Spreadsheet: 30757622-7111-423f-a395-68c753c3fa7a
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
FER | Test | FER | Semen Analysis | Semen Analysis | Manual | Semen analysis kit: SemAnl |  |  |  | Varies | [NAME] 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.   Container/Tube: Semen [NAME] (Supply T178) [NAME]: Total ejaculate Collection Instructions: Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results. Additional Information: Include the following information: semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | Total ejaculate | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Appearance: normal                Volume: > or =1.5 mL                    pH: > or =7.2                            Motile/mL: > or =6.0 x 10(6)           Sperm/mL: > or =15.0 x 10(6)         Motility: > or =40%    		 Grade: > or =2.5      Motile/ejaculate: > or =9.0 x 10(6) Viscosity: > or =3.0 Agglutination: > or =3.0 Supravital: > or =58% live Fructose: positive Note: Fructose testing cannot be performed on semen analysis specimens shipped through Mayo Medical Laboratories. If patient is azoospermic, refer to FROS/81164 Fructose, [NAME] or Seminal Plasma. Submit separate specimen to rule out ejaculatory duct blockage. Positive result indicates no blockage. | Monday through Friday; 3 p.m. Send specimen Monday through Thursday only and not | 1 day | 4 days | 1 | 89310 |  |  |  |  | Rochester
FER | [NAME] | SEMEN | Semen |  |  |  | Ambient
FER | Result | ABSTN | Abstinence | Abstinence | Numeric |  |  |  |  | d |  |  |  |  |  |  |  |  |  | 10587-4 | Sexual abstinence duration:Time:Pt:^Patient:Qn:
FER | Result | CLST1 | Collection Site | Collection Site | Alphanumeric
FER | Result | TY | Study Type | Study Type | Alphanumeric
FER | Result | CNTN | Container Type | Container Type | Alphanumeric
FER | Result | APP3 | Appearance | Appearance | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13359-5 | Character:Aper:Pt:Semen:Nom:
FER | Result | VL53 | Semen Volume | Semen Volume | Numeric |  |  |  |  | mL |  |  |  |  |  |  |  |  |  | 3160-9 | [NAME] volume:Vol:Pt:Semen:Qn:
FER | Result | PH1 | pH | pH | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2752-4 | pH:LsCnc:Pt:Semen:Qn:
FER | Result | MOTML | Motile/mL | Motile/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 42531-4 | Spermatozoa.motile:NCnc:Pt:Semen:Qn:
FER | Result | SPML | Sperm/mL | Sperm/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 9780-8 | Spermatozoa:NCnc:Pt:Semen:Qn:
FER | Result | MOTY | Motility | Motility | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 6800-7 | Spermatozoa.motile/100 spermatozoa:NFr:Pt:Semen:Qn:
FER | Result | GR2 | Grade | Grade | Numeric
FER | Result | MOTEJ | Motile/Ejaculate | Motile/Ejaculate | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | In Process
FER | Result | VISC | Viscosity | Viscosity | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32789-0 | Viscosity:[NAME]:Pt:Semen:[NAME]:
FER | Result | AGGLU | Agglutination | Agglutination | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33217-1 | Spermatozoa.agglutinated:ACnc:Pt:Semen:[NAME]:
FER | Result | STAIN | Supravital Stain | Supravital Stain | Numeric |  |  |  |  | % live |  |  |  |  |  |  |  |  |  | In Process
FER | Result | FRCT | Fructose | Fructose | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13943-6 | Fructose:ACnc:Pt:Semen:[NAME]:
FER | Result | CMT45 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar: