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PICCILO – Waived (if not broken apart)

Complete Metabolic                                                                                                                                         Broader information, including liver function or protein status.​

  • Common for:

    • Medication monitoring (e.g., stations, anticonvulsants, acetaminophen)

    • Chronic conditions (diabetes, hypertension, liver disease)

    • Abdominal pain or jaundice

    • Nutritional assessment

    • Baseline screening in new admissions                                                                                               Example: A patient on long-term medications that affect the liver, or with suspected hepatitis — order a CMP.

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Basic Metabolic – Waived (if not broken apart)

 Quick check of electrolytes, glucose, and kidney function.​

  • Common for:

    • Dehydration

    • Kidney disease or injury

    • IV fluid management

    • Monitoring diuretics or ACE inhibitors

    • Pre-op labs when liver issues aren’t suspected.                                                                                 Example: A patient with hypertension or dehydration, a BMP is sufficient.

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Electrolyte Panel – Waived (if not broken apart)

Quick check of electrolytes only.

  • Kidney function is already known or will be checked separately.

  • Common for:

    • Monitoring IV fluids or diuretics

    • Acid-base disorders

    • Postoperative or critical care monitoring

    • Short-term electrolyte replacement therapy

             Example: A patient on IV fluids or diuretics (e.g., furosemide) — you just need Na⁺, K⁺, Cl⁻, CO₂ to guide           

             replacement.

 

Renal Panel – Waived (if not broken apart)

Check both electrolytes and kidney function (BUN/creatinine).

  • Common for:

    • Chronic kidney disease (CKD)

    • Acute kidney injury (AKI)

    • Hypertension or diabetes

    • Nephrotoxic medications (e.g., ACE inhibitors, NSAIDs, antibiotics)

    • Dehydration or fluid overload

    • Preoperative or baseline labs

            Example: A patient with decreased urine output or elevated creatinine in the past — order a renal panel to   

            assess kidney function and electrolytes together.

 

Abott id - Now Waived

SARS-CoV-2 (COVID-19)

Rapid molecular test for the detection of COVID-19.

Influenza A & B

Rapid molecular test for seasonal flu viruses.

Respiratory Syncytial Virus (RSV)

Some combined respiratory panels include RSV detection.

Strep A (Streptococcus pyogenes)

Rapid detection of Group A Streptococcus.

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Sysmex XW - Waived

CBC with 3 Part Diff

1. Routine Screening or General Health Check

  • Quick overview of blood status (RBCs, WBCs, platelets).

  • Common for annual exams, pre-op labs, or baseline assessments.

2. Suspected Infection or Inflammation

  • Elevated WBCs or granulocytes → possible bacterial infection.

  • Elevated lymphocytes → possible viral infection.

  • Helps determine if further testing (like cultures) is needed.

3. Monitor Ongoing Treatment or Disease

  • Follow-up for infection, chemotherapy, or bone marrow suppression.

  • Tracks whether WBCs or platelets are recovering.

 

 

McKessin Urine Analyzer - Waived

Urinalysis to:

  • Detect infection (UTI)

  • Evaluate kidney function

  • Monitor diabetes

  • Assess hydration

  • Screen for systemic diseases

 

 

DCA Vantage - Waived

A1C

A single A1C ≥ 6.5% on two separate tests usually confirm diabetes.

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COAG-SENSE PT2 - Waived

PT- INR

Checks blood clotting function, mainly to monitor warfarin therapy or detect clotting abnormalities due to liver disease, vitamin K deficiency, or other causes.

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Urine Drug Test - WAIVED

Amphetamine (AMP) 500 ng/mL

Stimulant 500ng/ml is the cut-off. Cross-reactivity with pseudoephedrine, Adderall®, etc. Confirm if prescribed. Detection Window 1–3 days

Buprenorphine (BUP) 10 ng/mL

Opioid (partial agonist) cut off 10ng/ml. Used for opioid dependency (Suboxone®). Not detected by standard opiate screen; needs its own assay. Detection Window 2–6 days

Secobarbital (BAR) 300 ng/mL

Barbiturate 300ng/ml cut off Sedative/hypnotic. Cross-reactivity among barbiturates. Detection window 2–10 days

Oxazepam (BZO) 300 ng/mL

Benzodiazepine 300 ng/ml cut off Detects diazepam, temazepam, oxazepam. Lorazepam may not cross-react—know limitations. Detection Window 1–7 days (longer for chronic use)

Cocaine (COC) 150 ng/mL

Stimulant 150ng/ml cut off Detects benzoylecgonine (main metabolite). High specificity. Detection window 1–3 days

Methamphetamine (MET) 500 ng/mL

Stimulant 500ng/ml cut off. Cross-reactivity with amphetamine & pseudoephedrine. Confirm for clinical/legal use. Detection window 1–3 days

MDMA 500 ng/mL

Amphetamine analog. 500ng/ml cut off Cross-reacts with MDA/MDEA; recreational stimulant. Detection window 1–3 days

Morphine/OPI (MOP) 300 ng/mL

Natural opiate 300ng/ml cut off Detects codeine, morphine, heroin metabolite. Synthetic opioids (e.g., oxycodone) need separate test. Detection window 1–3 days

Methadone (MTD) 300 ng/mL

Synthetic opioid 300ng/ml cut off Maintenance therapy for opioid use disorder. Specific assay required. Detection window 2–10 days

Oxycodone/Oxymorphone (OXY) 100 ng/mL

Semi-synthetic opioid 300ng/ml cut off Often negative on generic opiate tests—requires specific oxycodone assay. Detection window 1–3 days

Phencyclidine (PCP) 25 ng/mL

Hallucinogen 25ng/ml cut off rare today but still tested, possible false positives from dextromethorphan or diphenhydramine. Detection Window 1–7 days

Nortriptyline (TCA) 1000 ng/mL

Tricyclic antidepressant 1000ng/ml cut off TCA overdose risk; screen detects many TCAs. Confirm if positive. Detection window 1–10 days

Marijuana/THC 50 ng/mL

Cannabinoid 50ng/ml cut off Detects THC-COOH metabolite. Chronic use prolongs detection. Passive exposure rarely exceeds cutoff. Detection window 3–30+ days (depends on use)

Fentanyl (FYL) 1 ng/mL

Synthetic opioid 1ng/ml cut off Potent opioid; not detected by standard opiate screen. Specific fentanyl assay required. Confirm positives with LC-MS/MS. Detection window 1–3 days

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Quik Chek Complete® (GDH + toxins A/B) - WAIVED

CDIF

Antigen/Toxin Tests

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Hemoccult® SENSA (guaiac-based), OC-Light® (immunochemical FIT) - WAIVED

Fecal Occult Blood Tests (FOBT / FIT)

Detect hidden (occult) blood in stool for colorectal cancer screening. Detect human hemoglobin in stool.

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Giardia/Cryptosporidium Quik Chek® (Alere/Abbott) - WAIVED

Giardia / Cryptosporidium Antigen Tests

Detect protozoan parasites causing diarrhea.

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OSOM® Multi-Test kits (BV + Trich + Candida) - WAIVED

Trich + BV + Candida

Combined Vaginitis Panels (CLIA-Waived)

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Determine™ HIV-1/2 Ag/Ab Combo - WAIVED

HIV-1/2 antibodies and HIV-1 p24 antigen

Combination Antigen/Antibody Tests (CLIA-Waived)

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