91011      Prenatal Quad Panel
Specimen:
  Collect: One Serum 7.5 mL SST  
  Submit: 3 mL (Min:1 mL) Serum. Submit Frozen. Submit in a Standard Transport Tube.  
  Special Handling: Avoid Repeated Freeze/Thaw Cycles
Separate aliquot required for each frozen test ordered
Separate from cells ASAP
Collect at 14-24 weeks gestation only.
Special Form - Patient History for Maternal Serum Testing
Required information - patient age, weight and race, EDD by US or LMP, weeks gestation, number of fetuses, history of diabetes or NTD 
  Rejection Criteria: Grossly Hemolyzed Samples 
  Stability: Ambient: 24 Hour(s); Refrigerated: 1 Week(s); Frozen: 12 Month(s); Incubated: Unacceptable 
Methodology: Chemiluminescent Immunoassay; Enzyme Immunoassay (EIA); Immunoassay 
Performed: Sun-Sat 
Reported: 3-5 Day(s) 
CPT Codes:
8210582677
8470286336
Interpretive Data: Please see report for interpretive data.
Components:
93169 - PATIENT'S AFP93202 - EDD
93206 - MoM FOR DIA93207 - PATIENT DIA
93238 - MATERNAL WEIGHT93239 - MoM for AFP
93240 - INTERPRETATION93241 - SPECIMEN
93242 - DATING93243 - MAT. INSULIN DM
93244 - FAMILY HX of NTD93245 - MATERNAL RACE
93246 - NUMBER OF FETUSES93248 - MATERNAL AGE
93249 - PATIENT'S hCG93251 - MoM for hCG
93252 - GESTATIONAL AGE 93253 - PATIENT'S uE3
93255 - MoM for uE3