Last Modified:
5/17/2019 4:08:14 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Centrifuge within one hour of collection
Minimum Volume:
0.3 mL
Transport & Storage: Temperature/Stability:
1 week Ambient
2 weeks Refrigerated
1 month Frozen
Reference Range:
M2 IgG Ab:
< or = 20.0 units Negative
20.1 - 24.9 units Equivocal
> or = 25.0 units Positive
Critical Ranges:
Test Comments:
Methodology:
Enzyme Immunoassay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Wednesday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
MITOC
EPIC Test Code:
IMO400
Send Out Test Code:
6932 / 30321X
Alternate Test Names:
AMA; Antimitochondrial Antibody ; Antimitochondrial M2 Antibody; Mitochondrial Antibody
Included Tests:
CPT Coding:
83520
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