Stepwise, Part 2 (NY)

Test Code
16466


CPT Codes
81511<br><strong>This test code is for New York patient testing. For non-New York patient testing, use test code 16465.</strong>

Includes
AFP, Unconjugated Estriol, hCG, Dimeric Inhibin A, *PAPP-A and hCG from Stepwise, Part 1; Interpretation


Preferred Specimen
3 mL serum


Minimum Volume
1 mL


Instructions
Collect between 14.0 weeks to 22 6/7 weeks.
Mother's date of birth (mm/dd/yy), Estimated Date of Delivery by US/LMP/PE, weight, race, insulin-dependent diabetes status, repeat sample (Y/N), number of fetuses, and neural tube defect history must be provided for interpretation of results.
Must complete all patient demographic information using the appropriate questions from the entry fields in the regular requisition.


Transport Container
Plastic screw-cap vial


Transport Temperature

Room temperature



Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis • Grossly lipemic


Methodology
Chemiluminescence (CL) • Immunoassay (IA)

FDA Status
PAPP-A: This test was performed using a kit that has not been cleared or approved by the FDA. The analytical performance characteristics of this test have been determined by Quest Diagnostics. This test should not be used for diagnosis without confirmation by other medically established means.

Setup Schedule
Set up: Mon-Sat; Report available: 4-6 days


Reference Range
MSS Down Syndrome Risk <1:270
Risk for Trisomy 18 <1:100
AFP MoM <2.50
  IDD <1.90
  TWINS <4.00
  TWINS IDD <3.50
  TRIPLETS <4.50




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.