Alpha-globin gene analysis-12674

Test info

  
Alpha-globin gene analysis
  
12674
  
LAB12674
  
ALPHA-GLOBUL
  
AGPB
Alpha globin
Alpha thalassemia
Alpha-thalassemia
Constant Spring
HBA1
HBA2
Hemoglobin Bart
Hemoglobin-H disease
Hydrops fetalis
Saudi
  
  • Diagnosis of alpha-thalassemia
  • Prenatal diagnosis of deletional alpha-thalassemia 
  • Carrier screening for individuals from high-risk populations for alpha-thalassemia

Specimen

  
EDTA whole blood
  
  
3.0 mL
  
1.0 mL
  

Immediatley following collection, mix sample by inverting 8 - 10 times to prevent clotting

  

Lavender (EDTA), 4mL

  
ACD whole blood
  

Yellow ACD (A or B)

 

  

Yellow ACD (A or B)

  

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.

  

Ambient (preferred) - 96 hours

Refrigerated - 96 hours

Prenatal specimens can be sent Mo - Th and must be received by 5 p.m. CST on Friday in order to be processed appropriately.

Performance

  
Mayo Clinic Laboratories (ATHAL): R-MM
  
2x/week
  
12 - 14 days
  

Dosage Analysis by Polymerase Chain Reaction (PCR)/Multiplex Ligation-Dependent Probe Amplification (MLPA)/Luminex Technology

Clinical and Interpretive info

  

An interpretive report will be provided

Billing

  
This test may require preauthorization from the insurance provider. Check the payer guidelines and, if needed, obtain the pre-authorization prior to sample collection.
  
81269
  
Yes
  

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

  
01/26/2017
  
05/15/2024
  
01/02/2024