TEST

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILLING

LOC

FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY

(FSHMD)

See MOLECULAR GENETICS (III)

RCHEO

 

 

 

 

FACTOR ASSAY

(COAGULATION FACTOR)

 

 

TEST NO LONGER AVAILABLE

 

 

 

FACTOR II ASSAY

(FACTOR ll ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout.

Store and transport frozen.

TAT—2-3 days

LIGHT BLUE

OHIP

LL

FACTOR II MUTATION

(PROTHROMBIN MUTATION)

RCHEO

Whole blood, 3-10 mL

Store and transport at room temperature

Samples cannot be >5 days old

A form for Molecular Genetic DNA Testing must be completed by the doctor and accompany the specimen

TAT– 8-10 weeks

LAVENDER

OHIP

CHEO

FACTOR V ASSAY

(FACTOR V ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR V

LEIDEN MUTATION

(FVL) (INCLUDES APCR)

See THROMBOSIS GENETIC SCREEN

RCML



 



   

 

FACTOR VII ASSAY

(FACTOR VII ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube).

Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR VIII

(FACTOR VIII ACTIVITY)

(HEMOPHILIA A)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube).

Immediately freeze aliqout.

Store and transport frozen

TAT – 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR VIII INHIBITOR

(FACTOR INHIBITOR (HUMAN))

(BETHESDA UNITS)

(BETHESDA INHIBITOR)

RCML

Plasma, 2 mL

Record type of factor inhibitor suspected. Also record if patient has a known inhibitor (such as lupus-like inhibitor)

 

Partially fill a discard tube first. Collect 2 Light Blue top tube.

Immediately centrifuge. Aliquot plasma from both tubes into one pour off tube (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube).

Immediately freeze aliqout.

Store and transport frozen.

  • Testing includes Von Willebrand Factor VIII-C

TAT—13 days

2 LIGHT BLUE

$110.00

LL

FACTOR IX ASSAY

(FACTOR 9)

(FACTOR IX ACTIVITY)

(HEMOPHILIA B)

 

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube).

Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR X ASSAY

(FACTOR X ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube)

Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR XI ASSAY

(FACTOR XI ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells).

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube)

Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

LIGHT BLUE

OHIP

LL

FACTOR XII ASSAY

(FACTOR XII ACTIVITY)

RCML

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light Blue top tube.

Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells)

Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube)

Immediately freeze aliqout.

Store and transport frozen.

TAT— 2-3 days

 LIGHT BLUE  OHIP  LL

FARMERS LUNG

(ALLERGIC LUNG)

See ALLERGIC ALVEOLITIS

RCML

 

 

 

FAT AND MEAT FIBRES

MICROSCOPIC EXAMINATION

 

TEST NO LONGER AVAILABLE

 

 

 

FAT GLOBULES

(FAT SCREEN)

(FECAL FAT SCREEN)

RCML

Stool, 1g sample

Submit in a sterile container

TAT – 7 days

 

OHIP

LL

FATTY ACID, FREE

RCML

Serum,1 mL

Must fast a minimum of 12 hours

Centrifuge and separate

Store and transport frozen

TAT – 30 days

YELLOW SST

OHIP

LL

FATTY ACID, LONG CHAIN

FALC

Serum, 2 mL

Centrifuge and separate

Store and transport frozen

Note: not the same as Fatty acid, free

TAT – 30 days

YELLOW SST

$65.00

LL

FEBRILE AGGLUTININS

 

TEST NO LONGER AVAILABLE

 

 

 

FERRITIN

FERR

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

BTL

FERROUS SULPHATE

 

TEST NO LONGER AVAILABLE

 

 

 

FETAL HEMOGLOBIN

(HEMOGLOBIN F, Hgb F)

(Foetal Hgb)

See HEMOGLOBIN ELECTROPHORESIS

HBEL

 

 

 

 

FETAL KELL

See MOLECULAR GENETICS (IV)

 

RCHEO

 

 

 

 

FETAL PLATELET ANTIGEN

(PLA)

See MOLECULAR GENETICS (IV)

 

RCHEO

 

 

 

 

FETAL RhD

See MOLECULAR GENETICS (IV)

 

RCHEO

 

 

 

 

FIBRIN DEGRADATION

PRODUCTS

See D.DIMER

DDIM

 

 

 

 

FIBRINOGEN, QUANTITATIVE

FIBRI

Plasma, 2 mL

Partially fill a discard tube first. Collect a Light

Blue top tube. Immediately centrifuge. Aliquot

plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma.

Aliquot the platelet poor plasma into a 12x75mm opaque polypropylene pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliquot. Store and transport refrigerated.

*Collection tube must be shipped at room temperature to testing site.

TAT – 1 day

LIGHT BLUE

OHIP

LL

FIFTH DISEASE

(PARVO VIRUS)

(PARVO VIRUS B19)

See ERYTHEMA INFECTIOSUM

PARVO

 

 

 

 

FIRST or SECOND

TRIMESTER SCREENING

(INTEGRATED PRENATAL

SCREENING)

(IPS)

(PAPP-A)

(FTS)

 

 

 

 

 

 

 

 

 

IPS1

IPS2

 

RCML for FTS

Serum—2 mL

Centrifuge and separate.

Store and transport refrigerated.

DO NOT FREEZE

Label all tubes with minimum 2 patient identifiers

 

A multiple marker screening requisition form for MSS and IPS must be completed by the physician and indicated whether the test is first or second trimester

1ST sample 11-13 weeks gestation

2nd sample 15-18 weeks gestation

 

Pre-package sample(s) with completed Molecular Genetics/Prenatal Screening Form from Mount Sinai Hospital (MSH) and a copy of the OHIP requistion.

 

Sample sent to LifeLabs and forwarded from there to Mount Sinai for testing.

 

For IPS #1

***Covered for Ontario patients ONLY, all others must pay $150.00***

***WE CANNOT ACCEPT CASH***

For IPS #2

No charge if IPS #1 paid

 

TAT – 3 days after 2nd sample

YELLOW SST

OHIP

LL (MSH)

FISH

(FLUORESCENT IN-SITU HYBRIDIZATION)

See CYTOGENETICS TESTING

RCML

Specify probes

 

 

 

FK-506

(PROGRAF)

(TACROLIMUS)

 

RCML

Whole Blood

Collect sample prior to next dose (Trough)

Collect specimen Monday to Thursday only

Send a copy of the OHIP requisition with the following information: type of transplant, name of

Transplant centre/hospital, date & time of last dose, and date & time of collection (print “non-transplant” if indicated.)

Store and ship refrigerated.

TAT– variable

 

LAVENDER

 

OHIP

 

LL

 

FLUID, TOTAL EXAM

(JOINT FLUID)

(SYNOVIAL FLUID)

SYNF

 

ASP

 

OTHER

 

RCML

State source – synovial, knee fluid, aspirate, etc.

 

a) Crystals & Cells – transfer to a LAVENDER tube

b) Culture – transfer to an orange or white cap container

c) Chemistry – transfer to a plain RED tube

code test according to serum codes (tests are usually protein, uric acid, glucose)

 

Results may be delayed due to confirmation by Pathologist

  • Testing Includes LKcs, crystals, chemistry, differential ·

TAT – 4 days

 

OHIP

LL

 

LL

 

BTL

 

LL

FLUORESCENT ABSORPTION TEST

(FTA- TREPONEMAL ANTIBODIES)

(TREPONEMAL ANTIBODIES)

(SYPHILLIS)

See VDRL, CONFIRMATION

FTA

 

 

 

 

FLUORIDE

FLUOR

Serum, 2 mL

Centrifuge and separate

Store and ship refrigerated.

*Plasma--LavenderEDTA--is also acceptable for testing

TAT – 21 days

YELLOW SST

OHIP

LL

FLUORIDE

 

URINE TEST NO LONGER AVAILABLE

 

 

 

 

 

FLUOXETINE

(PROZAC)

PROZ

Plasma, 2 mL

Collect sample 10 –12 hours after last dose

Record time in hours that have elapsed between last dose and specimen collection

TAT – 20 days

GREEN

with Heparin

OHIP

LL

FLURAZEPAM

(DALMANE)

 

TEST NO LONGER AVAILABLE

 

 

 

FLUVOXAMINE

(LUVOX)

 

TEST NO LONGER AVAILABLE

 

 

 

 

FOLATE, RBC

 

 

 

 

 

 

 

 

IF A QUEBEC INSURED PATIENT THEN USE THIS CODE

 

RBCFI

(insured)


 

 RBCFU

 (uninsured)

 

 

 

RMFT

 

Blood

Note: If CBC is NOT ordered, an additional lavender tube is required (2 tubes total)

Must specify RBC/red cell folate on requisition, otherwise Serum Folate will be tested.

Send-out instructions: Indicate hematocrit (hct) value on manifest. If no hct value, send 2 LAV tubes to reference lab for testing.

  • Testing Includes Hematocrit ·

For Quebec Insured patients - Freeze 2mL of whole blood and store and sent to Montfort frozen. If hematocrit is unavailable, also submit 1mL refrigerated whole blood.

TAT– 2 days

 

 

1 LAVENDER

(2 LAVENDER if CBC not ordered)

OHIP

 

 

 

 

$35.00

 

 

 

 

OHI[

LL

 

 

 

 

 

 

 

 

 

 MFT

FOLATE, SERUM

FOLI

(insured)

 

FOLU

(uninsured)

Serum

Centrifuge only

Store and ship refrigerated

*Serum Folate will be tested if nothing specified on the requisition (Eg. RBC, red cell)

YELLOW SST

OHIP

 

 

$20.00

LL

FOLLITROPIN

(FOLLICLE STIMULATING HORMONE)

(FSH)

FSH

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

LL

FORMIC ACID

(FORMATE)

(FORMALDEHYDE METABOLITE)

 RCML

Plasma

Centrifuge and separate

Store and ship refrigerated

TAT – 2-3 weeks

GREEN

with Heparin

$125.00

LL

FRAGILE X

See MOLECULAR GENETICS (I)

RCHEO

 

 

 

 

 

 

 

 

 

 

FREE CALCIUM

(Ca ²+, Ca++)

See CALCIUM, IONIZED

RCML

 

 

 

 

FREE HEMOGLOBIN

(PLASMA HEMOGLOBIN)

See METHEMALBUMIN SCREEN

 

RCML

 

 

 

 

 

   

FREE KAPPA/LAMBDA RATIO

(SERUM FREE LIGHT CHAINS)

RCML

Serum

Centrifuge and separate

Store and transport frozen

TAT – 8 days

PLAIN RED

$50.00

LL

FREE T3

(TRIIODOTHYRONINE, FREE)

FT3

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

LL

FREE T4

(THYROXINE, FREE)

FT4

Serum

Centrifuge only

TAT – 1 day

YELLOW SST

OHIP

LL

FREE TESTOSTERONE

FTES

Serum

Centrifuge only

State age and sex of patient

TAT – 4 days

YELLOW SST

OHIP

LL

FREE THYROXINE INDEX

(FTI)

 

TEST NO LONGER AVAILABLE

 

 

 

FREE / TOTAL PSA

(PSA FREE AND TOTAL RATIO)

FPSAU

Serum

Centrifuge only

If sample cannot be transported within 24 hours of collection, store and transport serum frozen

  • Testing Includes Free & Total PSA ·

TAT – 3 days

YELLOW SST

$50.00

LL

FRISIUM

See CLOBAZAM

 

 

 

 

 

FRUCTOSAMINE

(GLYCATED ALBUMIN)

FRUCT

Serum, 1 mL

Centrifuge only

Store annd ship refrigerated.

TAT – 3 days

YELLOW SST

$35.00

LL

FRUCTOSE

FRUC

Semen, 1 mL

Freeze semen within 30 minutes of collection, and transport frozen.

TAT – 20 days

 

OHIP

LL

FSH

(FOLLICLE STIMULATING HORMONE)

(FOLLITRIOPIN)

See FOLLITROPIN

 

 

 

 

 

FTA

(FTA- TREPONEMAL ANTIBODIES)

See VDRL, CONFIRMATION

FTA

 

 

 

 

 

FUNGAL CULTURE, BLOOD

MYCO

Blood, 6-10 mL

Samples should be collected at the time of febrile episodes

Store and transport at room temperature.

TAT—28 days

 

GREEN

with Heparin

 

N/C

 

PHL

FUNGAL CULTURE, FLUID

MYCO

Body fluids or secretions, pus from lesions, abscess aspirates

Submit 2 mL of specimen in an orange or white cap container

Store and transport refrigerated, within 24 hours of collection

TAT—28 days

 

 

N/C

 

PHL

FUNGAL CULTURE, RESPIRATORY

MYCO

Sputum

Submit specimen in an orange or white cap container

Store and transport refrigerated, within 24 hours of collection

TAT – 28 days

 

N/C

PHL

FUNGAL CULTURE, SUPERFICIAL

MYCO

Skin Scrapings, Nails, Hairs

State Source

Submit specimen in heavy black paper placed in a plastic transport container

Store and transport at room temperature, up to 24-48 hours after collection

TAT – 10 to 30 days

 

OHIP

LL

FUNGAL CULTURE, Subcutaneous infections/ Tissues

MYCO

Tissues

Submit specimen in an orange or white cap container

Store and transport at room temperature, within 24 hours of collection

TAT—28 days

 

 

N/C

 

PHL

FUNGAL SEROLOGY

(Histoplasma capsulatum)

(Blastomyces dermatitidis)

(Coccidioides immitis)

(Aspergillus)

RPHL

Serum, 1 mL

Centrifuge only

Store and transport at room temperature

An acute serum (early after the onset of symptoms) and a convalescent (collected 2-3 weeks later) may be required for laboratory diagnosis.

Haemolysed, icteric, lipemic or microbially contaminated samples are not recommended for testing.

● Testing includes identification of: H. capsulatum, B. dermatitidis, C. immitis and Aspergillus species

YELLOW SST

N/C

PHL

FVL

(INCLUDES APCR)

See THROMBOSIS GENETIC SCREEN

 

RCML

 

 

 

 

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