First Trimester Screen

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Test Details

Mnemonic

FTS1

Ordering Code

3000352

CPT-4 Code(s)

81508 (or 84163, 84702)

Specimen Information

Patient Preparation

Collect sample between CRL 42 mm and CRL 79.9 mm.

Collect

Red top

Specimen Preparation

Centrifuge, separate serum from cells within 2 hours of collection and send 1.0 mL serum in a
screw capped plastic vial. Prenatal Screening information required at Order Entry. Please send
completed Prenatal Screen Information sheet with each specimen if unable to transmit required
responses.

Alternate Specimen

Serum separator tube (SST)

Minimum Volume

0.6 mL

Transport Temperature

Refrigerated

Rejection Criteria

Moderately hemolyzed, lipemic, icteric, plasma

Stability

Room temperature: 5 days
Refrigerated: 7 days
Frozen: 120 days

Methodology

Chemiluminescence
more

Reference Range

See report
more

Performing Laboratory

Warde Medical Laboratory
more

New York DOH Approval Status

Yes
more
Turnaround Time
1 - 3 days
Performed
Monday, Wednesday, Thursday, Friday
Legacy Code FTS1
Example Report
Download
FTS1 Information Sheet
Download

Resources

Interface Map for FTS1

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
First Trimester Screen 3000352
3000372 Physician Phone Number 68340-9 Yes
3000373 Notes to Laboratory 68560-2 Yes
3000361 Weight (lbs) 29463-7 Yes*
3000362 Race Acceptable Prompt Responses: White Black Hispanic Other Not Provided 21484-1 Yes
3000363 Insulin Dependent Diabetic? Acceptable Prompt Responses: No Yes Not Provided 44877-9 Yes
3000364 Does Patient Currently Smoke Cigarettes? Acceptable Prompt Responses: No Yes Not Provided 64234-8 Yes
3000369 Previous Pregnancy w/ Neural Tube Defect? Acceptable Prompt Responses: No Yes Not Provided 53827-2 Yes
3000370 Previous Down syndrome Pregnancy? Acceptable Prompt Responses: No Yes Not Provided 53826-4 Yes
3000371 IVF Pregnancy? Acceptable Prompt Responses: No Yes Not Provided 47224-1 Yes
3000374 CRL Scan Date (MM/DD/YYYY) 34970-4 Yes*
3000375 CRL 11957-8 Yes*
3000376 NT 12146-7 Yes*
3000377 Number of Fetuses Acceptable Prompt Responses: Single Twins 55281-0 Yes
3000378 Sonographer Code Not available Yes*
3000379 Nasal Bone? Acceptable Prompt Responses: Present Absent Not Reported 96426-2 Yes
3000365 Repeat Screen for Current Pregnancy? Acceptable Prompt Responses: No Yes Not available Yes
3000381 CRL Twin B 11957-8 Yes
3000382 NT Twin B 12146-7 Yes
3000383 Chorionic Sacs Acceptable Prompt Responses: Monochorionic Dichorionic 92568-5 Yes
3000384 Nasal Bone Twin B? Acceptable Prompt Responses: Present Absent Not Reported 53697-9 Yes
3024010 Screen Result 50679-0 No
3024020 Age at EDD (years) 43993-5 No
3024030 GA (weeks) 49051-6 No
3024040 GA (days) 49052-4 No
3024050 Ultrasound Date 34970-4 No
3024060 CRL 11957-8 No
3024080 Nasal Bone 96426-2 No
3024100 Weight (lbs) 29463-7 No
3024110 Multiple Gestation 11878-6 No
3024120 Ethnic Origin 21484-1 No
3024130 IDDM 44877-9 No
3024135 Smoker 64234-8 No
3024140 NT 12146-7 No
3024170 PAPP-A 48407-1 No
3024160 hCG 21198-7 No
3024180 NT MOM 49035-9 No
3024205 PAPP-A MOM 76348-2 No
3024200 HCG MOM 55868-4 No
3024220 Down Syndrome Risk 43995-0 No
3024230 Maternal Age Risk for Down 49090-4 No
3024210 Trisomy 18 Risk 43994-3 No
3024250 Interpretation 49588-7 No

The CPT codes provided are for general informational purposes only and are based on an interpretation of AMA guidance. It is the sole responsibility of the billing party to determine CPT codes. Any questions regarding coding should be directed to the paying party.

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