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Test Code AMYFL AMYLASE, BODY FLUID

Important Note

If requesting this test to be performed on joint/synovial fluid – it must be ordered as an RMIS (referrals miscellaneous test).

Additional Codes

Software Test Code
SoftID AMYFL
EPIC LAB178

Performing Laboratory

NorDx Laboratories

Useful For

Investigating pancreatitis, assessing pleural effusions for suspected esophageal rupture or “amylase-rich pleural effusion” in cases of adenocarcinoma of the lung or mesothelioma

Method Name

Dyed Saccharide Hydrolysis

Reference Values

No reference range established

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Available Stat

Specimen Type

Body Fluid – Pleural and peritoneal only. Synovial fluid not permitted for testing.

Preferred Container

Red Top Tube

Preferred Volume

Body Fluid: 0.5 mL (Red Top Tube)

Minimum Volume

Body Fluid: 1 mL (Red Top Tube)

Specimen Collection and Handling

Indicate fluid source on request form and on tube and send refrigerated.

Specimen Stability Information

Specimen Type: Body Fluid

Refrigerated: 1 Month

Room Temp: 7 Days

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

82150 Amylase, Quantitative  

Performing Laboratory Location

NorDx Laboratories

Acceptable Alternative Container(s)

Sterile Container