CA 19-9

Test Code
4698


CPT Codes
86301

Preferred Specimen
1 mL serum


Minimum Volume
0.5 mL


Transport Container
Plastic screw-cap vial


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days


Methodology
Immunoassay (IA)

Setup Schedule
Set up: Tues-Sat; Report available: 1-2 days


Limitations
CA 19-9 is absent in individuals with blood group Lewis Le(a-b-), as observed in approximately 5% of Caucasian and 20-25% of African American patients.


Reference Range
<34 U/mL
This test was performed using the Siemens chemiluminescent method. Values obtained from different assay methods cannot be used interchangeably. CA 19-9 levels, regardless of value, should not be interpreted as absolute evidence of the presence or absence of disease.


Clinical Significance
A large percentage of patients with gastrointestinal tumors (such as pancreatic, liver, gastric, colorectal tumors) and some other malignancies have been shown to have elevated serum CA 19-9 levels. Serum CA 19-9 levels may be useful for monitoring disease activity or predicting relapse following treatment. CA 19-9 should not be used as a screening test.


Performing Laboratory
Quest Diagnostics Nichols Institute
14225 Newbrook Drive
Chantilly, VA 20153




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.