ALLOMAP

Alphabetical Test listing

ALLOMAP-8300

Test name:

ALLOMAP

Test number:

8300

Excellian order number:

LAB8300

Abbreviation:

ALM

Patient preparation information:

Available for heart transplant patients at Abbott Northwestern Hospital only

Collection container:

Special tubes

Collection instructions:

Must be collected on site. Available for heart transplant patients at Abbott Northwestern Hospital ONLY.

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

Performing lab:

XDX Expression Diagnostics: R-NX

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:

81595

Subject to medical necessity (Y/N):

Yes

LCD/NCD:

Medical necessity

Date created:

04/02/2010

Revised date:

10/20/2018