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Test Code SI2 Maternal Serum Integrated Screen Part 2

Additional Codes

Epic EAP: LAB1882

Epic Description: MATERNAL SERUM INTEGRATED SCREEN PART 2

Synonym

AFP, hCG, UE3, Inhibin A

 

Collection Limitations

Patient weight is REQUIRED.  Prenatal Screening information required at Order Entry. Please
send completed Prenatal Screen Information sheet with each specimen if unable to transmit
required responses. This information can be entered in EPIC or a completed history form must accompany the specimen to laboratory. Specimen should be collected between 15w,0d to 22w,6d. This test includes measurement of AFP, HCG, uE3, Inhibin A, and PAPP-A.

Specimen Type

Blood

Specimen Required

 

 

  Collection Container Preferred Volume Minimum Volume
Preferred

Gold, Clot Activator with inert gel

 5.0 mL 4.0 mL
Alternate Red, No Anticoagulant, No gel 6.0 mL 4.0 mL

 

Instructions for Collection and Transport

Centrifuge specimen and separate serum from cells within 2 hours of collection. Aliquot serum into plastic vial.

Freeze immediately. Transport frozen on dry ice. Also stable refrigerated for 7 days. 

Aliquot Requirements

Serum

Optimum 1.0 mL

Minimum 0.6 mL

Performing Lab

Sendout Lab

Reference Lab: Warde Laboratories, Referral code: INTG2 (Interface code: 3000354)

https://wardelab.com/test/serum-integrated-screen-part-2-no-nt/

Assay Frequency

Monday, Wednesday, Thursday, and Friday

Routine Turnaround Time

2-3 days, excluding weekends and holidays.

CSR Storage Requirements

Centrifuge specimen and separate from cells within 2 hours of collection. Aliquot serum into plastic vial. Freeze specimen.

CPT Code Information

81511 (or 82105, 82677, 84702, 86336)

Patient Preparation

Sample should be collected between 15 weeks 0 days and 22 weeks 6 days gestation.