Last Modified:
1/27/2022 9:02:07 AM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin (preferred)
or
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Transport & Storage: Temperature/Stability:
72 hours Refigerated
24 hours unspun
Reference Range:
166 - 322 mg/dL
Critical Ranges:
Test Comments:
Methodology:
Immunoturbidimetric
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center
PHL Test Code:
TRSF
EPIC Test Code:
LAB133
Alternate Test Names:
Siderophilin
Included Tests:
CPT Coding:
84466
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