Spreadsheet: 838a7ad3-15ba-460f-ad14-dcee9774a11a
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
8104 | Test | 8104 | [NAME], Immunohistology | [NAME], Immunohistology | Immunohistology (Immunofluorescence) | [NAME] kit: RenBp |  |  |  | Varies | This test is not a stand-alone, orderable test, but must be accompanied by 88501 Renal Pathology Consultation and 8331 Renal Biopsy, Light Microscopy.   Sources: Renal or lung Container/Tube: Renal Biopsy Kit (Supply T231) [NAME] Adequate amount Collection Instructions: 1. Collect specimens according to the instructions in Renal Biopsy-Procedures of Handling Tissue for Light Microscopy, Immunohistology, and Electron Microscopy in Special Instructions. 2. If [NAME] is not available, tissue may be submitted frozen on dry ice. Additional Information: 1. A hematoxylin-and-eosin slide and a copy of the preliminary pathology report are required. 2. Immunofluorescence on lung tissue must be ordered in conjunction with 5439 Surgical Pathology Consultation.  Forms:  1. Renal Biopsy Patient Information Sheet in Special Instructions 2. If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 9 | 88346 |  |  |  |  | Rochester
8104 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
8104 | Result | 19335 | [NAME], Immunohistology | [NAME], Immunohistology
8104 | [NAME] | 84226 | C4d Stain, Renal Allograft Biopsies, Immunofluorescent | Immunofluorescent C4d Stain | Includes pathology consultation charged separately | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  | Varies | Tissue submitted in [NAME] or Michels transport media refrigerated.   If [NAME] is not available, tissue may be submitted frozen on dry ice.  Refrig\Ambient OK\Frozen NO (unless no fixative) |  | Specimens other than	Tissue Anticoagulants other than	NA Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icteric	NA |  | Monday through Friday; 8 a.m.-3 p.m. | Same day/1 day | 4 days | 1 | 88347 |  |  | No | Yes
84226 | [NAME] | MIXED | Mixed |  |  |  | See instructions
84226 | Result | 84226 | Immunofluorescent C4d Stain | Immunofluorescent C4d Stain |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49461-7
8104 | [NAME] | 60301 | IgA Immunofluorescent Stain, Renal | IgA IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or [NAME]'s preservative |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	NA Hemolysis:	NA Thawing:	NA Lipemia:	NA | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60301 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60301 | Result | 60301 | IgA IF, Renal | IgA IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49907-9
8104 | [NAME] | 60302 | IgG Immunofluorescent Stain, Renal | IgG IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60302 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60302 | Result | 60302 | IgG IF, Renal | IgG IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60303 | IgM Immunofluorescent Stain, Renal | IgM IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:		Tissue	 Anticoagulants Other Than:	N/A Hemolysis:			N/A Thawing:			N/A Lipemia:			N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60303 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60303 | Result | 60303 | IgM IF, Renal | IgM IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60304 | Lambda Immunofluorescent Stain, Renal | Lambda IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60304 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60304 | Result | 60304 | Lambda IF, Renal | Lambda IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10499-2
8104 | [NAME] | 60305 | Kappa Immunofluorescent Stain, Renal | Kappa IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:		Tissue	 Anticoagulants Other Than:	N/A Hemolysis:			N/A Thawing:			N/A Lipemia:			N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60305 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60305 | Result | 60305 | Kappa IF, Renal | Kappa IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60306 | C1q, Immunofluorescent Stain, Renal | C1q IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:		Tissue	 Anticoagulants Other Than:	N/A Hemolysis:			N/A Thawing:			N/A Lipemia:			N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60306 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60306 | Result | 60306 | C1q IF, Renal | C1q IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60307 | [NAME], Renal | [NAME], Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:		Tissue	 Anticoagulants Other Than:	N/A Hemolysis:			N/A Thawing:			N/A Lipemia:			N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60307 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60307 | Result | 60307 | [NAME], Renal | [NAME], Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10434-9
8104 | [NAME] | 60308 | Albumin Immunofluorescent Stain, Renal | Albumin IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:		Tissue	 Anticoagulants Other Than:	N/A Hemolysis:			N/A Thawing:			N/A Lipemia:			N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60308 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60308 | Result | 60308 | Albumin IF, Renal | Albumin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60309 | Fibrinogen Immunofluorescent Stain, Renal | Fibrinogen IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or Michel'spreservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than: 	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | The laboratory will provide an interpretive report. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days |  |  |  |  | Yes | No
60309 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60309 | Result | 60309 | Fibrinogen IF, Renal | Fibrinogen IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10523-9
8104 | [NAME] | 60328 | IgG1 Immunofluorescent Stain, Renal | IgG1 IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or [NAME]'s preservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	NA Hemolysis:	NA Thawing:	NA Lipemia:	NA | An interpretive report will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60328 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60328 | Result | 60328 | IgG1 IF, Renal | IgG1 IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60329 | IgG2 Immunofluorescent Stain, Renal | IgG2 IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or [NAME]'s preservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	NA Hemolysis:	NA Thawing:	NA Lipemia:	NA | An interpretive report will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 2 days | 1 | 88346 |  |  | No | No
60329 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60329 | Result | 60329 | IgG2 IF, Renal | IgG2 IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60330 | IgG3 Immunofluorescent Stain, Renal | IgG3 IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or [NAME]'s preservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	NA Hemolysis:	NA Thawing:	NA Lipemia:	NA | An interpretive report will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60330 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60330 | Result | 60330 | IgG3 IF, Renal | IgG3 IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60331 | IgG4 Immunofluorescent Stain, Renal | IgG4 IF, Renal | Immunohistology (Immunofluorescence) | Zeus Transport Media for Immunofluorescence Testing, Tissue: [NAME] |  |  |  |  | Tissue in [NAME] or [NAME]'s preservative. |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	NA Hemolysis:	NA Thawing:	NA Lipemia:	NA | An interpretive report will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60331 | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
60331 | Result | 60331 | IgG4 IF, Renal | IgG4 IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60285 | C1q Paraffin Immunofluorescent Stain, Renal | C1q Paraffin IF, Renal | C1q Immunofluorescent Stain on Paraffin-Embedded Renal Tissue | Paraffin block: PB |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60285 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60285 | Result | 60285 | C1q Paraffin IF, Renal | C1q Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60287 | IgA Paraffin Immunofluorescent Stain, Renal | IgA Paraffin IF, Renal | IgA Immunofluorescent Stain on Paraffin-Embedded Renal Tissue |  |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60287 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60287 | Result | 60287 | IgA Paraffin IF, Renal | IgA Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49907-9
8104 | [NAME] | 60288 | IgG Paraffin Immunofluorescent Stain, Renal | IgG Paraffin IF, Renal | IgG Immunofluorescent Stain on Paraffin-Embedded Renal Tissue | Paraffin block: PB |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60288 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60288 | Result | 60288 | IgG Paraffin IF, Renal | IgG Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60289 | IgM Paraffin Immunofluorescent Stain, Renal | IgM Paraffin IF, Renal | IgM Immunofluorescent Stain on Paraffin-Embedded Renal Tissue | Paraffin block: PB |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60289 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60289 | Result | 60289 | IgM Paraffin IF, Renal | IgM Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60290 | Kappa Paraffin Immunofluorescent Stain, Renal | Kappa Paraffin IF, Renal | Kappa Immunofluorescent Stain on Paraffin-Embedded Renal Tissue | Paraffin block: PB |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60290 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60290 | Result | 60290 | Kappa Paraffin IF, Renal | Kappa Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
8104 | [NAME] | 60291 | Lambda Paraffin Immunofluorescent Stain, Renal | Lambda Paraffin IF, Renal | Lambda Immunofluorescent Stain on Paraffin-Embedded Renal Tissue | Paraffin block: PB |  |  |  |  |  |  | Specimens Other Than:	Tissue Anticoagulants Other Than:	N/A Hemolysis:	N/A Thawing:	N/A Lipemia:	N/A | This test will only be performed in the context of a renal pathology consultation. An interpretive result will be provided. | Monday through Friday; Continuously, 7 a.m.-3 p.m. | 1 day | 4 days | 1 | 88346 |  |  | No | No
60291 | [NAME] | TISSUE | Tissue |  |  |  | Ambient
60291 | Result | 60291 | Lambda Paraffin IF, Renal | Lambda Paraffin IF, Renal |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process