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91155: Roma(tm) (risk Of Ovarian Malignancy Algorithm) Print View
ROMA Premenopausal CALC     
ROMA Postmenopausal CALC     
CA125 CMIA    U/mL 
HE4, Ovarian Cancer Monitoring CMIA    pmol/L 

PRIMARY
1 Serum 1 (0.5) mL   Refrigerated - 72 Hour(s)/Room Temperature - 24 Hour(s)/Frozen - 28 Day(s)  
ALTERNATE
  Red Top   Refrigerated - 72 Hour(s)/Frozen - 28 Day(s)/Room Temperature - 24 Hour(s)  

The Risk of Ovarian Malignancy Algorithm (ROMA(TM)) test is intended to aid in assessing the risk of ovarian cancer in women with a pelvic mass based on the patient's HE4 and CA125 levels, and their menopausal status. Women with ROMA(TM) levels above the cutoff have an increased risk of ovarian cancer. ROMA(TM) must be interpreted in conjunction with an independent clinical and radiological assessment.

Sample collected in red-top tube must be allowed to clot for at
least 30 minutes but no longer than 1 hour.
Setup Schedule
Tuesday, Thursday, Saturday

Reported (Analytical Time)
Next day

CPT Codes
86304,86305

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
Reject Criteria: Moderate to gross hemolysis; lipemia; icteric; presence of fibrin; red blood cells; other particulate matter; obvious microbial contamination
Transport Temperature: Frozen
Methodology: Calculation, Chemiluminescent Microparticle Immunoassay






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