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PPR9
PRENATAL PROFILE 9

Test Code PPR9 
Test PRENATAL PROFILE 9 
Methodology ELISA, Chemiluminescence, Impedance/Radio Frequency, Red Cell Agglutination and Conventional Culture.

Positive Treponema Pallidum antibody specimens reflex to an RPR Card Test (RPRC) to be confirmed at an extra charge.

Hepatitis B Surface Antigen Confirmation will automatically be performed on all HBs Antigen positive patients at an additional charge.

If the antibody screen is positive, an antibody identification and titer will be performed. First time antibody identifications will reflex to red cell antigen typing for each antibody, and also to a DAT, polyspecific. The DAT, polyspecific will, in turn, reflex to a DAT-IgG and a DAT-C3d if positive. If the DAT-IgG is positive, an RBC elution will be performed. An additional charge will result for each of these reflexed tests if performed.

Urine culture isolates reflex to organism identification and antibiotic susceptibility test at an additional charge. 

Description Includes CBC, Treponema pallidum antibody, Hepatitis B Surface Antigen, Type and Screen, and Urine Culture 
Specimen Submit all of the following specimens:
1. Draw blood in plain, red-top or serum gel tube(s). Spin down and send 4.0 mL (minimum: 2.0 mL) of serum refrigerated.
2. Draw blood in a lavender-top (EDTA) tube(s). Mix well after draw, and send 1.0 mL EDTA whole blood refrigerated. (CLOTTED OR GROSSLY HEMOLYZED SPECIMEN IS UNACCEPTABLE.)
3. Draw blood in a lavender/pink-top (EDTA) tube(s), and send 7.0 mL of EDTA whole blood. NOTE: TUBE MUST BE LABELED WITH FULL NAME OF PATIENT (LAST, FIRST [DO NOT USE NICKNAMES]), DATE OF BIRTH AND/OR INDENTIFICATION NUMBER, DATE OF COLLECTION, AND INITIALS OF PERSON DRAWING SPECIMEN.
4. Submit a clean-catch midstream urine specimen in a sterile urine container. Collect first morning specimen when possible. Organisms accumulate in bladder overnight, so first morning specimen provides the best yield. Specimens collected at other times are more dilute and are not optimal. Refer to "Culture, Bacteria, Urine" for detailed instructions on specimen collection. 
Analytic Time 1 Day 
Day(s) Test Set Up Monday through Friday 
CPT Code(s) 85007  Manual differential (if indicated)
85025  CBC with differential
85027  CBC without differential (if indicated)
86593  RPR-Quantitative, (if indicated)
86762  Rubella
86780  Treponema Pallidum antibodies
86780-59  TP-PA (if indicated)
86850  Antibody Screen
86860  RBC elution, (if indicated)
86870  Antibody ID, each antibody, (if indicated)
86880  DAT, Polyspecific, (if indicated)
86880 2  DAT, IgG and C3d, (if indicated)
86886  Antibody Titer, each antibody, (if indicated)
86900  ABO Typing
86901  RH Typing
86905  Red Cell Antigen Typing, each, (if indicated)
87077  Bacterial Identification,(if indicated)
87086  Urine bacteria culture
87186  Antibiotic susceptibility (MIC), (if indicated)
87340  Hepatitis B Surface Ag
87341  HBsAG confirmation, (if indicated)

Special Instructions