Dear Healthcare Provider,
The information contained here may be very important to your practice. Please take a moment to review this document.

Anti-Mullerian Hormone

December 17, 2019
Alverno Laboratories will now offer Anti-Mullerian Hormone testing in-house for a faster turnaround time.

Clinical Use

Anti-Mullerian Hormone (AMH) levels decrease throughout a woman’s reproductive life and correlate to the continuous decline of oocyte/follicle pool and ovarian aging. AMH can also be used for fetal sexual differentiation. In males, AMH is secreted by Sertoli cells of the testes. Levels are high until puberty and then slowly decrease to post-puberty levels. Please see the table below of reference ranges for women. No reference ranges have been established for men or children.

Specimen Requirements

Specimen: Serum/Plasma (lithium heparin)
Stability: 24 hours room temp; 6 days refrigerated
Cause for Rejection: Insufficient quantity, severely hemolyzed
Method: EIA
Availability: Testing is available 24 hours a day, 7 days a week
CPT: 83520*
Soft Code: AMH

Information regarding Soft order codes and CPT codes* can be found on our website, www.AlvernoLabs.com, or by calling 800-937-5521.
*CPT codes provided are for informational purposes only. Questions regarding coding should be directed to the payer.

UTILIZATION GUIDES

Trace Element Testing Serum and Plasma Sample Update

December 1, 2019
Beginning December 1, our reference laboratory, ARUP, will require all specimens (whole blood, serum and plasma) for trace elements be transported in certified metals-free transport tubes.

The following tests will now be required to be sent in Trace Element-Free Transport Tube (ARUP #43116)
Aluminum, Serum
Iodine, Serum
Chromium, Serum
Nickel, Serum
Cobalt, Serum/Plasma
Selenium, Serum/Plasma
Copper, Serum/Plasma
Zinc, Serum/Plasma

Preparing for Collection:

• Avoid collecting the specimen in an area where environmental contamination is likely to occur.
• Use only stainless steel needles and non-powder gloves when handling and collecting.
• Wash the collection site with soap and water, followed by an alcohol swab. Studies indicate that using alcohol alone is not as effective at preventing trace elements contamination. Do not use disinfectants containing iodine.
• When multiple blood specimens need to be collected from one patient, the trace elements sample should be the first tube collected. The stopper from other tubes may contaminate the phlebotomy needle.

Processing Instructions:

Draw specimens in Royal Blue tubes.
Separate from cells ASAP or within 2 hours of collection. Transfer 2 mL serum or plasma in a Trace Element-Free Transport Tube

Order Supplies Online:

Vacutainer Tubes:
Serum – Item # 343504 6 mL Navy Blue no Additive
Plasma – Item # 9614 6 mL Navy Blue Trace Element EDTA
Reference Supplies:
Transport Tube – 43116 (ref supplies) Tube Transport Trace Metal Free #168877