Spreadsheet: 36647125-2cdf-4841-b94a-f9996dd79a7f
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
MSTC | Test | MSTC | Strict Criteria Sperm Morphology for Infertility Diagnosis and Treatment, Semen | Strict Criteria Sperm Morphology | Kruger Criteria Strict Morphology | Medium: Med |  |  |  | Varies | Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results.   Submit only 1 of the following specimens:   Semen specimen must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. [NAME] should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.   Specimen Type: Semen Container/Tube: Semen [NAME] (Supply T178) [NAME]: Total ejaculate Additional Information: Specimen volume is required.	   [NAME] on slides Container/Tube: Slides Specimen Volume: 2 slides-10 microL of liquefied semen on each slide Collection Instructions: 1. If sperm concentration is <10 million/mL, centrifuge the specimen at 300 x G for 10 minutes before making slides. 2. Label 2 frosted slides in pencil with the patient's first and last name and the date of specimen collection. 3. Allow the semen to liquefy for 30 minutes. Then place 10 microL of liquefied semen on the label end of each slide, and evenly smear the specimen using a plain slide (this process is the same as making a blood smear). 4. Allow the smears to air dry for 15 minutes before placing the slides into a slide holder for shipment. Additional Information: Total sperm concentration is required. | A minimum count is needed. Lab w | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Normal forms > or =4.5% Germinal cells/mL <4.00 x 10(6) (normal) > or =4.00 x 10(6) (indicative of a possible disorder in spermatogenesis) WBC/mL <1.00 x 10(6) (normal) > or =1.00 x 10(6) (indicative of a possible genital tract infection) | Monday through Friday; 3 p.m.  Send specimen Monday through Thursday only and no | 2 days | 4 days | 1 | 89398 |  |  |  |  | Rochester
MSTC | [NAME] | SEMEN | Semen |  |  |  | Ambient
MSTC | Result | OVAL2 | Strict Morph NL | Strict Morph NL | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
MSTC | Result | ACRSM | Acrosom Defect | Acrosom Defect | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
MSTC | Result | HDSAB | Head [NAME] | Head [NAME] | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 10602-1
MSTC | Result | HDZAB | Head [NAME] | Head [NAME] | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 10602-1
MSTC | Result | MD | Midpiece Defect | Midpiece Defect | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 10603-9
MSTC | Result | TAILD | Tail Defect | Tail Defect | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 10604-7
MSTC | Result | DBLF | Double Forms | Double Forms | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 66497-9
MSTC | Result | MULTI | Multiple Defects | Multiple Defects | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
MSTC | Result | GERM3 | Germ Cells/mL | Germ Cells/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | In Process
MSTC | Result | WBC6 | WBC/mL | WBC/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 10579-1
MSTC | Result | CMT56 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8