Test Directory

Test Code
SEQM2
Test Name
Maternal Screening, Sequential, Specimen 2
CPT Codes
81511
Included Tests
  • PAPP-A Value
  • PAPP-A MoM
  • AFP MoM
  • AFP Value
  • Trisomy 18
  • Trisomy 18 Interpretation
  • Nuchal Translucency MoM
  • uE3 Value
  • uE3 MoM
  • OSB Interpretation
  • Down Syndrome Interpretation
  • hCG Value
  • hCG MoM
  • DIA Value
Expected Turnaround Time
2 - 5 days
Clinical Utility

Screening test for open neural tube defects, Down syndrome, and trisomy 18.

Specimen and Container Info

Specimen Type: Serum

Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 5 mL

Collection Instructions
  1. Patient must have submitted a previous specimen in the first trimester for the Sequential 1 test.
  2. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Allow blood to clot, avoiding hemolysis.
  2. Separate serum from cells.
  3. Transport 5 mL of serum in the original collection container.
  4. Do not aliquot. Pour-off is not advised
Patient Preparation
  • Testing is provided from 15.0 to 21.9 weeks of gestation.
  • Maternal serum specimens must be drawn prior to amniocentesis to avoid contamination with fetal blood.
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

7 days

Refrigerated

14 days

Frozen

14 days

Freeze/Thaw Cycles

 Stable x3

Causes for Rejection
  • Gross hemolysis
  • Gross lipemia
  • Quantity not sufficient for analysis
  • Improper specimen type
Methodology
Chemiluminescent Immunoassay
Reference Intervals

 See patient report.

Limitations

Sequential screening requires two specimens: one collected in the first trimester and one in the second trimester. This test number is for the second trimester portion of the test. This is a screening test. A positive result means that diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect or chromosome abnormality is present.

Alternate Names
  • AFP, Maternal
  • Down Syndrome
Reference Lab
Labcorp Of America Holdings
Testing Schedule
Varies