Micro Additional Testing Request (PRISMA HEALTH)

Test Code
1230704150


Alias/See Also
LAB2031: MADDT


Preferred Specimen
GMH HOSPITAL LAB: MISCELLANEOUS CONTAINER (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: MISCELLANEOUS CONTAINER (Room Temperature) Min Vol: N/A


Other Acceptable Specimens
GMH HOSPITAL LAB: ESWAB - LIQUID AMIES: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: FUNGAL / AFB BLOOD CULTURE BOTTLE: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: STERILE CONTAINER: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: URINE CUP: (Refrigerated) Min Vol: N/A
GMH HOSPITAL LAB: URINE CULTURE TUBES W/PRESERVATIVE: (Refrigerated) Min Vol: N/A
GMH HOSPITAL LAB: BODY FLUID: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: CSF 1: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: CSF 2: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: CSF 3: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: CSF 4: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: BLUE SWAB: (Room Temperature) Min Vol: N/A
GMH HOSPITAL LAB: BLOOD CULTURE BOTTLES: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: ESWAB - LIQUID AMIES: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: SWAB - LIQUID STUARTS: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: FUNGAL / AFB BLOOD CULTURE BOTTLE: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: STERILE CONTAINER: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: URINE CUP: (Refrigerated) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: URINE CULTURE TUBES W/PRESERVATIVE: (Refrigerated) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: BODY FLUID: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: CSF 1: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: CSF 2: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: CSF 3: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: CSF 4: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: BLUE SWAB: (Room Temperature) Min Vol: N/A
RHC HOSPITAL LAB CENTRAL: BLOOD CULTURE BOTTLES: (Room Temperature) Min Vol: N/A


Instructions
To be collected in conjunction with CSF sample


Transport Temperature
Reprint the CSF specimen label and affix to the blood specimen prior to sending to Reference Lab.


Report Available
GMH HOSPITAL LAB
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

RHC HOSPITAL LAB CENTRAL
STAT: 60 min
Routine: 240 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min



Last Updated: March 6, 2023


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.