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EPIC CODE: LAB6033 Vasculitis Panel

ADDITIONAL TEST CODE

Sunquest: VASPAN

REGIONAL HOSPITAL PERFORMING

UPH Methodist Campus
UPH Pekin and UPH Proctor Hospitals will transport to UPH Methodist for testing

Collect

One 6 ml gold top or plain red. Separate serum from cells ASAP.

Pediatric Requirements

Collect Neonate 0.5 mL serum

Storage/Transport Temperature

1 mL serum or centrifuged gold top, refrigerated

Stability (from collection to initiation)

After separation from cells:

Ambient (room temperature) Stability: 8 hours

Refrigerated (2-8oC) Stability:(2-8°C) Stability: 7 days

Frozen (<-20°C) Stability: 1 month

Unacceptable Conditions

Hemolyzed specimens

Remarks

Separate serum from cells ASAP.

Days Performed

Variable days

Methodology

Multiplex Flow Immunoassay

Components

PR3G

MPOG

Interpretive Data

Negative: <span style="font-size: 12pt; font-family: “Times New Roman”, “serif”; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA">< 1.0 AI

Positive: ≥ 1.0 AI

CPT Codes

83516 × 2