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Specimen Collection Manual and Test Catalog

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COMPLEMENT, TOTAL (CH50)

Geisinger Epic Procedure Code:  LAB1976    Geisinger Epic ID:  27128

SPECIMEN COLLECTION
Specimen type: 

Serum


Preferred collection container: 
Alternate collection container: 
6 mL red-top (plain, non-serum separator) tube
Specimen required: 

1 mL aliquot of serum; minimum 0.5 mL. Please submit a separate frozen aliquot for this test. It may not be combined with any other test requiring a frozen aliquot.


Patient preparation: 

Fasting specimen preferred.



SPECIMEN PROCESSING
Processing instructions: 

Avoid hemolysis. Centrifuge serum specimens within 1 hour of collection. Immediately pipette serum into "sterile, plastic, screw-capped vial(s) and freeze solid" at -20°C or lower. Do not allow samples to thaw. With multiple tests, submit a separate tube for each test. Send frozen samples on dry ice to the laboratory. Do not submit the sample in a glass tube.


Transport temperature: 

Frozen.


Specimen stability: 

Room Temperature: Unacceptable. 
Refrigerated: Unacceptable. 
Frozen: 7 days.


Rejection criteria: 

Gross hemolysis • Lipemia • Received thawed



TEST DETAILS
Additional information: 

CH50 values below the reference range may indicate a deficiency in one or more of the components of complement. To obtain more definitive information, abnormal specimens should be assayed for levels of the individual components (C1 to C9). Elevated values of CH50 are associated with inflammation or infection. Reduced values may result from consumption of complement by immune complexes or a hereditary deficiency of a complement component. Patients with certain rheumatic diseases, especially with active SLE, may have a low total complement level. Because some complement components are unstable during processing, shipment, or storage, it is prudent to confirm an unexpectedly low value of CH50 by repeating the test on a new sample.


CPT code(s):  86162
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Complement total CH 50


Methodology: 
Liposome
Synonyms: 

COMPLEMENT, TOTAL CH50, TCH50, Quest test code 618


Doctoral Director(s): 
Randin Nelson MD
Review Date:  06/26/2025

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