Pancreatic Cancer Monitor Profile

CPT: 82378; 84275; 86301
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Test Details

Test Includes

CA 19-9, serial monitor report; carcinoembryonic antigen (CEA), serial monitor report; lipid-associated sialic acid (LASA), serial monitor report

Use

Monitor the course of pancreatic cancer, patient response to treatment, and disease recurrence

Limitations

This profile should not be used as a diagnostic or screening test for cancer. The LASA procedure may be considered by Medicare and other carriers as investigational and, therefore, may not be payable as a covered benefit for patients.

Methodology

See individual tests.

Specimen Requirements

Specimen

Serum

Volume

4 mL

Minimum Volume

2 mL

Container

Red-top tube or gel-barrier tube

Collection

If a red-top tube is used, transfer separated serum to a plastic transport tube.

Storage Instructions

Refrigerate

Stability Requirements

Temperature

Period

Room temperature

7 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Causes for Rejection

Hemolysis; whole blood specimen

Clinical Information

Special Instructions

The account must submit the patient's Social Security number to monitor. State on the request form whether the patient is a smoker or nonsmoker. Values obtained with different assay methods should not be used interchangeably in serial testing. It is recommended that only one assay method be used consistently to monitor each patient's course of therapy.

This test may exhibit interference when sample is collected from a person who is consuming a supplement with a high dose of biotin (also termed as vitamin B7 or B8, vitamin H, or coenzyme R). It is recommended to ask all patients who may be indicated for this test about biotin supplementation. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample.

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
485086 Pancreatic CA Monitor Profile 002282 CA 19-9 U/mL 24108-3
485086 Pancreatic CA Monitor Profile 000000 Serial Monitoring N/A
485086 Pancreatic CA Monitor Profile 002169 CEA ng/mL 2039-6
485086 Pancreatic CA Monitor Profile 000000 Serial Monitoring N/A
485086 Pancreatic CA Monitor Profile 480133 Lipid-Associated Sialic Acid mg/dL 2943-9
485086 Pancreatic CA Monitor Profile 480001 Serial Monitoring N/A

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CPT Statement/Profile Statement

The LOINC® codes are copyright © 1994-2017, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC® codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Additional information regarding LOINC® codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf