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Reflex or Supplementary Testing
For some laboratory tests, when certain criteria are met, additional testing will be generated to provide more conclusive laboratory information for diagnosis and treatment.
Current reflex testing:
| Test |
Reflex Criteria |
Additional Tests |
| Accuchek Glucose |
<60 >450 |
Glucose, Blood (no charge) |
| ANA for Reflex |
Positive, >80 |
Centromere, dsDNA, ss DNA, SSA, SSB, RNP, SM, Scleroderma, Histone, |
| Anti-Reticulin |
Positive |
Anti-Reticulin Titer |
| Cardiolipin Screen |
Positive |
Cardiolipin IgG & IgM |
| CBC with Diff |
Abnormal Manual Diff |
Peripheral Smear Review by Pathologist |
| Cold Agglutinin Screen |
Positive |
Cold Agglutinin Titer |
| Cryptococcal Antigen |
Positive |
Cryptococcal Titer |
| HCV RNA Reflex (Qual) |
Detected |
HCV RNA Quantitative |
| Hepatitis B Core Ab |
Positive |
Hepatitis B Core IgM |
| Hepatitis C Antibody |
Reactive |
Hepatitis C RIBA |
| HIV Antibody |
Reactive |
HIV Western Blot |
| HPV Detect |
Positive |
HPV Identification |
| Islet Cell Ab |
Positive |
Islet Cell Titer |
| Lyme Antibody |
Positive |
Lyme Western Blot |
| Myoglobin Screen |
Positive |
Myoglobin, Quantitative |
| PFA Collagen/EI (CEPI) |
> 202 |
Collagen/ADP (CADP) |
| TSH, Reflexive |
< 0.35 or > 5.50 |
Free T4 |
| Rickettsial Antibodies |
Positive |
IgG or IgM Titer |
| Rocky Mtn Spot Fever |
Positive |
IgG or IgM Titer |
| RPR |
Reactive |
RPR Titer |
| Sickle Prep |
Positive |
Hgb Electrophoresis |
| Streptozyme |
Positive |
Anti-Streptolysin O |
| Sucrose Hemolysis |
Positive |
Red Cell CD55 & CD 59 Expression |
| Urine Glucose, <10 yrs |
Negative |
Reducing Substances |
| VDRL, CSF |
Reactive |
Titer |
Supplementary Testing
Supplementary testing will automatically be performed for the tests below which may be billed separately.
Current supplementary testing
Initial Test |
Supplementary Test(s) |
Anaerobic Culture |
Aerobic Culture |
Directogen CSF |
CSF Culture |
Stool Culture |
Campylobacter |
E coli 0157 |
Stool Culture, Campylobacter |
Respiratory culture |
Gram Stain |
External culture |
Gram Stain |
Genital Culture |
Gram Stain |
Body Fluid Culture |
Gram Stain |
Eye Culture |
Gram Stain |
Surgical Specimen Cultures |
Gram Stain |
AFB Culture |
AFB Smear |
Fungus Culture |
KOH and/or Wright Stain |
Coagulogram |
Peripheral Smear Review by Pathologist |
Hemoglobin Electrophoresis |
Peripheral Smear Review by Pathologist |
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