Orderable EAP code:

LAB103913

Billable EAP Codes:

80005702 x 1 80005701 x 1

CPT Codes:

80280 x 1 82542 x 1

Lab Section:

Sendout

Related Links:

Prometheus Test Directory

Specimen Requirements:

4 mL blood in a Serum Separator tube or a Red Top tube.

Pediatric Specimen Requirements:

2 mL blood in a Serum Separator tube or a Red Top tube. 1 mL blood minimum.

Synonyms:

Anser VDZ

Orderable EAP code:

LAB103956

Billable EAP Codes:

80005653 x 1

CPT Codes:

81377 x 1

Lab Section:

Sendout

Related Links:

Prometheus Test Directory REQUIRED Genetics Informed Consent form

Specimen Requirements:

2 mL blood in a LAVENDER top (EDTA) tube.

Pediatric Specimen Requirements:

2 mL blood in a LAVENDER top (EDTA) tube.

Comments:

Aids in predicting risk of antibody formation to infliximab, adalimumab or biosimilars.

A Genetics Informed Consent form is required. Please see the link.

Orderable EAP code:

LAB103912

Billable EAP Codes:

80005703 x 1 80005704 x 1

CPT Codes:

80299 x 1 82542 x 1

Lab Section:

Sendout

Related Links:

Prometheus Test Directory

Specimen Requirements:

4 mL blood in a Serum Separator tube or a Red Top tube.

Pediatric Specimen Requirements:

2 mL blood in a Serum Separator tube or a Red Top tube. 1 mL blood minimum.

Synonyms:

Anser UST

Orderable EAP code:

LAB103897

Billable EAP Codes:

80005648 x 5 80005646 x 4 (if titer reflexes)

CPT Codes:

83516 x 5 83520 x 4 (if titer reflexes)

Lab Section:

Sendout

Related Links:

Mayo Test Directory

Synonyms:

Anti-GM1 Antibody

Disialo GD1b Antibody

GA1

GAES

GM1 Antibody Panel

Monosialo GM-1 Antibody

Orderable EAP code:

LAB101359

Billable EAP Codes:

80002103 x 1

CPT Codes:

86256 x 1

Lab Section:

Sendout

Related Links:

ARUP Test Directory

Orderable EAP code:

LAB103895

Billable EAP Codes:

80005683 x 1

CPT Codes:

83516 x 1

Lab Section:

Sendout

Related Links:

ARUP Test Directory

Synonyms:

PLA2R

Orderable EAP code:

LAB103894

Billable EAP Codes:

80005650 x 1

CPT Codes:

86255 x 1

Lab Section:

Sendout

Related Links:

ARUP Test Directory

Synonyms:

Anti-PLA2R

Orderable EAP code:

LAB103858

Billable EAP Codes:

80001491 x 1 80001491 x 2 (if reflexes)

CPT Codes:

86618 x 1 86618 x 2 (if reflexes)

Lab Section:

Sendout

Related Links:

ARUP Test Directory

Comments:

If VlsE1/pepC10 antibodies by ELISA is 0.91 IV or greater, then IgM and IgG by ELISA will be added with two additional charges.

Synonyms:

Lyme disease

Lyme disease C6 peptide Ab reflex panel, Modified 2-tier testing

Lyme disease VlsE1/pepC10 Total Ab, ELISA reflex to IgM and IgM ELISAs

MTTT

VlsE lipoprotein, VlsE1/pepC10 assay

Orderable EAP code:

LAB103803

Billable EAP Codes:

80005603 x 1

CPT Codes:

86363 x 1

Lab Section:

Sendout

Related Links:

Mayo Test Directory

Synonyms:

ADEM antibody

MOG

MOG-IgG

NMO antibody

Optic Neuritis Antibody

Transverse Myelitis Antibody

Vision Loss Antibody

Orderable EAP code:

LAB103800

Billable EAP Codes:

80001511 x 1 80001512 x 1

CPT Codes:

86665 x 2

Lab Section:

Sendout

Related Links:

ARUP Test Directory

Synonyms:

EBV Antibodies

EBV Antibody Panel II

EBV VCA-IgG Ab

EBV VCA-IgM Ab

Infectious Mononucleosis Antibody Panel

VCA (Viral Capsid Antigen) IgG and IgM