Sickle Cell Monitor with Reflex to Hemoglobin Electrophoresis : 1004384

Test Code

SCKLR or 1004384

Alias/See Also

Hemoglobin Solubility Test for HbS; Sickle Cell Screen; Sickling Test; Hemoglobin S Screen; HbS Screen

CPT Codes
85660

Includes

If the sickle screen is positive, the Hemoglobin Electrophoreris will be performed at an additional charge (CPT code(s): 83020). (If reflex: 1000459, HGBE)

Instructions

Lavender top tube (EDTA).

Transport Container

4 mL whole blood collected in EDTA (lavender‐top) tube (minimum 0.5 mL). Do not centrifuge.

Transport Temperature

Room temperature.

Specimen Stability

Room temperature: 7 days Refrigerated: 14 days; Frozen: Unacceptable

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

Frozen

Methodology
Turbidity; if reflex, Capillary electrophoresis

Setup Schedule

Monday - Saturday If reflex, Hemoglobin Electrophoresis performed Monday & Wednesday & Friday

Report Available

1-3 days; if reflex testing added, reflex test will be reported separately within 1-4 days

Reference Range

Negative
Results will be reported as Positive, Weak Positive or Negative

Clinical Significance

This is a screening test to determine the presence of sickling hemoglobins. It is important to detect Hb‐S in order to determine which individuals are at risk of crisis when exposed to prolonged anoxia such as may occur during surgery, athletic programs or high‐altitude conditions. Note: This test is not appropriate for patients less than 6 months old due to interference by Hemoglobin F. In this case, it is suggested to order test code HGBE/100459 – Hemoglobin Electrophoresis.

Performing Laboratory
med fusion

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.