SEXUAL ASSAULT PANEL

Test Code
SA


CPT Codes
84830, 84144, 81025

Includes
"LH QUALITATIVE,U
PROGESTERONE,S/P
HCG,URINE
"


Minimum Volume
See Transport Container for information


Transport Container
"1 CHEMISTRY URINE TUBE
Sample Type: Urine
Minimum Volume: 2 mL
1 MINT GREEN
Sample Type: Plasma
Minimum Volume: 1 mL


"


Reference Range
"Test: LH QUALITATIVE,U

See report for normal ranges.

Test: PROGESTERONE,S/P
Female All Ages:
Normal Range: Not Applicable

Male All Ages:
Normal Range: 0.2-1.4 ng/mL

Test: HCG,URINE

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.