Essential Male Pelleting Panel

Test Code

10216CP

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

Includes

Testosterone, Total, MS
Testosterone, Free (Dialysis)
Chemistry Panel
PSA, Total
Estradiol, Ultrasensitive, LC/MS
CBC (Includes Differential and Platelets)

Preferred Specimen

2 mL serum in red-top serum separator tube (SST) and 2.8 mL serum in red-top tube (no gel) and 2 mL EDTA whole blood in (lavender-top) tube

Minimum Volume

Serum: 1.4 mL and Serum: 1.5 mL and Whole blood: 1 mL

Instructions

See individual assays

Transport Temperature

Serum: Refrigerated (cold packs)
Whole blood: Room temperature

Specimen Stability

Serum (red-top SST)
Room temperature: 72 days
Refrigerated: 5 days
Frozen: Unacceptable

Serum (red-top (no gel))
Room temperature: 24 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

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.