A B C D E F G H I J K L M N O P Q R S T U V W X Y Z #

HLA-B*1502 with reflex HLA-B High

Test Code
92746


CPT Codes
81381

Includes
If HLA-B*15:02 is positive, then HLA B-High Resolution will be performed at an additional charge (CPT code(s): 81380).


Preferred Specimen
14 mL whole blood collected in an EDTA (lavender-top) tube

Pediatric volumes:
0-1 year: 3 mL
1-5 years: 5 mL
5-10 years: 7 mL
>10 years: 14 mL


Minimum Volume
5 mL


Other Acceptable Specimens
Whole blood collected in an: acid citrate dextrose ACD (yellow-top), or sodium or lithium heparin (green-top) tube • Minimum: 4 buccal swab


Instructions
Other Acceptable sample types: For cord blood, bone marrow and peripheral blood leukocyte specimen submissions, please contact Versiti Wisconsin for collection, transport and stability instructions.

Samples cannot be shipped on Saturday or the day before holiday.

For Adult patients: If requesting more than one panel for HLA Transplant Testing, no more than 14 mL whole blood collected in EDTA (lavender-top) tubes is required.
For Pediatric patients: If requesting more than one panel for HLA Transplant Testing, follow drawing instructions according to age as specified above. No more than what is specified by age is required.


Transport Temperature
Room temperature


Specimen Stability
Whole blood (preferred)
Room temperature: 14 days
Refrigerated: Unacceptable
Frozen: Unacceptable

Buccal swab
Room temperature: 30 days
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received frozen • Heparinized or citrated tubes


Methodology
PCR followed by Sequence Specific Oligonucleotide Probes

Setup Schedule
Set up: Mon-Fri a.m.; Report available: 7-9 days


Reference Range
See Laboratory Report




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.