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Test ID: FIBDD
PROMETHEUS IBD sgi Diagnostic

NY State Approved Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Profile Information A profile is a group of laboratory tests that are ordered and performed together under a single Mayo Test ID. Profile information lists the test performed, inclusive of the test fee, when a profile is ordered and includes reporting names and individual availability.

Test IDReporting NameAvailable SeparatelyAlways Performed
FIBD1PROMETHEUS IBD sgi Diagnostic, SNoYes
FIBD2PROMETHEUS IBD sgi Diagnostic, BNoYes

Method Name A short description of the method used to perform the test

Enzyme Linked Immunosorbent Assay (ELISA), Immunofluorescence Assay (IFA), Chemiluminescent, Polymerase Chain Reaction (PCR), Nucleic Acid Probes

Reporting Name A shorter/abbreviated version of the Published Name for a test; an abbreviated test name

PROMETHEUS IBD sgi Diagnostic

Aliases Lists additional common names for a test, as an aid in searching

SGI FORWARD

Specimen Type Describes the specimen type needed for testing

Serum
Whole Blood EDTA

Specimen Required Defines the optimal specimen. This field describes the type of specimen required to perform the test and the preferred volume to complete testing. The volume allows automated processing, fastest throughput and, when indicated, repeat or reflex testing.

Requires both whole blood and serum

Note: Specimens must be shipped together

 

Blood:

Collect 2 mL lavender top EDTA whole blood. Ship refrigerate.

 

Serum:

Draw blood in a plain, red-top tube(s). (Serum gel tube is acceptable.) Spin down and send 2 mL of serum refrigerated.

Specimen Minimum Volume Defines the amount of specimen required to perform an assay once, including instrument and container dead space. Submitting the minimum specimen volume makes it impossible to repeat the test or perform confirmatory or perform reflex testing. In some situations, a minimum specimen volume may result in a QNS (quantity not sufficient) result, requiring a second specimen to be collected.

Blood = 1 mL, Serum = 2 mL

Reject Due To Identifies specimen types and conditions that may cause the specimen to be rejected

Hemolysis:

NA

Thawing:

Serum-Warm OK; Cold OK Whole blood-Warm reject; Cold Reject

Lipemia:

NA

Icterus:

NA

Other:

Both serum and EDTA whole blood required.

Specimen Stability Information Provides a description of the temperatures required to transport a specimen to the laboratory. Alternate acceptable temperature(s) are also included.

Specimen TypeTemperatureTime
SerumRefrigerated (preferred)21 days
 Frozen 30 days
 Ambient 4 days
Whole Blood EDTARefrigerated (preferred)21 days
 Ambient 4 days

Reference Values Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

An interpretive report will be faxed or mailed under separate cover.

 

Test Performed by: Prometheus Laboratories, Inc.

                             Therapeutics and Diagnostics

                             9410 Carroll Park Drive

                             San Diego, CA 92121

Day(s) and Time(s) Test Performed Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.

Monday through Friday

Analytic Time Defines the amount of time it takes the laboratory to setup and perform the test. This is defined in number of days. The shortest interval of time expressed is "same day/1 day," which means the results may be available the same day that the sample is received in the testing laboratory. One day means results are available 1 day after the sample is received in the laboratory.

3 - 4 days

Maximum Laboratory Time Defines the maximum time from specimen receipt at Mayo Medical Laboratories until the release of the test result

5 - 12 days

Performing Laboratory Location The location of the laboratory that performs the test

Prometheus Laboratories, Inc. Therapeutics and Diagnostics

CPT Code Information Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Medical Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

82397 x 3-ICAM, VCAM, SAA Chemiluminescent assay

83520 x 8-ELISA; antibody specific for each serology bio-marker

86140-CRP

88347 x 2-IBD Specific pANCA; Indirect Immunofluorescent assay, IgG specific & DNAse sensitivity

81479 x 4-ATG16L1 SNP; ECM1 SNP; NKX2-3 SNP; STAT3 SNP

LOINC® Code Information Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the result codes returned for this test or profile.

Result IDReporting NameLOINC Code
Z2743PROMETHEUS IBD sgi Diagnostic, SIn Process
Z2744PROMETHEUS IBD sgi Diagnostic, BIn Process