Ordering Recommendations

Determine specific AAT protein variant(s) in individual with decreased concentration of AAT (<90mg/dL).

Test Includes

Alpha-1-Antitrypsin and Phenotype

ARUP Test Code

0080500

Performed

Sun-Sat

Reported

2-4 days

Notes

Interpret with caution if the patient has been transfused within the previous 21 days.

Additional Technical Information

Referral Lab

Collect

Serum Separator Tube (SST) or Plain Red.

Minimum Collection Volume

0.8 mL

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 1 week; Refrigerated: 3 months; Frozen: 3 months (avoid repeated freeze/thaw cycles)

Containers

Red or Gold (Gel)/SST

Alternate Containers

Red (No Gel)

Reference Interval

Components
Reference Interval
Alpha-1-Antitrypsin90-200 mg/dL

Additional Technical Information

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

Billing Information

CPTQtyHC HospitalPR ClinicNote
82103130082103038210301HC A1A TOTAL
82104130082104028210401HC A1A PHENOTYPE

CPT Codes

82104; 82103

Methodology

Qualitative Isoelectric Focusing/Immunoturbidimetry

MRL Test Build

Test Name Component Required Description Type LOINC
LAB5572     Alpha-1-Antitrypsin Phenotyping Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1231000278   A1A Phenotype Result 32769-2
  1231000993   Alpha-1-Antitrypsin Result 1825-9

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Ordering Recommendations

Determine specific AAT protein variant(s) in individual with decreased concentration of AAT (<90mg/dL).

Test Includes

Alpha-1-Antitrypsin and Phenotype

ARUP Test Code

0080500

Performed

Sun-Sat

Reported

2-4 days

Notes

Interpret with caution if the patient has been transfused within the previous 21 days.

Additional Technical Information

Referral Lab

Collection & Processing

Collect

Serum Separator Tube (SST) or Plain Red.

Minimum Collection Volume

0.8 mL

Specimen Preparation

Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL)

Unacceptable Conditions

Grossly hemolyzed specimens.

Storage/Transport Temperature

Refrigerated.

Stability (from collection to initiation)

After separation from cells: Ambient: 1 week; Refrigerated: 3 months; Frozen: 3 months (avoid repeated freeze/thaw cycles)
Containers

Containers

Red or Gold (Gel)/SST

Alternate Containers

Red (No Gel)

Result Interpretation

Reference Interval

Components
Reference Interval
Alpha-1-Antitrypsin90-200 mg/dL

Additional Technical Information

Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

Billing Information

CPTQtyHC HospitalPR ClinicNote
82103130082103038210301HC A1A TOTAL
82104130082104028210401HC A1A PHENOTYPE

CPT Codes

82104; 82103

Methodology

Qualitative Isoelectric Focusing/Immunoturbidimetry
Interface Mapping

MRL Test Build

Test Name Component Required Description Type LOINC
LAB5572     Alpha-1-Antitrypsin Phenotyping Orderable  
  SRC_1001 Y Blood specimen source: Prompt  
  1231000278   A1A Phenotype Result 32769-2
  1231000993   Alpha-1-Antitrypsin Result 1825-9

Data Type / Multiple Choice Response

SRC_1001
Blood specimen source:
Arm, Left|Arm, Right|Hand, Left|Hand, Right|Blood, Capillary|Other|Peripheral Blood
Default: Peripheral Blood

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details