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4970: Beta-Thalassemia Screen Print View
Hemoglobin A2 HPLC  < 31 days: < 1.0
< 91 days: < 2.3
< 181 days: < 2.5
< 366 days: < 2.7
>= 366 days: 1.8 - 3.5 
% 
Fetal Hemoglobin, Whole Blood HPLC  < 4 months: 40 - 85
< 7 months: 8 - 40
< 366 days: < 8.0
>= 366 days: < 2.0 
% 

PRIMARY
1 Whole Blood EDTA 2 (0.5) mL   Refrigerated - 6 Day(s)/Room Temperature - 48 Hour(s)  
ALTERNATE
  Whole Blood Heparin 2 (0.5) mL   Refrigerated - 6 Day(s)/Room Temperature - 48 Hour(s)  
Setup Schedule
Tuesday-Saturday

Reported (Analytical Time)
Next day

CPT Code
83021

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 report does not include hemoglobin variants. See Hemoglobinopathy Evaluation (DOS Code # 4983).






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