New Male Patient Pelleting Panel

Test Code

10210CP

CPT Codes
84403, 82670, 83002, 84481, 84439, 84443, 84146, 84153, 84520, 84295, 84132, 82435, 83735, 82247, 84450, 84460, 84550, 83540, 82248, 82565, 82947, 82310, 84100, 84075, 83615, 82977, 82570, 82040, 85025, 80061, 83036, 83525, 86141, 82306, 83090<br><strong>Restricted use: This code is available to client 55838 only.</strong>

Includes

Testosterone, Total, MS
Testosterone, Free (Dialysis)
Estradiol, Ultrasensitive, LC/MS
LH
T3, Free
T4, Free
TSH
Prolactin
PSA, Total
Chemistry Panel
CBC (Includes Differential and Platelets)
Lipid Panel 2
Hemoglobin A1c with Calculated Mean Plasma Glucose (MPG)
Insulin
hs-CRP
QuestAssureD™ 25-Hydroxyvitamin D (D2, D3)
Homocysteine

Preferred Specimen

2 mL serum collected in an SST (red-top) and 13.4 mL serum collected in a red-top tube (no gel)
and 3 mL whole blood collected in an EDTA (lavender-top) tube

Minimum Volume

Whole blood: 1.5 mL
Serum: 6.7 mL
Serum (SST): 1.5 mL

Instructions

See individual assays

Transport Temperature

Refrigerated (Cold packs)

Specimen Stability

Serum
Room temperature: 72 hours
Refrigerated: 5 days
Frozen: Unacceptable

Serum
Room temperature: 8 hours
Refrigerated: 7 days
Frozen: 14 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

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.