Technical Coordinator, Hematology
610-447-2327 (15-2327)

Technical Coordinator, Microbiology
610-447-2248 (15-2248)

Outreach Marketing Coordinator
610-490-7921 (15-7921)

The Crozer-Keystone Health System Hospital Laboratories provide venipuncture services to inpatients at Crozer-Chester Medical Center, Delaware County Memorial Hospital and Springfield Hospital, and to outpatients at all sites.

Crozer-Chester Medical Center
Inpatient: The Laboratory collects routine specimens beginning at 0600 (6 AM), and every 2 hours. Orders for the 0600 collection must be placed by 0400. All other collections must be placed at least 1 hour before the scheduled round.

Note: The Laboratory does not collect STAT specimens. These specimens must be collected by the floor personnel, and then delivered to the Laboratory.

Outpatient: Ambulatory Pavilion: Collections are performed in the collection area on the first floor.
Monday-Friday, 6:30 AM - 4:00 PM
Saturday, 7:30 AM – 12 Noon

Delaware County Memorial Hospital
Inpatient: The Laboratory collects routine specimens beginning at 0600 (6 AM) and every 2 hours. Orders for the 6 AM collection must be placed by 0400. All other collections must be placed at least 1 hour before the scheduled round.

Note: The Laboratory team does not collect STAT specimens. These specimens must be collected by the floor personnel, and then delivered to the Laboratory.

Outpatient: Medical Office Building: Collections are performed in the collection area on the second floor.
Monday - Friday, 7 AM - 3 PM
Saturday, 7:30 AM - 11:30 AM

Springfield Hospital
Inpatient: The Laboratory collects routine specimens at 0600 (6 AM), 1000 (10 AM), 1400 (2 PM), 1800 (6 PM), and 2200 (10 PM). The Laboratory does not collect STAT specimens.

Outpatient: Collections are performed in the laboratory collection area on the first floor.
Monday - Friday, 7:30 AM -7 PM
Saturday, 8 AM - 12 noon

Taylor Hospital
Inpatient: Collections are performed by the floor personnel.

Outpatient: Collections are performed on the first floor registration area.
Monday - Friday, 7 AM - 3:30 PM
Saturday, 7:30 AM - 11:30 AM

Media Medical Plaza

Crozer-Keystone Laboratory
200 East State St.
Media, PA
610-480-8253

Outpatient: Collections are offered at Media Medical Plaza in Media.
Monday – Friday 7:30 AM – 3:30 PM

Crozer Medical Plaza at Brinton Lake

Crozer Clinical Labs - Suite 130
300 Evergreen Drive
Glen Mills, PA  19342
610-579-3434

Outpatient: Collections are offered at the Crozer Medical Plaza at Brinton Lake.
Monday – Friday 7:00 AM – 3:00 PM

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Tests with Standard Required Reflexes and Microbiology Protocols 2007

Tests with Standard Required Reflexes are defined as those tests that will automatically generate an order for additional testing when specific criteria are satisfied that indicate the medical necessity of performing the additional testing. The ranges for reflex testing are based upon medical criteria, to meet patient needs and are generally accepted medical practice. The reflexive testing will be billed either as the single charge or at an additional charge based on the service performed. 

Initial Test	CPT Code for Initial Test	Result Reflex Criteria	2nd or Confirmatory Test	CPT Code for 2nd  or Confirmatory Test
ANCA Inflammatory Bowel Disease	86021	Positive	ANCA Titer	86256
Antibody Screen, RBC with reflex Identification and Titer (when applicable)	86850	Positive	Antibody Identification (includes DAT) and Titer, RBC	86870, 86880, and 86886 (if applicable)
Antiepidermal Antibody	86255 (X2)	Positive	Antiepidermal Antibody Titer	86256 (X2)
Antinuclear Antibodies (ANA)	86038	Positive	ANA, Titer and Pattern	86039
ASO, Qualitative	86063	Positive	ASO, Quantitative	86060
Cardiolipin Antibody Screen	83516	Positive or Equivocal	Cardiolipin IgG, IgA, and IgM	86147 (X3)
Cat Scratch Disease Antibodies screen with reflex	86611 (X4)	Positive	Bartonella henselae (IgG and IgM) and Bartonella quintana (IgG and IgM) titer	86611 (X4)
Chlamydia/GC DNA Probe with reflex	87800	Positive	Chlamydia/GC Identification	87490 and 87590
CMV, Qualitative	86644	Positive	CMV, Quantitative and IgM	86644 and 86645
CPK, Total	82550	Total CK result <100	Isoenzymes canceled	CK Isoenzymes (MB fraction) 82553
Cryptococcal Antigen, Qualitative	86403	Positive	Cryptococcal Antigen, Quantitative	86406
DAT with reflex to Eluate and Antibody	86880	Positive	Eluate and Antibody Identification	86860 and 86870
Endomysial AB IGA with reflex titer	86255	Positive	Endomysial Antibody Titer	86256
HCG, Qualitative	84703	Positive	HCG, Quantitative	84702
Hepatitis B Surface Antigen	87340	Borderline or positive	Hepatitis B Surface Antigen confirmation	86341
HIV-1 Antibody	86701	Positive	HIV-1 Antibody Confirmation by Western Blot	86689
Immediate Spin Crossmatch with positive Antibody Identification	86920	Positive antibody Identification	Full crossmatch	86921 and 86922
Islet Cell Antibody	86341	Positive	Islet Cell Antibody Titer	86256
Liver Kidney Microsomal Antibody Screen	86376	Positive	Liver Kidney Microsomal Antibody Titer	86256
Lyme Disease Antibody, IgG and IgM	86618	Positive	Western Blot	86617 (X2)
Mitochondrial Antibody	86255	Positive	Mitochondrial Antibody Titer	86256
Myelin Associated Glycoprotein	84182	Positive	MAG-SGPG by EIA and MAG EIA	83520 (X2)
Myocardial Antibody Screen	86255	Positive	Myocardial Antibody Titer	86256
Parietal Cell Antibody Screen	86255	Positive	Parietal Cell Antibody Titer	86256
Purkinje Cell Antibody	86255	Positive	Purkinge Cell Antibody Titer	86256
Q Fever Antibody	86638 (X4)	Positive	Q Fever Antibody (Includes Phases I & II, IgG, and IgM titers)	86638 (X4)
RPR	86592	Reactive	RPR Titer	86593
RPR with reflex FTA	86592	Reactive	FTA	86781
Skeletal Muscle (Striated Muscle) Antibody	86255	Positive	Skeletal Muscle Antibody Titer	86256
Smooth Muscle Antibody	86255	Positive	Smooth Muscle Antibody Titer	86256
Teichoic Acid Antibody	86331	Positive	Teichoic Acid Antibody Titer	86329
TSH with reflex Free T4	84443	< 0.350 uIU/mL or > 5.500 uIU/mL	Free T4	84439
Urinalysis with reflex Microscopic	81003	Laboratory established criteria	Urinalysis with microscopic	81001

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Microbiology Protocols are defined as those tests that will either be automatically included with a request or will generate additional testing when specific criteria are satisfied that indicate the medical necessity of performing the additional testing. The testing is based upon medical criteria, to meet patient needs and are generally accepted medical practice for Microbiology. The reflexive testing will be billed either as the single charge or at an additional charge based on the service performed.

Initial Test	CPT Codes for Initial Test	Protocol Criteria	Additional Test	CPT Code for Additional Test
Abscess culture Culture, other source with gram stain (Aerobic Culture)	87070 87205 (GS)	All specimens collected appropriately	Aerobic culture Anaerobic culture Gram stain	87075 87205 (GS) (Anaerobic Culture)
Tissue culture Culture, other source with gram stain (Aerobic Culture)	87070 87205 (GS)	All specimens collected appropriately	Aerobic culture Anaerobic culture Gram stain	87075 87205 (GS) (Anaerobic Culture)
Fluid culture Culture, other source with gram stain (Aerobic Culture)	87070 87205 (GS)	All specimens collected appropriately	Aerobic culture Anaerobic culture Gram stain	87075 87205 (GS) (Anaerobic Culture)
Strep screen (DCMH Only)	87430	Negative	Strep screen culture Aerobic Culture (Throat Culture)	87070
CSF Bacterial antigen	87899 (X4)	All specimens	CSF culture Aerobic Culture	87070 87205 (GS)
Stool culture (children < 13 years)	87045 87205 (GS)	All specimens	Culture for E Coli0157: Add Pathogen	87046
AFB stain only	87206	All specimens except those submitted on slide	AFB culture	87116

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Critical (Panic) and Urgent Values
Crozer-Keystone Health System Laboratories

To ensure that potentially life-threatening laboratory results are reported to a responsible individual in a timely manner, values that meet or exceed the following limits will be called to the physician.