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Test Code PPR10 PRENATAL PROFILE, URINALYSIS, AND URINE CULTURE

Additional Codes

Software Test Code
Label Text                                   PPR10
EPIC LAB10309                    

Performing Laboratory

NorDx Laboratories

Useful For

Screening tool for pregnant patients.

 

Positive or equivocal results of the Treponema Pallidum Antibodies assay will reflex to the RPR card test, with dilutions, at an additional charge. Samples negative by RPR card test are forwarded to Mayo Medical Laboratory for supplemental testing for T. Pallidum at an additional charge.

 

Hepatitis B Surface Antigen Confirmation will automatically be performed on all HBs Antigen positive patients at an additional charge.

 

If the antibody screen is positive, an antibody identification and titer will be performed. First time antibody identifications will reflex to red cell antigen typing for each antibody, and also to a DAT, polyspecific. The DAT, polyspecific will, in turn, reflex to a DAT-IgG and a DAT-C3d if positive. If the DAT-IgG is positive, an RBC elution will be performed. An additional charge will result for each of these reflexed tests if performed.

 

Urine culture isolates reflex to organism identification and antibiotic susceptibility test at an additional charge.

Method Name

Chemiluminescent Immunoassay (CIA)

Conventional Culture

Enzyme Linked Immunosorbent Assay (ELISA)

Impedance

Radio Frequency

Red Blood Cell Agglutination

Reference Values

See individual analytes

Days and Times Test Performed

Monday through Friday

Report Available

1 Day

Profile Information

Individual Test Description

APPEARANCE, URINE
COLOR, URINE
COMPLETE BLOOD COUNT (INCLUDES DIFFERENTIAL), BLOOD
CULTURE, BACTERIA, URINE
GLUCOSE, URINE, QUALITATIVE
HEPATITIS B SURFACE ANTIGEN, SERUM
KETONE BODIES, QUALITATIVE, URINE
LEUKOCYTE ESTERASE, URINE
NITRITE, URINE
OCCULT BLOOD, URINE
PH, URINE
PRENATAL TYPE AND SCREEN
PROTEIN, QUALITATIVE, URINE
RUBELLA ANTIBODIES, (IgG), QUALITATIVE, SERUM
SPECIFIC GRAVITY, URINE
TREPONEMA PALLIDUM (SYPHILIS) ANTIBODIES, SERUM
URINALYSIS MICROSCOPIC
UROBILINOGEN, URINE

Specimen Type

Submit all of the following:

~ Serum

~ Whole Blood

~ Urine, clean-catch

Preferred Container

Serum Separator Tube (SST)

Lavender Top Tube (EDTA)

Pink Top Tube (EDTA) – PINK TOP TUBE (EDTA) REJECTED IF TUBE NOT LABELED WITH FULL NAME OF PATIENT (LAST, FIRST [DO NOT USE NICKNAMES]) DATE OF BIRTH AND/OR IDENTIFICATION NUMBER, DATE OF COLLECTION, AND INITIALS OF PERSON DRAWING SPECIMEN.

Sterile Urine Cup

Preferred Volume

Serum: 4 mL (Serum Separator Tube (SST))

Whole Blood: 4 mL (Lavender Top Tube (EDTA))

Whole Blood: 6 mL (Pink Top Tube (EDTA))

Urine, clean-catch: 5 mL (Sterile Urine Cup)

Minimum Volume

Serum: 2 mL (Serum Separator Tube (SST))

Whole Blood: 1 mL (Lavender Top Tube (EDTA))

Whole Blood: 5 mL (Pink Top Tube (EDTA))

Urine, clean-catch: 2 mL (Sterile Urine Cup)

Specimen Collection and Handling

Submit all of the following:

 

1. SERUM GEL TUBE OR RED TOP: Spin specimen, separate from clot and send refrigerated.

2. LAVENDER TOP TUBE (EDTA): Mix well after draw and send refrigerated

3. PINK TOP (EDTA): Send refrigerated

4. URINE:

a. Submit a clean-catch midstream urine specimen in a sterile urine container and send refrigerate

b. Collect first morning specimen when possible.

c. Organisms accumulate in bladder overnight, so first morning specimen provides the best yield.

d. Specimens collected at other times are more dilute and are not optimal.

Add On Capable

Not Permitted

Advance Beneficiary Notice Requirements

Yes, for Urine Culture only

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

81000 Urinalysis by Dip Stick or Tablet Reagent; Non-Automated, with Microscopy OR
81001 Urinalysis by Dip Stick or Tablet Reagent; Automated, with Microscopy  
85007 Blood Count, Blood Smear, Microscopic Examination with Manual Differential Leukocyte (WBC) Count if Indicated
85025 Complete Blood Count (CBC), Automated Hemoglobin, Hematocrit, RBC, WBC, and Platelet Count and Automated Differential WBC Count  
85027 Complete Blood Count (CBC), Automated Hemoglobin, Hematocrit, RBC, WBC, and Platelet Count if Indicated
86593 Syphilis Test, Non-Treponemal Antibody, Quantitative  
86762 Rubella Antibody  
86780 Treponema pallidum Antibody  
86780-59 Treponema pallidum Antibody if Indicated
86860 Antibody Elution, RBC, Each Elution if Indicated
86870 Antibody Identification, RBC Antibodies, Each Panel for Each Serum Technique if Indicated
86880 Antihuman Globulin Test (Coombs Test), Direct, Each Antiserum if Indicated
86880 x2 Antihuman Globulin Test (Coombs Test), Direct, Each Antiserum if Indicated
86886 Antihuman Globulin Test (Coombs Test), Indirect, Each Antibody Titer if Indicated
86905 RBC Antigens, Other than ABO, Rh (D), Each if Indicated
87077 Culture, Bacterial, Aerobic Isolate, Additional Methods Required for Definitive Identification, Each Isolate if Indicated
87086 Culture, Bacterial, Quantitative Colony Count, Urine  
87186 Susceptibility Studies, Microdilution or Agar Dilution (Minimum Inhibitory Concentration [MIC] or Breakpoint), Each Multimicrobial, Per Plate if Indicated
87341 Infectious Agent Antigen Detection by Immunoassay Technique, Qualitative or Semiquantitative, Multiple-Step Method, Hepatitis B Surface Antigen (HBsAg) Neutralization if Indicated
98340 Infectious Agent Antigen Detection by Immunoassay Technique, Qualitative or Semiquantitative, Multiple-Steph Method, Hepatitis B Surface Antigen (HBsAg)  

Performing Laboratory Location

NorDx Laboratories

Acceptable Alternative Container(s)

Red Top Tube

Rejection Information

Pink top (EDTA) rejected if tube not labeled with full name of patient (last, first [do not use nicknames]), date of birth and/or identification number, date of collection, and initials of person drawing specimen