Follow Up Male Plus Pelleting Panel

Test Code

10188CP

CPT Codes
84403, 82670, 84153, 84520, 84295, 84132, 82435, 83735, 82247, 84450, 84460, 84550, 83540, 82248, 82565, 82947, 82310, 84100, 84075, 83615, 82977, 82570, 82040, 85025, 83036, 83525<br>***RESTRICTED USE***

Includes

Testosterone, Total, MS
Testosterone, Free (Dialysis)
Estradiol, Ultrasensitive, LC/MS
PSA, Total
Chemistry Panel
CBC (Includes Differential and Platelets)
Hemoglobin A1c with Calculated Mean Plasma Glucose (MPG)
Insulin

Preferred Specimen

2 mL serum collected in red-top serum separator (SST) and 3.8 mL serum collected in red-top tube (no gel), and
3 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume

1.5 mL serum (SST)
1.9 mL serum red-top (no gel)
1.5 mL EDTA whole blood

Instructions

See individual assays

Transport Temperature

Refrigerated (cold packs)

Specimen Stability

Serum (SST)
Room temperature: 72 hours
Refrigerated: 5 days
Frozen: Unacceptable

Serum red-top tube (no gel))
Room temperature: 8 hours
Refrigerated: 7 days
Frozen: 28 days

Whole blood
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable

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

See individual assays

Methodology
See individual assays

Setup Schedule

Set up and report available: See individual assays

Clinical Significance

See individual assays

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.