Maternal Screening, Sequential, Specimen #2
0081294
Ordering Recommendation
Second part of a 2-part test. Requires that the first part (Maternal Screening, Sequential, Specimen #1 0081293) was submitted in the first trimester. Screening test for DS, T18, and ONTD. Risks determined using a combination of 1st and 2nd trimester serum markers, with a 1st trimester NT measurement. Risks provided after both 1st and 2nd trimester specimens are received.
Mnemonic
MS SEQ-2
Methodology
Quantitative Chemiluminescent Immunoassay
Performed
Sun-Sat
Reported
2-4 days  
New York DOH Approval Status
This test is New York DOH approved.
Specimen Required
Patient Preparation
Requires a previously submitted first trimester specimen, Maternal Screening, Sequential, Specimen #1 (ARUP test code 0081293). Specimen must be drawn between 15 weeks, 0 days and 24 weeks, 6 days gestation.  
Collect
Serum separator tube or plain red.  
Specimen Preparation
Separate serum from cells ASAP or within 2 hours of collection. Transfer 3 mL serum to an ARUP Standard Transport Tube. (Min: 1 mL)  
Storage/Transport Temperature
Refrigerated.  
Unacceptable Conditions
Plasma. Specimens exposed to repeated freeze/thaw cycles. Hemolyzed specimens.  
Remarks
The patient demographic information provided with the Sequential, Specimen #1 will be used to calculate the risks for this report. No new demographic information is required.  
Stability
After separation from cells: Ambient: 24 hours; Refrigerated: 1 week; Frozen: 1 year  
Reference Interval
By report
Includes AFP, hCG, Estriol, Inhibin A, and previous PAPP-A.
Intervals are based upon weeks of gestation.  
Interpretive Data
Refer to report  
Note
 
CPT Code(s)
(82105; 84702;82677;86336) or 81511*

*The 2014 AMA CPT manual contains the component CPT Codes and the new MAAA codes.  Please direct any questions regarding CPT coding to the payer being billed.
Components
Component Test Code*Component Chart Name
0080021Patient's AFP
0080241Estimated Due Date
0080267MoM for DIA
0080268Patient's DIA
0080917Maternal Weight
0080918MoM for AFP
0080920Maternal Screen Interpretation
0080924Insulin Req Maternal Diabetes
0080925Family Hx Neural Tube Defect
0080926Maternal Race
0080927Number of Fetuses
0080932Maternal Age At Delivery
0080935Patient's hCG
0080937MoM For hCG
0080938Gestational Age (Exact)
0080941Patient's uE3
0080943MoM for uE3
0081065Nuchal Translucency (NT)
0081066Crown Rump Length
0081067Patient's PAPP-A
0081068MoM for PAPP-A
0081069Sonographer Certification #
0081070Sonographer Name
0081071Ultrasound Date
0081074MoM for NT
0081158Family History of Aneuploidy
2002857EER Maternal Screening, Seq, Spec 2
* Component test codes cannot be used to order tests. The information provided here is not sufficient for interface builds; for a complete test mix, please click the sidebar link to access the Interface Map.
Aliases
  • Maternal Serum Sequential Screen
  • second trimester screen
  • Sequential Screening
  • Serum Stepwise Sequential Screen
  • Stepwise Maternal Screen
  • Stepwise Sequential