Ordering Recommendations

The PROMETHEUS® IBD sgi Diagnostic® test is the first and only test that combines serologic, genetic, and inflammation markers in a proprietary Smart Diagnostic Algorithm to provide added IBD diagnostic clarity. This test helps physicians differentiate IBD vs. non-IBD and CD vs. UC in one comprehensive blood test.

This test requires prior authorization (PA) and should be placed as a future order in the outpatient setting.  If unable to obtain PA, please have patient sign a financial waiver.
 

Orderable SIM Number(s)

PROIBD (LAB123459)

Synonyms

  • Inflammatory Bowel Disease Serology 7
  • IBD
  • LAB123459

Collect

2 mL serum (yellow top tube) AND 2 mL EDTA whole blood (lavender top tube).

Storage/Transport Temperature

Refrigerate

Unacceptable Conditions

Frozen specimens.

Reference Interval

By report.

Notes

 

Prometheus test #1800.

Includes: Saccharomyces cerevisiae antibody, IgA and IgG specific; OmpC antibody, IgA specific; Anti-CBirl antibody; Autoantibody ELISA; Anti-A4-Fla2, IgG ELISA; Anti-FlaX IgG ELISA; IBD-specific pANCA; IFA Perinuclear Pattern; DNASE Sensitivity; ATG16L SNP; ECM1 SNP; NKX2-3 SNP; STAT3 SNP; ICAM-1; VCAM-1; VEGF; CRP; and SAA.

CPT Codes

83520x6
82397x4
86140
88346
88350
81479x3
81405

Billable SIM Number(s)

3018352007 - CPT 83520
3018239701 - CPT82397
3028614001 - CPT 86140
3108834602 - CPT 88346
3108835002 - CPT 88350
3108147901 - CPT 81479


MolDx Z-code:  ZB25M

Overview

Ordering Recommendations

The PROMETHEUS® IBD sgi Diagnostic® test is the first and only test that combines serologic, genetic, and inflammation markers in a proprietary Smart Diagnostic Algorithm to provide added IBD diagnostic clarity. This test helps physicians differentiate IBD vs. non-IBD and CD vs. UC in one comprehensive blood test.

This test requires prior authorization (PA) and should be placed as a future order in the outpatient setting.  If unable to obtain PA, please have patient sign a financial waiver.
 

Orderable SIM Number(s)

PROIBD (LAB123459)

Synonyms

  • Inflammatory Bowel Disease Serology 7
  • IBD
  • LAB123459
Specimen

Collect

2 mL serum (yellow top tube) AND 2 mL EDTA whole blood (lavender top tube).

Storage/Transport Temperature

Refrigerate

Unacceptable Conditions

Frozen specimens.

Interpretive

Reference Interval

By report.

Notes

 

Prometheus test #1800.

Includes: Saccharomyces cerevisiae antibody, IgA and IgG specific; OmpC antibody, IgA specific; Anti-CBirl antibody; Autoantibody ELISA; Anti-A4-Fla2, IgG ELISA; Anti-FlaX IgG ELISA; IBD-specific pANCA; IFA Perinuclear Pattern; DNASE Sensitivity; ATG16L SNP; ECM1 SNP; NKX2-3 SNP; STAT3 SNP; ICAM-1; VCAM-1; VEGF; CRP; and SAA.

Coding

CPT Codes

83520x6
82397x4
86140
88346
88350
81479x3
81405

Billable SIM Number(s)

3018352007 - CPT 83520
3018239701 - CPT82397
3028614001 - CPT 86140
3108834602 - CPT 88346
3108835002 - CPT 88350
3108147901 - CPT 81479


MolDx Z-code:  ZB25M