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General Information
Lab Test Id Test Name CPT4 Code
PHC SPESCN IFE with Immunoglobulins 86334  82734 x3 
ACL IG1234 IgG SUBCLASS 1,2,3,4
Container: One gold gel 3.5 mL
Stability: Ambient: 2 Hours / Refrigerated: 8 Days / Frozen: 6 Months
82787 x4 
ACL IGGSUB IgG Subclasses 1,2,3,4
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 2 Weeks / Frozen: 6 Months
82787 x4 
PHC IGSUBA IgG with Subclasses
Container: IGG: One gold gel 3.5 mL (also acceptable: one plain red 4.0 mL) IGGSUB: One gold gel 5.0 mL
82787 x4  82784 
PHC IGHV IGHV Mutation Analysis by Sequencing Stability: Ambient: 1 hour: Refrigerated: 7 days: Frozen: Unacceptable 81263 
PHC IPF Immature Platelet Fraction Stability: Room temperature: Preferred specimen should be less than 8 hours old.  If stored at 4-8°C, allow it to come to room temperature before testing. 85055 
ACL SIFEMX Immunofixation Electrophoresis with IgG, IgA, IgM, and Kappa/Lambda Free Light Chains, Serum
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
82784 x3  83521 x2  more
ACL UIFXMX Immunofixation Electrophoresis, Urine
Container: One Urine
Stability: Refrigerated: 7 Days / Frozen: 14 Days
86335 
ACL IGA Immunoglobulin A, IgA
Container: One gold gel 3.5 mL (also acceptable: one plain red 4.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
82784 
ACL IGDQNT Immunoglobulin D, Quantitative
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 2 Weeks / Frozen: 6 Months
82784 
ACL IGEB Immunoglobulin E, IgE
Container: One gold gel 5.0 mL (also acceptable: one plain red 6.0 mL)
Stability: Ambient: 4 Hours / Refrigerated: 2 Days / Frozen: 14 Days
82785 
ACL IGG Immunoglobulin G (IgG)
Container: One gold gel 3.5 mL (also acceptable: one plain red 4.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
82784 
ACL IGGS4 Immunoglobulin G Subclass 4
Container: One gold gel 5.0 mL
Stability: Ambient: Unacceptable / Refrigerated: 14 Days / Frozen: 6 Months
82787 
ACL IGM Immunoglobulin M, IgM
Container: One gold gel 3.5 mL (also acceptable: one plain red 4.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
82784 
ACL IMMGLB Immunoglobulin Profile (IgG, IgM, IgA)
Container: One gold gel 3.5 mL (also acceptable: one gold gel microtainer 600 mcL (clear or amber) or one plain red 4.0 mL)
Stability: Ambient: Unacceptable / Refrigerated: 7 Days / Frozen: 14 Days
82784 x3 
 
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