Special Instructions

Specimen must arrive in East Bank Core Lab Sendouts before noon to go out for testing. Specimens received after that time will go out the next day.

Test Includes

For transplant donors only. Donor testing for CMV Antibody, Hepatitis B Surface Antigen, Hepatitis B Core Antibody, Hepatitis C Antibody, HIV 1/2 Antibody, HTLVA 1/2 Antibody, Rapid Plasma Reagin and Trypanosoma Cruzi (T. Cruzi)

Reference Lab Test Code

Panel 6, Test only HBc Total and CMV, Test and Reflex HTLV-I/II and T cruzi

Turnaround Time

Specimens are sent to the reference laboratory Mon-Fri; results are reported within 2-4 days. If confirmatory testing is needed, additional time is required.

Specimen Type

Blood

Collection Containers

Red (no gel)

Collection Volume

10 mL

Minimum Collection Volume

7 mL

Specimen Preparation

Do not process. Send to the East Bank Core Lab Sendouts immediately.

Unacceptable Conditions

Gel additive; processed specimen or gross hemolysis.

Shipping Instructions

Ship whole blood in collection tube at refrigerated temperature.

Stability (from collection to initiation)

72 hours at room temperature or refrigerated. Protect from temperature extremes.

Remarks

Place on a packing list to Sendouts East Bank.

Containers

Red (No Gel)

Reference Interval

By report.

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 Test Directory or Atlas. 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

CPT Codes

CPTQtyHC HospitalPR ClinicNote
86644130086644038664401DONOR CYTOMEGALOVIRUS ANTIBODY
86687130086687028668701DONOR HTLV-I ANTIBODY
86703130086703038670301DONOR HIV 1 AND 2 ANTIBODIES
86704130086704028670401DONOR HEPATITIS B CORE ANTIBODY
86753130086753038675301DONOR TYPANOSMA CRUZI
86780130086780038678001DONOR TREPONEMA PAL AB
86803130086803028680301DONOR HEPATITIS C ABY
87340130087340018734001DONOR HEPATITIS B SURFACE ANTIGEN

Contact

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

Special Instructions

Specimen must arrive in East Bank Core Lab Sendouts before noon to go out for testing. Specimens received after that time will go out the next day.

Test Includes

For transplant donors only. Donor testing for CMV Antibody, Hepatitis B Surface Antigen, Hepatitis B Core Antibody, Hepatitis C Antibody, HIV 1/2 Antibody, HTLVA 1/2 Antibody, Rapid Plasma Reagin and Trypanosoma Cruzi (T. Cruzi)

Reference Lab Test Code

Panel 6, Test only HBc Total and CMV, Test and Reflex HTLV-I/II and T cruzi

Turnaround Time

Specimens are sent to the reference laboratory Mon-Fri; results are reported within 2-4 days. If confirmatory testing is needed, additional time is required.

Collection & Processing

Specimen Type

Blood

Collection Containers

Red (no gel)

Collection Volume

10 mL

Minimum Collection Volume

7 mL

Specimen Preparation

Do not process. Send to the East Bank Core Lab Sendouts immediately.

Unacceptable Conditions

Gel additive; processed specimen or gross hemolysis.

Shipping Instructions

Ship whole blood in collection tube at refrigerated temperature.

Stability (from collection to initiation)

72 hours at room temperature or refrigerated. Protect from temperature extremes.

Remarks

Place on a packing list to Sendouts East Bank.

Containers

Containers

Red (No Gel)

Result Interpretation

Reference Interval

By report.
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 Test Directory or Atlas. 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

CPT Codes

CPTQtyHC HospitalPR ClinicNote
86644130086644038664401DONOR CYTOMEGALOVIRUS ANTIBODY
86687130086687028668701DONOR HTLV-I ANTIBODY
86703130086703038670301DONOR HIV 1 AND 2 ANTIBODIES
86704130086704028670401DONOR HEPATITIS B CORE ANTIBODY
86753130086753038675301DONOR TYPANOSMA CRUZI
86780130086780038678001DONOR TREPONEMA PAL AB
86803130086803028680301DONOR HEPATITIS C ABY
87340130087340018734001DONOR HEPATITIS B SURFACE ANTIGEN
Interface Mapping

Contact

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