Test Code 2553 HLA DRB1 and DQB1/DQA1 Low Resolution Typing (Class II)(2553)
Additional Codes
Versiti Test Code: 2553
Useful For
Solid organ transplantation
Synonyms/Keywords
Histocompatability, transplant testing, work up on recipient or donor.
Specimen Requirements
| Specimen Type | Preferred Container/Tube | Acceptable Container/Tube | Specimen Volume | Specimen Minimum Volume (allows for 1 repeat) |
Pediatric Minimum Volume (no repeat) |
|---|---|---|---|---|---|
| Whole blood or cord blood | EDTA Lavender top Tube | 14 mL | 5 mL | ||
| Buccal swabs | 4 swabs | 3 swabs |
Collection/Processing Instructions
Indicate on specimen tube and requisition if sample is whole blood or cord blood. Contact Versiti if sending cord blood.
Ordering provider should provide information found in the "Patient History" and "Required for Transplant Workup" section of the "Histocompatibility Transplant Requisition" found at this website: Versiti - Diagnostic Laboratory Requisitions | Test Forms & Sample Submission | Versiti
See Blood Center #2302 HLA-ABC Low Resolution (Class I) for complete transplant testing panel.
DQ2 may also be requested.
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Whole blood or cord blood | Ambient | 7 days |
| Buccal swabs | Ambient | 7 days |
Rejection Criteria
Specimens received frozen.
Reference Range Information
| Performing Location | Reference Range |
|---|---|
| Versiti | Interpretive report |
Performing Laboratory Name
Versiti Wisconsin
Referral Laboratory Information
| Address | Telephone | Website Link | Marshfield Lab Account # |
|---|---|---|---|
|
638 N. 18th Street Milwaukee, WI 53233 |
414-933-5000 800-245-3117 |
https://www.versiti.org | 588 |
Performing Information
| Performing Location | Day(s) Test Performed | Analytical Time | Methodology/Instrumentation |
|---|---|---|---|
| Versiti | Monday throught Friday | 5-7 days | PCR-rSSO, -SSP (melt curve analysis), and/or Direct DNA Sequencing |
CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 81376 | 3 |
Outreach CPT Codes
| CPT | Modifier (if needed) |
Quantity | Description | Comments |
|---|---|---|---|---|
| 81376 | 3 |