Troponin I - Series High-Sensitivity

Message
The initial specimen is followed by a second specimen drawn at 1 hour.


Test Code
201498


CPT Codes
84484 x2

Preferred Specimen
Container/Tube:  Green-top (lithium heparin) tube(s)
Specimen Volume:  3 mL (minimum volume:  1mL) of plasma
Collection Instructions:  Separate plasma from cells immediately


Minimum Volume
1 mL


Transport Temperature
Room Temperature: < 8 hours
Refrigerate: < 24 hours


Methodology
Sandwich Chemiluminescent Immunoassay

Setup Schedule
Monday through Sunday


Reference Range
Females:  <= 10 ng/L  Negative
Males:  <= 15 ng/L  Negative

Interpretive guidance for a 1-hour algorithm in South and Branson Labs: 
    High risk for AMI: Troponin I HS > 120 ng/L or 1 hour delta greater than 12 ng/L
    Intermediate risk for AMI: 1-hour delta between 3-12 ng/L - recommend 3-hour troponin
    Low risk of AMI: 0-hour troponin less than 15 ng/L for males and 10 ng/L for females with 1 hour delta less than 3 ng/L. 3-hour delta less than 20 ng/L is low risk for AMI

Interpretive guidance for a 1-hour algorithm in North, Monett, and Barton County Labs: 
 
    High risk for AMI: Troponin I HS > 120 ng/L or 1 hour delta greater than 100 ng/L
    Intermediate risk for AMI: 1-hour delta between 5-100 ng/L - recommend 3-hour troponin
    Low risk of AMI: 0-hour troponin less than 15 ng/L for males and 10 ng/L for females with 1 hour delta less than 5 ng/L. 3-hour delta less than 20 ng/L is low risk for AMI


Positive for myocardial infarction (Critical Value) > 120 ng/L


Clinical Significance
Useful as an indicator of cardiac event.


Performed By
CoxHealth



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.