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General Information
Lab Test Id Test Name CPT4 Code
ACL HPA H PYLORI AB, IGG
Container: One gold gel 5.0 mL (also acceptable: One plain red 6.0 mL)
Stability: Refrigerated: 7 Days / Frozen: 14 Days
86677 
ACL HPSA H.PYLORI STOOL AG
Container: Clean, screw capped container
Stability: Refrigerated: 3 Days / Frozen: 7 Days
87338 
ACL ORGCUL Haemophilus ducreyi Culture
Container: One ESwab
Stability: Refrigerated: 72 Hours
87070 
ACL HALO HALOPERIDOL
Container: One plain red 4.0 mL (also acceptable: One lavender (EDTA) 3.0 mL)
Stability: Ambient: 4 Hours / Refrigerated: 1 Week / Frozen: 1 Month - Avoid repeated freeze/thaw cycles
80173 
ACL HPT HAPTOGLOBIN
Container: One gold gel 3.5 mL (also acceptable: One plain red 4.0 mL)
Stability: Ambient: 8 Hours / Refrigerated: 3 Days / Frozen: 14 Days
83010 
ACL HPBDNA HBV DNA Quantitation
Container: One pink (EDTA) 6.0 mL blood (also acceptable: lavender (EDTA) 6.0 mL)
Stability: Frozen: 1 Month
87517 
ACL HCGOUT HCG (TUMOR MARKER)
Container: One gold gel 5.0 mL (also acceptable: One plain red 6.0 mL)
Stability: Ambient: 24 Hours / Refrigerated: 2 Days / Frozen: 14 Days
84702 
ACL HEPCG HCV GENOTYPE
Container: One lavender (EDTA) 6.0 mL (also acceptable: One gold gel 5.0 mL)
Stability: Frozen: 2 Months
87902 
ACL HEPCPC HCV RNA QUANTITATIVE
Container: One lavender (EDTA) 6.0 mL (also acceptable: One gold gel 5.0 mL)
Stability: Ambient: 6 Hours-Whole blood / Refrigerated: 3 days-Plasma or serum / Frozen: 2 Months-Plasma or serum
87522 
PHC HCTA Hematocrit, Blood Stability: Room temperature: 24 hours Refrigerated: 24 hours Frozen: Do Not Freeze 85014 
PHC HCTPCD Hematocrit, Fluid Stability: Room temperature:24 hours Refrigerated: 24 hours Frozen: Do Not Freeze 85014 
ACL HGBA1 HEMOGLOBIN A1C
Container: One lavender (EDTA) 3.0 mL (min 0.5)
Stability: Ambient: 24 Hours / Refrigerated: 7 Days
83036 
PHC HGBA Hemoglobin, Blood Stability: Room temperature: 24 hours Refrigerated: 24 hours Frozen: Do Not Freeze 85018 
ACL PLHGB HEMOGLOBIN, PLASMA
Container: One light green (lithium heparin gel) 3.0 mL (also acceptable: green (lithium heparin no gel) 2.0 mL) Separate plasma from cells ASAP.
Stability: Refrigerated: 7 Days
83051 
PHC HGM Hemogram, Blood Stability: Room temperature: 24 hours Refrigerated: 24 hours Frozen: Do Not Freeze 85027 
 
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