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Orderable EAP code:

LAB103956

Billable EAP Codes:

80005653 x 1

CPT Codes:

81377 x 1

Lab Section:

Sendout

Specimen Requirements:

2 mL blood in a LAVENDER top (EDTA) tube.

Pediatric Specimen Requirements:

2 mL blood in a LAVENDER top (EDTA) tube.

Comments:

Aids in predicting risk of antibody formation to infliximab, adalimumab or biosimilars.

A Genetics Informed Consent form is required. Please see the link.

Orderable EAP code:

LAB102888

Billable EAP Codes:

80002619 x 1

80005395 x 1

CPT Codes:

86317 x 1

0035U x 1

Lab Section:

Sendout

Comments:

Follow the ARUP link for the required form "NPDPSC Test Request Form for 14-3-3 Testing", which must be submitted with the order.

Synonyms:

14-3-3 Protein Tau, Total, CSF
CJD
Creutzfeldt-Jakob Disease
Human Prion Disease
Prion Markers
RT QuIC

Orderable EAP code:

LAB103897

Billable EAP Codes:

80005648 x 6

80005646 x 6 (if titer reflexes)

CPT Codes:

83516 x 6

83520 x 6 (if titer reflexes)

Lab Section:

Sendout

Synonyms:

Anti-GM1 Antibody
Asialo GM-1 Antibody
Disialo GD1b
GA1
GM1 Antibody Panel
Monosialo GM-1 Antibody

Orderable EAP code:

LAB101359

Billable EAP Codes:

80002103 x 1

CPT Codes:

86256 x 1

Lab Section:

Sendout

Orderable EAP code:

LAB103895

Billable EAP Codes:

80005683 x 1

CPT Codes:

83516 x 1

Lab Section:

Sendout

Synonyms:

PLA2R

Orderable EAP code:

LAB103894

Billable EAP Codes:

80005650 x 1

CPT Codes:

86255 x 1

Lab Section:

Sendout

Synonyms:

Anti-PLA2R

Orderable EAP code:

LAB103858

Billable EAP Codes:

80001491 x 1

80001491 x 2 (if reflexes)

CPT Codes:

86618 x 1

86618 x 2 (if reflexes)

Lab Section:

Sendout

Comments:

If VlsE1/pepC10 antibodies by ELISA is 0.91 IV or greater, then IgM and IgG by ELISA will be added with two additional charges.

Synonyms:

Lyme disease
Lyme disease C6 peptide Ab reflex panel, Modified 2-tier testing
Lyme disease VlsE1/pepC10 Total Ab, ELISA reflex to IgM and IgM ELISAs
MTTT
VlsE lipoprotein, VlsE1/pepC10 assay

Orderable EAP code:

LAB103803

Billable EAP Codes:

80005603 x 1

CPT Codes:

86363 x 1

Lab Section:

Sendout

Synonyms:

ADEM antibody
MOG
MOG-IgG
NMO antibody
Optic Neuritis Antibody
Transverse Myelitis Antibody
Vision Loss Antibody

Orderable EAP code:

LAB103800

Billable EAP Codes:

80001511 x 1

80001512 x 1

CPT Codes:

86665 x 2

Lab Section:

Sendout

Synonyms:

EBV Antibodies
EBV Antibody Panel II
EBV VCA-IgG Ab
EBV VCA-IgM Ab
Infectious Mononucleosis Antibody Panel
VCA (Viral Capsid Antigen) IgG and IgM

Orderable EAP code:

LAB101522

Billable EAP Codes:

80001520 x 1

80001522 x 1

CPT Codes:

86695 x 1

86696 x 1

Lab Section:

Sendout

Synonyms:

Herpes
Herpes Type 1 and 2
HSV
HSV glycoprotein G type 1 and 2
HSV typing 1 and 2

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