Laboratory Test Detail

Last Updated: March 19, 2019 @ 9:13 am

91011

Maternal Quad Panel

Specimen:Collect:
  • One SST

Also Acceptable:
  • One Red Top
Submit:
  • 3 mL (Min:1 mL) Serum . Submit Refrigerated. Submit in a Standard Transport Tube.
Special Handling:
  • Avoid Repeated Freeze/Thaw Cycles
  • Separate aliquot required for each frozen test ordered
  • Separate from cells ASAP
  • Collect at 14-24 weeks gestation only.

    Remarks: The following information is required and must accompany the sample for test interpretation: Patient's date of birth, current weight, due date, dating method (US, LMP), number of fetuses present, patient's race, if the patient was diabetic at the time of conception, if there is a known family history of neural tube defects, if the patient has had a previous pregnancy with a trisomy, if the patient is currently smoking, if the
    patient is taking valproic acid or carbamazepine (Tegretol), if this is a repeat sample, and the age of the egg donor if in
    vitro fertilization.
Rejection Criteria:
  • Grossly Hemolyzed Samples
  • Plasma
Stability:Ambient: 3 Day(s); Refrigerated: 2 Week(s); Frozen: 12 Month(s); Incubated: Unacceptable
Methodology:
  • Quantitative Chemiluminescent Immunoassay
Performed:Sun-Sat
Reported:3-5 Day(s)
CPT Codes:
  • 82105
  • 82677
  • 84702
  • 86336
Interpretive Data:Please see report for interpretive data.
Components:
  • 93169 - Patients AFP
  • 93202 - Est. Due Date
  • 93206 - MoM FOR DIA
  • 93207 - Patients DIA
  • 93238 - Maternal Weight
  • 93239 - MoM for AFP
  • 93240 - Interpretation
  • 93241 - SPECIMEN
  • 93242 - DATING
  • 93243 - Mat. Insulin DM
  • 93244 - Family Hx of NTD
  • 93245 - Maternal Race
  • 93246 - Number of Fetuses
  • 93248 - Maternal Age
  • 93249 - Patients hCG
  • 93251 - MoM for hCG
  • 93252 - Gestational Age
  • 93253 - Patients uE3
  • 93255 - MoM for uE3
  • 91593 - Hx of Aneuploidy
  • 90059 - EER SCREEN
  • 92052 - SMOKING
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