BRL Administrative Order No. 14-A (1997)

(NAR) VOL. 8 NO. 4 / OCTOBER - DECEMBER 1997

[ BRL ADMINISTRATIVE ORDER NO. 14-A s. of 1997, July 23, 1997 ]

REVISED FEES FOR LABORATORY DIAGNOSTIC PROCEDURES PERFORMED IN THE BUREAU OF RESEARCH AND LABORATORIES (BRL) (AMENDMENT TO ADMINISTRATIVE ORDER NO. 97, 2. 1990)

By virtue of the authority of the Secretary of Health under Executive Order No. 119, dated January 30, 1987, to promulgate rules and regulations necessary to carry out the Department of Health objectives, policies, plans, programs and projects, pursuant to Section 3, General Provisions of Republic Act No. 8250, otherwise known as General Appropriations Act of CY 1997, the following fees shall be charged for certain laboratory examinations performed in the Bureau of Research and Laboratories, this Department: Laboratory Examination Fee A. BACTERIOLOGY 1. Direct Smear for Acid Fast Bacilli (AFB) 60.00 2. Gram Stain 60.00 3. Flourescent Acid Fast Microscopy (FAM) 60.00 test for AFB 4. Culture for Mycobacterium Tuberculosis 415.00 (MTB) (Conventional Method) 5. Sensitivity Test for MTB (Conventional) 250.00 6. Culture for Enteric Organism a. Salmonella/Shigella 550.00 b. Vibrio 550.00 c. E. coli 550.00 d. Aeromonas/Plesiomonas 550.00 e. Campylobacter 550.00 f. Yersinia 550.00 7. Sensitivity Test for the above Enteric 150.00 Organism 8. Blood Culture with sensitivity for S. 415.00 Typhi 9. Culture & sensitivity for N. Gonorrhea 310.00 10.Culture & sensitivity for H. Influenza 550.00 11. Culture & sensitivity for Streptococci 560.00 12.Culture & sensitivity of Staphylococci 380.00 13.Culture & sensitivity for N. Meningitis 470.0014.Other microorganisms from other body 540.00 fluids B. ENVIRONMENTAL HEALTH - WATER ANALYSIS 1. Bacteriological Examination of Water 1.a Total Coliform MPN Tests 90.00 1.b IMVic Test 110.00 1.c Heterotrophic Plate Count 35.00 1.d Fecal Coliform Test (E.C. Test) 70.00 2. Physical/Chemical Exam of Water 1,050.00 (20 Parameters) Odor Color Turbidity pH Residual Acidity Alkalinity Total Chloride Total Hardness Total Iron Total Solids Total Dissolved Solids Fluoride Nitrite Chlorine Calcium Magnesium Manganese Sulfate Total Suspended Solids Silica

C. IMMUNOLOGY

1. Serologic Test for Syphilis 1.1 Venereal Disease Research 85.00 Laboratory(VDRL) 85.00 1.2 Rapid Plasma Reagin (RPR) 150.00 1.3 Treponema Pallidum 350.00 Hemagglutination(TPHA) 1.4 Flourescent Treponema- Antibody Absorption (FTA-ABS) 2. Hepatitis A Virus (HAV-Igm) 275.00 3. Hepatitis B 3.1 HBsAg (Rapid Plasma 180.00 Hemagglutination - RPHA) 110.00 3.2 HBsAg (Immunochromatography 160.00 Assay) 600.00 3.3 HBsAg (Enzyme Immuno Asay - 200.00 EIA)3.4 HBsAg (Confirmatory) 200.00 3.5 Anti-HBc 350.00 3.6 Anti- HBs 3.7 Hbe/Anti-Hbe 4. Hepatitis C 4.1 HCV Antibody (Particle 260.00 Agglutination - PA) 20.00 4.2 HCV Antibody (EIA) 2,695.00 4.3 Hepatitis C Virus (HCV - Confirmatory) 5. HIV Antibody 5.1 HIV-1/2 (Dot Immunoassay) 150.00 5.2 HIV-1 Antibody (PA) 170.00 5.3 HIV-1/2 Antibody (PA) 220.00 5.4 HIV Antibody (EIA) 240.00 5.5 Western Blot (HIV) 1,300.00 5.6 Line Immunoassay (LIA-HIV) 2,375.00

D. IMMUNOHEMATOLOGY

1. Referral Laboratory Services a. ABO Sub-Grouping 385.00 b. Confirmation of weak A or B 2,155.00 c. Weak D Test 315.00 d. Red Cell Phenotyping d.1 Rh Phenotyping 215.00 d.2 Full Red Cell Phenotyping 1,390.00 e. Antibody Screening Test e.1 Saline Technique 130.00 e.2 Low-ionic Strength Solution 145.00 Technique (LISS) 145.00 e.3 Albumin Technique 210.00 e.4 Enzyme f. Antibody Identification Test f.1 Saline 1,635.00 f.2 LISS 2,130.00 f.3 Albumin 2,100.00 f.4 Enzyme 1,800.00 g. Compatibility Testing g.1 Bovine Albumin 405.00 g.2 LISS 410.00 g.3 Enzyme 430.00 2. Routine Services a. Blood Grouping 100.00 a.1 ABO grouping 60.00 a.2 Rh Typing 40.00 b. Direct Antiglobulin Test 150.00 c. Indirect Antiglobulin Test 120.00 E. HEMATOLOGY1. Referral Laboratory Services a. Cytochemistry (Confirmation of Leukemia Limeage) a.1 Wright’s Giemsa 110.00 a.2 Periodic Acid Schiff (PAS) 150.00 a.3 Sudan Black B (SBB) 155.00 a.4 Myeloperoxidase (MPO) 160.00 a.5 Alpha Napthyl Acid Esterase 155.00 (ANAE) 165.00 a.6 Alpha Napthyl Butyrate Esterase 155.00 (ANBE) 155.00 a.7 Napthol AS-D Chloroacetate 180.00 (Exterase (NASDCAE) a.8 Leukocyte Alkaline Phosphatase (LAP) a.9 Acid Phosphatase (ACP) b. Leukemia - Immunophenotyping (8 2,100.00 anti- body staining reagent panel) 2,100.00 c. Lymphoma Screening ( 6 antibody screening panel) d. Hemolytic anemia G-6-PD Assay 450.00 Osmotic Fragility Test 185.00 Acid serum Test (Ham’s test) 170.00 Staining for Heinz bodies and iron 115.00 Sugar Water Test 105.00 2. Routine Services a. CBC with platelet (Automated) 140.00 b. Erythrocyte Sedimentation Rate (ESR) 25.00 (Winthrobe) 60.00 c. Reticulocyte Count (NMB supravital 215.00 Staining ) 260.00 d. Prothrombin Time (Automated ) 40.00 e. Activated Prothrombin Time 200.00 (Automated) 135.00 f. Clotting Time (Manual; Lee & White) g. Bleeding Time (Disposable Bleeding Time Device) h. L.E. Prep. (manual) F. ANATOMIC PATHOLOGY SECTION 1. Exfoliative Cytology 1.a Routine Papanicolaou Staining 60.00 (PAPs) 70.00 1.b Cell block 130.00 1.c Complete Examination for Papanicolaou/ Cell Block 1.d Laboratory Processing : PAP’s (1-2 slides) 50.00 Cell Block (1-2 slides) 60.00 Pap’s/Cell Block (3-4 slides) 120.002. Histopathology 2.a Complete examination for 1 and/or 2 100.00 small specimens 120.00 2.b Complete examination for 3 small 160.00 and 1 large specimens 220.00 2.c Complete examination for 2 large specimens 2.d Complete examination for radical specimens 3. Laboratory Processing 3.a 1 and/or 2 small specimens 90.00 3.b 3 small or 1 large specimens 110.00 3.c 2 large specimens 140.00 3.d Radical specimens 170.00 4. Additional Slides (per slide) 30.00 G. PARASITOLOGY AND MEDICAL ENTOMOLOGY 1. Routine Laboratory Service Capability 1.a Direct Fecal Smear 30.00 1.b Filarial smear (Giemsa stain) 50.00 1.c Malarial smear (Giemsa stain) 50.00 1.d Scotch tape method 50.00 1.e Test for occult blood 30.00 2. Reference Laboratory Service capability 2.a Concentration method for stool 50.00 2.b Staining for amoeba 50.00 2.b.1 Iron Hematoxylin 2.b.2 Trichrome stain 2.b.3 Chlorazol Black E stain 3. Staining of adult worms Sechon Acetic 50.00 Carmine Method 4. Identification of Cryptosporidium by 50.00 staining of modified Acid Fast stain 5. Nucleopore membrane Technique for 75.00 Filaria(Conc. method) 6. Concentration method for Pulmonary 50.00 Flukes 7. Circum-Oval Precipitin Test for 50.00 Schistosoma (COOPT) H. MEDICAL MYCOLOGY 1. KOH Smear 60.00 2. Mycologic culture 100.00

I. BIOCHEMISTRY

1. Routine Clinical Chemistrya. Glucose 60.00 b. Uric Acid 70.00 c. Cholesterol 60.00 d. Creatinine 60.00 e. Blood Urea Nitrogen (BUN) 60.00 f. Alanine Aminotransferase (ALT) 65.00 g. Aspartate Aminotransferase (AST) 65.00 h. Total Protein 60.00 i. Albumin 60.00 j. Alkaline Phos 75.00 k. Total Bilirubin 70.00 2. Special Test/ Special Program [Program Against Micronutrient Malnutrition (PAMM)] a. Urine Iodine 80.00 b. Thyroid Stimulating Hormone (TSH) 40.00 (Blood Spot) The rate of laboratory fees herein promulgated is within the range of usual fees prevailing at the time, and in the different public health laboratories, taking into consideration the cost of reagents, supplies and materials, and qualify control of various laboratory procedures. This Order supersedes all previous issuances inconsistent thereof and shall take effect after fifteen (15) days following its publication in the newspaper of general circulation. Adopted: 23 July 1997

(SGD.) CARMENCITA NORIEGA-REODICA M.D., M.P.H. CESO III Secretary of Health