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Test Code HCG-TM HCG, Tumor Marker, Serum

Useful For

Used to monitor patients for retained products of conception. This test also aids in the diagnosis and management of gestational trophoblastic disease, teratomas, testicular tumors, ovarian germ cell tumors and other hCG-secreting tumors. It is not intended for use to detect or monitor pregnancy.

Specimen Requirements

Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen Minimum Volume
(allows for 1 repeat)
Pediatric Minimum Volume
(no repeat)
No Serum or Plasma Serum Separator Tube (SST) Red Top Tube (RTT), Lithium-heparin Plasma Separator Tube (PST), Sodium-heparin Green Top Tube (GTT) 0.5 mL 0.4 mL 0.3 mL

Specimen Stability Information

Specimen Type Temperature Time
Serum/Plasma Ambient 8 hours
Refrigerated 7 days
Frozen >7 days

Test Information

Test measures native intact-HCG and free beta-HCG subunits (Total beta-HCG). Method is identical to that used for quantitative serum pregnancy testing (HCG-Pregnancy). CSF cannot be tested by this method and should be sent to Mayo Medical Laboratories (CSF must be frozen).

Interferences

Human Anti-Murine Antibodies (HAMA) may develop leading to test interference in patients receiving murine-based agents for chemotherapy or tumor-imaging studies. Fluorescein will interfere; specimens should not be drawn for 48 hours following fluorescein angiography for diabetic retinopathy.

Interpretations

Persistent elevations (10-100 mIU/mL) of HCG in females for weeks or months could reflect an interfering substance. HCG assessment in urine or with an alternative serum assay (contact Lab) is recommended in these situations.

Reference Range Information

Performing Location Reference Range
Marshfield Non-pregnant females: 0-6 mIU/mL
Males: 0-2 mIU/mL

Marshfield Labs Performing Department

Marshfield Labs Chemistry

Performing Information

Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
Marshfield Monday through Friday Less than 2 hours Two-Site Sandwich Assay, BCI DxI

CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
84702        

Outreach CPT Codes

CPT Modifier
(if needed)
Quantity Description Comments
84702        

Ordering Applications

Ordering Application Description
Cerner HCG, Tumor Marker