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Test Code PKU Newborn Metabolic Screening (PKU)

Additional Codes

Epic EAP: LAB2741

Epic Description: NEWBORN METABOLIC SCREEN (PKU)

For Hospital Inpatients only use below Epic EAP:

Epic EAP: LAB11576

Epic Description: STATE INFANT SCREENING PKU [LAB11576]

Synonym

Phenylketonuria

PKU FIlter Paper Test

Specimen Type

Blood

Specimen Required

 

 

  Collection Container Preferred Volume Minimum Volume
Preferred

PKU Filter Paper and Form from Board of Health

  4 circles

 

Instructions for Collection and Transport

Follow instructions provided on the back of form. Allow specimen to air dry on flat surface for a minimum of 3 hours. Keep at room temperature. Transport at room temperature in a paper envelope. Do not place the form in any type of plastic bag.

Performing Lab

Sendout Lab

Reference Lab: Louisiana State Board of Health, Referral code:

Assay Frequency

Monday – Friday

Routine Turnaround Time

2 weeks

CSR Storage Requirements

Allow specimen to air dry on flat surface. Keep at room temperature.

CPT Code Information

84030

Patient Preparation

Follow instructions provided on the back of form.