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Test Code Intergrated Screening Intergrated Screening Test - Prenatal Request

Important Note

Special requisition form must be completed by the physician's office.

Necessary information includes gestational dating information, maternal weight, race, date of birth, twinning, smoking and diabetic status.

NT measurement needed for full intergrated test

This test will screen for open neural tube defects, Down Syndrome (Trisomy 21) and Trisomy 18.

Specimen Type

Blood

Minimum Requirement

5.0-7.0 mL per trimester

Container Type/Storage

Red top tube

Methodology

Immunoassays 

Reference Range

Screen positive for open neural tube defects greater than or equal to 2.0 MoM

 

Screen positive for Down Syndrome greater than or equal to risk of 110

 

Screen positive for Trisomy 18 greater than or equal to risk of 100

CPT Code(s)

82105

82677

84702

86336

84163