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Cystic fibrosis screen-5520

Test info

Test name:

Cystic fibrosis screen

Test number:

5520

Excellian order number:

LAB5520

Abbreviation:

CFD

Alternate names:

23 ACOG mutation panel
CFTR cystic fibrosis transmembrane conductance regulator

Useful for:

The Cystic Fibrosis Screen is an analysis of 23 mutations in the CFTR gene to identify adult carriers of CF
This assay conforms to the current ACOG recommendations for CF carrier status screening in adults
This assay is not intended for use to diagnose symptomatic patients

Specimen

Specimen type:

EDTA whole blood

Collection container:

Lavender (EDTA), 4mL

Volume:

5.0 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

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

Transport and stability:

Ambient

Reason for rejection:

Improper label (unlabeled or mislabeled)
Wrong container (anticoagulant or solution)
Improper blood/anticoagulant ratio
Delay in transport
Improper storage
Inappropriate timing of collection
Interfering substances
Leaking container

Performance

Performing lab:

AHL - Molecular Diagnostics: D

Days set up:

Varies

TAT:

8 days

Method:

eSensor CF Assay (IVD, GenMark)

Clinical and Interpretive info

Clinical information:

This assay is not appropriate for children or for adults with clinical indications related to CF.

These patients should have a diagnostic CF test, which is available as a send out to Mayo Clinic Laboratories

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:

81220

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 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:

05/18/2012

Revised date:

01/27/2020

Review date:

05/06/2022