Pancreatic Elastase-1

Test Code
PANELAS


Quest Code
14693


Alias/See Also
Elastase, Fecal/Pancreatic-1
PANELAS
Fecal Elastase


CPT Codes
82653

Preferred Specimen
1 gram stool submitted in sterile plastic leak-proof container


Minimum Volume
0.3 g


Instructions
Collect undiluted feces in clean, dry, sterile leak-proof container. Do not add fixative or preservative.


Transport Temperature
Refrigerated (cold packs)


Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 1 year


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

Specimens collected in formalin, MF, SAF or PVA • Cary-Blair media



Methodology
Immunoassay (IA)

Setup Schedule
Set up: Mon-Sat; Report available: 4-6 days


Reference Range
Normal >200 mcg/g
Moderate Pancreatic Insufficiency 100-200 mcg/g
Severe Pancreatic Insufficiency <100 mcg/g

Elastase-1 (E-1) assay results are expressed in mcg/g, which represent mcg E1/g feces.
It is not necessary to interrupt enzyme substitution therapy.


Clinical Significance
The Elastase-1 is a quantitative enzyme linked immunosorbent assay for measuring concentrations of elastase-1 in feces as an aid in diagnosis of the exocrine pancreatic function.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042



Last Updated: September 11, 2019


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.