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amylase, serum/plasma
Synonyms:  
Computer Code: AMY
Specimen Collection: 2 mL blood (red, gold, or lithium heparin green top tube).
Pediatrics: 0.5 mL blood (red or lithium heparin green microtainer). 
Minimum Volume: 0.5 mL 
Handling Instructions for Offsite Areas: Allow to clot, centrifuge for 20 minutes and refrigerate. Serum must be removed from red top tube. 
Reference Values: 36-128 IU/L  
Lab Code: CC 
Requisition: C/H
Test Frequency: Daily 
Routine TAT: 2 hr 
Stat TAT: 60 min 
CPT Code(s): 82150 
LCD or NCD: (LCD) http://www.cms.hhs.gov/mcd/results_index.asp?from=%27lmrpstate%27&contractor=179&name=National+Government+Services%2C+Inc%2E+%2813201%2C+MAC+%2D+Part+A%29&letter_range=0&retired  
Methodology Used: 46
See Addendum XVII

Albany Medical Center
43 New Scotland Avenue
Albany, NY, 12208
Date: 11/28/2014
Time: 15:28:28 (24hr)