Inactivated/Replace Test

Effective Date

10/24/2023

Inactivated Test Details

Mnemonic

C5C

Ordering Code

3420120

CPT-4 Codes(s)

86160

Replacement Test Details

Mnemonic

C5AG

Ordering Code

3800333

CPT-4 Codes(s)

86160

Specimen Information

Patient Preparation

Fasting is preferred but not required.

Collect

Red top

Specimen Preparation

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

Alternate Specimen

Serum separator tube (SST)

Minimum Volume

0.5 mL

Transport Temperature

Frozen

Rejection Criteria

Plasma, Gross lipemia

Stability

Room temperature: 7 days
Refrigerated: 28 days
Frozen: 60 days

Methodology

Nephelometry
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Reference Range

10.6 - 26.3 mg/dL
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Performing Laboratory

MAYO
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