Fetal Lung Maturity Panel (Nordx)

Test Code
FLM


CPT Codes
83661, 83664, 84081

Includes
Lamellar Body Count (LBC)
Lecithin/Sphingomyelin Ratio (L/S)
Phosphatidylglycerol (PG)


Preferred Specimen
5 mL Amniotic Fluid


Instructions
Schedule this test with the laboratory before performing the amniocentesis.
Specimen must be delivered to the York Hospital Laboratory by 9:00 a.m.


Transport Container
Sterile Container, Leak-Proof


Transport Temperature
Refrigerated


Methodology
Impedance
Thin-Layer Chromatography (TLC)

Setup Schedule
Monday through Sunday at 11 a.m.


Report Available
1 Day


Reference Range
Immature Lung Status
LBC: N/A
L/S Ratio: <=1.3
PG: Negative

Borderline or Indeterminate Lung Status
LBC: <=60 Thou/uL
L/S Ratio: 1.4-2.4
PG: N/A

Mature Lung Status
LBC: >60 Thou/uL
L/S Ratio: >=2.5
PG: Positive


Clinical Significance
Useful for the determination of fetal lung maturity.

Performed By
NorDx


Additional Information
Nordx - Order Code FLPAF


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.