Last Modified:
1/15/2024 12:45:33 PM
Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:
Must have ABN - Can Not be billed to Medicare or Medicaid
Client Notes:
Patient Preparation:
Overnight fasting is preferred
Specimen Requirements:
2.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Do not submit specimens that have been heat treated. Do not submit the sample in a glass tube.
Do not collect in a Serum Separator Tube (SST or PST)
Minimum Volume:
0.1 mL Serum
Transport & Storage: Temperature/Stability:
7 days Ambient
28 days Refrigerated
1 year Frozen
Reference Range:
>200 ng/mL
Critical Ranges:
Test Comments:
Methodology:
Enzyme Immunoassay
Clinical Significance:
Deficiency in either MBL or MASP-2 appears to predispose individuals to serious infections (e.g. pneumonitis, sepsis, osteomyelitis, gastroenteritis and meningitis) especially during childhood before the adaptive immunity has fully developed
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
5 to 7 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly to Europhins
PHL Test Code:
MBL
EPIC Test Code:
LAB2718
Send Out Test Code:
39788
Alternate Test Names:
Mannan Binding ; Mannose Binding Lec; Mannose-binding Lectin; MBL
Included Tests:
CPT Coding:
86161
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