Test Name This field will appear at the top of the page and under the "Test Name" field as well. Free text field for defining the test name. All fields list below are optional and are not required for defining an inhouse test.

Message

A message box Appears ABOVE the ordering information, test code and name fields.

Site specific ordering message
Important messages to Phlebotomist
Send out department instructions

Test Code

Quest Demo MyTests Field Placement

Alias/See Also

This field that can be used to list alternate test names, point physicians to other relevant test codes, or any other relevant information.

CPT Codes
CPT codes or other relevant billing information can be listed here

Physician Attestation of Informed Consent

This section can be used to inlcude a link to a document, direct them user to a particular source or site.
Informed consents, compliance for germline genetic testing, other relevant documents, or important messages

Includes

This field that can include information concerning panels or profiles. Free text field that can be used as needed.

Preferred Specimen

Free text field used for collection container information

Patient Preparation
Free text field that can be used to remind or ensure patient followed an specific preperation tasks.
A link to a document for patient preparation can also be included.
Urine collection | Quest Diagnostics
Bone Marrow Collection: Comparison of Unassisted vs Assisted Bedside Collections by a Laboratory Technologist - PubMed
Oral fluid (saliva) drug testing | Quest Diagnostics

Minimum Volume

Field for any volume requirments or number of tubes to be collected

Other Acceptable Specimens

Field to list any alternate collection containers

Instructions

Field for any special collection instructions.
Maintain specimen at room temperature. Do not refrigerate. If multiple draw, collect EDTA (lavender-top) tube last. Traumatic draw can introduce thromboplastin and trap WBC and platelets. Refrigeration can precipitate fibrin and trap WBC and platelets.

Note: If drawn with lead testing, EDTA (tan-top) is required.

Transport Container

Field to list any special transport instructions or containers.
Use only Royal Blue top tubes for Ambulatory
Nursery contact lab for container requirements.

Transport Temperature

Free text field to list an specific transport temperature requirments
Preserved: Room temperature
Pediatric Unpreserved: Refrigerated (cold packs)
*** Send sample on Wet Packs to main lab within 2 hours

Specimen Stability

Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Free text field to list any special instructions for rejection
*** Do NOT shake red top tube ***
Hemolysis • Clotted • Received frozen

Methodology
Field to list any methodology techniques
Electronic Cell Sizing/Counting/Cytometry/Microscopy

FDA Status
FDA status for a test can be included here if needed for any inhouse created test, or if used for clinical trials

Setup Schedule

Set up: Daily (Weekdays: Night shift, Weekends: Day shift)

Report Available

Report available: 2-3 days

Limitations

If there are any specific limitations that needed to list to the test, profile, or site performing the analysis.

Reference Range

Color	Yellow
Appearance	Clear
Specific Gravity	1.001-1.035
pH	5.0-8.0
Glucose	Negative
Bilirubin	Negative
Ketones	Negative
Occult Blood	Negative
Protein	Negative
Nitrite	Negative
Leukocyte Esterase	Negative

Clinical Significance

Chromosome Analysis, Tissue - Chromosome analysis of products of conception (POC) can detect fetal chromosome abnormalities, which are associated with approximately one-half of all first trimester spontaneous abortions. Chromosome testing on fibroblasts obtained from a tissue biopsy is performed to investigate tissue specific mosaicism not present in blood lymphocytes. Fresh cells from tissue biopsies obtained postmortem may still be suitable for chromosome analysis when the patient's blood is not available or viable. If chromosome analysis is unsuccessful, please contact the laboratory genetic counselor at 1-866-GENEINFO (1-866-436-3463) to discuss the option of adding chromosomal microarray (CMA) testing.

Performed By
Quest Diagnostics DEMO

Performing Laboratory
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Quest Diagnostics Nichols Institute
33608 Ortega Highway
San Juan Capistrano, CA 92690-6130

Additional Information
Stool Collection
Urine Collection

Last Updated: November 5, 2024

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.