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Test Code NONDON PROFILE IVF NONDONOR

Important Note

Not FDA Approved.

Tests included are: Hep B Core Ab, Hep B Surf Ag, Hep C Ab, HIV, SYPH.

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

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

NONDON

LAB2211 N/A

 

Specimen Information

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Stability
Serum Separator Tube Serum

Refrigerate

15 mL 6 mL 4 mL 5 days

 

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-2

Performing Location

University of Vermont Medical Center

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

Yes

LOINC Code Information

See individual tests.