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HLA A,B,C class I typing-2613A

Test info

Test name:

HLA A,B,C class I typing

Test number:

2613A

Excellian order number:

LAB2613

Abbreviation:

HLA

Alternate names:

HLA High Resolution Platelet Recipient

Tests included:

HLA Platelet Recipient Class I Typing

Useful for:

Molecular definition of all Class I HLA antigen specificities

Specimen

Specimen type:

EDTA whole blood

Collection container:

Lavender (EDTA), 4mL

Volume:

4.0 mL

Collection instructions:

Immediately following collection, mix sample thoroughly by gently inverting 8 - 10, times to prevent clotting

Transport container:

Lavender (EDTA), 4mL

Alternate specimen type:

ACD-A whole blood

Alternate collection container:

Yellow ACD-A

For immunocompromised patients only

Alternate transport container:

Yellow (ACD-A) tube

Required forms/information:

Immunology and Histocompatibility Laboratory request (M Health)
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:

Ambient - 3 to 5 days

Reason for rejection:

clotted specimen

Performance

Performing lab:

M Health Fairview Reference Laboratories (NGSPLT): R-NX

TAT:

5 - 6 days

Method:

Molecular PCR/NGS (Next generation sequencing)

Clinical and Interpretive info

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:

81379

Subject to medical necessity (Y/N):

Yes

Other billing information:

Medical necessity

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.

Molecular Medicare billing request

Tracking

Date created:

05/17/2004

Revised date:

05/15/2024

Review date:

01/02/2024