Last Modified:
8/21/2023 1:27:42 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Collect blood using aseptic technique
Minimum Volume:
0.1 mL
Transport & Storage: Temperature/Stability:
7 days Ambient
14 days Refrigerated (Preferred)
30 days Frozen
Rejection Criteria:
No Gel; Gross hemolysis; grossly lipemic; grossly icteric
Reference Range:
C. trachomatis IgG Ab: < 1:64
C. pneumoniae IgG Ab: < 1:64
C. psittaci IgG Ab: < 1:64
Critical Ranges:
Test Comments:
Methodology:
Immunofluorescence Assay (IFA)
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 3 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
CHLYM
EPIC Test Code:
IMO77
Send Out Test Code:
37125X [143282]
Alternate Test Names:
Chlamydia Antibody IgG; Chlamydia Species Antibodies IgG; Chlamydia/Chlamydophila Antibody Panel IgG
Included Tests:
C trachomatis Antibody IgG; C pneumoniae Antibody IgG; C psittaci Antibody IgG
CPT Coding:
86331 x 3
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