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Anatomic Pathology Test Request Form Recommended (ARUP form #32960)
Ordering Recommendation
Recommendations when to order or not order the test. May include related or preferred tests.
Aid in differential diagnosis of neutrophilia, including chronic myeloid leukemia (CML) and leukemoid reaction.
New York DOH Approval Status
Indicates test has been approved by the New York State Department of Health.
This test is New York state approved.
Specimen Required
Patient PreparationInstructions patient must follow before/during specimen collection.
CollectSpecimen type to collect. May include collection media, tubes, kits, etc.
Green (sodium or lithium heparin).
Specimen PreparationInstructions for specimen prep before/after collection and prior to transport.
Protect both smears and whole blood from light and pack accordingly to avoid breakage. Transport 5 mL whole blood (Min: 1 mL) AND 6 unfixed, well-prepared smears (Min: 6 smears)
Storage/Transport TemperaturePreferred temperatures for storage prior to and during shipping to ARUP. See Stability for additional info.
Room temperature. Send Sunday through Thursday only. Whole blood must be received within 24 hours of collection; smears must be made within 24 hours of collection and received within 7 days of collection.
Unacceptable ConditionsCommon conditions under which a specimen will be rejected.
Specimens collected in EDTA. Poorly prepared smears (too thick or no feather edge). Broken or fixed smears. Specimens that have been spun. Smears made from anything other than heparin. Smears made from blood older than 24 hours. Whole blood not protected from light. Smears not protected from light.
RemarksAdditional specimen collection, transport, or test submission information.
Further information on how to make an adequate smear can be found in the following instructional video: https://www.youtube.com/watch?v=ca3NwrlpS40&feature=youtube
StabilityAcceptable times/temperatures for specimens. Times include storage and transport time to ARUP.
Expected turnaround time for a result, beginning when ARUP has received the specimen.
1-5 days
Reference Interval
Normal range/expected value(s) for a specific disease state. May also include abnormal ranges.
Female: 33-149 (no units) Male: 22-124 (no units)
Interpretive Data
May include disease information, patient result explanation, recommendations, or details of testing.
Refer to Report
Compliance Category
Standard
Note
Additional information related to the test.
Hotline History
N/A
CPT Codes
The American Medical Association Current Procedural Terminology (CPT) codes published in ARUP's Laboratory Test Directory are provided for informational purposes only. The codes reflect our interpretation of CPT coding requirements based upon AMA guidelines published annually. CPT codes are provided only as guidance to assist clients with billing. ARUP strongly recommends that clients confirm CPT codes with their Medicare administrative contractor, as requirements may differ. CPT coding is the sole responsibility of the billing party. ARUP Laboratories assumes no responsibility for billing errors due to reliance on the CPT codes published.
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
Other names that describe the test. Synonyms.
LAP
Leukocyte Alkaline Phosphatase (Test on Delay as of 7/21/2023)