Last Modified:
5/20/2019 3:38:27 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:
Minimum Volume:
0.5 mL Serum
Transport & Storage: Temperature/Stability:
5 days Ambient
14 days Refrigerated
30 days Frozen
Reference Range:
| Polio 1 Titer |
<1:8 titer |
| Polio 3 Titer |
<1:8 titer |
Critical Ranges:
Test Comments:
Methodology:
Culture/Neutralization
Clinical Significance:
This sensitive procedure is recommended for vaccine response testing and type-specific serodiagnosis of recent poliovirus infection. It can also serve as an aid for diagnosing immune deficiency disorders
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
3 to 8 days
Days Performed:
Monday, Thursday
PHL Test Code:
POLI
EPIC Test Code:
IMO1936
Send Out Test Code:
94106
Alternate Test Names:
Poliovirus (Types 1, 3) Antibodies, Neutralization; Poliovirus Ab; Poliovirus Antibodies; Poliovirus I, III Abs
Included Tests:
Polio Virus 1; Polio Virus 2; Polio Virus 3;
CPT Coding:
86382 x 3
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