Labs

Lab Orders for Islet Cell Screening

INTERSCIENCE INSTITUTE (1-800-255-2873) OR QUEST LABORATORIES PREFERRED

PATIENT MUST FAST FOR 8-12 HOURS-NO BRUSHING TEETH OR RINSING OUT MOUTH OR CHEWING GUM ETC.

			CPT	ICD-9 FROM LIST BELOW
[ ]	CAL	Calcitonin	82308	__________________

[ ]	GSTR	Gastrin	82941	__________________

[ ]	GRP	Gastrin Releasing Peptide	83520	__________________

[ ]	NEUR	Neurotensin	83519	__________________

[ ]	PANCR	Pancreastatin	83520	__________________

[ ]	PP	Pancreatic Polypeptide	83520	__________________

[ ]	SUBP	Substance P	83519	__________________

[ ]	VIP	Vasoactive Intestinal Polypeptide	83520	__________________

[ ]	CHRG	Chromogranin-A	83519	__________________

		OTHER TESTS	CPT	ICD-9 From List Below

[ ]	MOTL	Motilin	83519	__________________

[ ]	GLUGON	Glucagon	82943	__________________

[ ]	IPTH	Parathyroid Hormone Intact (PTH)	83970	__________________

[ ]	GRHR	Growth Hormone (HGH)	83003	__________________

[ ]	IDF1	Insulin-like Growth Factor 1	83003	__________________
		(AKA Somatomedin C)

[ ]	SERO	Serotonin	84260	__________________

[ ]	CHGR	Chromogranin-A	83519	__________________

[ ]	PANCR	Pancreastatin	83520	__________________

[ ]	NEUROA	Neurokinen-A	83519	__________________

[ ]	SUB P	Substance-P	83519	__________________

[ ]	5 –HIAA*		83497	__________________
	* special dietary restrictions apply to this test


	Reprinted with permission of Dr. Eugene Woltering