Last Modified:
2/4/2019 4:21:01 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Allow blood to clot at room temp or 37°C for 20 to 60 minutes.
Centrifuge to thoroughly remove cells and immediately transfer cell-free serum to a fresh tube and freeze the cell-free serum on dry ice or at -70°C.
Minimum Volume:
1.0 mL Serum
Neonatal Volume:
0.25 ml serum
Transport & Storage: Temperature/Stability:
Frozen at -70°C: 1 year
Rejection Criteria:
Room Temp, Refrigerated, thawed, Gel/SST tubes,
Reference Range:
| Human Male |
77-159 |
| Human Female |
77-159 |
Critical Ranges:
Test Comments:
Methodology:
Hemolytic Assay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
32 to 35 days
Days Performed:
Tuesday
Sites Performed:
Quest - Chantilly to National Jewish Health
PHL Test Code:
AH50
EPIC Test Code:
IMO440
Send Out Test Code:
S48672
Alternate Test Names:
AH 50 Alternate Pathway; AH50; Alternate Pathway; Alternate Pathway Total Function Activity; Total Function Activity
Included Tests:
CPT Coding:
86162
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