Mononucleosis Screen (PRISMA HEALTH)

Test Code

1230100462

Alias/See Also

LAB482: Infectious Mononucleosis Screen | SPOT|MONO SPOT|MONONUCLEOSIS|HETEROPHILE

CPT Codes
86308x1

Preferred Specimen

GMH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
OMH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
BEH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
GRMH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
NGH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
HMH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
LCMH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
RHC HOSPITAL LAB CENTRAL: YELLOW TOP (Refrigerated) Min Vol: .1
BCH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
BPH HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1
THL HOSPITAL LAB: YELLOW TOP (Refrigerated) Min Vol: .1

Other Acceptable Specimens

GMH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 GMH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 GMH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 GMH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 GMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 GMH HOSPITAL LAB: SST ALIQUOT: (Refrigerated) Min Vol: N/A GMH HOSPITAL LAB: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A GMH HOSPITAL LAB: EDTA ALIQUOT: (Refrigerated) Min Vol: N/A GMH HOSPITAL LAB: NAVY EDTA ALIQUOT: (Refrigerated) Min Vol: N/A GMH HOSPITAL LAB: NAVY SERUM ALIQUOT: (Refrigerated) Min Vol: N/A GMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 OMH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 OMH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 OMH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 OMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 OMH HOSPITAL LAB: SST ALIQUOT: (Refrigerated) Min Vol: N/A OMH HOSPITAL LAB: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A OMH HOSPITAL LAB: EDTA ALIQUOT: (Refrigerated) Min Vol: N/A OMH HOSPITAL LAB: NAVY EDTA ALIQUOT: (Refrigerated) Min Vol: N/A OMH HOSPITAL LAB: NAVY SERUM ALIQUOT: (Refrigerated) Min Vol: N/A OMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 BEH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 BEH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 BEH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 BEH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 BEH HOSPITAL LAB: SST ALIQUOT: (Refrigerated) Min Vol: N/A BEH HOSPITAL LAB: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A BEH HOSPITAL LAB: EDTA ALIQUOT: (Refrigerated) Min Vol: N/A BEH HOSPITAL LAB: NAVY EDTA ALIQUOT: (Refrigerated) Min Vol: N/A BEH HOSPITAL LAB: NAVY SERUM ALIQUOT: (Refrigerated) Min Vol: N/A BEH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 GRMH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 GRMH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 GRMH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 GRMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 GRMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 HMH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 HMH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 HMH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 HMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 HMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: LAVENDER TOP-EDTA: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: PALE YELLOW (ACD): (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: PINK TOP-KEDTA: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: MICRO LAVENDER- EDTA: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: NAVY EDTA: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: NAVY PLAIN: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: YELLOW TOP ON ICE: (Frozen) Min Vol: .1 LCMH HOSPITAL LAB: RED TOP -PLAIN ON ICE: (Frozen) Min Vol: .1 LCMH HOSPITAL LAB: LAV TOP-EDTA ON ICE: (Frozen) Min Vol: .1 LCMH HOSPITAL LAB: NAVY EDTA ON ICE: (Frozen) Min Vol: .1 LCMH HOSPITAL LAB: MICRO AMBER: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: MICRO RED: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: .1 LCMH HOSPITAL LAB: SST ALIQUOT: (Refrigerated) Min Vol: N/A LCMH HOSPITAL LAB: RED TOP SERUM ALIQUOT: (Refrigerated) Min Vol: N/A LCMH HOSPITAL LAB: EDTA ALIQUOT: (Refrigerated) Min Vol: N/A LCMH HOSPITAL LAB: NAVY EDTA ALIQUOT: (Refrigerated) Min Vol: N/A LCMH HOSPITAL LAB: NAVY SERUM ALIQUOT: (Refrigerated) Min Vol: N/A LCMH HOSPITAL LAB: RED TOP - PLAIN: (Refrigerated) Min Vol: .1

RHC HOSPITAL LAB CENTRAL MICRO YELLOW (Refrigerated) Min Vol: 0.1; RED TOP - PLAIN (Refrigerated) Min Vol: 0.1 MICRO RED

(Refrigerated) Min Vol: 0.1 LAVENDER TOP-EDTA (Refrigerated) Min Vol: 0.1 MICRO LAVENDER- EDTA (Refrigerated) BCH HOSPITAL LAB MICRO YELLOW (Refrigerated) RED TOP - PLAIN Refrigerated 0.1 MICRO RED Refrigerated LAVENDER TOP-EDTA Refrigerated 0.1 MICRO LAVENDER- EDTA Refrigerated BPH HOSPITAL LAB MICRO YELLOW Refrigerated RED TOP - PLAIN Refrigerated 0.1 MICRO RED Refrigerated LAVENDER TOP-EDTA Refrigerated 0.1 MICRO LAVENDER- EDTA Refrigerated THL HOSPITAL LAB: MICRO YELLOW: (Refrigerated) Min Vol: N/A

Instructions

Adult: 3 mL blood *Pediatric minimum: 1 full microtainer* Minimum sample size (serum or plasma) is 0.2 mL This amount will cover both screen and titer.

Transport Temperature

Lab Only: Minimum sample size (serum or plasma) is 0.2 mL, this amount will cover both screen and titer. Transport to the laboratory as soon as possible after collection. Specimens may be stored between 2-8 degrees Celsius for up to 4 days prior to testing. For longer storage, specimens should be frozen at -20 degrees Celsius.

Report Available

GMH HOSPITAL LAB
STAT: 240 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: No TAT min

RHC HOSPITAL LAB CENTRAL
STAT: 1440 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 1440 min

THL HOSPITAL LAB
STAT: 60 min
Routine: 1440 min
Extended TAT: No TAT min
Timed: No TAT min
Life or Death: 60 min

Last Updated: June 30, 2023

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.