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Test Directory

Lysozyme (Muramidase)

Test Summary

Lysozyme in the serum is primarily due to the degradation of granulocytes and monocytes and its concentration reflects the turnover of these cells. Increases are seen in benign and malignant processes. Serum lysozyme is elevated in patients with acute or chronic granulocytic or monocytic leukemias and levels decrease with successful treatment. Conversely, patients with lymphocytic leukemia may have depressed plasma lysozyme levels.

Aliases

  • N/A

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum

Minimum Volume

0.5 mL

Instructions

Centrifuge serum specimens within 1 hour of collection. Transfer serum to sterile, plastic, screw-cap vial. Delayed separation of the serum can result in spuriously high levels of lysozyme, presumably because of the breakdown of leukocytes.

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 24 hours
  • Refrigerated: 15 days
  • Frozen: 18 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Room temperature samples older than 24 hours • Plasma collected in citrate or heparin • Moderate to gross hemolysis • Grossly lipemic

Order Code

LYSOZM

EPIC (Premier) Code

LAB640

Includes

N/A

CPT Code

  • 85549

Billing Code

  • 700000

CPT Statement

Methodology

Enzymatic

FDA Status

This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. The FDA has determined that such clearance or approval is not necessary. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Physician Attestation of Informed Consent

N/A

Testing Laboratory

Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly VA, 20153

Reference Range

5.0-11.0 mcg/mL

Setup Schedule / Expected Turnaround Time

Monday - Saturday morning; Report available: Next day

Specimen Collection

Special Instructions

N/A

Preferred Specimen

1 mL serum

Minimum Volume

0.5 mL

Instructions

Centrifuge serum specimens within 1 hour of collection. Transfer serum to sterile, plastic, screw-cap vial. Delayed separation of the serum can result in spuriously high levels of lysozyme, presumably because of the breakdown of leukocytes.

Patient Preparation

N/A

Storage

Plastic screw-cap vial

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

  • Room temperature: 24 hours
  • Refrigerated: 15 days
  • Frozen: 18 days

Limitations

N/A

Other Acceptable Specimens

N/A

Unacceptable Specimens

Room temperature samples older than 24 hours • Plasma collected in citrate or heparin • Moderate to gross hemolysis • Grossly lipemic

Billing

CPT Code

  • 85549

Billing Code

  • 700000

CPT Statement

Result Information

Methodology

Enzymatic

Testing Laboratory

N/A

Reference Range

5.0-11.0 mcg/mL

Setup Schedule / Expected Turnaround Time

Monday - Saturday morning; Report available: Next day