NEWBORN METABOLIC SCREEN

Message
PENDING:EXPECTED TURNAROUND TIME 21 DAYS FROM RECEIVED DATE


Test Code
PKUSCR


Alias/See Also
idph#PKU


CPT Codes
82760, 84443, 82261, 83498, 83020, 82128, 82016, 82016

Includes
"GALACTOSE-B
TSH-B
BIOTINIDASE-B
17-OH-PROGESTERONE-B
HEMOGLOBIN PATTERN
AMINO ACIDS-B
FATTY ACIDS-B
ORGANIC ACID-B
CYSTIC FIBROSIS-B
SCID-B
LYSOSOMAL STORAGE DISORDERS
PKU COMMENT
"


Minimum Volume
See Transport Container for information


Instructions
Specimen collection should occur as soon as possible after 24 hours of age. Specimens should not be collected prior to 24 hours of age unless the baby is being transfused and/or discharged before 24 hours of age. A heel stick is the preferred mode of collection whenever possible. Large, free flowing droplets of blood must be collected onto a newborns screening card. All seven circles must be completely filled.


Transport Container
"Age Range: 0 days - <1 year
1 NEWBORN SCREENING CARD

"


Reference Range
"Test: GALACTOSE-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as POSITIVE, POSITIVE BORDERLINE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: TSH-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as BORDERLINE, POSITIVE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: BIOTINIDASE-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: 17-OH-PROGESTERONE-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as BORDERLINE:PREMATURE, BORDERLINE:TERM, POSITIVE: PREMATURE, POSITIVE:TERM, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: HEMOGLOBIN PATTERN
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as POSITIVE:FAC, POSITIVE:FAD, POSITIVE:FAE, POSITIVE:FAS, POSITIVE:FAX, FS, POSITIVE:FSC, POSITIVE:LFA, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: AMINO ACIDS-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as PROFILE BORDERLINE, PROFILE POSITIVE, TPN, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: FATTY ACIDS-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as PROFILE BORDERLINE, PROFILE POSITIVE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: ORGANIC ACID-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as PROFILE BORDERLINE, PROFILE POSITIVE, TPN, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: CYSTIC FIBROSIS-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as POSITIVE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: SCID-B
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as INVALID, POSITIVE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: LYSOSOMAL STORAGE DISORDERS
Male/Female All Ages:
Normal: NEGATIVE
Positive (Reported as PROFILE BORDERLINE, PROFILE INVALID, PROFILE POSITIVE, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY, UNSATISFACTORY)


Test: PKU COMMENT

See report for normal ranges.

"




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.