Collagen Profile

Last Modified: 8/30/2023 12:12:42 PM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Serum in a SST Gold Top Tube and
3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Collection Instructions: Lavender: 
Mix tube by inversion 5 times
Do not centrifuge
Specimens must not be clotted. Overfilling or underfilling may allow blood to clot.
Transport & Storage: Temperature/Stability:

ESR Whole Blood Lavendar: 
Must be tested within 4 hours of collection, if testing delayed longer than this Refrigerate
Do not Freeze
Rejection Criteria: due to blood changes or deterioration resulting; QNS
Reference Range: See Individual Tests
Critical Ranges:  
Test Comments:  
Methodology: Multiple
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Sites Performed: Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code: COLL
EPIC Test Code: LAB2373
Included Tests:
Antinuclear Antibody Screen (ANA); Complete Blood Count (CBC) [Automated Differential; Hematocrit (Hct); Hemoglobin (Hgb); Mean Corpuscular Hemoglobin (MCH); Mean Corpuscular Hemoglobin Concentration (MCHC); Mean Corpuscular Volume (MCV); Platelet (PLT);  Red Blood Cell Count (RBC); Red Cell Distribution Width Standard Deviation (RDWSD);  Red Cell Distribution Width Coefficient Variation (RDWCV); White Blood Cell Count (WBC)]; C-Reactive Protein (CRP); Rheumatoid Factor (RF); Sedimentation Rate (ESR)
CPT Coding: 85025, 85652, 86038, 86140, 86431 (Reflexes 85007, 85008, 86039)

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