Effective October 1, 2025, Fecal Occult Blood Testing (FOBT) will be unavailable for ordering in adult ED and inpatient units.
Emergency, Inpatient, Southeast Michigan, Southwest Michigan, West Michigan
Browsing Tag
Internal Medicine
Effective Date: September 3, 2025
The MRSA Screen PCR [LAB1231076] detects the presence or absence of colonization with methicillin-resistant Staphylococcus aureus (MRSA) and may be used to guide antimicrobial prophylaxis decisions. To improve and standardize test utilization across all Corewell Health regions, the following restrictions will be added to this test order:
- Ordering will be restricted to one test every 7 days.
- An indication for ordering must be provided for each order. Acceptable indications are:
- Pneumonia
- Skin and soft tissue (use for non-purulent infections)
- Surgical prophylaxis
Studies have shown that there is minimal utility in re-testing within 2 weeks as MRSA conversion rates are low and the PCR negative predictive values remain high for at least 14 days after initial testing.
Absence of nasal colonization with MRSA cannot be used to reliably rule out MRSA infection in scenarios other than those listed above.
Test Information
Corewell Health Laboratories has discontinued routine Vitamin D testing via Tandem Mass Spectrometry (LAB1230925). The new test for diagnosing Vitamin D insufficiency and monitoring therapy is Vitamin D, 25-Hydroxy (LAB1231583), performed daily using an in-house immunoassay method.
Vitamin D screening for deficiency/insufficiency will now be conducted via immunoassay. Current requests for Vitamin D2/D3 by Mass Spectrometry will be sent out.
For any questions or concerns, please contact the Corewell Health West Laboratory.
TEST INFORMATION
Discontinue: LAB1230925 25-Hydroxyvitamin D2 and D3, Serum
Replacement: LAB1231583 Vitamin D 25 Hydroxy
Effective June 4, 2025, Corewell Health Laboratories will include a preliminary result of >10000 mIU/mL for Beta Human Chorionic Gonadotropin (hCG + β) (LAB142) specimens that require dilution. The preliminary result will provide a quick insight on the status of the βhCG quantification analysis. It is important to remember that these results are not definitive, therefore final interpretation should be made alongside the fully validated results.
Corewell Health South and Corewell Health West Laboratories
Effective Date: February 3, 2025
Human Papillomavirus (HPV) Genotypic testing will be updated to expand acceptable sources and collection methods. The following HPV test will be available, and the corresponding testing algorithm will be driven by the clinician specified specimen source and collection method/device.
New Test: Self-Collect HPV High-Risk Screen with HPV Genotype Reflex (LAB1231853)
- Testing Restricted to HPV only –Co-testing Not Available: PAP or STI (CT, NG, TV)
- Detection of 14 HR HPV genotypes:
- HPV Genotype 16
- HPV Genotype 18
- Other HR HPV – includes 31,33,35,39,45,51,52,56,58,59,66,68
- Collection Information:
- Acceptable Source: Patient Self-collected vaginal
- Collection Device: Rovers® Evalyn® Brush (ITM-1303902)
- Collection Instructions: Patients must use the Evalyn Brush in a healthcare setting (i.e. physician office or clinic) to self-collect a vaginal specimen following the Evalyn Brush collection instructions. (Spanish instructions)
- A trained healthcare staff member must immediately suspend the Evalyn Brush into a vial of ThinPrep PreservCyt solution following transport instructions. The ThinPrep PreservCyt vial can then be transported to the lab at 2 to 30°C.
- This may not be collected at home or in an outpatient draw site.
Corewell Health Southwest: Effective February 3, 2025, PAP and HPV results will once again be bundled for all orders placed from that date onward.
Influenza prevalence fluctuates seasonally, and case numbers are currently increasing throughout West Michigan. The onset of “flu season” varies year-to-year though typically begins its upswing in the month of December. It is important for providers to have an awareness of influenza prevalence (in addition to other respiratory viruses) to help guide when influenza testing should be pursued.
The use of point of care (POC) antigen testing reduces both the cost to the patient and turn-around-time as compared to lab-based molecular methods. POC antigen tests are typically available for COVID-19, influenza A/B, and as a COVID-19/influenza A/B combination test. During warmer months when influenza prevalence is negligible yet COVID-19 may be circulating, a COVID-only antigen test may be helpful for diagnosis. As influenza increases into colder months, a COVID-19/Influenza A/B combo test would act as a screen for both viruses.
POC tests generally have high analytical specificity but lack the sensitivity of nucleic acid amplification methods (e.g. PCR). For this reason, PCR testing is still recommended for hospitalized patients and for outpatients with a negative POC result if influenza is still suspected and if the result will impact clinical decision making. Influenza PCR may be ordered as a standalone test (LAB3255) or as a part of a panel alongside COVID-19 and RSV (LAB1230746).
Test Information
- Influenza PCR Epic Code: LAB3255, Interface EMR Code: 11594, CPT Code 87502
- COVID-19, Influenza A/B, RSV PCR Epic Code: LAB1230746, Interface EMR Code: 1230746, CPT: 0241U
Contact/Resources
Local Infection Prevention Team
Michigan Department of Health and Human Services
- Resources: https://www.michigan.gov/flu/resources
- Surveillance information: https://www.michigan.gov/flu/surveillance
Effective Wednesday, January 1, 2025, Corewell Health Ludington Laboratory will discontinue the send out test, Semen Analysis with Strict Morphology.
We recommend to our healthcare providers they send patients to a specialty clinic for fertility testing.
Post-vasectomy testing will not be affected.
If you have any further questions or concerns, please use the contact us link above.
Effective December 2, 2024 at 08:00 AM, Corewell Health West Laboratory Coagulation Department will be updating the reference range for several assays. The following will be impacted by these changes:
APTT testing for the BCS XP analyzers will be updating to 22.0 – 27.0 seconds.
This will include the following tests:
- aPTT Direct Thrombin Inhibitor (LAB1230880) (APTT-DTI)
- Mixing Studies, aPTT (LAB326)
- APTT (LAB325)
- APTT Heparin Neutralization (LAB3377)
Effective December 2, 2024 at 08:00 AM, the Corewell Health West and South Coagulation Departments will be updating the reference range of the Fibrinogen Level (LAB 314) to 190-450 mg/ dL.
Questions may be directed to the Coagulation Laboratory using the Contact Us link above.
Effective December 4, 2024, breath methane will be added to Bacterial Overgrowth, Breath Test (LAB3295) and Lactose Intolerance, Breath Test (LAB3097). As a result, the test will include both breath hydrogen and methane. Methane is being added as a small percentage of patients who have either bacterial overgrowth or lactose intolerance will not produce hydrogen when challenged during the test. These patients are considered methane-producers.
In addition, the collection time point of 150 minutes is being eliminated to align with system-wide standards.
Questions may be directed to the Immunochemistry Laboratory using the Contact Us link above.