Penta Screen
Additional Codes
LAB7552
Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
Methodology
Immunoassay (IA)
Specimen Requirements
Collection Instructions
For manual orders use "Maternal Serum Screen
Requisition".
The Penta Screen test in pregnant women should be performed between
14.0 and 22.9 weeks gestational age, although the optimal period is
15.0-16.9 weeks. This time frame allows sufficient opportunity for
further diagnostic studies if the initial Penta Screen test results
are abnormal. Specimens submitted before 14.0 weeks or after 22.9
weeks gestation cannot be properly evaluated for open neural tube
defects, Down syndrome or Trisomy 18.
The "Maternal Serum Screen
Requisition" designed to obtain patient data and the
patient's informed consent must be utilized when ordering the Penta
Screen test. Because the Penta Screen test results are influenced
by certain patient characteristics, the following data must be
provided with the specimen in order to permit accurate
interpretation of results: date of collection, patient’s
(maternal) date of birth, patient’s estimated date of
delivery, patient’s weight, patient’s race,
patient’s diabetic status (is patient insulin-dependent prior
to pregnancy), number of fetuses, and whether this is a repeat
sample.
Preferred Specimen(s)
One Red top tube - 4 mL serum
Minimum Volume
1.5 mL
Specimen Stability
Room temperature: 7 days
Refrigerated: 7 days
Frozen: 28 days
Specimen Transport Temperature
Room temperature
Day(s) Test Set Up
Mon-Sat; Report available: 4-5 days
Reference Values
See Laboratory Report
Test Classification and CPT Coding
82105, 82397, 82677, 84702, 86336 or 81512*
*The 2018 AMA CPT codebook contains the component CPT codes and the
new MAAA codeset. Please direct any questions regarding coding to
the payor being billed.
CPT Code is subject to a MEDICARE LIMITED COVERAGE POLICY and may require a signed ABN when ordering.