Specimen Collection and Test Updates – November 2025

Test Updates

• Several referral/send out tests were updated on November 19th. For a complete list please review crosswalk or the Service Updates page
• New
  • LAB1232144 Fungal Stain, Vaginal (Southwest Only)
• Deactivated:
  • ADENOSINE DEAMINASE, PERICARDIAL FLUID, LAB1231227
  • ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS, LAB1231533
  • MEPHEDRONE, MDPV AND METHYLONE, RANDOM URINE, LAB3517
  • LEAD/CREATININE RATIO, RANDOM, URINE, LAB1230734
  • MERCURY/CREATININE RATIO, RANDOM, URINE, LAB1230732
  • ANTI-ENTEROCYTE ANTIBODIES, LAB1230007

Other updates

• Document: Referral/Send Out Guide
• Document: Reflex Testing

EMR/LIS Updates (eSHare or EHR Interface):

The following lab tests have updated information for interfaced clients (non-Corewell Health/Independent Outpatient offices or not on Corewell Health EPIC) with Corewell Health Laboratories. If you did not receive the file definition via email, please contact your vendor, the PRAS Team or use the Contact Us link above.

If you require a file definition or compendium for your EMR please use the “Contact Us” link above.

FAQ for Orders and Results Interface

Several tests were updated on November 19th for the referral test transition to Quest Diagnostics. For a list of these tests, please us the Contact Us link above.

New Tests

The following tests have been added to the compendium. Please contact the PRAS team or use the contact us link above for more information, including result codes.

• Maternal Cell Contamination [1230490]
  • Result: Molecular Interpretation [12309994]
• Chronic Lymphocytic Leukemia (CLL) IGHV Mutational Status [1231012]
  • Result: IgHV Mutational Status [12310572]
  • Result: Molecular Interpretation [12309994]
  • Result: Molecular Comments [12309931]
  • Required AOE Question: Specimen Source [LAB430] Free Text
• HLA B58 Screen for Allopurinol Sensitivity [1231982]
  • Result: HLA-B 58:01 result [12313369]
  • Result: Molecular Interpretation [12309994]
  • Result: Molecular Method [12309995]
• Oral Glucose Suppression Test [1231566]
  • Result: 1239991374 GLUCOSE FASTING
  • Result: 1239991370 GROWTH HORMONE LEVEL CHE
  • Result: 1239991386 GLUCOSE, 30 MINUTES OGST CHE
  • Result: 1239991644 GROWTH HORMONE, 30 MINS CHE
  • Result: 1239991388 GLUCOSE, 60 MINUTES OGST CHE
  • Result: 1239991645 GROWTH HORMONE, 60 MINS CHE
  • Result: 1239991648 GLUCOSE, 90 MINUTES OGST CHE
  • Result: 1239991646 GROWTH HORMONE, 90 MINS CHE
  • Result: 1239991385 GLUCOSE, 120 MINUTES OGST CHE
  • Result: 1239991647 GROWTH HORMONE, 120 MINS CHE

Discontinued Tests

• B-ALL PROBE PANEL BY FISH [55101]
  • Replacement: B-ALL PROBE PANEL WITH REFLEX TO PHILADELPHIA CHROMOSOME-LIKE TESTING [1232085]
    • Result: 12301136 Case Report
    • Result: 12310214 Cytogenetics Addendum 2
    • Result: 12301142 Cytogenetics Addendum
    • Result: 12305819 FISH Final Report
    • Result: 12305817 Cytogenetics Prelim Report
    • Required AOE Questions:
      • Specimen Type LAB431 – Multiple Choice: 1. Blood, 2. Bone Marrow, 3. Tissue
      • Known Down Syndrome Patient LAB432 – Multiple Choice 1. Yes, 2. No, 3. Unknown
      • Known Hispanic Descent LAB433 – Multiple Choice 1. Yes, 2. No, 3. Unknown
      • Clinical Information LAB434- Free Text
• Ig Heavy Chain Gene Rearrangement PCR [10533]
  • Immunoglobulin Heavy Chain Gene Rearrangement by PCR [1231620]
    • Result: 12309994 Molecular Interpretation
    • Result: 12309931 Molecular Comments
    • Required AOE Question: Specimen Source LAB430 – Free Text
• TCR Gamma PCR [10534]
  • Replacement: T Cell Gene Rearrangement by PCR 1230966
    • Result: 12309994 Molecular Interpretation
    • Result: 12309931 Molecular Comments
    • Required AOE Question: Specimen Source LAB430 – Free Text
• ADENOSINE DEAMINASE, PERICARDIAL FLUID [1231227]
• ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS [1231533]
• MEPHEDRONE, MDPV AND METHYLONE, RANDOM URINE [3517]
• LEAD/CREATININE RATIO, RANDOM, URINE [1230734]
• MERCURY/CREATININE RATIO, RANDOM, URINE [1230732]
• ANTI-ENTEROCYTE ANTIBODIES [1230007]

AOE Question Changes

• LAB435 Specimen Type – 1. Paraffin Block, 2 Tissue, 3. Body Fluid, 4. Blood, 5. Bone Marrow
• LAB146 Patient Status – 1. Cyclic, 2. Post-Menopausal, 3. Pregnant, 4. Post-partum 5. Post-hysterectomy, cervix present, 6. Post-hysterectomy cervix not present, 7. Other (enter comment)
  • Remove: Non-pregnant and Post-hysterectomy
• REMOVE: LAB206 Hysterectomy MC

All specimen collection updates