Implant Failure Panel

Test Code: 3005
CPT Codes: 86256, 86146 X3, 86039, 86431, 86038, 86147 X3, 86800, 86376, 86148 X3, 85613, 85610, 85730, 85670, 80500/80502
Methodology: IFA, EIA, Turb, CLIA, CD
Specimen Requirements: 3 mL Serum (Ambient, Refrigerated, Frozen) & (2) 4.0 mL FROZEN Plasma Citrated
Turn Around Time: 3 – 5 days
Special Instructions: Collect Serum & Plasma Samples. Refer to Lupus Anticoagulant Special Instructions for PLASMA collection details. If both, Serum & Plasma will be sent FROZEN, please ensure that sample type is correctly indicated on the tubes.
Tests in Profile: Anticardiolipin Ab, IgG, IgA, IgM (EIA); Anti-Beta-2 Glycoprotein Ab, IgG, IgA, IgM (EIA); Phosphatidylserine Ab, IgG, IgA, IgM (EIA); Anti-Nuclear Ab (IFA);ANA Titer & Pattern; Rheumatoid Factor (Turb); Anti-Ovary Ab (IFA); Anti-Thyroglobulin Ab; Anti-TPO Ab; Prothrombin Time (PT); PTT LA-LAC; Thrombin Time (TT); dRVVT Screen-LAC; Interpretation
Notes: If dRVVT Screen-LAC is ABN, dRVVT Confirm (85613) & Normalized Ratio will be performed at an additional charge. If PTT-LA-LAC is abnormal & dRVVT Screen-LAC is Normal , Hexagonal Phase-LAC (85598) will be performed at an additional charge. See LAC Work-up Algorithm.
Clinical Utilities: Explores antibodies associated with implantation failure in patients undergoing in vitro fertilization.  References available upon request.