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Specimen Collection and Handling

Genital Infectious PCR Testing

Blood Sample Collection

Bone Marrow Collection

24-Hour Urine Collection

Coagulation Specimen Handling

Differential Smear Prep

Microbiology Collection Containers

Urine Sample Collection

Virology Sample Collection

Lab Collection Requirements

Special Test Considerations

Processing and Transport

Centrifuge Procedure
Packaging Sample for Transport

 

Forms

Medicare: Advanced Beneficiary Notice of Non-Coverage (ABN #032739)

 

VT and NY Medicaid: Notice of Financial Responsibility (#037113)

 

Tricare Request for Non-covered Services (#037112) 

 

Medicare: Advance Beneficiary Notice Non-coverage (ABN) for Patients Who are Dual Eligible (Medicare/Medicaid) (#DOC0010534)

 

Commercial: Advance Notice of Potential Non-Coverage, Form #037111

 

HPV Testing Add-On Order Form

 

Alternative Lab Form (Form#037205)

 

Amending diagnosis Information for NON UVM Medical Center Providers Form

 

Autopsy Permission Form

 

New York State Informed Consent for Chromosome Analysis Testing

 

New York State Informed Consent for FISH Testing

 

Telephone/FAX Order Form

 

Supply Order Form (015720A)

 

Vermont Informed Consent for Genetic Testing

 

Test Documents
Anticoagulation Impact Coagulation Testing


Antimicrobial Susceptibility Results For Gram Negative Organisms


Antimicrobial Susceptibility results For Gram Positive Organisms

 

Antifungal Susceptibility Results for Yeast


Glucose Tolerance Test, Gestational

Glucose Tolerance Test, Non-Gestational


Parasite Investigation of Stool Specimens Algorithm


Virology Sample Collection Brochure
 

Policies

Anonymous Patient Testing

Collect Date and Time Lab Specimens

Critical Lab Values

Custom Lab Profiles
Reflex Test Policy

Specimen Acceptability for the Laboratory Policy

Standing Order Policy

STAT Lab Requests

Test Ordering

Valid Lab Orders for Outpatients

Written Authorization of Telephone Orders


University of Vermont Medical Center

Mayo Clinic Laboratories

Champlain Toxicology Lab

Vermont Department of Health

Center for Disease Control and Prevention

UVM Department of Pathology and Laboratory Medicine

Mayo Clinic Laboratories

Test Code LAB2103 THYROID CASCADE

Important Note

TSH is performed first. If the TSH is outside the normal range, a T4, Free is ordered automatically (CPT: 84439). If the TSH is low and the T4, Free is normal based on the appropriate reference range for the age/sex of the patient, a T3, Total is ordered (CPT: 84480).

Test subject to Medicare National Coverage Determination (NCD) 190.22 - Thyroid Testing.

Test is designed for ambulatory adults only.

Additional Codes

Epic Code Atlas Code Mayo Access ID Order LOINC Legacy Code
LAB2103 THCAS FAH5791 3016-3 THCAS

 

Specimen Information

Container Specimen Temperature Collect Vol Submit Vol Min Vol Stability
SST Serum Refrigerate 4 mL 1 mL 0.6 mL 7 days

 

Test Schedule / Analytical Time / Test Priority

Daily / 1 day / Available STAT

Method

See individual tests

CPT(s)

See individual tests

Instrumentation

Ortho Vitros 7600

Reference Range

See Individual Tests

Section

Chemistry-1

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

Result Component(s)

Reporting Name Epic Code Atlas Code Mayo Access ID LOINC 
TSH   TSH3   3016-3