Humoral Immune Eval 14

Last Modified: 3/27/2019 3:40:10 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 0.5 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:  
Minimum Volume: 0.25 mL Serum
Transport & Storage: Temperature/Stability: 7 days Ambient 
14 days Refrigerated
90 days Frozen
Reference Range: Refer to Interpretive Results
Critical Ranges:  
Test Comments:  
Methodology: Multiple Analyte Immuno Detection (MAID)
Clinical Significance:

This panel measures IgG antibodies recognizing 14 type-specific pneumococcal polysaccharide antigens included in the polyvalent vaccine, 1, 3, 4, 5, 8, 9 (9N), 12 (12F), 14, 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 (18C) and 68 (9V).

Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 3 to 5 days
Days Performed: Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed: Quest Diagnostic Infectious Disease
PHL Test Code: HISS
EPIC Test Code: IMO126
Send Out Test Code: 19564 & 1331
Alternate Test Names: HISS Panel; Humoral Immune Eval 14; Humoral Immune Evaluation; Humoral Immune Evaluation (Pneumo 14); Humoral Immune Status; Streptococcus pneumoniae IgG Ab (14 Sero), MAID; Streptococcus pneumoniae IgG Ab Panel (14 Se
Included Tests: Diphtheria Toxoid IgG Antibodies; Serotypes 1, 3, 4, 5, 8, 9 (9N), 12 (12F), 14, 19 (19F), 23 (23F), 26 (6B), 51 (7F), 56 (18C), 68 (9V); Tetanus Toxoid IgG Antibodies
CPT Coding: 86317 x 14, 86648, 86774

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