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 (s) (EDTA) (5 mL blood).

Transport Container
Whole blood (Min. 5 mL): do not centrifuge.

Transport Temperature
Refrigerated.

Specimen Stability
Ambient: Unacceptable; Refrigerated: 45 days; Frozen: Unacceptable

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

Methodology
Turbidity; if reflex, Capillary electrophoresis

Setup Schedule
Sunday - Saturday

If reflex, Hemoglobin Electrophoresis performed Monday & Wednesday & Friday

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

Reference Range
Negative

Clinical Significance
Patients may be screened for the presence of sickle cell disease or sickle cell trait by use of a reagent which results in increased turbidity of the specimen in the presence of a sickling hemoglobin. This test is not specific for Hemoglobin S, as there are other sickling hemoglobins, such as Hemoglobin C Harlem, which will result in a positive test. It is therefore recommended that all positive sickle screens be followed up by identification of the presence and amount of abnormal hemoglobin using electrophoretic separation techniques. While the laboratory currently offers both tests individually, this new reflexive panel will allow us to add the confirmatory electrophoresis to a positive sickle cell screen automatically.

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.