Specimen

Dried Blood

Collection Medium:

Minimum:

Five completely filled circles of dried blood on UHL-INMSP requisition

Analytic Time:

1 week

Reference Range:

By report

Comments:

Iowa Neonatal Screening Program protocol detects primary 
hypothyroidism, galactosemia, hemoglobin disorders, and congenital 
adrenal hyperplasia.

Effective 9/3/05, the Iowa Neonatal Screening Program offers an 
Expanded Screening Disorders:
ABNORMAL ANALYTES:  Analytes refer to amino acids:  [(ARG) Arginine, 
(ASA) Argininosuccinic Aciduria, (CIT) Citrulline, (LEU) Leucine, (MAA) 
Multiple Amino Acids, (MET) Methionine, (PHE) Phenylalanine, (TPN) 
Total Parenteral Nutrition, (TYR) Tyrosine, (VAL)Valine] and 
acylcarnitines:  [LOW C0, HI C0, C3, C3-DC, C4, 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, 
C0/C16, C16:1-OH, C18-OH, C18:1, C18:1-OH, (MAC) multiple 
acylcarnitines] that are outside normal range limits.

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