Cryoglobulin (% Cryocrit), Serum (CRYOG)

Message
Overnight fasting is required.


Test Code
LAB713


Quest Code
36562


Alias/See Also
CRYOG


CPT Codes
82595

Preferred Specimen
6 mL serum collected in each of three separate red-top tubes (no gel)


Patient Preparation
Overnight fasting is required

Minimum Volume
3 mL


Instructions
Allow serum sample to clot for one (1) hour in a 37° C water bath, oven, incubator, or heat block. After clotting, centrifuge the specimen for 10 minutes at 1600 RCF (G) utilizing one of the 3 options below: 1. In a "warm" centrifuge at 37° C 2. In a bench-top centrifuge placed in a "warm room" at 37° C 3. At room temperature, in a bench-top centrifuge prewarmed by running it for 10 minutes at 1600 RCF (G) After centrifuging, decant serum into a screw-cap vial and transport at room temperature. Note: If the sample is not kept at 37° C during all processing steps, the cryoprecipitate, if present, can precipitate out of solution and be lost in the clot or during the centrifugation process and result in a false negative result. DO NOT REFRIGERATE OR FREEZE. No other tests can be added to the tube; Cryocrit and Cryoglobulin evaluation only.


Transport Container
Transport tube


Transport Temperature
Room temperature


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


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Received refrigerated or frozen, SST tube, gross hemolysis or lipemia


Methodology
Visual Inspection

Setup Schedule
Monday-sunday


Reference Range
None detected (if Cryoglobulin is detected, the %Cryocrit will also be reported)


Clinical Significance
The cryocrit is primarily intended for following a patient with previously defined and quantitated cryoglobulins. The cryocrit may consist of cryoglobulins, fibrins or mixtures of cryoglobulins and fibrins. If not previously characterized, consider ordering Cryoglobulin Screen with Reflex to Cryoglobulin Profile, Serum.


Performing Laboratory
Quest Diagnostics Nichols Institute-Chantilly VA
14225 Newbrook Drive
Chantilly, VA 20151-2228




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.