Display Name

Test Code
TESTID


CPT Codes
<p>CPT code</p>

Preferred Specimen

Patient Preparation: 


Specimen Type: 


Collection Container/Type


Preferred: 


Acceptable: 


Submission Container/Tube: 


Specimen Volume: 


Collection Instructions: 


Additional Information:



Minimum Volume

Specimen Minimum Volume



Specimen Stability

Room temperature:


Refrigerated:


Frozen:



Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)

Rejection due to



Methodology

Method name



Report Available

Report Available



Limitations

Limitations




Last Updated: February 16, 2023


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.