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Neonatal Alloimmune Thrombocytopenia (NAIT)-Serial Monitoring Maternal only-994

Test info

Test name:

Neonatal Alloimmune Thrombocytopenia (NAIT)-Serial Monitoring Maternal only

Test number:

994

Excellian order number:

LAB994

Abbreviation:

MSO

Tests included:

Testing for antibodies against HPA-1a/b, HPA-2a/b, HPA-3a/b, HPA-4a, HPA-5a/b, GPIIb/IIIa, GPIa/IIa, GPIb/IX. GPIV and Class I HLA.

Specimen

Specimen type:

Serum

Collection container:

Red serum vial/tube - 10 mL x 2

Note: Collect Mon - Fri only

Volume:

5 mL

Minimum volume:

3 mL

Collection instructions:

Immediately following collection, thoroughly mix sample by gently inverting 5 times

Processing instructions:

Allow sample to clot for a minimum of 30 minutes
Spin within two (2) hours of sample collection
Transfer serum to an AHL False Bottom Plasma/Serum Transport Tube, labelled as serum

Transport container:

False bottom plasma/serum transport vial/tubes (AHL)

Required forms/information:

Versiti Neonatal Alloimmune Thrombocytopenia (NAIT) requisition

Molecular Medicare Billing Request

Hospital clients submitting a request for this assay on an outpatient with Medicare should complete and submit a Molecular Medicare billing request form to notify us of the need for Allina Health Laboratory to bill insurance.

Transport and stability:

Refrigerated (preferred) - 7 days

Frozen - OK

Ambient - NO

Ship Mon - Fri only

Performance

Performing lab:

Versiti Blood Center of WI (5630); R-NX

Days set up:

Varies

TAT:

7 days

Method:

Platelet Antibody Bead Array (PABA) and Flow Cytometry

Clinical and Interpretive info

Reference ranges:

See report

Billing

Preauthorization:

This test may require preauthorization from the insurance provider. Check the payer guidelines and, if needed, obtain the pre-authorization prior to sample collection.

CPT codes:

86022

Subject to medical necessity (Y/N):

Yes

Other billing information:

Medical necessity

Molecular Medicare Billing Request

Tracking

Date created:

03/13/2026

Review date:

03/13/2026