Alpha-globin gene analysis

Alphabetical Test listing

Alpha-globin gene analysis-12674

  
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
  
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.

  
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

  

An interpretive report will be provided

  
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

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