GI DISTRESS PANEL

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Test Details

Mnemonic

GIDP

Ordering Code

3070300

CPT-4 Code(s)

86258 x 2, 86364 x 2, 86003 x 12

Specimen Information

Collect

Serum separator tube (SST)

Specimen Preparation

Centrifuge, separate serum from cells and send 2.0 mL serum refrigerated in a screw capped plastic vial.

Alternate Specimen

Red top

Minimum Volume

1.5 mL

Transport Temperature

Refrigerated

Rejection Criteria

Grossly hemolyzed or lipemic specimens, plasma

Stability

Room temperature: Undetermined
Refrigerated: 7 days
Frozen: Undetermined

Methodology

Enzyme Linked Immunoassay, Fluorescent Enzyme Immunoassay
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Reference Range

Gliadin IgA, Gliadin IgG,
TTG IgA, TTG IgG:
< 7 U/mL Negative
7 - 10 U/mL Equivocal
>10 U/mL Positive
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Performing Laboratory

Warde Medical Laboratory
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New York DOH Approval Status

Yes
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Turnaround Time
1 - 3 days
Performed
Monday - Friday
Legacy Code GIDP
Example Report
Download

Resources

Interface Map for GIDP

Test Name Ordering Code Result Code Component Name LOINC Code AOE Prompt Units
GI Distress Panel 3070300
3061583 Cod, IgE 6082-2 No kU/L
3061586 Cod Class 15650-5 No
3061563 Egg White, IgE 6106-9 No kU/L
3061566 Egg White Class 15689-3 No
3062343 Gluten, IgE 6125-9 No kU/L
3062346 Gluten Class 15729-7 No
3061703 Hazel Nut, IgE 6136-6 No kU/L
3061706 Hazel Nut Class 15766-9 No
3061573 Cow's Milk, IgE 7258-7 No kU/L
3061576 Cow's Milk Class 25383-1 No
3061683 Peanut, IgE 6206-7 No kU/L
3061686 Peanut Class 15917-8 No
3062863 Scallop, IgE 7691-9 No kU/L
3062866 Scallop Class 16011-9 No
3061653 Sesame Seed, IgE 6242-2 No kU/L
3061656 Sesame Seed Class 16014-3 No
3061733 Shrimp, IgE 6246-3 No kU/L
3061736 Shrimp Class 16018-4 No
3061693 Soybean, IgE 6248-9 No kU/L
3061696 Soybean Class 15568-9 No
3062203 Walnut, IgE 6273-7 No kU/L
3062206 Walnut Class 16074-7 No
3061593 Wheat, IgE 6276-0 No kU/L
3061596 Wheat Class 16085-3 No
3015000 Gliadin Ab IgA, deamidated 63453-5 No U/mL
3015010 Gliadin Ab IgG, deamidated 63459-2 No U/mL
3017300 Tissue Transglutaminase IgA Ab 46128-5 No U/mL
3017350 Tissue Transglutaminase IgG 56537-4 No U/mL

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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