Alpha-1-Antitrypsin (AAT) Quantitation and Mutation Analysis

Test Code
17307


CPT Codes
82103, 81332

Preferred Specimen
1 mL serum and 5 mL whole blood collected in EDTA (lavender-top) tube


Minimum Volume
0.5 mL serum • 2 mL whole blood


Other Acceptable Specimens
Serum and Whole blood collected in sodium heparin (green-top) tube, or ACD solution A or B (yellow-top) tube


Instructions
Serum and whole blood is required


Transport Temperature
Room temperature


Specimen Stability
Serum
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 90 days

Whole blood
Room temperature: 8 days
Refrigerated: 8 days
Frozen: Unacceptable


Methodology
Fluorescent Restriction Fragment Length Polymorphism • Immunoturbidimetric Assay

Setup Schedule
Set up: Varies with assay; Report available: 3-6 days


Limitations
Rare alleles (other than S and Z types) are not tested for by this assay.


Reference Range
A-1 Antitrypsin Mutation See Laboratory Report
Alpha-1-Antitrypsin Adults: 83-199 mg/dL


Clinical Significance
American Thoracic Society/European Respiratory Society Statement: Standards for the Diagnosis and Management of Individuals with Alpha-1-Antitrypsin Deficiency. Am J Respir Crit Care Med. 2003, vol. 168, 818-900.


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.