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HelpTest Code LAB5165 AmniSure (Rupture of Fetal Membrane)
Performing Laboratory
Asante Rogue Regional Medical Center / Asante Three Rivers Medical Center / Asante Ashland Community Hospital
Billing Code
3000201
Specimen Transport Temperature and Stability
Send to lab at room temperature. Received in lab <30 min. from collection.
Reasons for Rejection
Lacking Two Patient Identifiers
Specimen solvent received in lab with swab.
Day(s) Test Set Up
Monday through Sunday
STAT – 1 hour after receipt of specimen in the lab
Performing Department
Hematology
Methodology
Immunochromatography detects PAMG-1 (placental α-1 microglobulin) protein present in amniotic fluid.
Test Classification and CPT Coding
84112 Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg, placental alpha microglobulin-1 [PAMG-1], placental protein 12 [PP12], alpha-fetoprotein), qualitative, each specimen