HLA-DRB3,4, 5, Intermediate Resolution, Transplantation

Test Code
92161


CPT Codes
81376

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

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.

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. 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 room temperature >14 days • Received refrigerated or frozen • Hemolysis


Methodology
PCR followed by Sequence Specific Oligonucleotide Probes

Setup Schedule
Set up: Daily; 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.