Last Modified:
6/10/2019 3:33:24 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions:
Minimum Volume:
1.0 mL
Transport & Storage: Temperature/Stability:
14 days Refrigerated
Reference Range:
Normal
Critical Ranges:
Test Comments:
If screen is resulted as abnormal a hemoglobin electrophoresis will be ordered and charged.
Hemoglobin F may cause false negative results. Do not use this test for infants under 6 months of age.
Methodology:
Hemoglobin Reduction
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
SCELX
EPIC Test Code:
LAB2316
Included Tests:
CPT Coding:
85660 (Reflexes 83020)
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