C4a Level

Last Modified: 12/1/2020 9:56:22 AM

Medical Necessity Documentation:  
Client Notes:

If your site does not have dry ice or a -70 freezer on site please contact the laboratory at 266-1500 (Option 1) and request dry ice for before collected 
send the patient to the Outpatient Service Center at 11141Parkview Plaza Drive,Suite100 Fort Wayne, IN Entrance 3. for collection.

Patient Preparation:  
Specimen Requirements:

1.0 mL Frozen Plasma from a Lavender Top Tube - EDTA in a Plastic Vial 

Pediatric Volume: 500 uL Frozen Plasma from a Lavender Top Tube - EDTA in a Plastic Vial 

Collection Instructions: Mix by inverting tube 8 times
Centrifuge at room temperature within one half hour of collection; preferably immediately after venipuncture. 
Transfer the cell-free plasma to a clean tube and immediately freeze on dry ice or at -70° C.

Separate specimens must be submitted when multiple tests are ordered
Minimum Volume: 0.5 mL Plasma
Transport & Storage: Temperature/Stability: Frozen -70° C: 1 year
 (Freeze & Transport in Dry Ice)

Rejection Criteria: Received Ambient • Received Refrigerated • Received Thawed • Frozen at -20°
Reference Range:

Human Male: 0-2830 ng/mL
Human Female: 0-2830 ng/mL

Critical Ranges:  
Test Comments:  
Methodology: Radioimmunoassay (RIA)
Clinical Significance:  
Documentation: This test uses a kit/reagent designated by the manufacturer as "for research use, not for clinical use". The performance characteristics of this test have been validated by National Jewish Clinical Reference Laboratories. It has not been cleared or approved by the US Food and Drug Administration. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. This laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA-88) as qualified to perform high complexity clinical laboratory testing.
Custom Panel: No


Turn Around Time: 21 to 22 days (1st and 3rd Thur of the month)
Days Performed: Thursday
Sites Performed: National Jewish Health
PHL Test Code: MSOT
EPIC Test Code: MISC
Send Out Test Code: C4AR
Alternate Test Names: C4a anaphylatoxin; C4a complement, RIA; C4a des Arg Level; C4ades Arg Level ; C4AL; Complement Component 4A ; Radial Immuno Assay (C4a Level)
Included Tests:  
CPT Coding: 86160

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