RPR With Reflex to Titer and TP-PA Confirmation

Orderable EAP code:

LAB00282

Billable EAP Codes:

80001899 x 1

CPT Codes:

86592 x 1

Lab Section:

Immunology

Includes:

RPR Qualitative. If reactive, reflex to:
• RPR Quant (Titer)
• T. PALLIDUM AB By TP-PA
Additional charges will apply.

Turnaround Time:

Routine: 2 days, additional for reflex testing. 

Test Schedule:

7 days a week

Related Links:

Specimen Requirements:

*Do not order for patients 18 months or older. See comments below.*

4.0 mL blood in serum separator tube (SST) or nonanticoagulated tube (RED top). 
Remove 2.0 mL serum from clot tube and send in an aliquot tube.
Minimum volume is 1 mL serum
Storage/Transport Temperature: Refrigerated

Stable refrigerated (2 to 8 C) for 5 days. If there is a delay in testing, store frozen at -20 C or colder. Avoid repeated freeze/thaw cycle. Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

4.0 mL blood in serum separator tube (SST) or nonanticoagulated tube (RED top).
Remove 2.0 mL serum from clot tube and send in an aliquot tube.
Minimum volume is 1 mL serum
Storage/Transport Temperature: Refrigerated

Stable refrigerated (2 to 8 C) for 5 days. If there is a delay in testing, store frozen at -20 C or colder. Avoid repeated freeze/thaw cycle. Remove specimen from clot or separator gel prior to storage.

Comments:

Recommended test for congenital syphilis screen for patients less than 18 months old (traditional algorithm).
For patients 18 months or greater refer to Syphilis Antibody Screen W/ Reflex To RPR, Titer, and TP-PA Confirm (LAB103756).
T.PALLIDUM AB By TP-PA is sent to ARUP for testing Treponema pallidum Antibody by TP-PA T Treponema Pallidum Antibody by TP-PA (Opens in a new window)

Synonyms:

Syphilis Serology
Syphilis Reverse Testing Algorithm
Rapid Plasma Reagin
Rapid Plasma Reagin Reflex to Titer or TPPA

Immunotyping, Serum

Orderable EAP code:

LAB100002

Billable EAP Codes:

80002029 x 1
86334 x 1 (Profee)
80002029 x 1 (if both ISUB and IFE)

CPT Codes:

86334 x 1
86334 x 1 (Profee)
86334 x 1 (if both ISUB and IFE)

Lab Section:

Immunology

Turnaround Time:

Routine: 6 days

Test Schedule:

Monday through Friday.

Specimen Requirements:

2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. A minimum of 0.5 mL serum is needed. 

Synonyms:

IFE gel
IFE qualitative
Immunofixation, Serum
Immunofixation Electrophoresis Gel
Protein Electrophoresis
SPEP

IgM, Serum

Orderable EAP code:

LAB00279

Billable EAP Codes:

80002068 x 1

CPT Codes:

82784 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 4 days

Test Schedule:

Monday, Wednesday, and Friday.

Specimen Requirements:

2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. Send 1 mL aliquot refrigerated. 

Stability:
Plasma is stable for 7 days refrigerated at 2-8 C                                                                                                     

Pediatric Specimen Requirements:

Minimum volume = 0.5 mL serum

Reference Range:

35 - 263 (mg/dL)

Synonyms:

Immunoglobulins

IgG, Serum

Orderable EAP code:

LAB00278

Billable EAP Codes:

80002067 x 1

CPT Codes:

82784 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 4 days

Test Schedule:

Monday, Wednesday, and Friday.

Specimen Requirements:

2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection.  Send 1 mL aliquot refrigerated. 

Stability:
Plasma is stable for 7 days refrigerated at 2-8 C.

Pediatric Specimen Requirements:

Minimum volume = 0.5 mL serum

Reference Range:

768 - 1632 (mg/dL)

Synonyms:

Immunoglobulins

IgA, Serum

Orderable EAP code:

LAB00277

Billable EAP Codes:

80002066 x 1

CPT Codes:

82784 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 4 days

Test Schedule:

Monday, Wednesday and Friday 

Units:

mg/dL

Specimen Requirements:

2 mL blood in a GOLD top tube. Separate serum from cells ASAP or within 2 hours of collection. Send 1 mL aliquot refrigerated. Serum is stable for 7 days refrigerated at 2 to 8 degrees Celsius.

Pediatric Specimen Requirements:

See above. The minimum volume is 0.5 mL serum.

Reference Range:

68 to 408 mg/dL

Synonyms:

Immunoglobulins

Homocysteine, Plasma

Orderable EAP code:

LAB00460

Billable EAP Codes:

80002119 x 1

CPT Codes:

83090 x 1

Lab Section:

Immunology

Test Schedule:

2 days a week

Specimen Requirements:

5 mL blood in a LAVENDER top tube. 
All specimens must be placed on ice immediately after collection and prior to processing. Plasma should be separated from cells within 6 hours of collection. 
Send 1 mL plasma refrigerated. 

Stability:
Plasma specimen stability is 14 days refrigerated (2-8 C)

Pediatric Specimen Requirements:

Minimum volume = 0.5 mL plasma 

Reference Range:

3.5 to 10.4 umol/L

Synonyms:

Homocysteine Total

Hepatitis C Antibody w/Confirmation by Quantitative PCR

Orderable EAP code:

LAB00105

Billable EAP Codes:

80002034 x 1

CPT Codes:

86803 x 1

Lab Section:

Immunology

Includes:

Hep C Ab
If Equivocal or Reactive reflex to:
HEPATITIS C QUANTITATIVE, PLASMA [LAB00776]
Additional charges apply

Turnaround Time:

Routine: 2 Days, additional time for reflex testing.

Test Schedule:

7 days a week.

Interpretation:

Nonreactive = Antibodies to HCV not detected.
Equivocal = Antibodies to HCV may or may not be present.
Reactive = Presumptive evidence of antibodies to HCV.

Related Links:

Specimen Requirements:

4 ml blood collected in serum separator tube (SST) or EDTA tube. Send 2 mL serum or plasma aliquot.

Minimum volume = 250 uL, 1.5 mL is needed to include reflex testing.

Stability:
Room Temperature (15 - 30°C) – 3 days
Refrigerated (2-8 C) - 7 days
Specimen may be stored on or off the clot, or separator gel.
Frozen -10°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

*Do not order for patients <18 months. See comments below*

4 ml blood collected in serum separator tube (SST) or EDTA tube. Send 2 mL serum or plasma aliquot.

Minimum volume = 250 uL, 1.5 mL is needed to include reflex testing.

Stability:
Room Temperature (15 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -10°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Reference Range:

Nonreactive

Comments:

For patients less than 18 months, order Hepatitis C Quantitative

 (LAB00776)

Used for the qualitative detection of immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies to hepatitis C virus (anti-HCV). May be used to provide presumptive evidence of infection with HCV in conjunction with other laboratory results and clinical information.

This test is not intended for use in screening blood, plasma or tissue donors.

Synonyms:

HCV AB
HCV Screen
Hep C Ab, w/PCR Reflex
Hepatitis C Virus w/Confirmation

Hepatitis B Surface Antibody, Qualitative

Orderable EAP code:

LAB00109

Billable EAP Codes:

80002038 x 1

CPT Codes:

86706 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 days

Test Schedule:

7 days a week 

Interpretation:

Nonreactive = Individual is considered not immune to HBV infection.
Equivocal = The immune status of the individual should be further assessed by considering other factors, such as clinical status, follow-up testing, associated risk factors, and the use of additional diagnostic information.
Reactive = Individual is considered immune to HBV infection.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:
Room Temperature (21 - 30°C) – 3 days
Refrigerated (2-8 C) - 7 days
Specimen may be stored on or off the clot, or separator gel
Frozen -20°C or colder – 3 freeze/thaw cycles

Remove specimen from clot or separator gel prior to storage

Pediatric Specimen Requirements:

Minimum testing age >28 days

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:
Room Temperature (21 - 30°C) – 3 days
Refrigerated (2-8 C) - 7 days
Specimen may be stored on or off the clot, or separator gel
Frozen -20°C or colder – 3 freeze/thaw cycles

Remove specimen from clot or separator gel prior to storage

Reference Range:

Nonreactive

Comments:

To be used for qualitative measurement of antibody response following hepatitis B virus (HBV) vaccination, determination of HBV immune status, and for the laboratory diagnosis of HBV disease associated with HBV infection when used in conjunction with other laboratory results and clinical information.

A reactive Hepatitis B Surface Ab, Qual will reflex to a confirmation.
Additional charges may apply.

This test is not intended for use in patient ≤ 28 days of age.

This test is not intended for use in screening blood, plasma or tissue donors.

 

Synonyms:

HBV Immune Status, HBs AB, HBVs AB, Anti-HBs

Hepatitis B Core Antibody, IgM

Orderable EAP code:

LAB00513

Billable EAP Codes:

80001526 x 1

CPT Codes:

86705 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 Days 

Test Schedule:

7 days a week 

Interpretation:

Nonreactive = IgM anti-HBc antibodies not detected. 
Equivocal = Antibodies to IgM anti-HBc may or may not be present. 
Reactive = Presumptive evidence of HBC; anti-HBc antibodies were detected which may suggests either on-going or previous HBV infection.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.
Minimum volume = 250 uL

Stability:
Room Temperature (24 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Reference Range:

Nonreactive

Comments:

To be used as an aid in the diagnosis of acute, chronic, or resolved hepatitis B virus (HBV) infection in conjunction with other laboratory results and clinical information

This test is not intended for use in screening blood, plasma or tissue donors.

Synonyms:

HBV Core IgM

Hepatitis B Core Antibody

Orderable EAP code:

LAB00107

Billable EAP Codes:

80002036 x 1

CPT Codes:

86704 x 1

Lab Section:

Immunology

Turnaround Time:

Routine: 2 days

Test Schedule:

7 days a week

Interpretation:

Nonreactive = Anti-HBc antibodies not detected; it is possible that the individual is not infected with HBV.

Reactive = Presumptive evidence of HBV.

Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Pediatric Specimen Requirements:

2 ml blood collected in serum separator tube (SST) or EDTA tube. Send 0.5 mL serum or plasma aliquot.

Minimum volume = 250 uL

Stability:
Room Temperature (21 - 30°C) – 3 days.
Refrigerated (2-8 C) - 7 days.
Specimen may be stored on or off the clot, or separator gel.
Frozen -20°C or colder – 3 freeze/thaw cycles.
Remove specimen from clot or separator gel prior to storage.

Reference Range:

Nonreactive 

Comments:

For detection of IgM and IgG antibodies to Hepatitis B Core antigen (anti-HBc). to be used as an aid in the diagnosis of acute, chronic, or resolved hepatitis B virus (HBV) infection in conjunction with other laboratory results and clinical information.

This test is not intended for use in screening blood, plasma or tissue donors.

Synonyms:

HB Core AB, Anti-HBcore

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