Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
0.5 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:
Pre and Post samples should be tested together on the same run to avoid variation in results caused by lot-to-lot and inter-assay variation. It is recommended that two Pre tubes be drawn. Save one Pre serum Frozen. The other can be sent to determine the need to vaccinate. If the patient already has protective values, there is no need to revaccinate and test a Post sample. If Pre results do not show protective values, send the saved pre sample together with the Post vaccination sample.
Minimum Volume:
0.25 mL Serum
Transport & Storage: Temperature/Stability:
7 days ambient
60 days Refrigerated
1 days Frozen
Reference Range:
Refer to Interpretive Results
Critical Ranges:
Test Comments:
Methodology:
Multi-Analyte Immunodetection (MAID)
Clinical Significance:
Responses to pneumococcal vaccines are demonstrated by 2- to 4-fold increases in the levels of IgG recognizing approximately 70% of the serotypes contained within a given pneumococcal vaccine.
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Quest - Chantilly to San Juan Capistrano
PHL Test Code:
PN23
EPIC Test Code:
IMO1959
Send Out Test Code:
16963
Alternate Test Names:
Pneumococcal Ab, 23 Serotypes
Included Tests:
Serotypes 1, 2, 3, 4, 5, 8, 9 (9N), 12 (12F), 17 (17F), 14, 19 (19F), 20, 22 (22F), 23 (23F), 26 (6B), 34 (10A), 43 (11A), 51 (7F), 54 (15B), 56 (18C), 57 (19A), 68 (9V), 70 (33F)
CPT Coding:
86317 x 23