Last Modified: 3/27/2019 2:40:31 PM

Medical Necessity Documentation:  
Client Notes:  
Patient Preparation: Overnight Fasting required
Specimen Requirements: 2.0 mL Plasma from a Lavender Top Tube - EDTA in a Plastic Vial
Collection Instructions: Centrifuge and separate from cells immediately
Minimum Volume: 1.1 mL Plasma
Transport & Storage: Temperature/Stability: 28 days Frozen
Rejection Criteria: Ambient or Refrigerated Specimen; Gross hemolysis or icterus
Reference Range: Cord Blood: 215 pg/mL or less
Day 1: 240 pg/mL or less
Day 2: 400 pg/mL or less
Day 3: 420 pg/mL or less 
Day 4 - 3 years: Not Established
4 years - 14 years: <or= 148 pg/mL

Male and Female: 60 pg/mL or less
Critical Ranges:  
Test Comments:  
Methodology: Extraction Radioimmunoassay
Clinical Significance:  
Custom Panel: No


Turn Around Time: 7 to 12 days
Days Performed: Tuesday, Friday
Sites Performed: Quest - Chantilly
PHL Test Code: GLUCO
EPIC Test Code: LAB1005
Send Out Test Code: 519
Included Tests:  
CPT Coding: 82943

Go back to the top of the page.