Special Instructions

Place samples on wet ice immediately upon collection. Instant cold packs are unacceptable. Testing must be performed within 60 minutes of collection, otherwise plasma must be frozen within 60 minutes of collection.

MRL Ordering Instructions

RESTRICTED TEST: This test is restricted to approved MRL clients. For questions, contact MRL Laboratory Solution Center at 651-232-3500. 

Cannot be drawn by mobile phlebotomy.

Turnaround Time

Performed and reported 24 hours/day.

Use

Evaluation of suspected hepatic disease.

Specimen Type

Blood

Collection Containers

Purple (EDTA) on ICE

Collection Instructions

  • Cleanse site thoroughly.
  • If possible, collect directly into vacutainer tube without removing stopper; fill tube completely. Capillary draws are unacceptable.
  • Place sample on wet ice immediately upon collection. Instant cold packs are unacceptable. Deliver to laboratory as soon as possible.
  • This test requires a separate collection container and cannot be shared with other requested tests.
  • UMMC West Only: Specimens should be walked directly to laboratory upon completion of collection.
  • For Outreach clients: Deliver sample within 15 minutes of collection to nearest laboratory for processing. If sample cannot be processed within 60 minutes of collection, the patient must be drawn at a facility with a centrifuge.

Collection Volume

2.5 mL

Minimum Collection Volume

0.6 mL

Specimen Preparation

Analysis or centrifugation and freezing must occur within 60 minutes of collection.
Non-gel tubes: transfer plasma to approved aliquot container.
Optimal testing volume:1.25 mL plasma; Minimum testing volume: 0.2 mL

This test cannot be shared with other tests.

Outreach Clients: Separate plasma from cells, freeze at -20°C, and ship to arrive within 3 days. If unable to centrifuge, deliver sample within 15 minutes of collection to nearest laboratory for processing. If sample cannot be processed within 60 minutes of collection, the patient must be drawn at a facility with a centrifuge.

Unacceptable Conditions

Gross hemolysis. Gross lipemia. Gross icterus.
Capillary collection.
Whole blood not placed on wet ice after collection.
Samples not analyzed within 60 minutes of collection or not centrifuged, aliquotted and frozen within 60 minutes of collection.
Plasma frozen more than 3 days from collection.

Storage/Transport Temperature

Frozen

Shipping Instructions

Deliver whole blood specimen on wet ice to laboratory for processing or testing to be completed within 60 minutes of collection. If shipping to another location for testing, ship frozen.

Outreach Clients: Ship frozen plasma to arrive within 3 days. If unable to centrifuge, deliver sample within 15 minutes of collection to nearest laboratory for processing.

Stability (from collection to initiation)

After separation from cells:
Room temperature: 30 minutes
Refrigerated (preferred): 2 hours
Frozen: 4 weeks

Containers

Purple (EDTA) on ICE

Reference Interval

Female: 11-51 umol/L;  Male: 16-60 umol/L; Unspecified: 11-60 umol/L

Critical Range

Greater than 100 umol/L

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in Test Directory or Atlas. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc.

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
82140130082140038214001HC AMMONIA PLASMA

Methodology

Enzymatic with glutamate dehydrogense (GLDH)

MRL Test Build

Test Name Component Required Description Type LOINC
LAB47     Ammonia Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1230001055   Ammonia Result 16362-6

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Special Instructions

Place samples on wet ice immediately upon collection. Instant cold packs are unacceptable. Testing must be performed within 60 minutes of collection, otherwise plasma must be frozen within 60 minutes of collection.

MRL Ordering Instructions

RESTRICTED TEST: This test is restricted to approved MRL clients. For questions, contact MRL Laboratory Solution Center at 651-232-3500. 

Cannot be drawn by mobile phlebotomy.

Turnaround Time

Performed and reported 24 hours/day.

Use

Evaluation of suspected hepatic disease.
Collection & Processing

Specimen Type

Blood

Collection Containers

Purple (EDTA) on ICE

Collection Instructions

  • Cleanse site thoroughly.
  • If possible, collect directly into vacutainer tube without removing stopper; fill tube completely. Capillary draws are unacceptable.
  • Place sample on wet ice immediately upon collection. Instant cold packs are unacceptable. Deliver to laboratory as soon as possible.
  • This test requires a separate collection container and cannot be shared with other requested tests.
  • UMMC West Only: Specimens should be walked directly to laboratory upon completion of collection.
  • For Outreach clients: Deliver sample within 15 minutes of collection to nearest laboratory for processing. If sample cannot be processed within 60 minutes of collection, the patient must be drawn at a facility with a centrifuge.

Collection Volume

2.5 mL

Minimum Collection Volume

0.6 mL

Specimen Preparation

Analysis or centrifugation and freezing must occur within 60 minutes of collection.
Non-gel tubes: transfer plasma to approved aliquot container.
Optimal testing volume:1.25 mL plasma; Minimum testing volume: 0.2 mL

This test cannot be shared with other tests.

Outreach Clients: Separate plasma from cells, freeze at -20°C, and ship to arrive within 3 days. If unable to centrifuge, deliver sample within 15 minutes of collection to nearest laboratory for processing. If sample cannot be processed within 60 minutes of collection, the patient must be drawn at a facility with a centrifuge.

Unacceptable Conditions

Gross hemolysis. Gross lipemia. Gross icterus.
Capillary collection.
Whole blood not placed on wet ice after collection.
Samples not analyzed within 60 minutes of collection or not centrifuged, aliquotted and frozen within 60 minutes of collection.
Plasma frozen more than 3 days from collection.

Storage/Transport Temperature

Frozen

Shipping Instructions

Deliver whole blood specimen on wet ice to laboratory for processing or testing to be completed within 60 minutes of collection. If shipping to another location for testing, ship frozen.

Outreach Clients: Ship frozen plasma to arrive within 3 days. If unable to centrifuge, deliver sample within 15 minutes of collection to nearest laboratory for processing.

Stability (from collection to initiation)

After separation from cells:
Room temperature: 30 minutes
Refrigerated (preferred): 2 hours
Frozen: 4 weeks
Containers

Containers

Purple (EDTA) on ICE

Result Interpretation

Reference Interval

Female: 11-51 umol/L;  Male: 16-60 umol/L; Unspecified: 11-60 umol/L

Critical Range

Greater than 100 umol/L

Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in Test Directory or Atlas. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc.

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPTQtyHC HospitalPR ClinicNote
82140130082140038214001HC AMMONIA PLASMA

Methodology

Enzymatic with glutamate dehydrogense (GLDH)

Interface Mapping

MRL Test Build

Test Name Component Required Description Type LOINC
LAB47     Ammonia Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1230001055   Ammonia Result 16362-6

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details

Test Detail

Processing Key


See Processing Key "Special" Definitions document for *SPECIAL* definition.
Abbreviation
AMMON
Performing Lab
Grand Itasca, Lakes, Northland, Range, Ridges, Southdale, St. John's, UMMC East Bank, UMMC West Bank, Woodwinds
Department
Chemistry
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