Last Modified:
8/31/2023 3:31:42 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Plasma from a Green Top Tube - Na Heparin in a Plastic Vial
Collection Instructions:
Centrifuge and separate plasma with in 1 hour of collection.
Minimum Volume:
0.2 mL
Transport & Storage: Temperature/Stability:
7 days Ambient
7 days Refrigerated
Rejection Criteria:
Frozen
Reference Range:
<8.4 mg/dL
Critical Ranges:
Test Comments:
Methodology:
Colorimetric
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
3 to 5 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly
PHL Test Code:
PLHGB
EPIC Test Code:
LAB92
Send Out Test Code:
514
Alternate Test Names:
Free Hemoglobin; Hemoglobin Free, Plasma; Hemoglobin Plasma; Plasma Hemoglobin
Included Tests:
CPT Coding:
83051
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