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16333: Quad Screen (ny) Print View
Interpretation      
Risk for ONTD      
Age Risk Down Syndrome      
MSS Down Syndrome Risk      
MSS Trisomy 18 Risk      
Calc'd Gestational Age      
AFP, Serum IA    ng/mL 
AFP MoM CALC    MoM 
hCG, Serum IA    IU/mL 
HCG, MoM CALC    MoM 
Estriol, Free IA    ng/mL 
Estriol, MoM CALC    MoM 
Inhibin A, Dimeric IA    pg/mL 
Inhibin A MoM CALC    MoM 
Date of Birth      
Collection Date      
Maternal Weight      
Est'd Date of Delivery      
EDD Determined by      
Mother's Ethnic Origin      
Number of Fetuses      
Insulin Depend Diabetic      
Repeat Specimen      
Hx of Neural Tube Defects      
Brief History      
Prev Pregnancy Down Synd      
Donor Egg      
Donor Age: Egg Retrieval      
Cigarette Smoker      

PRIMARY
1 Serum 3 (1) mL   Room Temperature - 14 Day(s)/Refrigerated - 14 Day(s)/Frozen - 28 Day(s)  
ALTERNATE

The Quad test in pregnant women should be performed between 14.0
and 22.9 weeks gestational age, although the optimal period is
15.0-16.9 weeks. This time frame allows sufficient opportunity
for further diagnostic studies if the initial Quad Screen test
results are abnormal. Specimens submitted before 14.0 weeks or
after 22.9 weeks gestation cannot be properly evaluated for
open neural tube defects, Down Syndrome or Trisomy 18.
Setup Schedule
Monday-Saturday

Reported (Analytical Time)
Next day

CPT Codes
82105,84702,82677,86336

The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

Notes
**This test is not available for non-New York patient testing. For non-New York patient testing use test code 30294-Quad Screen**

82105, 82677, 84702, 86336 or 81511* *The 2018 AMA CPT codebook contains the component CPT codes and the new MAAA codeset. Please direct any questions regarding coding to the payor being billed.

Specimen Requirements: 3 mL (1 mL minimum) serum

Transport Temperature: Room temperature

Reject Criteria: Gross hemolysis, Gross lipemia

Methodology: Immunoassay






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