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Test Code FIBROSO FibroSpect HCV, Prometheus (4000)

Additional Codes

Prometheus Test Code: 4000

Useful For

The PROMETHEUS FIBROSpect HCV test helps detect, stage, and monitor liver fibrosis in hepatitis C (HCV) patients. The test is a non-invasive, serum diagnostic that provides a quantitative fibrosis score to help physicians risk stratify and monitor patients based on 3 clinically relevant biomarkers.

Synonyms/Keywords

Prometheus Fibrospect II

Specimen Requirements

Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
Serum Serum Separator Tube (SST) Red Top Tube (RTT) 2 mL 0.5 mL  

Specimen Stability Information

Specimen Type Temperature Time
Serum Ambient 7 days
Refrigerated 30 days

Rejection Criteria

Gross Hemolysis, Gross Lipemia

Test Components

Alpha-2 macroglobulin
Hyaluronic Acid
Tissue Inhibitor Metaloproteinase Type 1
FIBROSpect HCV Index

Reference Range Information

Performing Location Index Reference Range
Prometheus Labs

0-41 Consistent with fibrosis score F0-F1

42-100 Consistent with fibrosis score F2-F4

Performing Laboratory Name

Prometheus Labs

Referral Laboratory Information

Address Telephone Website Link Marshfield Lab Account #

9410 Carroll Park Drive

San Diego, CA 92121

888-423-5227 www.prometheuslabs.com 10675

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Prometheus Therapeutic & Diagnostics Laboratory Monday through Friday 7 days AMG: Nephelometry
TIMP-1: Chemiluninescent

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83520   1 Hyaluronic Acid  
83883   1 a2-macroglobulin (AMG) by Nephlometry  
82397   1 TIMP-1  

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
83520   1 Hyaluronic Acid  
83883   1 a2-macroglobulin (AMG) by Nephlometry  
82397   1 TIMP-1  

Ordering Applications

Ordering Application Description
Centricity Fibrospect II (#4000)
Cerner Fibrospect II, Prometheus (4000)