Inactivated/Replace Test

Effective Date

01/06/2026

Inactivated Test Details

Mnemonic

ADABR

Ordering Code

3400328

CPT-4 Codes(s)

86255, plus 86256 if reflexed to titer, at additional fee

Replacement Test Details

Mnemonic

21HYD

Ordering Code

3687160

CPT-4 Codes(s)

83516

Turnaround Time
3 - 8 days
Performed
Tuesday, Friday
Legacy Code
21HYDAB
Example Report

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours and send 1.0 mL serum in a screw capped plastic vial.

Alternate Specimen

Serum: Red top

Minimum Volume

0.3 mL

Transport Temperature

Refrigerated

Rejection Criteria

Grossly hemolyzed or lipemic

Stability

After separation from cells:
Room temperature: 24 hours
Refrigerated: 7 days
Frozen: 1 month

Methodology

Qualitative Enzyme-Linked Immunosorbent Assay
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Reference Range

Negative
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Performing Laboratory

ARUP
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New York DOH Approval Status

Yes
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