Last Modified:
12/28/2022 8:51:43 AM
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:
0.3 mL Serum
Transport & Storage: Temperature/Stability:
7 days Ambient (transport)
14 days Refrigerated
30 days Frozen
Rejection Criteria:
Gross hemolysis • Grossly lipemic • Grossly icteric
Reference Range:
≥0.01 IU/mL
Critical Ranges:
Test Comments:
Methodology:
Immunoassay (IA)
Clinical Significance:
Used to evaluate diphtheria immunization response. Antibody levels of > or = to 0.10 IU/mL are considered protective. For Pre and Post vaccination testing to assess normal immune response
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
1 to 2 days
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Quest - Chantilly
PHL Test Code:
TET3R
EPIC Test Code:
IMO173
Send Out Test Code:
4865
Alternate Test Names:
Anti Diphtheria ; Diphtheria Toxoid IgG Antibodies; DPT Titer
Included Tests:
CPT Coding:
86648
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