HLA Panel

Test Code
901644


CPT Codes
81375, 81376<br>Restricted Client Code

Includes
HLA-DR/DQ Low Resolution
HLA-DRB3,4,5 Low Resolution


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


Minimum Volume
5 mL


Other Acceptable Specimens
Whole blood collected in ACD (yellow-top) tube


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

For Adult patients: If requesting more than one panel for HLA Transplant Testing, no more than 14 mL whole blood collected in an EDTA (lavender-top) tube is required.

For Pediatric patients: If requesting more than one panel for HLA Transplant Testing, follow drawing instructions according to age as specified below. No more than what is specified by age is required.

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


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
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; Report available: 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.