Laboratory Test Catalog
Specimen Integrity (RBC count and A280)
Description
Specimen integrity testing is performed on all specimens that are received to ensure that optimal results are given to providers. The testing assesses specimens for absorption at 280nm (A280) and for Red Blood Cell (RBC) count. A280 testing is utilized to identify specimens that have been diluted by external agents such as saline and contrast, which can affect performance of the other tests. RBC count is performed to ensure that the specimen is not severely hemolyzed.
If a specimen fails either test, providers are alerted with a note on the results report.
Included In
Included with all tests performed at CD Laboratories
Available in New York State?
Yes
Specimen Source(s)
Prosthetic or Native joint
Note: Performance on specimens from other anatomic locations is not defined. Non-intraarticular joint fluid will be tested if Zimmer Biomet is participating in a clinical study.
Specimen Type
Synovial Fluid
Requested Volume
Specimen utilized from other tests
Volume by Tube Type**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
Reasons for Specimen Rejection
1. Specimen is outside stability range
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.7
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
$50.00 (additional fee to the Synovasure® Comprehensive PJI Panel with SynTuitionTM). Fee is included in Synovasure® Comprehensive NSA Panel and Synovasure® RISC Panel pricing.
CPT Codes
87070 (Culture, aerobic, with isolation and presumptive identification of isolates)
87075 (Culture, anaerobic with isolation and presumptive identification of isolates)
Ordering SKU
This test is available utilizing either the Infection Specimen Transportation Kit (00-8888-130-01) or Arthritis Specimen Transportation Kit (00-8888-160-01).
For complete Arthritis testing, utilize the Arthritis Specimen Transportation Kit.
For Infection testing, utilize the Infection Specimen Transportation Kit.
How to Order Kit
Contact your local Zimmer Biomet sales representative
For result or test questions, contact CD Laboratories Customer Service at 888-981-8378 or [email protected].