one of the glass slides. Immediately re-immerse the slide in fixative. Repeat the process with the
second slide, if necessary, for better diagnostic yield. Repeat the process for additional areas if necessary. After collection, leave the slides in the
95% alcohol for 10 minutes and then air dry. Submit the specimen and the completed request form to the Cytopathology Laboratory.
Unacceptable Conditions: Refer to the Specimen Rejection section in the Specimen Transport Guide.
Stability: Fixed slides: Indefinitely
CPT Code(s): 88160

8100400 Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) GA REPORT
Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) Specimen Collection for collection guidelines.

This test requires a SurePath™ special collection kit that is available by contacting ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens not collected in a SurePath™ special collection kit provided by ARUP. Expired SurePath™ vials or vials
received without the collection devices will not be processed. Refer to Specimen Rejection in the Specimen Transport Guide.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: Unacceptable
CPT Code(s): Refer to the Cytopathology section in front of this User's Guide.

8100214 Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) with Reflex to Human Papillomavirus GR REPORT
(HPV) DNA Probe, High Risk
Methodology: Microscopy/Nucleic Acid Probe
Specimen Required: Collect: Refer to Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) Specimen Collection for collection guidelines.
Remarks: This test includes a Cytology, SurePath™Liquid-Based Pap Test (AutoCyte PREP™ System) (ARUP test code 8100400) and a Human
Papillomavirus (HPV) DNA Probe, SurePath® (Autocyte™) (ARUP test code 0060744), ONLY if the SurePath™ Liquid-Based Pap Test is
interpreted as atypical squamous cells of undetermined significance (ASC-US).
Unacceptable Conditions: Refer to Unacceptable Conditions for Human Papillomavirus (HPV) DNA Probe, High Risk, SurePath® (Autocyte™)
(ARUP test code 0060744) and Cytology, SurePath™ Liquid-Based Pap Test (AutoCyte PREP™ System) (ARUP test code 8100400).
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: Unacceptable
CPT Code(s): CPT Codes vary based on testing performed. If reflexed to HPV add 87621 High Risk HPV

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 2000134 Cytology, SurePath Liquid-Based Pap Test GA REQUEST
Methodology: Microscopy
Patient Preparation: 1. For premenopausal patients, obtain specimens during the second half of the menstrual period to avoid contamination by
obscuring blood.
2. Instruct the patient not to douche or engage in sexual intercourse within 24 hours of the procedure

Supplies: This test requires a SurePath collection kit, which includes a preservative fluid collection vial and sampling device(s). Kits may be
ordered separately through ARUP Client Services at (800) 522-2787 or (801) 583-2787. Also required: ARUP Cytology test request form,
permanent marker.
Specimen Required: Collect: 1. Label the vial(s) with the patient's first and last name, date of birth, and specimen source before beginning the procedure.
2. Obtain all specimens prior to bimanual examination.
3. Place the patient in the lithotomy position. Using an unlubricated vaginal speculum (saline may be used as a lubricant) visualize the cervix as
fully as possible.
4. Follow the instructions for the specific collection kit used.

Collection Procedure: Obtain cervical specimen prior to bimanual examination. Use an unlubricated speculum (saline or warm water may be
used). Vaginal discharge or secretion, when present in large amounts, should be removed before obtaining the cervical sample so as not to disturb
the epithelium (i.e., cellulose swab). Small amounts of blood will not interfere with the cytologic evaluation; however, large amounts of blood as
present during menses may interfere with cytologic evaluation because cells may be obscured by blood. Use of liquid-based specimen collection
minimizes the interference from these factors. If testing for sexually transmitted disease is indicated, the cervical cytology sample should be taken
first. After visualization of the cervix is accomplished, collect the sample. Obtain an adequate sampling from the cervix using the Rovers®
Cervex-Brush® or Cervex-Brush® Combi or the Pap Perfect® plastic spatula with the Cytobrush® Plus GT.

ROVERS® CERVEX-BRUSH® Collection (Kit #22216): Device may be referred to as broom. Position the tip of the longer bristles into the
cervical os/endocervical canal. Begin rotating in a clockwise direction (one-quarter to one-half turn). The bristles will begin to stiffen. Continue
rotating in a clockwise direction and gently push towards the cervix until the shorter bristles begin to bend extending over the ectocervix.
Complete five 360-degree rotations. Direction must be consistent. Do not alter or vary the direction of the broom during sampling. Transfer the
entire sample by placing your thumb against the back of the brush pad, and simply disconnect the entire brush from the stem into the preservative
vial. Contraindication: Do not use on pregnant patients after the first 10 weeks of gestation.

PAP PERFECT® PLASTIC SPATULA AND CYTOBRUSH® PLUS GT Collection (Kit #41126): Insert the contoured end of the Pap
Perfect plastic spatula and rotate 360 degrees around the entire exocervix. Disconnect the spatula head and place it in into the vial. Insert the
Cytobrush Plus GT into the endocervix until only the bottom most fibers are exposed at the cervical os. Slowly rotate or turn one half turn in one
direction. To reduce unnecessary bleeding, DO NOT over rotate. Disconnect the brush head and place in the preservative vial. Contraindication:
Do not use on pregnant patients or for endometrial sampling.

ROVERS® CERVEX-BRUSH® COMBI Collection (Kit #45031): Insert central bristles into the endocervical canal. Use gentle pressure on
the cervix until the lateral bristles bend against the ectocervix. Maintain gentle pressure and rotate two times in a clockwise direction by rolling the
stem between the thumb and forefinger. Disconnect the brush head and place in the preservative vial. Contraindication: This device should not
be used during pregnancy.

For all kits, recap the preservative vial and tighten. Record the patient's information and medical history on the ARUP Cytology test request form.
Place the vial and test request form in a specimen bag for transport to the laboratory.
Storage/Transport Temperature: Ambient
Unacceptable Conditions: Specimens not collected in a SurePath collection kit. Expired preservative vials or vials received without the collection
devices.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: Unacceptable
CPT Code(s): 88174 (automated) or 88175 (automated with manual review) or 88142 (manual screening) or 88143 (manual screening with rescreening) if
reviewed by pathologist 88141

8100211 Cytology, ThinPrep® Pap Test™ GT REPORT

Methodology: ThinPrep® 2000 System
Specimen Required: Collect: Refer to Cytology, Thin Prep® Pap Test™ Specimen Collection for specific collection guidelines. Discard collection device.

This test requires a ThinPrep® Pap Test™ special collection kit that is by contacting ARUP Client Services at (800) 522-2787.
Remarks: Human Papillomavirus (HPV) DNA Probe testing can be performed on the PreservCyt® Solution vial, refer to Human Papillomavirus
(HPV) DNA Probe, High Risk (ARUP test code 0065999), or Cytology, ThinPrep® Pap with Reflex to Human Papillomavirus (HPV) DNA
Probe, High Risk (ARUP test code 8100212).
Unacceptable Conditions: Specimens not collected in a ThinPrep® Pap Test™ special collection kit or specimens submitted in an expired
collection kit. Refer to Specimen Rejection in the Specimen Transport Guide.
Stability: PreservCyt® Solution preserves cells for up to three weeks refrigerated or room temperature.
CPT Code(s): CPT codes vary based on testing performed. Refer to the Cytopathology section in front of this User's Guide.

8100212 Cytology, ThinPrep® Pap with Reflex to Human Papillomavirus (HPV) DNA Probe, High Risk TR REPORT
Methodology: ThinPrep® 2000 System/Microscopy/Nucleic Acid Probe
Specimen Required: Collect: Refer to Cytology, ThinPrep® Pap Test™ Specimen Collection for collection guidelines.
Remarks: This test includes a Cytology, ThinPrep® Pap Test™(ARUP test code 8100211), and an Human Papillomavirus (HPV) DNA Probe,
High Risk, ThinPrep® (ARUP test code 0060750) ONLY if the ThinPrep® PapTest™ is interpreted as atypical squamous cells of undetermined
significance (ASC-US).
Unacceptable Conditions: Refer to unacceptable conditions for Human Papillomavirus (HPV) DNA Probe, High Risk, ThinPrep® (ARUP test
code 0060750) and Cytology, ThinPrep® PapTest™ (ARUP test code 8100211).
Stability: Ambient: 3 weeks; Refrigerated: 3 weeks; Frozen: Unacceptable
CPT Code(s): CPT codes vary based on testing performed. If reflexed to HPV add: 87621 High-risk HPV

8209714 Cytology, Tzanck Smear SZ

Methodology: Microscopy
Patient Preparation: Indications: Detection and characterization of inflammatory/infectious processes of the skin, especially herpetic
infections.
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Specimen Required: Collect: Direct smear of material collected from a skin lesion, usually a vesicle.

Supplies: Two (or more) clean glass slides fixative (95% ethyl alcohol), skin scraping spatula, and Cytology test request form.

Collection Procedure: Label the slides with the patient's first and last name, date of birth, and specimen source in pencil on the frosted end and
place in a container filled with 95% ethyl alcohol so the slides are completely covered. Gently scrape the area of abnormality. If the abnormality is
a vesicle, remove the covering and scrape both at the base of the vesicle and around the rim. Remove one of the slides from the fixative. Quickly
and evenly smear the collected material on one of the glass slides. Immediately re-immerse the slide in fixative. Repeat the process with the
second slide, if necessary, for better diagnostic yield. Repeat the process for additional areas if necessary. After collection, leave the slides in the
95% alcohol for 10 minutes and then air dry. Submit the specimen and the completed test request form to the Cytopathology Laboratory.
Unacceptable Conditions: Air dried smears. Refer to the Specimen Rejection section Specimen Transport Guide.
Stability: Fixed slides: Indefinitely
CPT Code(s): 88160

8209704 Cytology, Urologic CU

Methodology: Microscopy
Specimen Required: Collect: Refer to Cytology, Urologic Specimen Collection for collection and transport guidelines.
CPT Code(s): 88108 Concentration and interpretation or 88112 Selective cellular enhancement with interpretation and/or 88106 Cytopathology, filter. -
Additional CPT codes may apply if special studies are required.

8209715 Cytology, Vitreous Fluid VF

Methodology: Microscopy
Patient Preparation: Indications: Detection and characterization of malignant cells in the eye. In cytology, vitreous fluid is most commonly
evaluated to detect and characterize malignancy which may have gained access to the eye. Vitreous fluid specimens require special collection
procedures under the direction of an ophthalmologist. In addition, due to lack of nutrients in this fluid, cells may rapidly degenerate rendering
morphologic evaluation less than optimal if adequate care is not taken.
Specimen Required: Collect: For vitreous fluids, there is no minimum amount, but collect as much as possible.

Supplies: Standard vitreous aspiration equipment. Standard vitreous aspirate collection container for vitreous fluid. Fixative (50% ethyl alcohol).

Collection Procedure: Using standard vitreous collection procedures, collect an appropriate amount of vitreous fluid. In general, morphology of
cells within vitreous fluid can be adequately maintained with prompt refrigeration for 24 hours. Although a fresh specimen is preferred, if a longer
time period between collection and processing is anticipated, the specimen may be preserved by adding an equal volume of 50% ethyl alcohol to
the specimen. Label the specimen with patient's first and last name, date of birth and specimen source. Submit the specimen to the Cytopathology
Laboratory along with the completed Cytology request form.

Note: Specimens submitted for immunocytochemical testing must be submitted fresh. If necessary, on-call personnel can be utilized during the
evenings or on weekends for processing of urgent specimens or those which need to be processed rapidly to avoid degeneration.
Unacceptable Conditions: Refer to the Specimen Rejection section in the Specimen Transport Guide.
Stability: Refrigerated: 72 hours
CPT Code(s): 88108 Concentration and interpretation or 88112 Selective cellular enhancement with interpretation and/or 88106 Cytopathology, filter -
Additional CPT codes may apply if special studies are required.

0050622 Cytomegalovirus Antibodies, IgG and IgM CMV PAN

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.Also acceptable: Serum from umbilical cord blood
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be
received within 30 days from receipt of the acute specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated, hemolyzed, or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86644 CMV IgG; 86645 CMV IgM

0050165 Cytomegalovirus Antibody, IgG CMV IGG

Methodology: Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Acute and convalescent specimens must be labeled as such; parallel
testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as
"acute" or "convalescent." Also acceptable: Serum from umbilical cord blood.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated, hemolyzed, or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86644

0050553 Cytomegalovirus Antibody, IgM CMV IGM

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube. Also acceptable: Serum from umbilical cord blood.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) Acute and convalescent specimens must be labeled as such; parallel
testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as
"acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated, heat-inactivated or hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86645

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 2004760 Cytomegalovirus Antiviral Drug Resistance by Sequencing CMV RESIST
Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or plasma preparation tube.
Specimen Preparation: Separate plasma from cells within 8 hours. Transfer 4 mL plasma to an ARUP Standard Transport Tube. (Min: 2.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: Viral load required.
Unacceptable Conditions: Serum. Heparinized specimens.
Stability: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 1 month
CPT Code(s): 83891 Isolation; 83894 Separation; 83898 x5 Amplification; 83904 x5 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation

0060040 Cytomegalovirus by PCR CMVPCR

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or serum separator tube. Amniotic fluid, bronchoalveolar lavage (BAL), CSF, ocular fluid, tissue, or
urine.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL plasma, serum, amniotic fluid, BAL, CSF, ocular fluid, or urine to a
sterile container. (Min: 0.5 mL) Tissue: Transfer to a
sterile container and freeze immediately.
Storage/Transport Temperature: Frozen. Submit specimen according to Biological Substance, Category B, shipping guidelines.
Remarks: Specimen source is required.
Unacceptable Conditions: Whole blood or bone marrow; refer to Cytomegalovirus by PCR, Whole Blood or Bone Marrow (ARUP test code
0060031). Heparinized specimens.
Stability: Tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 3 months
All others: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 3 months
CPT Code(s): 87496

0060031 Cytomegalovirus by PCR, Whole Blood or Bone Marrow CMVPCR B

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or bone marrow aspirate in lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze specimens. Transport 1 mL whole blood OR 1 mL bone marrow. (Min: 0.5 mL).
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Plasma (refer to Cytomegalovirus by PCR, ARUP test code 0060040). Heparinized specimens. Frozen specimens.
Stability: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: Unacceptable
CPT Code(s): 87496

2003833 Cytomegalovirus (CMV) by Immunohistochemistry CMV IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2006568 Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, HLA-A1 CMV CD8 A1
Methodology: Cell Culture/Quantitative Flow Cytometry
Patient Preparation: Patient must be CMV-seropositive and have one or more of the five major histocompatibility complex (MHC) alleles:
HLA-A1, -A2, -B7, -B8, or -B35.
Specimen Required: Collect: Green (sodium heparin). Collect only one specimen for any combination of five CMV CD8 T-Cell Immune Competence assays ordered.
Patient specimen must be collected within 48 hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (total volume for up to five separate CMV CD8 tests) in original collection tubes. (Min: 7
mL).
Do not refrigerate or freeze. LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Refrigerated or frozen specimens. Gross hemolysis or gross lipemia. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88184 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
86352 - Cellular functional assessment of allele-specific stimulation

For orders of up to 5 separate HLA alleles (CMV CD8 A1, A2, B7, B8 and/or B35) on the same patient specimen, add the following just once:
88185 x2 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker
86352 - Cellular functional assessment of non-allele-specific stimulation

2006576 Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, HLA-A2 CMV CD8 A2
Methodology: Cell Culture/Quantitative Flow Cytometry
Patient Preparation: Patient must be CMV-seropositive and have one or more of the five major histocompatibility complex (MHC) alleles:
HLA-A1, -A2, -B7, -B8, or -B35.
Specimen Required: Collect: Green (sodium heparin). Collect only one specimen for any combination of five CMV CD8 T-Cell Immune Competence assays ordered.
Patient specimen must be collected within 48 hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (total volume for up to five separate CMV CD8 tests) in original collection tubes. (Min: 7
mL). Do not refrigerate or freeze. LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
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 Unacceptable Conditions: Refrigerated or frozen specimens. Gross hemolysis or gross lipemia. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88184 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
86352 - Cellular functional assessment of allele-specific stimulation

For orders of up to 5 separate HLA alleles (CMV CD8 A1, A2, B7, B8 and/or B35) on the same patient specimen, add the following just once:
88185 x2 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker
86352 - Cellular functional assessment of non-allele-specific stimulation

2006588 Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, HLA-B35 CMV CD8B35
Methodology: Cell Culture/Quantitative Flow Cytometry
Patient Preparation: Patient must be CMV-seropositive and have one or more of the five major histocompatibility complex (MHC) alleles:
HLA-A1, -A2, -B7, -B8, or -B35.
Specimen Required: Collect: Green (sodium heparin). Collect only one specimen for any combination of five CMV CD8 T-Cell Immune Competence assays ordered.
Patient specimen must be collected within 48 hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (total volume for up to five separate CMV CD8 tests) in original collection tubes. (Min: 7
mL). Do not refrigerate or freeze. LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Refrigerated or frozen specimens. Gross hemolysis or gross lipemia. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88184 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
86352 - Cellular functional assessment of allele-specific stimulation

For orders of up to 5 separate HLA alleles (CMV CD8 A1, A2, B7, B8 and/or B35) on the same patient specimen, add the following just once:
88185 x2 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker
86352 - Cellular functional assessment of non-allele-specific stimulation

2006580 Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, HLA-B7 CMV CD8 B7
Methodology: Cell Culture/Quantitative Flow Cytometry
Patient Preparation: Patient must be CMV-seropositive and have one or more of the five major histocompatibility complex (MHC) alleles:
HLA-A1, -A2, -B7, -B8, or -B35.
Specimen Required: Collect: Green (sodium heparin). Collect only one specimen for any combination of five CMV CD8 T-Cell Immune Competence assays ordered.
Patient specimen must be collected within 48 hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (total volume for up to five separate CMV CD8 tests) in original collection tubes. (Min: 7
mL). Do not refrigerate or freeze. LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Refrigerated or frozen specimens. Gross hemolysis or gross lipemia. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88184 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
86352 - Cellular functional assessment of allele-specific stimulation

For orders of up to 5 separate HLA alleles (CMV CD8 A1, A2, B7, B8 and/or B35) on the same patient specimen, add the following just once:
88185 x2 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker
86352 - Cellular functional assessment of non-allele-specific stimulation

2006584 Cytomegalovirus (CMV) CD8 T-Cell Immune Competence, HLA-B8 CMV CD8 B8
Methodology: Cell Culture/Quantitative Flow Cytometry
Patient Preparation: Patient must be CMV-seropositive and have one or more of the five major histocompatibility complex (MHC) alleles:
HLA-A1, -A2, -B7, -B8, or -B35.
Specimen Required: Collect: Green (sodium heparin). Collect only one specimen for any combination of five CMV CD8 T-Cell Immune Competence assays ordered.
Patient specimen must be collected within 48 hours of test performance.
Specimen Preparation: Transport 10 mL whole blood (total volume for up to five separate CMV CD8 tests) in original collection tubes. (Min: 7
mL).
Do not refrigerate or freeze. LIVE LYMPHOCYTES REQUIRED.
Storage/Transport Temperature: CRITICAL ROOM TEMPERATURE.
Unacceptable Conditions: Refrigerated or frozen specimens. Gross hemolysis or gross lipemia. Specimens in transport longer than 48 hours.
Stability: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 88184 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; first marker
86352 - Cellular functional assessment of allele-specific stimulation

For orders of up to 5 separate HLA alleles (CMV CD8 -A1, -A2, -B7, -B8 and/or -B35) on the same patient specimen, add the following just once:
88185 x2 - Flow Cytometry, cell surface, cytoplasmic, or nuclear marker, technical component only; each additional marker
86352 - Cellular functional assessment of non-allele-specific stimulation

2003044 Cytomegalovirus IgG Avidity (AviDx™), ELISA CMV AVID

Methodology: Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 1 month
CPT Code(s): 86644x2

0051813 Cytomegalovirus, Quantitative PCR CMV QNT

Methodology: Quantitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells. Transfer 1 mL plasma to a sterile container. (Min: 0.5 mL).
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Serum. Heparinized specimens.
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 Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 year
CPT Code(s): 87497

2006966 Cytomegalovirus, Quantitative PCR with Reflex to Drug Resistance Testing by Sequencing CMV QNT GR
Methodology: Quantitative Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate plasma from cells. Transfer 4 mL plasma to a sterile container. (Min: 2.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Serum. Heparinized specimens.
Stability: Ambient: 8 hours; Refrigerated: 72 hours; Frozen: 1 year
CPT Code(s): 87497 Cytomegalovirus Quantitative PCR; if reflexed, add 83891 Isolation; 83894 Separation; 83898 x5 Amplification; 83904 x5 Sequencing;
83909 Capillary electrophoresis; 83912 Interpretation

0065004 Cytomegalovirus Rapid Culture V CMVC

Methodology: Cell Culture/Immunofluorescence
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA). OR bronchoalveolar lavage (BAL), throat swab, tissue, or urine.
Specimen Preparation: Blood: Transport 5 mL whole blood. (Min: 1 mL)
Fluid specimen: Transfer specimen to a sterile container. Transfer 2 mL fluid to a sterile container. (Min: 0.5 mL). Also acceptable: Transfer to
viral transport media (ARUP supply #12884). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services at
(800) 522-2787.
Swab or tissue: Place in viral transport media.
Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source preferred.
Unacceptable Conditions: CSF, rectal swab, or stool. Whole blood in viral transport media. Calcium alginate, dry, or wood swabs.
Stability: Ambient: 2 hours; Refrigerated: 72 hours; Frozen: Unacceptable.
CPT Code(s): 87254 Shell vial

0030057 D-Dimer D-DI

Methodology: Immunoturbidimetry
Specimen Required: Collect: Light blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 2 mL platelet poor plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Serum. Non-frozen or hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 8 hours; Frozen: 1 month
CPT Code(s): 85379

2003857 D2-40 by Immunohistochemistry D240 IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0091356 Dantrolene, Serum or Plasma DANTROLENE

Methodology: Spectrofluorometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Protect from light. Transfer 2 mL serum or plasma to an ARUP Amber Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Specimens not protected from light.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

0091576 Darvocet, Serum or Plasma DARVOCET S

Methodology: Quantitative Gas Chromatography/Mass Spectrometry/High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA).
Specimen Preparation: Transfer 3 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1.1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299; 82003

0091589 Darvocet, Urine DARVO URN

Methodology: Quantitative Gas Chromatography/Mass Spectrometry/High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299; 82003

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 2007223 DDIT3 (CHOP) (12q13) Gene Rearrangement by FISH CHOP FISH
Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 6 unstained 5
micron slides. (Min: 3 slides) Protect paraffin block from excessive heat. Transport block(s) and/or slide(s) in a tissue transport kit (ARUP supply
#47808) available online through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Frozen specimens. Specimens fixed or processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-
4 or B-5). No tumor in tissue. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88368 x2

0051358 Deamidated Gliadin Peptide (DGP) Antibodies, IgA and IgG GLIAD PAN
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transport 1 mL serum. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, or grossly lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83516 x2

0051357 Deamidated Gliadin Peptide (DGP) Antibody, IgA GLIADPEP A

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transport 0.5 mL serum. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, grossly icteric, or grossly lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83516

0051359 Deamidated Gliadin Peptide (DGP) Antibody, IgG GLIADPEP G

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transport 0.5 mL serum. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, grossly icteric, or grossly lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 83516

2003326 deCODE ProstateCancer™ (Genetic Risk Assessment) PROST CAN

Methodology: Polymerase Chain Reaction/Fluorescent Primer/Nucleic Acid Probe
Specimen Required: Collect: All specimens must be collected using the Buccal DNA Collector Kit (ARUP Supply #47080). Available online through eSupply using
ARUP Connector contact ARUP Client Services at (800) 522-2787.
1. Use gloves to protect the specimen from contamination.
2. Remove the Buccal DNA Collector from the pouch, holding the handle at the base.
3. Move slider cover back if necessary to fully expose the collection paper. Press the collection paper flat against cheek and drag across at least 7
times.
Specimen Preparation: Push cover forward towards the tip of the collector, covering the collection paper. Transport 2 buccal swabs.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: This test was validated for patients of European Caucasian descent only; specimens from patients of other ethnicities
will be rejected. Swabs other than those provided in the Buccal DNA Collector Kit.
Stability: Ambient: 30 days; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 Enzymatic digestion; 83898 x25 Amplification; 83896 x25 Nucleic acid probes; 83914 x25 Extension; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2001640 Dehydroepiandrosterone, Serum or Plasma DHEA TMS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Collect between 6-10 a.m.
Specimen Required: Collect: Serum separator tube or green (sodium or lithium heparin). Also acceptable: Lavender (EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82626

0070040 Dehydroepiandrosterone Sulfate, Serum DHEAS

Methodology: Quantitative Electrochemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube or plasma separator tube. Also acceptable: Green (sodium or lithium heparin), lavender (EDTA), or pink
(K2EDTA).
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 2 months
CPT Code(s): 82627

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 0093096 Dengue Fever Virus Antibodies, IgG & IgM DENGUE AB
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute or convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86790 Dengue fever IgG; 86790 Dengue fever IgM

0093097 Dengue Fever Virus Antibody, IgG DEN G

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute or convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86790

0093098 Dengue Fever Virus Antibody, IgM DEN M

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimen plainly as "acute or convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86790

2007206 Deoxycorticosterone (DOC), Serum DOC SER

Methodology: Liquid Chromatography/Tandem Mass Spectrometry
Specimen Required: Collect: Plain red.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Frozen. Also acceptable: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 82633

0092331 11-Deoxycortisol Quantitative by LC-MS/MS, Serum or Plasma DEOXYCORT

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Serum separator tube. Also acceptable: Plain red, lavender (EDTA), pink (K2EDTA), or green (sodium or lithium heparin).
Specimen Preparation: Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.25 mL)
Storage/Transport Temperature: Frozen.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82634

0070212 Deoxypyridinoline Crosslinks, Urine DPD

Methodology: Quantitative Enzyme Immunoassay
Patient Preparation: First-morning void.
Specimen Required: Collect: Urine.
Specimen Preparation: Transfer 3.5 mL aliquot from a well-mixed, first-morning urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Stability: Ambient: 2 hours; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82523

0081312 Des-gamma-carboxy Prothrombin DCP

Methodology: Quantitative Liquid Chromatography/Immunoassay
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Allow specimen to clot completely at room temperature. Separate from cells ASAP or within 2 hours of collection.
Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 3 months (avoid repeated freeze/thaw cycles)
CPT Code(s): 83951

0090072 Desipramine DESIP HPLC

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: If imipramine has been administered, order Imipramine and Desipramine (ARUP test code 0090157).
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
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 Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80160

2003863 Desmin by Immunohistochemistry DESMIN IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003248 Dexamethasone, Serum or Plasma by LC-MS/MS DEXA TMS

Methodology: Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: It is recommended that the specimen be collected between 6-11 a.m.
Specimen Required: Collect: Serum separator tube, lavender (EDTA), pink (K2EDTA), or green (sodium heparin).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transport 1 mL serum or plasma. (Min: 0.5
mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Room temperature specimens.
Stability: After separation from cells: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 80299

2006236 Diamond-Blackfan Anemia (RPL11) Sequencing RPL11 FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Unacceptable Conditions: Frozen specimens.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x12 Amplification; 83894 x6 Gel separation; 83904 x12 Sequencing; 83892 x2 Digestion; 83912 Interpretation and report.

2006234 Diamond-Blackfan Anemia (RPL5) Sequencing RPL5 FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x26 Amplification; 83894 x13 Gel separation; 83904 x26 Sequencing; 83892 x2 Digestion; 83912 Interpretation and
report.

2006238 Diamond-Blackfan Anemia (RPS19) Sequencing RPS19 FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation, 83898 x8 Amplification; 83894 x8 Gel separation; 83904 x8 Sequencing; 83892 x2 Digestion; 83912 Interpretation and report.

0090076 Diazepam and Nordiazepam DIAZ

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 80154 x2

0091471 Diazoxide, Urine DIAZOX UR

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

Page | 195
 0091324 2,4-Dichlorophenoxyacetic Acid, Serum or Plasma 2-4-DICHL
Methodology: Gas Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 83921

0091379 2,4-Dichlorophenoxyacetic Acid, Urine 2-4-D U

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated or frozen.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined.
CPT Code(s): 83921

0090085 Digitoxin DIGT

Methodology: Quantitative CEDIA Immunoassay
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 5 days; Refrigerated: 5 days; Frozen: 2 months
CPT Code(s): 80299

0090080 Digoxin DIG

Methodology: Immunoassay
Patient Preparation: Collect specimen 8-12 hours (no earlier than 6 hours) after administration of oral dose.
Specimen Required: Collect: Plain red. Also acceptable: Green (sodium or lithium heparin).
Specimen Preparation: Remove serum or plasma from cells within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Refrigerated.
Unacceptable Conditions: Specimens collected in sodium fluoride, potassium oxalate or separator tubes. Hemolyzed specimens.
Stability: After separation from cells: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 1 week
CPT Code(s): 80162

2002349 5-a-Dihydrotestosterone by Tandem Mass Spectrometry, Serum DHT TMS

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Patient Preparation: Collect between 6-10 a.m.
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube and freeze immediately. (Min: 0.6 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Hemolyzed or lipemic specimens.
Stability: After separation from cells: Ambient: 2 hours; Refrigerated: 24 hours; Frozen: 6 months
CPT Code(s): 82651

2006226 Dilated Cardiomyopathy (DCM)/Left Ventricular Noncompaction (LVNC) Panel, 27 Genes DCM PANEL
Methodology: Massive Parallel Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83900 Amplification; 83901 x51 Additional amplification; 83904 x51 Sequencing; 83909 x3 Capillary electrophoresis; 83912
Interpretation and report.

0091348 Diltiazem, Serum or Plasma DILTIAZE

Methodology: Gas Chromatography
Specimen Required: Collect: Lavender (EDTA) or plain red.
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 8 days; Refrigerated: 8 days; Frozen: 1 year
CPT Code(s): 80299

0030461 Dilute Russell Viper Venom Time (dRVVT) with Reflex to dRVVT 1:1 Mix & Confirmation DRV CONF
Methodology: Clotting
Specimen Required: Collect: Lt. blue (sodium citrate). Refer to Specimen Handling at aruplab.com for hemostasis/thrombosis specimen handling guidelines.
Specimen Preparation: Transfer 2 mL platelet-poor plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Serum. Hemolyzed specimens.
Stability: Ambient: 4 hours; Refrigerated: 4 hours; Frozen: 2 weeks
CPT Code(s): 85613 dRVVT; if reflexed add 85613 dRVVT 1:1 mix; and 85613 dRVVT confirmation
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 0091308 Diphenhydramine Quantitation, Serum or Plasma DIPHENHYDR
Methodology: Gas Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 25 days; Frozen: 18 months
CPT Code(s): 80299

0091219 Diphenhydramine, Urine DIPHEN UR

Methodology: Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1.2 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 25 days; Frozen: 18 months
CPT Code(s): 80299

0050595 Diphtheria & Tetanus Antibodies, IgG D/T

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube. "Pre" and "post" vaccination specimens should be submitted for testing. "Post" specimen should be drawn 30 days
after immunization.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Mark specimens clearly as "Pre-Vaccine" or "Post-Vaccine". If shipped separately, "Post" specimen must be received
within 60 days of "Pre" specimen.
Storage/Transport Temperature: Refrigerated
Unacceptable Conditions: Plasma or other body fluids.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86317 Diphtheria; 86317 Tetanus

0050210 Diphtheria Antibody, IgG DIP

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube. "Pre" and "post" vaccination specimens should be submitted together for testing. "Post" specimen should be drawn
30 days after immunization.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Mark specimens clearly as "Pre-Vaccine" or "Post-Vaccine". If shipped separately, "Post" specimen must be received
within 60 days of "Pre" specimen.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids.
Stability: After separation from the cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86317

0050779 Diphtheria, Tetanus, and H. Influenzae b Antibodies, IgG DTH

Methodology: Quantitative Multiplex Bead Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.45 mL) Acute and convalescent specimens must be
labeled as such. Clearly mark specimens as "Pre-Vaccine" or "Post-Vaccine". Parallel testing is preferred and convalescent specimens must
be received within 30 days from receipt of the acute specimens.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86317 Diphtheria; 86317 Tetanus; 86317 H. influenzae

0091467 Dipyridamole, Serum or Plasma DIPYRIDAMO

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red. Also acceptable: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80299

0091466 Dipyridamole, Urine DIPYRIDA U

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80299

0013008 Direct Coombs (Anti-Human Globulin) IRL-DC

Methodology: Hemagglutination
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze.
Transport 5 mL whole blood.
Pediatric: Transport 1 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Page | 197
 Unacceptable Conditions: Separator or gel tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86880

0014008 Direct Coombs (Anti-Human Globulin) with Reflex to Direct Antiglobulin-Mono DAT
Methodology: Hemagglutination
Specimen Required: Collect: Testing is limited to the University of Utah Health Sciences Center, Primary Children's Medical Center (10432), and Intermountain
Shriners Hospital (10367) only.

Lavender (EDTA) or pink (K2EDTA).

Specimen Preparation: Do not freeze. Transport 5 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator or gel tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86880 Direct Coombs; if positive, add 86880 x2 DAT-MONO

2002247 Disaccharidase, Tissue DISAC

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Biopsies of small bowel by endoscopy.
Specimen Preparation: Place two 5 mg biopsies of tissue on the wall of a small, tightly-capped plastic tube without any supporting media. A 1 mL
flat-bottom microtube is recommended. Freeze within 2 hours of collection.
Storage/Transport Temperature: Frozen. Ship on dry ice.
Unacceptable Conditions: Room temperature or refrigerated specimens. Specimens placed on gauze, filter paper, or any other type of support
media. Tissue preserved in formalin.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 6 months
CPT Code(s): 82657 X4

0090095 Disopyramide DISO

Methodology: Quantitative Enyzme Multiplied Immunoassay Technique
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma at to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 4 days; Refrigerated: 2 months; Frozen: 2 months
CPT Code(s): 80299

0091349 Disulfiram (Antabuse) and Metabolite Quantitation, Serum or Plasma ANTABUS SP

Methodology: Quantitative Gas Chromatography
Specimen Required: Collect: Plain red or lavender EDTA.
Specimen Preparation: Separate serum or plasma from cells within 1 hour. Transfer 7 mL serum or plasma to ONE transport container and freeze
within one hour of collection. (Min: 3.2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Thawed specimens. Specimens submitted in glass tubes. Separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299

0091293 Disulfiram (Antabuse) and Metabolite Quantitation, Urine ANTABUS UR

Methodology: Quantitative Spectrophotometry
Specimen Required: Collect: Urine.
Specimen Preparation: Transfer 15 mL urine to ONE transport container and freeze within one hour of collection. (Min: 6.2 mL)
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Glass containers. Thawed specimens.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 84311

0091258 Diuretic Screen, Urine DIURETIC U

Methodology: Qualitative High Performance Liquid Chromatography/Ultraviolet Detection
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 10 mL urine to ARUP Standard Transport Tubes. (Min: 1.2 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Frozen.
Unacceptable Conditions:
Stability: Ambient: 72 hours; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 82486

0091320 Diuretic Survey, Serum or Plasma DIURETIC

Methodology: Quantitative High Performance Liquid Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82492

0095735 DNA Content/Cell Cycle Analysis, Breast (Paraffin) DNA HIST P

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Breast tumor tissue.
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 Specimen Preparation: Paraffin embed tissue block enriched with breast tumor. If no normal tissue is included in the block, supply a control tissue
block to be processed in parallel.
Storage/Transport Temperature: Room temperature.
Remarks: Include H&E stained slide and surgical pathology report.
Unacceptable Conditions: No tumor tissue remaining on block. Specimens fixed in Bouin's solution (picric acid), mercuric chloride containing
fixatives (e.g., B5, Zenker's solution), or ethanol-based fixatives containing ethylene glycol, acetic acid, or zinc chloride. Decalcified specimens.
Stability: Paraffin block: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88182

0095140 DNA Content/Cell Cycle Analysis, Colon DNA COL

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Colon tumor tissue.
Specimen Preparation: Paraffin embed tissue block enriched with colon tumor. If no normal tissue is included in the block, supply a control tissue
block to be processed in parallel.
Storage/Transport Temperature: Room temperature.
Remarks: Include H&E stained slide and surgical pathology report.
Unacceptable Conditions: No tumor tissue remaining on block. Specimens fixed in Bouin's solution (picric acid), mercuric chloride containing
fixatives (e.g., B5, Zenker's solution), or ethanol-based fixatives containing ethylene glycol, acetic acid or zinc chloride. Decalcified specimens.
Stability: Paraffin block: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88182

0095155 DNA Content/Cell Cycle Analysis, Miscellaneous DNA MISC

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Tumor tissue, body fluid, peripheral blood in green (sodium or lithium), bone marrow in green (sodium or lithium), OR urine/bladder
washings.
Specimen Preparation: Tissue: Paraffin embed tissue block enriched with tumor
OR Body Fluid: Transport: 100 mL body fluid. (Min: 10 mL)
OR Peripheral Blood: Transport 5 mL whole blood.
OR Bone Marrow: Transport 2 mL bone marrow (specimens with low mononuclear cell counts may require more volume).
OR Urine/Bladder Washings: Centrifuge and remove supernatant. The cell pellet should then be re-suspended in a cell culture media such as
Hank's Balanced Salt Solution or RPMI.
Storage/Transport Temperature: Tissue (paraffin embedded), Peripheral Blood, or Bone Marrow: Refrigerated or Room temperature.
Body Fluid or Urine/Bladder Washings: Refrigerated or Refrigerated.
Remarks: Provide a Wright stained slide with all bone marrow and whole blood specimens along with clinical information and specimen source.
Unacceptable Conditions: No tumor tissue remaining on block. Specimens fixed in Bouin's solution (picric acid), mercuric chloride containing
fixatives (e.g., B5, Zenker's solution) or ethanol-based fixatives containing ethylene glycol, acetic acid, or zinc chloride. Clotted or hemolyzed
blood or bone marrow. Decalcified specimens.
Stability: Tissue (paraffin embedded): Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
Body Fluid or Urine/Bladder Washings: Ambient: Unacceptable; Refrigerated: 24 hours; Frozen: Unacceptable
Peripheral Blood or Bone Marrow: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88182

0095145 DNA Content/Cell Cycle Analysis, Prostate DNA PROS

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Prostate tumor tissue.
Specimen Preparation: Paraffin embed tissue block enriched with prostate tumor. If no normal tissue is included in the block, supply a control
tissue block to be processed in parallel.
Storage/Transport Temperature: Room temperature.
Remarks: Include H&E stained slide and surgical pathology report.
Unacceptable Conditions: No tumor tissue remaining on block. Specimens fixed in Bouin's solution (picric acid), mercuric chloride containing
fixatives (e.g., B5, Zenker's solution), or ethanol-based fixatives containing ethylene glycol, acetic acid, or zinc chloride. Decalcified specimens.
Stability: Paraffin block: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88182

2006178 DNA Content/Cell Cycle Analysis, Hydatidiform Mole DNA HYDAT

Methodology: Quantitative Flow Cytometry
Specimen Required: Collect: Hydatidiform mole tissue.
Specimen Preparation: Paraffin embed tissue block with hydatidiform mole. If no normal tissue is included in the block, please supply a control
tissue block to be processed in parallel.
Storage/Transport Temperature: Room temperature.
Remarks: Include H&E stained slide and surgical pathology report.
Unacceptable Conditions: No tissue remaining on the block. Specimens fixed in Bouin's Solution (picric acid), fixatives containing mercuric
chloride (e.g. B5, Zenker's solution) or ethanol-based fixatives containing ethylene glycol, acetic acid, or zinc chloride. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88182

0050220 DNase-B Antibody DNSB

Methodology: Quantitative Nephelometry
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma or severely hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86215

0013039 Donath Landsteiner IRL-DL

Methodology: Hemolysis
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Specimen Required: Collect: Plain red.
Specimen Preparation: Do not freeze red cells. Maintain specimen at 37until serum is separated from cells. Transport 2 mL serum. (Min: 1.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator or gel tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86941

0050215 Double-Stranded DNA (dsDNA) Antibody, IgG by ELISA with Reflex to dsDNA Antibody, IgG by IFA DNA
Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86225 dsDNA; if reflexed, add 86256 dsDNA IFA

2002693 Double-Stranded DNA (dsDNA) Antibody, IgG by IFA (using Crithidia luciliae) DNA IFA
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86256

0090102 Doxepin and Metabolite DOXEPIN

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red. Also acceptable: Lavender (K2 or K3EDTA) or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard
Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Whole blood. Gel separator tubes, light blue (citrate), or yellow (SPS or ACD solution).
Stability: After separation from cells: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 6 months
CPT Code(s): 80166 Doxepin; 80299 Nordoxepin

0091120 Doxepin, Urine DOXEPIN U

Methodology: Nitrogen Phosphorus Detection-Gas Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 2 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 17 months
CPT Code(s): 80166

2006621 Drug Detection Panel by High-Resolution Time-of-Flight Mass Spectrometry, Umbilical Cord Tissue TOF SCR CD
Methodology: Qualitative Liquid Chromatography-Time of Flight Mass Spectrometry
Specimen Required: Collect: at least 6 inches of umbilical cord.
Specimen Preparation: Drain and discard any blood. Rinse the exterior of the cord segment with normal saline or an equivalent. Pat the specimen
dry and place in container for transport.
Storage/Transport Temperature: Refrigerated.
Remarks: Collection kit with optional chain of custody available (ARUP supply #46990)
Unacceptable Conditions: Cords soaking in blood. Tissue that is obviously decomposed.
Stability: Ambient, 1 week; Refrigerated, 3 weeks; Frozen, 1 year
CPT Code(s): 80100 x2 (HCPCS: G0431)

0092182 Drug Panel 5, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 5

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/ Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid
Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservatives to ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x5 Screen; if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992
Phencyclidine; 82145 Amphetamines

0092183 Drug Panel 5A, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 5A
Methodology: Enzyme Immunoassay/Gas Chromatography-Flame Ionization Detection/Gas Chromatography-Mass Spectrometry/Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservatives to ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x6 Screen; if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992
Phencyclidine; 82145 Amphetamines; 82055 Alcohol
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 0092184 Drug Panel 7, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 7
Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/ Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid
Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservative to ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x7 Screen; if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992
Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines

0092185 Drug Panel 7A, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 7A
Methodology: Enzyme Immunoassay/Gas Chromatography-Flame Ionization Detection/Gas Chromatography-Mass Spectrometry/Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservatives to ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x8 Screen; if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992
Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 82055 Alcohol

0092186 Drug Panel 9, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 9

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/ Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid
Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservatives to ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x9 Screen (HCPCS:G0431); if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates;
83992 Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 83840 Methadone; 83925 Propoxyphene

0092187 Drug Panel 9A, Urine - Screen with Reflex to Confirmation/Quantitation CDASU 9A
Methodology: Enzyme Immunoassay/Gas Chromatography-Flame Ionization Detection/Gas Chromatography-Mass Spectrometry/Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 8 mL urine with no additives or preservatives in ARUP Standard Transport Tubes. (Min: 4 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x10 Screen (HCPCS:G0431); if positive add appropriate CPT Code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates;
83992 Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 83840 Methadone; 83925 Propoxyphene; 82055
Alcohol

0092420 Drug Screen 9 Panel, Serum or Plasma - Immunoassay Screen with Reflex to Mass Spectrometry DRUG SCRSP
Confirmation/Quantitation
Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/ Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Remove plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL plasma to an ARUP Standard Transport
Tube. (Min: 3 mL) Also acceptable: Serum.
Storage/Transport Temperature: Refrigerated.
Remarks: Cocaine and cocaethylene are more stable in fluoride-preserved plasma than serum.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles. Separator tubes. Plasma or whole blood collected in lt. blue (sodium
citrate).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 80101 x9 Screen (HCPS: G0431) ; if positive, add appropriate code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates; 83992
Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 80154 Benzodiazepines; 83840 Methadone; 83925 Propoxyphene

0090560 Drug Screen (Nonforensic), Comprehensive, Serum & Urine TOX SCREEN
Methodology: Immunoassay/Gas Chromatography-Mass Spectrometry
Patient Preparation: First morning catch of urine, if possible.
Specimen Required: Collect: Plain red AND fresh random urine.
Specimen Preparation: Transfer 6 mL serum to ARUP Standard Transport Tubes (Min: 4.5 mL) AND transport 40 mL urine. (Min: 15 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Serum: After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 2 months
Urine: Ambient: 5 days; Refrigerated: 2 weeks; Frozen 2 months
CPT Code(s): 80101 Serum, immunoassay (HCPCS:G0431); 80100 Serum, GC/FID; 80100 Serum, GC/ECD; 80100 Urine, immunoassay; 80101 Urine ,
GC/MS

0090499 Drug Screen (Nonforensic), Serum BLD SCREEN

Methodology: Semi-Quantitative Immunoassay/Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Plain red.
Specimen Preparation: Transfer 6 mL serum to ARUP Standard Transport Tubes. (Min: 4.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Avoid use of separator tubes and gels.
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 Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 2 months
CPT Code(s): 80101 Immunoassay (HCPCS:G0431); 80100 GC/FID; 80100 GC/ECD; 80100 GC/MS

0090500 Drug Screen (Nonforensic), Urine, Qualitative URN SCREEN

Methodology: Qualitative Immunoassay/Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Fresh random urine.
Specimen Preparation: Transport 40 mL urine. (Min: 15 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 5 days; Refrigerated: 2 weeks; Frozen: 2 months
CPT Code(s): 80101 Immunoassay (HCPCS:G0431); 80100 GC/FID; 80100 GC/MS

2003254 Drug Screen, Targeted, Serum or Plasma TOF SCR SP

Methodology: Qualitative Liquid Chromatography-Time of Flight Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Remove plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL plasma to an ARUP Standard Transport
Tube. (Min: 2 mL) Also acceptable: Serum.
Storage/Transport Temperature: Refrigerated.
Remarks: Cocaine and cocaethylene are more stable in fluoride-preserved plasma than serum.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles. Separator tubes. Plasma or whole blood collected in lt. blue (sodium
citrate).
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 80100 x2

2005444 Drug Screen, Targeted with Reflex to Confirmation, Serum or Plasma TOF RFX SP
Methodology: Qualitative Liquid Chromatography-Time of Flight Mass Spectrometry/Quantitative Gas Chromatography-Mass Spectrometry/Quantitative
Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Remove plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL plasma to an ARUP Standard Transport
Tube. (Min: 2 mL) Also acceptable: Serum.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes or lt. blue (sodium citrate). Specimens exposed to repeated freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 80100 x2. If reflexed, refer to individual confirmation components.

0090491 Drugs of Abuse 5 Panel, Urine - Screen Only CDTI5

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x5

0090492 Drugs of Abuse 5A Panel, Urine - Screen Only CDTI5A

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/Alcohol Dehydrogenase
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x6

0090448 Drugs of Abuse 7 Panel, Urine - Screen Only CDTI7

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x7

0090449 Drugs of Abuse 7A Panel, Urine - Screen Only CDTI7A

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/Alcohol Dehydrogenase
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x8

0090453 Drugs of Abuse 9 Panel, Urine - Screen Only CDTI9

Methodology: Qualitative Enzyme Multiplied Immunoassay Technique
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x9 (HCPCS:G0431)
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 0090454 Drugs of Abuse 9A Panel, Urine - Screen Only CDTI9A
Methodology: Qualitative Enzyme Multiplied Immunoassay Technique/Alcohol Dehydrogenase
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 x10 (HCPCS:G0431)

0092310 Drugs of Abuse Confirmation/Quantitation - Amphetamines (Amphetamine & Methamphetamine) - Meconium CONFAMP M
Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 82145

0090439 Drugs of Abuse Confirmation/Quantitation - Amphetamines - Urine CDCO AMPS

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 82145

0092311 Drugs of Abuse Confirmation/Quantitation - Barbiturates - Meconium CONFBRB M

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 82205

0093308 Drugs of Abuse Confirmation/Quantitation - Barbiturates - Serum or Plasma BARB SP

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 82205

0090357 Drugs of Abuse Confirmation/Quantitation - Barbiturates - Urine CDCO BARB

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 82205

0092520 Drugs of Abuse Confirmation/Quantitation - Benzodiazepines - Meconium CONFBENZ M

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 80154

0093300 Drugs of Abuse Confirmation/Quantitation - Benzodiazepines - Serum or Plasma BENZ SP

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 80154

0090358 Drugs of Abuse Confirmation/Quantitation - Benzodiazepines - Urine CDCO BENZ

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.

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 Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80154

0090676 Drugs of Abuse Confirmation/Quantitation - Cannabinoids (9-carboxy-THC) - Serum or Plasma CANNAB SP

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 82542

0090369 Drugs of Abuse Confirmation/Quantitation - Cannabinoids (9-carboxy-THC) - Urine CDCO THC

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 82542

0092316 Drugs of Abuse Confirmation/Quantitation - Cannabinoids (Marijuana) - Meconium CONFTHC M

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 82542

0092312 Drugs of Abuse Confirmation/Quantitation - Cocaine & Metabolites - Meconium CONFCOC M

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 82520

0090684 Drugs of Abuse Confirmation/Quantitation - Cocaine & Metabolites - Serum or Plasma COC MET SP
Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 82520

0090359 Drugs of Abuse Confirmation/Quantitation - Cocaine Metabolite (Benzoylecgonine) - Urine CDCO COCA
Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine with no additives or preservatives to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 82520

0092313 Drugs of Abuse Confirmation/Quantitation - Methadone & Metabolite - Meconium CONFMTD M

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 83840

0092314 Drugs of Abuse Confirmation/Quantitation - Opiates - Meconium CONFOPI M

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 83925

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 0092315 Drugs of Abuse Confirmation/Quantitation - Phencyclidine (PCP) - Meconium CONFPCP M
Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 83992

0090366 Drugs of Abuse Confirmation/Quantitation - Phencyclidine (PCP) - Urine CDCO PCP

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transport 10 mL urine. (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 83992

0091571 Drugs of Abuse Confirmation/Quantitation - Phencyclidine - Serum or Plasma PHENCYCLID

Methodology: Quantitative Gas Chromatography-Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 83992

0092524 Drugs of Abuse Confirmation/Quantitation - Propoxyphene & Metabolite - Meconium CONFPPXY M

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Specimen Preparation: Transport 1 g (equivalent to 1/2 inch cube) for each separate confirmation required. (Min: 0.5 g or 1/4 inch cube)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 83925

0091363 Drugs of Abuse Confirmation/Quantitation - Propoxyphene & Metabolite - Serum or Plasma PROPOXY SP
Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 80299

0090368 Drugs of Abuse Confirmation/Quantitation - Propoxyphene & Metabolite - Urine CDCO PPXY
Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL with no additives or preservatives urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 83925

0091372 Drugs of Abuse Confirmation/Quantitation - Amphetamine - Serum or Plasma AMPHETAM

Methodology: Quantitative Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Gray (sodium fluoride/potassium oxalate). Also acceptable: Plain red, green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma to an ARUP
Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes. Plasma or whole blood collected in lt. blue (sodium citrate). Specimens exposed to repeated
freeze/thaw cycles.
Stability: After separation from cells: Ambient: 1 week; Refrigerated: 2 weeks; Frozen: 3 years
CPT Code(s): 82145

0092516 Drugs of Abuse Panel, Meconium - Screen with Reflex to Confirmation/Quantitation MEC 9
Methodology: Qualitative Enzyme-Linked Immunosorbent Assay/Quantitative Gas Chromatography-Mass Spectrometry/Quantitative Liquid Chromatography-
Tandem Mass Spectrometry
Specimen Required: Collect: Meconium. All meconium (blackish material) excreted until milk/formula based stool (yellow-green) appears.
Storage/Transport Temperature: All meconium available (4 g is preferred) at 20-25°C. (Min: 2 g or 3/4 inch cube on each side)
Stability: Ambient: 1 week; Refrigerated: 3 months; Frozen: 1 year
CPT Code(s): 80101 x9 Screen (HCPCS: G0431); if positive add appropriate CPT code for drug confirmed: 82542 Marijuana; 82520 Cocaine; 83925 Opiates;
83992 Phencyclidine; 82145 Amphetamines; 82205 Barbiturates; 83840 Methadone; 80154 Benzodiazepine; 83925 Propoxyphene

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 0090306 Drugs of Abuse Screen - Cocaine & Metabolites - Urine U COC
Methodology: Enzyme Immunoassay
Specimen Required: Collect: Random urine.
Specimen Preparation: Mix well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101

0090312 Drugs of Abuse Screen - Opiates - Urine U OPI

Methodology: Enzyme Immunoassay
Specimen Required: Collect: Random urine.
Specimen Preparation: Mix well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101

0090302 Drugs of Abuse Screen - Stimulant Amines - Urine U AMP

Methodology: Enzyme Immunoassay
Specimen Required: Collect: Random urine.
Specimen Preparation: Mix well. Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Frozen. Also acceptable: Room temperature or refrigerated.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101

0092280 Drugs of Abuse Test, Alcohol, Urine - Screen with Reflex to Confirmation/Quantitation CDASUALC
Methodology: Semi-Quantitative Alcohol Dehydrogenase/ Qualitative Gas Chromatography-Flame Ionization Detection
Specimen Required: Collect: Random urine.
Specimen Preparation: Transport 10 mL urine. (Min: 2 mL)
Newborn minimum: 1 mL for the initial test and 1 mL for the confirmation of screen positive.
Storage/Transport Temperature: Room temperature.
Remarks: If applicable, indicate NEWBORN prominently on the test request form.
Unacceptable Conditions: Specimens exposed to repeated freeze/thaw cycles.
Stability: Ambient: 1 week; Refrigerated: 1 month; Frozen: 3 years
CPT Code(s): 80101 Drug screen; if positive, add 82055 Confirmation

2006473 Duloxetine Quantitation, Serum or Plasma DULOX SP

Methodology: Quantitative High Performance Liquid Chromatography-Tandem Mass Spectrometry
Specimen Required: Collect: Plain red or lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Separate from cells within 2 hours. Protect from light. Transfer 1 mL serum or plasma to an ARUP Amber Transport Tube.
(Min: 0.4 mL)
Storage/Transport Temperature: Refrigerated. Also acceptable: Room temperature or frozen.
Unacceptable Conditions: Not light protected. Separator tubes.
Stability: Ambient: 1 Month; Refrigerated: 1 Month; Frozen: 12 Months
CPT Code(s): 80299

0091326 Dyazide, Serum or Plasma DYAZID

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), or lavender (EDTA).
Specimen Preparation: Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Serum separator tubes.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299 x2

0091325 Dyazide, Urine DYAZIDE UR

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Stability: Ambient: Undetermined; Refrigerated: Undetermined; Frozen: Undetermined
CPT Code(s): 80299 x2

0091368 Dyphylline Quantitative, Serum or Plasma DYPHYLLIN

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Plain red or lavender (EDTA).
Specimen Preparation: Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0091503 Dyphylline Quantitative, Urine DYPHYLLI U

Methodology: High Performance Liquid Chromatography
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)

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 Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 1 month; Refrigerated: 1 month; Frozen: 1 month
CPT Code(s): 80299

0051463 Dysautonomia, Familial (IKBKAP) 2 Mutations IKBKAP

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Enzymatic digestion; 83898 Amplification; 83914 x2 Mutation identification; 83909 Separation and identification;
83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited
disorders.

0051464 Dysautonomia, Familial (IKBKAP) 2 Mutations, Fetal IKBKAP FE

Methodology: Polymerase Chain Reaction/ASPE Bead Array
Specimen Required: Collect: Fetal Specimen: Two T-25 flasks at 80% confluency of cultured amniocytes. If the client is unable to culture amniocytes, this can be
arranged by contacting ARUP Client Services at (800) 522-2787. Or amniotic fluid.
AND Maternal Cell Contamination Specimen: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Cultured Amniocytes: Fill flasks with culture media. Transport two T-25 flasks at 80% confluency of cultured
amniocytes. Backup cultures must be retained at the client's institution until testing is complete.
OR Amniotic Fluid: Transport 10 mL unspun fluid. (Min: 5 mL)
AND Maternal Cell Contamination Specimen: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Cultured Amniocytes: CRITICAL ROOM TEMPERATURE. Must be received within 48 hours of shipment
due to liability of cells.
Amniotic fluid: Room temperature.
Maternal Cell Contamination Specimen: Room temperature.
Remarks: Maternal specimen is recommended for proper test interpretation. Order Maternal Cell Contamination. Patient History Form
is available on the ARUP Web site or by contacting ARUP Client Services.
Stability: Fetal Specimen: Ambient: 48 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
Maternal Cell Contamination Specimen: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83892 x2 Digestion; 83898 Amplification; 83914 x2 Extension; 83909 Capillary electrophoresis; 83912 Interpretation and report.
FCC: 83900 Multiplex amplification (first two sequences); 83901 x14 Additional amplification; 83909 Capillary electrophoresis. If MCC MAT
(0050608) is performed: 83891 Isolation; 83900 Multiplex amplification; 83901 x14 Additional amplification; 83909 Capillary electrophoresis;
83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited
disorders.

2006244 Dyskeratosis Congenita, Autosomal (TERC) Sequencing TERC FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature
Remarks: Do not expose specimen to extreme temperatures. Clinical Indication or Reason for testing is required.
Stability: Ambient: 1 week, Refrigerated: 1 week, Frozen: Unaccepta
CPT Code(s): 83891 Isolation; 83898 x4 Amplification; 83894 x2 Gel electrophoresis; 83904 x4 Sequencing; 83892 x2 Digestion; 83912 Interpretation and
report.

2006228 Dyskeratosis Congenita, X-linked (DKC1) Sequencing DKC1 FGS

Methodology: Sequencing
Specimen Required: Collect: Whole Blood (EDTA)
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Room temperature.
Remarks: Do not expose specimen to extreme temperatures. Clinical indication or reason for testing is required.
Stability: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83898 x30 Amplification; 83894 x15 Gel separation; 83904 x15 Sequencing; 83892 x2 Digestion; 83912 Interpretation and
report.

2003869 E-Cadherin by Immunohistochemistry ECADH IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0060047 E. coli Shiga-like Toxin by EIA ECSLT AG

Methodology: Qualitative Enzyme Immunoassay
Specimen Required: Collect: Stool. OR actively growing isolate of E. coli, in pure culture.
Specimen Preparation: Stool: Place 5 g stool in enteric transport media (Cary-Blair) (ARUP Supply #29799) immediately after collection.
Available online through eSupply using ARUP Connector contact ARUP Client Services at (800) 522-2787. (Min: 1 g)

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 E. coli Isolate: Transport sealed container with pure culture on agar slant or on a swab in bacterial transport media. Place each specimen in an
individually sealed bag.
Storage/Transport Temperature: Stool: Refrigerated.
E. coli Isolate: Room temperature.
Unacceptable Conditions: Specimens or isolates from sources other than stool. Specimens in preservatives.
Stability: Stool: Ambient: 1 hour; Refrigerated: 72 hours; Frozen: 1 week
E. coli Isolate: Ambient: 1 week; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87427

0060361 Ear Culture MC EAR

Methodology: Culture/Identification
Specimen Required: Collect: Aspirate or drainage on swab.
Specimen Preparation: Aspirate: Transfer to a sterile container. (Min: 0.1 mL)
Swab: Transfer to bacterial transport media.
Storage/Transport Temperature: Room temperature.
Unacceptable Conditions: Swabs of external ear canal without drainage. Dry swabs.
Stability: Ambient: 24 hours; Refrigerated: Unacceptable; Frozen: Unacceptable
CPT Code(s): 87070

0098896 Eastern Equine Encephalitis Antibody, IgG by IFA, CSF EAST G CSF
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 2 mL CSF to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86652

0050509 Eastern Equine Encephalitis Antibody, IgG by IFA, Serum EASTERN

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Severely contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86652

0098729 Eastern Equine Encephalitis Antibody, IgM by IFA, CSF EAST M CSF
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 2 mL CSF to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, or hemolyzed specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86652

0098733 Eastern Equine Encephalitis Antibody, IgM by IFA, Serum EAST M SER
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent
specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Contaminated, heat-inactivated, hemolyzed, or severely lipemic or specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86652

2007220 Echinococcus Antibody, IgG ECHINO IGG

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube (SST).
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of acute specimens.
Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86682

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 0060053 Echovirus Antibodies ECHO
Methodology: Semi-Quantitative Serum Neutralization
Specimen Required: Collect: Serum separator tube or plain red. OR CSF.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transport 1 mL serum or CSF. (Min: 0.3 mL) Parallel testing is
preferred and convalescent samples must be received within 30 days from receipt of acute samples. Mark samples plainly as "acute" or
"convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma.
Stability: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86658 x5 Echovirus (Types 6, 7, 9, 11, and 30)

0049234 EGFR Gene Amplification by FISH EGFRFISH

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 6 unstained 5
micron slides. (Min: 3 slides) Protect paraffin block from excessive heat. Transport block(s) and/or slide(s) in a tissue transport kit (ARUP supply
#47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Frozen specimens. Specimens fixed or processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-
4 or B-5). No tumor in tissue. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88368 x2

2002440 EGFR Mutation Detection by PCR and Fragment Analysis EGFR PCR
Methodology: Polymerase Chain Reaction/Fragment Analysis
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport
tissue block or 5 unstained 5 micron slides. (Min: 3 slides) Transport block and/or slide(s) in a tissue transport kit (ARUP supply # 47808)
available online through eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Unacceptable Conditions: Less than 25 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal
fixatives. Decalcified specimens
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88381 Microdissection; 83907 Lysis; 83898 x2 Amplification; 83892 Digestion; 83909 Separation and identification; 83896 x2 Nucleic acid
probes; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test oncologic or inherited
disorders.

2004857 EGFR Mutation Detection with Reflex to EML4/ALK Translocation by RT-PCR EGFR RFLX
Methodology: Qualitative Polymerase Chain Reaction/Qualitative Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport
tissue block or 5 unstained 5 micron slides (Min: 3 slides). AND 6 tissue scrolls (tissue shavings) 10 microns thick. Transport block and/or
slide(s) in a tissue transport kit (ARUP supply # 47808) available online through eSupply using ARUP Connect™or contact ARUP Client
Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report. Tissue block will be returned after testing.
Unacceptable Conditions: Less than 25 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal
fixatives. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88381 Microdissection; 83907 Lysis; 83898 x2 Amplification; 83892 Digestion; 83909 Separation and identification; 83896 x2 Nucleic acid
probes; 83912 Interpretation and report. If reflexed add 83907 Lysis; 83891 Isolation; 83902 Reverse Transcription; 83898 x3 Amplification;
83894 x3 Gel Separation; 83912 Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test
oncologic or inherited disorders.

2005555 Ehlers-Danlos Syndrome Kyphoscoliotic Form, Type VI (PLOD1) Deletion/Duplication EDS-VI DD

Methodology: Polymerase Chain Reaction/Multiplex Ligation-dependent Probe Amplification
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 1 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 83891 Isolation; 83896 x18 Nucleic acid probes; 83898 x18 Amplification; 83914 x18 Extension; 83909 Capillary electrophoresis; 83912
Interpretation and report - Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2005559 Ehlers-Danlos Syndrome Kyphoscoliotic Form, Type VI (PLOD1) Sequencing and Deletion/Duplication EDS-VI FGA
Methodology: Polymerase Chain Reaction/Sequencing
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or yellow (ACD Solution A or B).
Specimen Preparation: Transport 3 mL whole blood. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): Sequencing: 83891 Isolation; 83898 x19 Amplification; 83904 x19 Sequencing; 83909 Capillary electrophoresis; 83912 Interpretation and report.
Del/Dup: 83896 x18 Nucleic acid probes; 83898 x18 Amplification; 83914 x18 Extension; 83909 Capillary electrophoresis - Additional CPT
code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

0080351 Ehlers-Danlos Syndrome Type VI Screen EDS6

Methodology: High Performance Liquid Chromatography
Patient Preparation: First-morning urine is preferred.
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Specimen Required: Collect: Urine. First-morning void. Also acceptable: Random specimens.
Specimen Preparation: Transfer 4 mL urine to an ARUP Standard Transport Tube. (Min: 3 mL)
Storage/Transport Temperature: Frozen.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 6 months
CPT Code(s): 82492

2003078 Ehrlichia and Anaplasma Species by Real-Time PCR EHRLI ANA

Methodology: Real-Time Polymerase Chain Reaction/DNA Probe Hybridization
Specimen Required: Collect: Lavender (EDTA).
Specimen Preparation: Transfer 5 mL whole blood to ARUP Standard Transport Tubes. (Min: 0.2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Specimens collected in green (sodium or lithium heparin) or yellow (ACD).
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 87798

0051002 Ehrlichia chaffeensis Antibodies, IgG & IgM by IFA E CHAF ABS
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86666 Ehrlichia chaffeensis IgG; 86666 Ehrlichia chaffeensis IgM

0051004 Ehrlichia chaffeensis Antibody, IgG by IFA E CH G

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86666

0051003 Ehrlichia chaffeensis Antibody, IgM by IFA E CH M

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.05 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86666

2002994 Ehrlichia chaffeensis DNA, Real-Time PCR EHRLICHIA

Methodology: Qualitative Real-Time Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or yellow (ACD). .Also acceptable CSF.
Specimen Preparation: Transfer 0.7 mL whole blood, tick (in ethanol or live), or 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.3 mL
or 1 tick)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Frozen whole blood.
Stability: Ambient: 48 hours; Refrigerated: 1 week; Frozen: 1 month (frozen whole blood unacceptable)
CPT Code(s): 87798

0020699 Electrolyte & Osmolality Profile, Fecal FEC PRO

Methodology: Quantitative Ion-Selective Electrode/Freezing Point
Specimen Required: Collect: 24-hour or random liquid stool.
Specimen Preparation: Mix specimen well and transfer 10 g liquid stool to an unpreserved stool transport vial. (ARUP Supply #40910) (Min: 5 g)
Do not add saline or water to liquefy specimen. Indicate time and volume.
Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Formed or viscous stools.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 84999 Potassium; 84302 Sodium; 83735 Magnesium; 84999 Osmolality

0020410 Electrolyte Panel LYTES

Methodology: Quantitative Ion-Selective Electrode/Enzymatic
Specimen Required: Collect: Plasma separator tube or serum separator tube.
Specimen Preparation: Allow serum tube to clot completely at room temperature. Separate serum or plasma from cells within 2 hours of
collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL)
Storage/Transport Temperature: Refrigerated.
Stability: After separation from cells: Ambient: 4 hours; Refrigerated: 1 week (tightly capped); Frozen: 1 month
CPT Code(s): 80051

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 0060185 Electrolytes, Fecal FEC LYTES
Methodology: Quantitative Ion-Selective Electrode
Specimen Required: Collect: 24-hour or random liquid stool.
Specimen Preparation: Mix well and transfer a 5 g aliquot of stool to an unpreserved stool transport vial (ARUP Supply #40910). Available online
through eSupply using ARUP Connect™ or contact Client Services at (800) 522-2787. (Min: 1 g) Do not add saline or water to liquefy specimen.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Formed or viscous stool.
Stability: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month
CPT Code(s): 84999 Potassium; 84302 Sodium; 82438 Chloride

0020498 Electrolytes, Urine ULYTE

Methodology: Quantitative Ion-Selective Electrode
Specimen Required: Collect: 24-hour or random urine. Refrigerate during collection.
Specimen Preparation: Do not adjust specimen pH. Transfer a 1 mL aliquot of urine from a well-mixed collection to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Record total volume and collection time interval on transport tube and test request form.
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 8 hours; Refrigerated: 1 week; Frozen: 3 months
CPT Code(s): 82436 Chloride, urine; 84133 Potassium, urine; 84300 Sodium, urine

0013010 Elution & Antibody Identification, RBC IRL-ELU

Methodology: Hemagglutination
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze red cells.
Transport 5 mL whole blood.
Pediatric: Transport 2 mL whole blood.
Storage/Transport Temperature: Refrigerated.
Remarks:
Unacceptable Conditions: Separator or gel tubes.
Stability: Ambient: 72 hours; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 86860 Elution; 86870 AB ID

2004547 EML4-ALK Translocation by RT-PCR EML4-ALK

Methodology: Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport
tissue block or 6 tissue scrolls (tissue shavings), 10 microns thick AND an H&E slide (to be retained at ARUP). Transport block and/or slide(s) in
a tissue transport kit (ARUP supply # 47808) available online through eSupply using ARUP Connect™or contact ARUP Client Services at (800)
522-2787.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report. Tissue block will be returned after testing.
Unacceptable Conditions: Less than 25 percent tumor. Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal
fixatives. Slides. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 83907 Lysis; 83891 Isolation; 83902 Reverse transcription; 83898 x3 Amplification; 83894 x3 Gel Separation; 83912 Interpretation and report -
Additional CPT code modifiers may be required for procedures performed to test for oncologic or inherited disorders.

2001741 Encephalitis Panel, CSF with Reflex to HSV Type 1 and 2 Glycoprotein G-Specific Ab, IgG ENCEPHCSFR
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody Semi-Quantitative Chemiluminescent
Immunoassay
Specimen Required: Collect: CSF.
Specimen Preparation: Transfer 3 mL CSF to an ARUP Standard Transport Tube. (Min: 2 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Serum or plasma. Contaminated or heat-inactivated specimens.
Stability: Ambient: 8 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86765 Measles G; 86765 Measles M; 86735 Mumps G; 86735 Mumps M; 86787 VZE; 86787 VZM; 86727 x2 LCM G/M; 86694 HSV MC;
86694 HERP I/II; if reflexed, add 86695 HERP I; 86696 HERP II;

2001742 Encephalitis Panel, Serum with Reflex to HSV Type 1 and Type 2 Glycoprotein G-Specific Ab, IgG ENCEPH R
Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Indirect Fluorescent Antibody/Semi-Quantitative Chemiluminescent
Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 1.5 mL)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Refer to individual components.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86765 Measles G; 86765 Measles M; 86735 Mumps G; 86735 Mumps M; 86787 VZE; 86787 VZM; 86727 x2 LCM G/M; 86694 HSV MC;
86694 HERP I/II; if reflexed, add 86695 HERP I; 86696 HERP II

0050736 Endomysial Antibody, IgA by IFA EMAR TITER

Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Plasma. Severely lipemic, contaminated, or hemolyzed specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid freeze/thaw cycles)
CPT Code(s): 86256

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 2005501 Endomysial Antibody, IgG EMA IGG
Methodology: Semi-Quantitative Indirect Fluorescent Antibody
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.15 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86256

0050070 Entamoeba histolytica (amebiasis), Antibody, IgG AMB

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as acute or convalescent.
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, heat-inactivated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86753

0058001 Entamoeba histolytica Antigen, EIA AMOEBA

Methodology: Qualitative Enzyme Immunoassay
Specimen Required: Collect: Stool.
Specimen Preparation: Transfer 5g stool to an unpreserved stool transport vial (ARUP supply #40910). Available online through eSupply using
ARUP Connect™ or contact ARUP Client Services at (800) 522-2787. (Min 1g)
Storage/Transport Temperature: Frozen.
Unacceptable Conditions: Specimens in media or preservatives.
Stability: Ambient: Unacceptable; Refrigerated: 48 hours; Frozen: 1 week
CPT Code(s): 87337

2005730 Enterovirus and Parechovirus Detection by RT-PCR EVPEHV

Methodology: Qualitative Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: (EDTA), pink (K2EDTA), serum separator tube, or CSF.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL plasma, serum or CSF to a sterile container. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen. Submit specimen according to Biological Substance, Category B, shipping guidelines.
Remarks: Specimen source required.
Unacceptable Conditions: Heparinized specimens.
Stability: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 3 months
CPT Code(s): 87498 Enterovirus detection by RT-PCR; 87798 Parechovirus detection by RT-PCR

2003259 Enterovirus Antibody Panel ENT PANEL

Methodology: Serum Neutralization/Complement Fixation
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min:
0.75 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark
specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated, hemolyzed, or severely lipemic specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86658, x15: Cox (A9), Coxsackie (B1, B2, B3, B4, B5, and B6), Echovirus (Types 6, 7, 9, 11, and 30), Poliovirus (1, 2, and 3)

0050249 Enterovirus Detection by RT-PCR EV PCR

Methodology: Qualitative Reverse Transcription Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA) or serum separator tube. OR CSF.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL serum, plasma or CSF to a sterile container. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Heparinized specimens.
Stability: Ambient: 8 hours; Refrigerated: 48 hours; Frozen: 3 months
CPT Code(s): 87498

0065058 Enterovirus Typing V ENTTYP

Methodology: Immunofluorescence
Patient Preparation: Typing may not be requested directly on a patient specimen.
Specimen Required: Collect: Transfer positive cell culture fluid to a sterile container..
Specimen Preparation: Transport positive cell culture.
Place each specimen in an individually sealed bag.
Storage/Transport Temperature: Room temperature.
Remarks: Specimen source preferred.
Stability: Ambient: 72 hours; Refrigerated: 72 hours; Frozen: 1 month
CPT Code(s): 87252 Tissue culture; 87253 Additional studies

0050232 Eosinophil Cationic Protein ECP

Methodology: Quantitative Fluorescent Enzyme Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Collect a FULL serum separator tube of blood. Invert 5 times. Let clot 60 to 120 minutes at room temperature. Centrifuge
at 1000 to 1300 g for 10 minutes. Transfer 1 mL serum to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.5 mL)
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 Storage/Transport Temperature: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered.
Unacceptable Conditions: Thawed specimens. Plasma and hemolyzed serum.
Stability: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 month
CPT Code(s): 86849

0090648 Eosinophil Granule Major Basic Protein in Tissues EMBP TISS

Methodology: Immunofluorescence/Affinity Chromatography
Specimen Required: Collect: Tissue.
Specimen Preparation: Formalin fix or formalin fix and paraffin embed. Transport 5 micron tissue sections on three slides (no specific size
requirement available).
Unacceptable Conditions: Frozen fixed tissue. Thawed tissue.
Stability: Ambient: In formalin: 3 weeks, Paraffin block: Indefinitely; Frozen (no medium): Indefinitely
CPT Code(s): 88342 Immunocytochemistry; 88323 Consultation & report

2002378 Eosinophilia Panel by FISH FISH EOS P

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Non-diluted bone marrow aspirate collected in a heparinized syringe.Also acceptable: Green (sodium heparin).
Other specimen types may be acceptable, contact the Cytogenetics Laboratory for specific specimen collection and transportation instructions.
Specimen Preparation: Transfer 3 mL bone marrow to a green (sodium heparin) (Min: 1 mL). OR transport 5 mL whole blood (Min: 2 mL)
Storage/Transport Temperature: Room temperature.
Remarks: If cell pellets or dropped cytogenetic slides are submitted, processing fee will not apply.
This test must be ordered using Cytogenetic test request form #43097 or through your ARUP interface. Submit the Patient
History for Cytogenetic (Chromosome) Studies form with the electronic packing list (available at http://www.aruplab.com/genetics/forms.php).
Unacceptable Conditions: Frozen specimens. Paraffin-embedded specimens. Clotted specimens.
Stability: Ambient: 48 hours; Refrigerated: 48 hours; Frozen: Unacceptable
CPT Code(s): 88271 x4 DNA probe; 88275 x4 Interphase in situ hybridization 100-300; 88291 Interpretation and report - Additional CPT codes modifiers may
be required for procedures performed to test for oncologic or inherited disorders.

0040190 Eosinophils, Nasal EOS NASAL

Methodology: Stain/Microscopy
Specimen Required: Collect: Nasopharyngeal swab.
Specimen Preparation: Transport nasopharyngeal swab or prepared slides.
Storage/Transport Temperature: Room temperature. Transport in a protective container.
Unacceptable Conditions: Frozen specimens.
Stability: Swab: Ambient: 24 hours; Refrigerated: 24 hours; Frozen: Unacceptable
Prepared Unstained Slides: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 89190

0040192 Eosinophils, Sputum EOS SPUTUM

Methodology: Stain/Microscopy
Specimen Required: Collect: Sputum.
Specimen Preparation: Transport 0.5 mL sputum or prepared slides.
Storage/Transport Temperature: Room temperature. Transport in a protective container.
Unacceptable Conditions: Frozen specimens.
Stability: Sputum: Ambient: 8 hours; Refrigerated: 24 hours; Frozen: Unacceptable
Unstained Slides: Ambient: 1 week; Refrigerated: 1 week; Frozen: Unacceptable
CPT Code(s): 89190

0091244 Ephedrine, Serum or Plasma EPHEDRIN

Methodology: High Performance Liquid Chromatography/Mass Spectrometry
Specimen Required: Collect: Plain red, gray (sodium fluoride/potassium oxalate), green (sodium heparin), lavender (EDTA), or pink (K2EDTA).
Specimen Preparation: Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Separator tubes.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0091205 Ephedrine, Urine EPHEDRI U

Methodology: High Performance Liquid Chromatography/Mass Spectrometry
Specimen Required: Collect: Random urine.
Specimen Preparation: Transfer 1 mL urine to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Stability: Ambient: 2 weeks; Refrigerated: 2 weeks; Frozen: 2 weeks
CPT Code(s): 80299

0092057 Epithelial Basement Membrane Zone IgA Antibodies EBMZ IGA

Methodology: Indirect Immunofluorescence
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: For specimens less than 0.5 mL, call the Immunodermatology lab at (866) 266-5699.
Unacceptable Conditions: Hemolyzed or lipemic specimens.
Stability: Ambient: 4 days; Refrigerated: 3 months; Frozen: Indefinitely
CPT Code(s): 88347 x2 Substrates (monkey esophagus and human split skin)

0092056 Epithelial Basement Membrane Zone IgG Antibodies EBMZ IGG

Methodology: Indirect Immunofluorescence
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 (Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: For specimens less than 0.5 mL, call the Immunodermatology lab at (866) 266-5699.
Unacceptable Conditions: Hemolyzed or lipemic specimens.
Stability: Ambient: 4 days; Refrigerated: 3 months; Frozen: Indefinitely
CPT Code(s): 88347 x2 Substrates (monkey esophagus and human split skin)

2003872 Epithelial Membrane Antigen (EMA) by Immunohistochemistry EMA IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

2003875 Epithelial-Related Antigen, MOC-31 by Immunohistochemistry ERA IHC

Methodology: Immunohistochemistry
Specimen Required: Collect: Tissue or cells.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed specimen (cells must be prepared into a cellblock).
Protect paraffin block and/or slides from excessive heat. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged
slides in a tissue transport kit (ARUP supply #47808). Available online through eSupply using ARUP Connect™ or contact ARUP Client Services
at (800) 522-2787. (Min: 2 slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS: Submit electronic request. If you do not have
electronic ordering capability, use an ARUP Immunohistochemistry Stain Form (#32978) with an ARUP client number. For additional technical
details, contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens submitted with non-representative tissue type. Depleted specimens.
Stability: Ambient: Indefinitely, Refrigerated: Indefinitely, Frozen: Unacceptable
CPT Code(s): 88342

0090299 Epithelial Skin Antibody EPITHELIAL

Methodology: Indirect Immunofluorescence
(Indirect Fluorescent Antibody)
Specimen Required: Collect: Plain red or serum separator tube.
Specimen Preparation: Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)
Storage/Transport Temperature: Room temperature.
Remarks: For specimens less than 0.5 mL, call the Immunodermatology lab at (866) 266-5699.
Unacceptable Conditions: Hemolyzed or lipemic specimens.
Stability: Ambient: 4 days; Refrigerated: 3 months; Frozen: Indefinitely
CPT Code(s): 88347 x4 Substrates (BMZ, cell surface, IgG and IgA)

0050600 Epstein-Barr Virus Antibody Panel I EBV PAN

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transport 2 mL serum. (Min: 0.5 mL) Parallel testing is
preferred and convalescent specimens must be received within 30 days from receipt of acute specimens. Mark specimens plainly as "acute" or
"convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86665 EBV VCA IgG; 86665 EBV VCA IgM; 86664 EBV NA; 86663 EBV Early

0050602 Epstein-Barr Virus Antibody Panel II EBV PAN 2

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimen plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86665 EBV VCA IgG; 86665 EBV VCA IgM

0050225 Epstein-Barr Virus Antibody to Early D Antigen (EA-D), IgG EBV EAD
Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimen plainly as "acute" or "convalescent."
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 Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86663

0050245 Epstein-Barr Virus Antibody to Nuclear Antigen, IgG EBV NA

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimen plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86664

0051626 Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgA EBV A

Methodology: Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport
Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens.
Mark specimen plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year
CPT Code(s): 86665

0050235 Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG EBV G

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86665

0051627 Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgG & IgA EBV PAN 3
Methodology: Enzyme-Linked Immunosorbent Assay/Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86665 x2

0050240 Epstein-Barr Virus Antibody to Viral Capsid Antigen, IgM EBV M

Methodology: Semi-Quantitative Chemiluminescent Immunoassay
Specimen Required: Collect: Serum separator tube.
Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport
Tube. (Min: 0.5 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute
specimens. Mark specimens plainly as "acute" or "convalescent."
Storage/Transport Temperature: Refrigerated.
Unacceptable Conditions: Tissue or urine. Contaminated or heat-inactivated specimens.
Stability: After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
CPT Code(s): 86665

0050246 Epstein-Barr Virus by PCR EBVPCR

Methodology: Qualitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), serum separator tube, OR Bone marrow aspirate in lavender (EDTA) or pink (K2EDTA), OR CSF or
tissue.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL serum, plasma, bone marrow or CSF to a sterile container. (Min: 0.5
mL). OR Tissue: Transfer to sterile container and freeze immediately. Also acceptable: Formalin fixed and paraffin embedded tissue.
Storage/Transport Temperature: Paraffin-Embedded Tissue: Room temperature. Bone marrow: Refrigerated. All others: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Heparinized specimens. Tissues in formalin (not paraffin embedded) or other preservatives.
Stability: Fresh Tissue: Ambient: Unacceptable; Refrigerated: Unacceptable; Frozen: 1 year.
Paraffin Embedded Tissue: Ambient: Indefinitely; Refrigerated: 2 weeks; Frozen: Unacceptable.
Bone Marrow: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable.
All others: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 year.
CPT Code(s): 87798

2002902 Epstein-Barr Virus (EBV) By in situ Hybridization, Paraffin EBV ISH

Methodology: In situ Hybridization
Specimen Required: Collect: Tissue.
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 Specimen Preparation: Formalin fix (10% neutral buffered formalin) and paraffin-embed tissue. Transport tissue block or 5 unstained 5 micron
slides. (Min: 3 slides) Protect paraffin block and/or slides from excessive heat.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Specimens fixed or processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-4 or
B-5). Frozen specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88365

0051352 Epstein-Barr Virus, Quantitative PCR EBV QNT

Methodology: Quantitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA), pink (K2EDTA), or serum separator tube. OR CSF.
Specimen Preparation: Separate serum or plasma from cells. Transfer 1 mL serum, plasma or CSF to a sterile container. (Min: 0.5 mL)
Storage/Transport Temperature: Frozen.
Remarks: Specimen source required.
Unacceptable Conditions: Whole blood (refer to Epstein-Barr Virus, Quantitative PCR, Whole Blood, ARUP test code 0051353). Heparinized
specimens.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: 1 year.
CPT Code(s): 87799

0051353 Epstein-Barr Virus, Quantitative PCR, Whole Blood EBV QNT WB

Methodology: Quantitative Polymerase Chain Reaction
Specimen Required: Collect: Lavender (EDTA) or pink (K2EDTA).
Specimen Preparation: Do not freeze whole blood specimens. Transport 1 mL whole blood. (Min: 0.5 mL)
Storage/Transport Temperature: Refrigerated.
Remarks: Specimen source required.
Unacceptable Conditions: Plasma (refer to Epstein-Barr Virus Quantitative PCR, ARUP test code 0051352). Heparinized specimens. Frozen
specimens.
Stability: Ambient: 24 hours; Refrigerated: 5 days; Frozen: Unacceptable.
CPT Code(s): 87799

2002217 ERBB2 (HER2/neu) (4B5) by Immunohistochemistry, Tissue with Reflex to FISH if 2+ 4B5 2 IP
Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor tissue
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient..
Fixative duration: 8-48 hours. Transport tissue block or 10 unstained (3-5 micron thick sections), positively charged slides in a tissue transport kit
(ARUP supply #47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)522-2787 (min: 6
slides). If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS:
Submit electronic request. If you do not have electronic ordering capability, use an ARUP Immunohistochemistry form (#32978) with an ARUP
client number. For additional technical details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Specimens with fixation delayed for more than 30 minutes. Specimens fixed in any other fixative other than 10 percent
neutral buffered formalin. Tissue fixed for less than 8 hours or greater than 48 hours. Cytology specimens fixed in alcohol.
Stability: Ambient: Indefinite; Refrigerated: Indefinite ; Frozen: Unacceptable
CPT Code(s): 88360; if reflexed, add 88368 x2

2002216 ERBB2 (HER2/neu) (4B5) by Immunohistochemistry, Tissue with Reflex to FISH if 2+ or 3+ 4B5 23 IP
Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient.
Fixative duration: 8-48 hours. Transport tissue block or 10 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport
kit (ARUP supply #47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)522-2787. (Min: 6
slides) If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS:
Submit electronic request. If you do not have electronic ordering capability, use an ARUP Immunohistochemistry form (#32978) with an ARUP
client number. For additional technical details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens with fixation delayed for more than 30 minutes. Specimens
fixed in any other fixative other than 10 percent neutral buffered formalin. Tissue fixed for less than 8 hours or greater than 48 hours. Cytology
specimens fixed in alcohol.
Stability: Ambient: Indefinite; Refrigerated: Indefinite ; Frozen: Unacceptable
CPT Code(s): 88360; if reflexed, add 88368 x2

2002218 ERBB2 (HER2/neu) (4B5) with Interpretation by Immunohistochemistry, Tissue 4B5 IP

Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient.
Fixative duration: 8-48 hours. Transport tissue block or 5 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport
kit (ARUP supply #47808) available online through eSupply using ARUP Connect ™ or contact ARUP Client Services at (800)522-2787. (Min: 3
slides) If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS:
Submit electronic request. If you do not have electronic ordering capability, use an ARUP Immunohistochemistry form (#32978) with an ARUP
client number. For additional technical details, please contact ARUP Client Services at (800) 522-2787.
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 Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens with fixation delayed for more than 30 minutes. Specimens
fixed in any other fixative other than 10 percent neutral buffered formalin. Tissue fixed for less than 8 hours or greater than 48 hours. Cytology
specimens fixed in alcohol.
Stability: Ambient: Indefinite; Refrigerated: Indefinite ; Frozen: Unacceptable
CPT Code(s): 88360

0049218 ERBB2 (HER-2/neu) Gene Amplification by FISH, Tissue HER2FISH

Methodology: Fluorescence in situ Hybridization
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Transport tissue block or 6 unstained 5
micron slides. (Min: 3 slides) Protect paraffin block from excessive heat. Transport block(s) and/or slide(s) in a tissue transport kit (ARUP supply
#47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report.
Unacceptable Conditions: Frozen specimens. Specimens fixed or processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-
4 or B-5). No tumor in tissue. Decalcified specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88368 x2

0049390 ERBB2 (HER2/neu) Gene Amplification by PCR HER2 PCR

Methodology: Polymerase Chain Reaction
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue. Protect from excessive heat. Transport
tissue block or 4 unstained (Min: 2 slides) Transport block and/or slide(s) in a tissue transport kit (ARUP supply #47808) available online through
eSupply using ARUP Connect™or contact ARUP Client Services at (800) 522-2787.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Include surgical pathology report. Tissue block will be returned after testing.
Unacceptable Conditions: Specimens fixed/processed in alternative fixatives (alcohol, Prefer®) or heavy metal fixatives (B-4 or B-5). Decalcified
specimens.
Stability: Ambient: Indefinitely; Refrigerated: Indefinitely; Frozen: Unacceptable
CPT Code(s): 88381 Microdissection; 83907 Lysis; 83898 x2 Amplification; 83912 Interpretation and report - Additional CPT code modifiers may be required
for procedures performed to test for oncologic or inherited disorders.

0049178 ERBB2 (HER2/neu) (HercepTest) by Immunohistochemistry, Tissue with Reflex to FISH if 2+ HERCEP2IP
Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor tissue
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient.
Fixative duration: 8-48 hours. Transport tissue block or 10 unstained (3-to 5-micron thick sections), positively charged slides in a tissue transport
kit (ARUP supply #47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)522-2787. (Min: 6
slides) If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.
Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS:
Submit electronic request. If you do not have electronic ordering capability, use an ARUP Immunohistochemistry form (#32978) with an ARUP
client number. For additional technical details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens with fixation delayed for more than 30 minutes. Specimens
fixed in any other fixative other than 10 percent neutral buffered formalin. Tissue fixed for less than 8 hours or greater than 48 hours. Cytology
specimens fixed in alcohol.
Stability: Ambient: Indefinite; Refrigerated: Indefinite ; Frozen: Unacceptable
CPT Code(s): 88360, if reflexed, add 88368 x2

0049172 ERBB2 (HER2/neu) (HercepTest) by Immunohistochemistry, Tissue with Reflex to FISH if 2+ or 3+ HERCE23 IP
Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor tissue.
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient.
Fixative duration: 8-48 hours. Transport tissue block or 10 unstained (3- to 5-micron thick sections), positively charged slides in a tissue transport
kit (ARUP supply #47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)522-2787. (Min: 6
slides) If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature. Also acceptable: Refrigerated. Ship in cooled container during summer months.
Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AND SUBMISSION DETAILS:
Submit electronic request. If you do not have electronic ordering capability, use an ARUP Immunohistochemistry form (#32978) with an ARUP
client number. For additional technical details, please contact ARUP Client Services at (800) 522-2787.
Unacceptable Conditions: Paraffin block with no tumor tissue remaining. Specimens with fixation delayed for more than 30 minutes. Specimens
fixed in any other fixative other than 10 percent neutral buffered formalin. Tissue fixed for less than 8 hours or greater than 48 hours. Cytology
specimens fixed in alcohol.
Stability: Ambient: Indefinite; Refrigerated: Indefinite ; Frozen: Unacceptable
CPT Code(s): 88360, if reflexed add 88368 x2

0049174 ERBB2 (HER2/neu) (HercepTest) with Interpretation by Immunohistochemistry, Tissue HERCEPIP

Methodology: Immunohistochemistry
Specimen Required: Collect: Tumor Tissue
Specimen Preparation: Formalin fix (10 percent neutral buffered formalin) and paraffin embed tissue within 30 minutes of removal from patient.
Fixative duration: 8-48 hours. Transport tissue block or 5 unstained (3-to 5-micron thick sections), positively charged slides in a tissue transport
kit (ARUP supply #47808) available online through eSupply using ARUP Connect™ or contact ARUP Client Services at (800)522-2787. (Min: 3
slides) If sending precut slides, do not oven bake.
Storage/Transport Temperature: Room temperature or refrigerated. Ship in cooled container during summer months.

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 Remarks: Pathology report including tissue source and tumor origin must be submitted. Document time from tissue acquisition to fixation and
fixation duration on requisition or enter at time of order. IMMUNOHISTOCHEMISTRY ORDERING AN