Include the following information on the request form: pregnancy information, sample collection date, test selection, indications for testing, height, weight, authorizing providers signature and the clinic's telephone and fax numbers. The original request form should be sent to the reference laboratory in the collection kit provided along with a copy of the patient's insurance card and demographic information, a copy should be scanned into the patient's medical record.
MRL Ordering Instructions
Not available for clients.
Test Includes
See Myriad test requisition.
Reference Lab Test Code
Prequel
Turnaround Time
Specimens are sent to the reference laboratory Mon-Fri; results are reported within 11 days.
Specimen Type
Blood
Collection Instructions
Follow instructions provided in the Prequel test kit.
Collection Volume
10 mL
Minimum Collection Volume
7 mL
Specimen Preparation
Whole blood. Do not process. Do not aliquot.
Unacceptable Conditions
Do not refrigerate
Shipping Instructions
Store room temperature. Place on Sendouts East Bank packing list and send to East Bank. East Core Sendouts to ship in provided kit.
Stability (from collection to initiation)
Stable up to 7 days at room temperature (includes transport time).
Remarks
Include patient's insurance information and test requisition form with the specimen.
Containers
Brown/Black Streck Tube, provided in collection kit available from sendout lab or CSC lab
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 this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..
There are no charges associated with this test. Billed by reference lab.
Ordering
Special Instructions
Include the following information on the request form: pregnancy information, sample collection date, test selection, indications for testing, height, weight, authorizing providers signature and the clinic's telephone and fax numbers. The original request form should be sent to the reference laboratory in the collection kit provided along with a copy of the patient's insurance card and demographic information, a copy should be scanned into the patient's medical record.
MRL Ordering Instructions
Not available for clients.
Test Includes
See Myriad test requisition.
Reference Lab Test Code
Prequel
Turnaround Time
Specimens are sent to the reference laboratory Mon-Fri; results are reported within 11 days.
Collection & Processing
Specimen Type
Blood
Collection Instructions
Follow instructions provided in the Prequel test kit.
Collection Volume
10 mL
Minimum Collection Volume
7 mL
Specimen Preparation
Whole blood. Do not process. Do not aliquot.
Unacceptable Conditions
Do not refrigerate
Shipping Instructions
Store room temperature. Place on Sendouts East Bank packing list and send to East Bank. East Core Sendouts to ship in provided kit.
Stability (from collection to initiation)
Stable up to 7 days at room temperature (includes transport time).
Remarks
Include patient's insurance information and test requisition form with the specimen.
Containers
Containers
Brown/Black Streck Tube, provided in collection kit available from sendout lab or CSC lab
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 this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..
