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F100 : Chronic Fatigue Syndrome

INFORMATION:

Alternate Name:
Chronic Fatigue Syndrom
Components:
ANA SCREEN, CBC WITH DIFF, THYROXINE, FREE (FT4), Thyroxine(T4), TSH, EBV Capsid Ag. Ab, IgG, CMV Ab. IgG, CMV Ab. IgM, LYME DISEASE Ab., EBV Capsid Ag. Ab, IgM, EBV Early Ag. Ab, IgG, EBNA Ab, IgG, hsCRP

ORDERING:

Test Code:
F100-3
Turnaround Time:
2 DAYS
Preferred Specimen:
SST Tube, Lavender top- EDTA
Collection:
Container Qty Temp Stability
SST Tube 2 Refrigerate
Lavender top- EDTA 1 Refrigerate
Collection Instructions:
LAV: Fill lavender-top (EDTA) tube completely, invert 8-10 times. DO NOT SHAKE TUBE! SST: Fill tube, invert gently 5 times, label with patient name, let stand for minimum of 30 minutes, maximum of 1 hr, spin for 10-15 minutes
Storage Transport Instructions:
Primary Instruction: LAV: Fill lavender-top (EDTA) tube completely, invert 8-10 times. DO NOT SHAKE TUBE!
SST: Fill tube, invert gently 5 times, label with patient name, let stand for minimum of 30 minutes, maximum of 1 hr, spin for 10-15 minutes
Storage/Transport Instruction: THYROID: If T4 (free/total) or TSH are ABN then ANTI-TPO Ab and Thyroglobulin will be ran.
LYME: Any ABN results to IgG will reflex to IgM/WB
CONNECTIVE: Any ABN results on ANA will reflex to dsDNA, RF, Anti SSA, Anti SSB, Anti-SM/RnP, Anti CCP.
VIRAL: IF ONLY the HGB in the CBC <10 then Retic Count, Ferritin, Folic acid, Vit B12, Erythropoietin, Iron, Iron % Sat, and TIBC will be ran.

Billing:

CPT Codes:
86038 x 1, 85025 x 1, 84439 x 1, 84436 x 1, 84443 x 1, 86665 x 2, 86644 x 1, 86645 x 1, 86618 x 1, 86663 x 1, 86664 x 1, 86141 x 1

CPT Code Disclaimer

CPT codes provided are for informational purposes only. Accuracy of CPT presented should be validated prior to consideration for billing.
CPT coding is the sole responsibility of the billing party. Please direct any questions regarding CPT coding to the payer being billed.