Laboratory Test Catalog
Synovasure RISC® Panel
Description
The Synovasure® Relative Inflammatory Status Classification (RISC) Panel is a comprehensive, synovial fluid test panel comprised of laboratory-developed tests (LDTs) intended to provide indications for diagnosing different types of arthritis that may correspond to higher risk levels for postoperative complications in patients experiencing knee pain and/or inflammation prior to primary knee arthroplasty.
The panel is intended to determine whether there are abnormal levels of markers present in knee synovial fluid and provide physicians with an objective result for the presence of biomarkers that may be indicative of a certain type of arthritis
The target arthritis conditions include:
- Osteoarthritis (OA)
- Rheumatoid Arthritis (RA)
- Crystal Arthritis (gout)
- Native Septic Arthritis (NSA)
Panel Test Components
Test |
---|
Interleukin-8 (IL-8) |
Cartilage Oligomeric Matrix Protein (COMP) |
Anti-Cyclic Citrullinated Peptide (Anti-CCP) |
Rheumatoid Factor (RF) |
Crystal Analysis (MSU and CPPD Crystals) |
White Blood Cell (WBC) Count with Differential* |
*If WBC Count is >3,000 cells or >70% Neutrophils, specimens are reflexed for enhanced results for Native Septic Arthritis with: |
Synovasure® Alpha Defensin for NSA (includes alpha defensin and lactate) |
Synovasure® Microbial Identification |
Culture |
Available in New York State?
No. The Synovasure RISC® Panel is not available for patients located within New York State.
Specimen Source(s)
Native Knee.
Note: Performance on specimens from other anatomic locations is not defined.
Specimen Type
Synovial Fluid
Required Volume
7.0 mL
Volume by Tube Type*
No Additive Tube 1: 3.0mL
No Additive Tube 2: 3.0mL
EDTA Tube: 1.0mL
*Tubes are provided within specimen transportation kits
Specimen Stability
4 days post-aspiration
Storage
Ambient/Room Temperature prior to shipment. If being held overnight or over a weekend, store in refrigeration.
Shipping Materials
All materials needed to package and ship are included within transportation kit. Make sure to retain tracking number from provided FedEx label for tracking purposes
Shipping Guidelines
Monday to Friday
Ship specimen the same day as aspiration
Saturday to Sunday
Place in refrigeration and ship specimen on Monday
Specimens are rejected for any of the below reasons:
1. Specimen is outside stability range (i.e. more than 5 days)
2. Specimen is not representative of synovial fluid (i.e. blood, urine, etc.)
3. Specimen is aspirated from a location other than the intra-articular joint space
*Note: Non-synovial fluid or intra-articular joint specimens will be tested if associated with a Zimmer Biomet-approved clinical study.
When submitting a specimen to CD Laboratories for this panel:
- Do not use lavage, contrast or other foreign liquids to aspirate fluid
- Ensure specimen is not overly hemolyzed
- A completed requisition form is required with each specimen
- A barcode label from the specimen transportation kit is required on the top of completed requisition
- For Physician Accounts Only: Patient signature and insurance information are required
Pricing
$186.00 (effective as of 01/01/2023)
+$212.00 if specimen is reflexed for added infection testing ($398.00 total)
CPT Codes
Test | CPT Code |
---|---|
Interleukin-8 (IL-8) | 83520 |
Cartilage Oligomeric Matrix Protein (COMP) | 83520 |
Anti-Cyclic Citrullinated Peptide (Anti-CCP) | 86200 |
Rheumatoid Factor (RF) | 86430 |
Crystal Analysis (MSU and CPPD Crystals) | 89060 |
White Blood Cell (WBC) Count with Differential* | 89051 |
*If WBC Count is >3,000 cells or >70% Neutrophils, specimens are reflexed for enhanced results for Native Septic Arthritis with: | |
Synovasure® Alpha Defensin for NSA (includes alpha defensin and lactate) | Alpha Defensin: 83516 Lactate: 83605 |
Synovasure® Microbial Identification | 87449 x3 |
Synovial Fluid Culture | Aerobic: 87070 Anaerobic: 87075 |
Product (Kit) SKU
00-8888-160-01
How to Order
Contact your local Zimmer Biomet sales representative to order.
For result or test questions, contact CD Laboratories Customer Service at 888-981-8378 or [email protected].