IBD SGI Diagnostic Panel (Prometheus) *

SIM

LAB3108

CPT

83250 X 6; 82397 X 4; 86140; 88346; 88350; 81479 X 4

Synonyms

Specimen Type

Serum and Whole blood required

Container

Red-top or gold-top tube and lavender-top tube

Collection Instructions

Volume

Volume:  2 mL serum and 2 mL whole blood
Min. volume: 2 mL serum and 2 mL whole blood

Additional Information

Helps to differentiate IBD vs. non IBD and Crohns vs. Ulcerative Colitis.

Patient Preparation

Specimen Processing Instructions

Once in the lab, separate serum from cells if using red-top tube

Transport Requirements

Refrigerate

Specimen Stability

Refrigerated: 21 days 

Rejection Criteria

Quantity not sufficient.

Reference Range

Reference range accompanies report

Critical Value

Test Includes

Call Laboratory for information.

Methodology

Indirect Immunofluorescent assay; ELISA; Chemiluminescent Assay

Testing Frequency

LCA

N/A; Test sent to Prometheus Diagnostics

Reviewed By

Rhonda Crowe             

Reviewed Date

2/24/23

Supplemental

*  Denotes Reference Lab Test