Newborn Metabolic Screen
Order Code: U70001
Epic Lab Code: UHL98
Order Form: Whatman 903-Iowa Newborn Metabolic Screen Filter Spot Form
Critical Care Laboratory
5802 JPP
356-8690
Specimen:
Dried Blood
Collection Medium:
Filter paper from collection kit
Minimum:
Five completely filled circles of dried blood on SHL/UHL-INMSP requisition. Collected and shipped to SHL/UHL from Critical Care Lab/Special Care Nursery Lab.
Turn Around Time:
1 week upon receipt at reference laboratory
Reference Range:
By report; directly into Epic via SHL/UHL - Epic interface.
Comments:
Iowa Neonatal Screening Program protocol detects primary hypothyroidism, galactosemia, hemoglobin disorders, and congenital adrenal hyperplasia. Effective 1/1/10, the Iowa Neonatal Screening Program offers an Expanded Screening Disorders: ANALYTES SCREENED: Analytes refer to amino acids: (ARG) Arginine, (ASA) Argininosuccinic Aciduria, (CIT) Citrulline, (LEU) Leucine, (MAA) Multiple Amino Acids, (MET) Methionine, (PHE) Phenylalanine, (SA) Succinlyacetone, (TYR) Tyrosine, (VAL) Valine and acylcarnitines: LOW C0, HI C0, C3, C3-DC, C4, C4-DC, C4-OH, C5, C5:1, C5-DC, C5-OH, C6, C6-DC, C8, C10, C10:1, C14, C14:1, C16, C16-OH, C16-OH/C16, C16:1-OH, C0/C16, C18:1, C18-OH, C18:1-OH, (MAC) multiple acylcarnitines. UHL requisition form MUST have the following information completed on the form before delivery to laboratory: Collector's initials, infant's last name and first name, sex, first or repeat specimen, physician name, date and time of birth, feeding method (bottle/breast/ NPO/parenteral nutrition), mother's first and last name, mother's date of birth, date and time of collection, weight at time of collection, gestational age in weeks, transfusion within the last eight weeks and date of transfusion.
CPT Code:
84999