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
5802 JPP
356-8690
Specimen:
Dried Blood
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
