Last Modified:
3/9/2021 3:12:16 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
12 hours Fasting
Specimen Requirements:
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Minimum Volume:
0.3 mL
Transport & Storage: Temperature/Stability:
8 hours Ambient
1 week Refrigerated (Preferred)
1 month Frozen
Reference Range:
Negative: < 1.0
Weak Positive: 1.0 - 1.5
Moderate Positive: 1.6 - 2.5
Strong Positive: > 2.5
Critical Ranges:
Test Comments:
Methodology:
Enzyme Immunoassay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
3 to 6 days
Days Performed:
Monday, Wednesday
Sites Performed:
Quest - Chantilly
PHL Test Code:
HISTN
EPIC Test Code:
IMO88
Send Out Test Code:
37056
Included Tests:
CPT Coding:
83516
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