Syphilis Treponema pallidum Rapid Plasma Reagin Detection

Laboratory Fee Schedule

Procedure: MBY0264A

CPT: 86592

Synonym(s):	Syphilis Rapid Plasma Reagin (RPR) - Qualitative
Requisition Form	G-2A
Test Description	Agglutination test for the serological detection of reagin antibodies in human serum
Pre-Approval Needed	N/A
Supplemental Information Required	N/A
Supplemental Form(s)	N/A
Performed on Specimens from (sources)	Human specimens
Sample/Specimen Type for Testing	Serum
Minimum Volume/Size Required	200 µL - qualitative and quantitative test
Storage/Preservation Prior to Shipping	Store at 2°C to 8°C for 5 days For long term storage, store frozen at -20°C or colder
Transport Medium	N/A
Specimen Labeling	Two patient-specific identifiers required (e.g., patient full name, date of birth, Medical record number) Identifiers on specimen must exactly match submission form.
Shipping and Specimen Handling Requirements	Ship according to Dangerous Goods Regulations, IATA, and/or CFR 49. Handle as infectious agent using universal precautions. Triple contain in accordance with federal shipping regulations for infectious agents. Additional forms & resources
Method	Qualitative agglutination test with reflex to RPR titer
Turn-around Time	3 working days
Interferences/Limitations	A specimen is too hemolyzed for testing for testing when printed matter cannot be read through it. Icteric, lipemic and grossly hemolyzed specimens should not be used because of the possibility of nonspecific reactions.
Common Causes for Rejection	Insufficient quantity Unacceptable specimen type or source Improper shipping conditions expired media or collection container Discrepancies between specimen label and submission form Incomplete or missing submission form.
Additional Information	Specimens with reactive RPR Qualitative test results will automatically reflex to RPR titer