Test Code AH50 Alternative Complement Pathway, Functional, Serum
Additional Codes
| Epic Ordering Code | LAB3053089 |
| NBS code | LBC11750 |
| Service code | 36792 |
Reporting Name
Alternative Complement Path Func, SSpecimen Type
SerumOrdering Guidance
COM / Complement, Total, Serum and this test are the most appropriate primary assays to use as screening methods for complement deficiencies. Abnormal results in one or the other, neither or both assays will help direct further testing.
This test is rarely useful when ordered in isolation.
Specimen Required
Patient Preparation:
Fasting: 8 hours, preferred but not required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 1 mL
Collection Instructions:
1. Immediately after specimen collection, place the tube on wet ice and allow specimen to clot.
2. Centrifuge at 4° C and aliquot serum into a plastic vial.
3. Freeze specimen within 30 minutes of centrifugation. Specimen must be placed on dry ice if not frozen immediately.
NOTE: If a refrigerated centrifuge is not available, it is acceptable to use a room temperature centrifuge, provided the specimen is kept on ice before centrifugation, and immediately afterward, the serum aliquoted and frozen.
NUH Outreach Laboratories:
Specimen Requirements
Submit only one of the following:
Preferred: Gold Top
Acceptable: Red Top
Processing Requirements
Place tube on wet ice and allow specimen to clot. Centrifuge cold and aliquot into plastic vial. Freeze serum immediately.
Specimen type: Serum
Volume: 1 mL
Storage/transport requirements: Frozen
Forms
If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen.
Specimen Minimum Volume
0.75 mL
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Frozen | 14 days |
Reject Due To
| Gross hemolysis | OK |
| Gross lipemia | OK |
| Gross icterus | OK |
Method Name
Enzyme-Linked Immunosorbent Assay (ELISA)
Day(s) Performed
Varies
Report Available
3 to 5 daysPlease note that this is a referral test requiring transport to the external testing facility and an additional 3-5 days is required.
Reference Values
≥46% normal
Performing Laboratory
Mayo Clinic Laboratories in Rochester
Useful For
Investigation of suspected alternative pathway complement deficiency, atypical hemolytic uremic syndrome, C3 glomerulonephritis, and dense-deposit disease
CPT Code Information
86161
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| AH50 | Alternative Complement Path Func, S | 74520-8 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 88676 | Alternative Complement Path Func, S | 74520-8 |
Secondary ID
88676Test Classification
This test was developed and its performance characteristics determined by Mayo Clinic in a manner consistent with CLIA requirements. It has not been cleared or approved by the US Food and Drug Administration.Last updated 11/06/2026