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HLA B*57:01, Abacavir hypersensitivity HLA association test-13341

Test info

Test name:

HLA B*57:01, Abacavir hypersensitivity HLA association test

Test number:

13341

Excellian order number:

LAB13341

Abbreviation:

B5701

Alternate names:

Abacavir hypersensitivity HLA association
B*5701
B*57:01
B5701
HLA antigen B*57:01
HLA B*5701
HLA B57
HLA B5701
Hypersensitivity

Useful for:

Determine the presence of the B57 antigen

Specimen

Specimen type:

EDTA whole blood

Collection container:

Lavender (EDTA), 4mL

Volume:

7.0 mL

Minimum volume:

3.0 mL

Collection instructions:

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

Transport container:

Lavender (EDTA), 4mL

Required forms/information:

Molecular Medicare billing request

Complete and submit the form to notify us of the need for Allina Health Laboratory to bill insurance for Molecular testing performed
All information requested is required in order for your request to be completed

Transport and stability:

Ambient

Reason for rejection:

Hemolysis
Clotted specimen

Performance

Performing lab:

LabCorp Burlington DNA (006926): R-LC

Days set up:

Mo - Sa

TAT:

3 - 7 days

Method:

Polymerase chain reaction (PCR)/sequence-specific oligonucleotide probes (SSOP)

Clinical and Interpretive info

Reference ranges:

An interpretive report will be provided

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:

81381

Subject to medical necessity (Y/N):

Yes

LOINC code:

Result 42358-2

Other billing information:

Medical necessity

Hospital clients submitting a request for this assay on an outpatient with Medicare should complete and submit a Molecular Medical billing request form along with the sample.

Complete and submit the form to notify us of the need for Allina Health Laboratory to bill insurance for Molecular testing performed
All information requested is required in order for your request to be completed

Molecular Medicare billing request

Tracking

Date created:

04/08/2019

Revised date:

07/12/2023

Review date:

07/12/2023