Test Code ROFM Rupture of Fetal Membranes (ROM) Test
Additional Codes
Ordering Mnemonic |
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ROFM |
Methodology
Amnisure® Test Kit--immunochromatography
Performing Laboratory
Holland Hospital Laboratory Services
Specimen Requirements
Container/Tube: Amnisure® Test vial (obtained from Laboratory Services)
Collection Instructions: A sample of amniotic fluid (taken by vaginal swab) is placed into the Amnisure® test vial and delivered to the laboratory within 30 minutes (up to 6 hours, if refrigerated).
Specimen Transport Temperature
Refrigerate for up to 6 hours.
Day(s) Test Set Up
Monday through Sunday
Reference Values
Negative for PAMG-1 protein.
Test Classification and CPT coding
84112 (HH Bill Code 0205972)