Last Modified:
3/25/2019 4:31:03 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Serum in a SST Gold Top Tube
Collection Instructions:
Minimum Volume:
0.5 mL
Transport & Storage: Temperature/Stability:
7 days Ambient
14 days Refrigerated
30 days Frozen
Reference Range:
< 1.0 AI
Critical Ranges:
Test Comments:
Methodology:
Immunoassay
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Tuesday, Thursday
Sites Performed:
Quest - Chantilly
PHL Test Code:
GMBAS
EPIC Test Code:
IMO402
Send Out Test Code:
28732 / 257X
Alternate Test Names:
Anti GBM; GBM; Goodpasture Disease Antibody
Included Tests:
CPT Coding:
83520
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