Sent to Mayo. This test is in addition to state mandated screenings. Do NOT send GDHR screening cards to Mayo. Patient must be less than 1 week of age.

Test Code

Alias/See Also

CPT Codes

Preferred Specimen
Newborn blood

Collect 5 blood spots dried on Newborn Screening Card at room temperature in a horizontal position for 3 hours. Do not expose specimen to heat or direct sunlight. Do not stack wet specimens. Do not use devices or capillary tubes. Keep specimen dry.

Transport Container
MAYO Newborn Screening Card

Transport Temperature
Room temperature

Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens received on GDHR test card

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.