Neutrophil Function Oxid37523

Test Code
NEUTOXID


Alias/See Also
NEUTOXID


CPT Codes
82657

Preferred Specimen
3 mL whole blood collected in a sodium heparin (green-top) tube
--and--
2nd specimen (Control): 3 mL whole blood in sodium heparin (green-top) tube


Minimum Volume
2


Instructions
Must be drawn before noon. Mon-Thurs Send to Lab Immeditatly Draw two green top tube.


Transport Container
DK GREEN


Transport Temperature
T


Specimen Stability
Room temperature: 72 hours
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolysis • Lipemia • Icterus • Clotted specimens • Refrigerated and frozen specimens


Methodology
Flow Cytometry (FC)

FDA Status
The test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by FDA. This assay has been validated pursuant to the CLIA regulation and is used for clinical purposes.

Setup Schedule
Set up: Daily; Report available: 3-4 days


Reference Range
%Oxidation Pos Neutrophils
24 Hours ≥93%
48 Hours ≥83%
72 Hours ≥82%


Clinical Significance
This assay measures the capability of neutrophils (PMN) to undergo oxidative metabolism to produce superoxide anion and hydrogen peroxide, as detected by oxidation of dihydrorhodamine (DHR). Patients with chronic granulomatous disease (CGD) are unable to oxidize DHR due to defects in oxidative capacity slowly decreases as the specimen age (hours post collection) increases. It is thus important that the reference range value appropriate for the specimen age be utilized when assessing the reported results.


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




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.