Alpha-1-Antitrypsin PhenotypR™ PLUS

Last Modified: 8/12/2021 5:15:02 AM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements:

1.0 ml serum in an SST Gold Top Tube
1.0 mL plasma in a PST Mint Green Top Tube – Li Heparin

Collection Instructions:  
Minimum Volume: 0.6 mL Serum
Transport & Storage: Temperature/Stability:

6 hours Ambient
7 days Refrigerated (preferred)
30 days Frozen

Rejection Criteria: Gross hemolysis • Lipemia • Received room temperature
Reference Range:

Alpha-1-Antitrypsin: 90-200 mg/dL

Alpha-1-Antitrypsin Phenotype: See Laboratory Report

Critical Ranges:  
Test Comments:  
Methodology: Multiple
Clinical Significance:  
Custom Panel: No


Turn Around Time: 3 to 7 days
Sites Performed: Parkview Regional Medical Center, Quest - Chantilly to San Juan Capistrano
PHL Test Code: A1AP
EPIC Test Code: IMO163
Send Out Test Code: 853
Alternate Test Names: A1A Phenotype Plus; Alpha 1 Antitrypsin Phenotype PLUS
Included Tests: Alpha-1-Antitriypsin; A1AT Phenotype
CPT Coding: 82103, 82104

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