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Test Code LAB12360 IBD sgi Diagnostic™ -- Covenant Lab Only Order

Important Note

Only orderable by the Covenant Laboratory Send Out Department

If a physician specifically requests this test, order it as a Miscellaneous Test. The preferred order for this test is LAB20458 Inflammatory Bowel Disease Differentiation Panel.

Department

SEND OUTS

Reference Lab Test Number

IBDPM

Collection Requirements

Test is only to be ordered by the Covenant Send Out Department. If a physician specifically requests this test, order it as a Miscellaneous Test. The preferred order for this test is LAB20458 Inflammatory Bowel Disease Differentiation Panel.

Requires EDTA/Lavender Top Tube and Serum Tube.

Refer To

Warde Medical Laboratory to Prometheus

Primary Collection Container

Gold (SST)

Lavender 4 mL (K3EDTA)

Transport

Serum and whole blood refrigerated

Preferred Transport Temperature

Refrigerated

Processing

Centrifuge serum tube and pour off into transport tube.

Stability

Ambient: 7 days

Refrigerated: 21 days

Minimum Testing Volume

2.0 mL Serum and 2 mL Whole Blood (EDTA)

Reference Range

See reference lab test listing.

NOTE: Patient test results are based on the Smart Diagnostic Algorithm which interprets patterns among the assay values.

Reported

4-5 days

CPT Codes

83520 × 6, 82397 × 4, 86140, 88346, 88350, 81479 × 3, 81405

Additional Information

Testing forwarded to Prometheus by Warde Medical Laboratory.

SNPs included have been shown to be associated with IBD, however the presence of these mutations do not indicate that the patient has IBD. Use of these SNPs in association with the serology and inflammation markers allows for improved differentiation between UC and CD.