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Test Code CHCREF PROFILE DOMESTIC HEALTH

Important Note

Tests included are: ALT, AST, Glucose, Hepatitis B Surface AB, Hepatitis B Surface AG, Hepatitis B Core AB, Syphilis Serology (SYPH), Varicella IgG AB, Hemagram and differential, Hepatitis C AB with Reflex PCR, Rubeola IgG AB, Mumps IgG Screen, Rubella IgG AB, Hepatitis A AB, Schistoma IgG Antibody, and Strongyloides IgG antibody.

Test subject to Medicare National Coverage Determination (NCD).  See individual tests.

Hepatitis B Surface AG and Hepatitis C AB are subject to reflex testing, see Laboratory Reflex Testing Policy, you have the option to decline reflex testing if you believe it is not medically necessary.

When ordering a custom panel, Medicare requires the clinician confirm each test in the panel is medically necessary for the patient’s treatment. By regulation, annually we will send a physician acknowledgement letter to ordering clinicians requesting a signature attesting to medical necessity review.
 

Additional Codes

Primary ID

Epic Code

Mayo Access ID

CHCREF

LAB2214 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Stability
Serum Separator Tube Serum

Refrigerate

16 mL

10 mL 2.5 mL 5 days
Lavender Top Tube Whole Blood

Refrigerate

3.5 mL 3.5 mL 3.5 mL 2 days

Both samples are required.

Test Schedule / Analytical Time / Test Priority

Monday - Friday / 3 days / Not available STAT

Method

See individual tests.

CPT(s)

See individual tests.

Instrumentation

See individual tests. 

Reference Range

See individual tests.

Section

Chemistry-1

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

Yes

LOINC Code Information

See individual tests.