Clinical Utilities
Screening for indication of fetal anomalities including Down syndrome (DS) and Neural Tube Defects (NTD).

CPT Codes
82105, 82677, 84702

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.

Reference Range
OPEN SPINA BIFIDA Negative
TRISOMY 18 SCREEN       Negative
AFP MoM           <2.00 MoM
Down Syndrome Risk      Negative

Component Information

Name		AFP
Method		MEIA
CPT Code		82105
Units
Ref Range
Reflex Reason

Name		AFP MOM
Method		CALC
CPT Code
Units		MoM
Ref Range		Less than 2.0
Reflex Reason

Name		UE3
Method		RIA
CPT Code		82677
Units
Ref Range
Reflex Reason

Name		UE3 MOM
Method		CALC
CPT Code
Units
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Reflex Reason

Name		HCG
Method		MEIA
CPT Code		84702
Units
Ref Range
Reflex Reason

Name		HCG MOM
Method		CALC
CPT Code
Units
Ref Range
Reflex Reason

Collection Notes
Collect specimen between 14-21 weeks gestation. Icteric or
grossly hemolyzed specimens are not acceptable. Ship ambient
within 24 hrs of colletion by overnight courier.
   
SPECIAL INSTRUCTIONS: Must include: Gestation age, LMP,
Weight, Race, Insulin dependent, Multiple fetuses.

Additional Comments
California clients please use test #3110CA when ordering this test..