Quest Women's Health

1st trimester testing

RECOMMENDED LABORATORY SCREENING

CORRESPONDING
QUEST TEST

TEST CODE

RECOMMENDED LABORATORY SCREENING

OB Panel (can be ordered as a panel or individually)^a

CORRESPONDING QUEST TEST

Obstetric Panel

TEST CODE

20210

RECOMMENDED LABORATORY SCREENING

OB Panel Individual components

CORRESPONDING QUEST TEST

CBC (includes Differential and Platelets)

TEST CODE

6399

CORRESPONDING QUEST TEST

Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing^b

TEST CODE

795

CORRESPONDING QUEST TEST

ABO Group and Rh Type

TEST CODE

7788

CORRESPONDING QUEST TEST

RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing^b (nontreponemal screening for syphilis)

TEST CODE

36126

CORRESPONDING QUEST TEST

Hepatitis B Surface Antigen with Reflex Confirmation^b

TEST CODE

498

CORRESPONDING QUEST TEST

Rubella Immune Status

TEST CODE

802

RECOMMENDED LABORATORY SCREENING

Obstetric Panel with Fourth Generation HIV Individual components

CORRESPONDING QUEST TEST

This alternative panel is available and may be ordered to simultaneously screen for HIV infection, in addition to the tests above

TEST CODE

93802

RECOMMENDED LABORATORY SCREENING

Additional OB Panel component

CORRESPONDING QUEST TEST

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes^b

TEST CODE

91431

Additional informative 1st trimester tests

RECOMMENDED LABORATORY SCREENING

Cervical cytology screening, if indicated^a

CORRESPONDING QUEST TEST

Image-Guided Pap with Age-Based Screening Protocols^a

TEST CODE

91384

CORRESPONDING QUEST TEST

Image-Guided Pap with Age-Based Screening with CT/NG^a

TEST CODE

91385

CORRESPONDING QUEST TEST

Image-Guided Pap with Age-Based Screening with CT/NG, Trichomonas^a

TEST CODE

91386

CORRESPONDING QUEST TEST

Pap alone^a

TEST CODE

See note below

RECOMMENDED LABORATORY SCREENING

Urinalysis

CORRESPONDING QUEST TEST

Urinalysis with Reflex to Microscopic

TEST CODE

7909

CORRESPONDING QUEST TEST

Urinalysis, Macroscopic

TEST CODE

6448

RECOMMENDED LABORATORY SCREENING

Zika Testing

CORRESPONDING QUEST TEST

Zika Virus RNA, Qualitative, Real-Time RT-PCR

TEST CODE

93870

CORRESPONDING QUEST TEST

Zika Virus RNA, Qualitative, Real-Time RT-PCR Panel, Serum/Urine

TEST CODE

94221

CORRESPONDING QUEST TEST

Zika Virus RNA, Qualitative Real-Time, RT-PCR, Serum/Urine and IgM Panel

TEST CODE

36758

Although rates of Zika virus infection have decreased in the United States, obstetrician–gynecologists and other healthcare providers should continue to assess their patients for potential exposure based on travel or sexual history and test symptomatic patients with possible exposure and pregnant women with ongoing exposure regardless of symptoms in accordance with the Centers for Disease Control and Prevention recommendations.

One or both of the following screens for fetal aneuploidy should be offered during the 1st trimester

RECOMMENDED LABORATORY SCREENING

Maternal Serum Screen (Part 1)

CORRESPONDING QUEST TEST

First Trimester Screen, hCG

The screen includes PAPP-A (Pregnancy-associated Plasma Protein-A), hCG, Nuchal Translucency (NT) test; and risk assessments for trisomy 21 and trisomy 18

TEST CODE

16145

CORRESPONDING QUEST TEST

Stepwise, Part 1

The screen includes PAPP-A (Pregnancy-associated Plasma Protein-A), hCG, Nuchal Translucency (NT); and risk assessments for trisomy 21 and trisomy 18

TEST CODE

16463

CORRESPONDING QUEST TEST

Serum Integrated Screen, Part 1

PAPP-A (Pregnancy-associated Plasma Protein-A)

TEST CODE

16165

CORRESPONDING QUEST TEST

Sequential Integrated Screen, Part 1

This screen includes PAPP-A (Pregnancy-associated Plasma Protein-A), hCG, Nuchal Translucency (NT), Down syndrome, and trisomy 18 risk and interpretation

TEST CODE

16131

CORRESPONDING QUEST TEST

Integrated Screen, Part 1

This screen includes PAPP-A (Pregnancy-associated Plasma Protein-A) and Nuchal Translucency (NT)

TEST CODE

16148

RECOMMENDED LABORATORY SCREENING

Noninvasive prenatal screening

CORRESPONDING QUEST TEST

QNatal^® Advanced

TEST CODE

92777

Informative infectious disease 1st trimester tests

RECOMMENDED LABORATORY SCREENING

Tuberculosis (TB), if indicated^c

CORRESPONDING QUEST TEST

QuantiFERON^®-TB Gold Plus, 1 Tube

TEST CODE

36970

CORRESPONDING QUEST TEST

QuantiFERON^®-TB Gold Plus, 4 Tubes, Draw Site Incubated

TEST CODE

36971

CORRESPONDING QUEST TEST

T-SPOT^®.TB

TEST CODE

37737

RECOMMENDED LABORATORY SCREENING

Chlamydia^d

CORRESPONDING QUEST TEST

Chlamydia trachomatis RNA, TMA, Urogenital

TEST CODE

11361

RECOMMENDED LABORATORY SCREENING

Gonorrhea, if indicated^d

CORRESPONDING QUEST TEST

Neisseria gonorrhoeae RNA, TMA, Urogenital

TEST CODE

11362

RECOMMENDED LABORATORY SCREENING

Chlamydia and gonorrhea

CORRESPONDING QUEST TEST

Chlamydia/Neisseria gonorrhoeae
RNA, TMA, Urogenital

TEST CODE

11363

RECOMMENDED LABORATORY SCREENING

HIV testing

CORRESPONDING QUEST TEST

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes^b

TEST CODE

91431

RECOMMENDED LABORATORY SCREENING

Hepatitis C testing

CORRESPONDING QUEST TEST

Hepatitis C Antibody with Reflex to HCV, RNA, Quantitative, Real-Time PCR^b

TEST CODE

8472

CORRESPONDING QUEST TEST

Hepatitis C Antibody with Reflex to HCV RNA,PCR w/Reflex to Genotype, LiPA^®

TEST CODE

94345

Download our Screening Guidelines

Hereditary cancer risk assessment

ACOG recommends that OB/GYNs perform a hereditary cancer risk assessment to help identify patients who may be at risk of developing certain types of cancer.¹ For patients with a family or personal history of breast or ovarian cancer, Ashkenazi Jewish ancestry, or other potential heritable conditions, genetic testing can provide valuable information to help inform the best treatment decisions. Our hereditary cancer testing is performed on a next-generation sequencing platform in conjunction with our proprietary software to allow for the most accurate identification of disease.

Learn more

CDC screening guidelines for chlamydia and gonorrhea during pregnancy

All pregnant women aged <25 years, or older women at increased risk² for infection, should be screened during their first prenatal visits.*

Women found to have gonococcal infection should be treated immediately and retested within 3 months
Those found to have chlamydial infection should have a test-of-cure (preferably by NAAT) 3 to 4 weeks after treatment and retested at 3 months

*Patients with increased risk are women with a history of multiple sexual partners or a sexual partner with multiple contacts, sexual contact with individuals with culture-proven STDs, a history of repeated episodes of STDs, or attendance at clinics for STDs.

QNatal^® Advanced

QNatal^® Advanced is a low-risk, noninvasive cell-free DNA (cfDNA) prenatal screen that can detect the most common fetal aneuploidies, including Down syndrome.

Learn more

2nd trimester testing

RECOMMENDED LABORATORY SCREENING

CORRESPONDING
QUEST TEST

TEST CODE

RECOMMENDED LABORATORY SCREENING

CBC

CORRESPONDING QUEST TEST

CBC (includes Differential and Platelets) This screen includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (absolute and percent neutrophils, lymphocytes, monocytes, eosinophils, and basophils)

TEST CODE

6399

CORRESPONDING QUEST TEST

CBC (H/H, RBC, Indices, WBC, Plt) This screen includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count

TEST CODE

1759

RECOMMENDED LABORATORY SCREENING

Gestational diabetes screening

CORRESPONDING QUEST TEST

Glucose Gestational Screen (50g), 135 Cutoff (ACOG supported 1st step of 2-step GDM evaluation)

TEST CODE

8477

CORRESPONDING QUEST TEST

Glucose Gestational Screen (50g), 140 Cutoff (ACOG supported 1st step of 2-step GDM evaluation)

TEST CODE

19833

CORRESPONDING QUEST TEST

Glucose Tolerance Test, Gestational, 4 specimens (100g) (ACOG supported 2nd step of 2-step GCM valuation)

TEST CODE

6745

One or more of the following should be offered as appropriate in the 2nd trimester

RECOMMENDED LABORATORY SCREENING

Quad Screen^e

CORRESPONDING QUEST TEST

Quad Screen
This screen includes AFP, unconjugated Estriol, hCG, Dimeric Inhibin A, and risk assessments for trisomy 21, trisomy 18, and ONTD

TEST CODE

30294

RECOMMENDED LABORATORY SCREENING

Maternal Serum Screen (Part 2)

CORRESPONDING QUEST TEST

Serum Integrated Screen, Part 2 This screen includes AFP, hCG, uE3, and DIA

TEST CODE

16167

RECOMMENDED LABORATORY SCREENING

Maternal Serum Alpha-Fetoprotein

CORRESPONDING QUEST TEST

Maternal Serum AFP

TEST CODE

5059

RECOMMENDED LABORATORY SCREENING

Diagnostic Chromosomal Analysis via amniocentesis or chorionic villus sampling, if indicated^e

CORRESPONDING QUEST TEST

Chromosome Analysis, Chorionic Villus Sample

TEST CODE

14592

CORRESPONDING QUEST TEST

Chromosome Analysis, Amniotic Fluid^b

TEST CODE

14590

Quanum^® Interactive Insights^™

Our enhanced reporting tool can help you have more meaningful conversations with patients about their lab test results. Learn more.

Obesity in pregnancy

More than half of pregnant women in the United States are overweight or obese,³ putting them at greater risk of pregnancy complications, such as gestational diabetes, preeclampsia, cesarean delivery, and giving birth to an infant with congenital anomalies. ACOG recommendations for counseling obese patients include:

Discussing the increased risks to their baby
Measuring their height and weight at their initial prenatal visit Guidelines that include a total weight gain of 15-25 lbs for overweight women (BMI=25-29.9) and 11-20 lbs for obese women (BMI≥30)
Providing patients information on diet and exercise

3rd trimester testing

RECOMMENDED LABORATORY SCREENING

CORRESPONDING
QUEST TEST

TEST CODE

RECOMMENDED LABORATORY SCREENING

CBC

CORRESPONDING QUEST TESTS

CBC (includes Differential and Platelets)
This screen includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count, MPV and Differential (absolute and percent neutrophils, lymphocytes, monocytes, eosinophils, and basophils)

TEST CODE

6399

CORRESPONDING QUEST TESTS

CBC (H/H, RBC, Indices, WBC, Plt)
This screen includes WBC, RBC, Hemoglobin, Hematocrit, MCV, MCH, MCHC, RDW, Platelet Count

TEST CODE

1759

RECOMMENDED LABORATORY SCREENING

D (Rh) antibody screen

CORRESPONDING QUEST TEST

Antibody Screen, RBC with Reflex to Identification, Titer, and Antigen Typing^e

TEST CODE

795

RECOMMENDED LABORATORY SCREENING

Group B streptococcal disease

CORRESPONDING QUEST TESTS

Streptococcus Group B Culture

TEST CODE

5617

CORRESPONDING QUEST TESTS

Streptococcus Group B with Susceptibility Culture

TEST CODE

15090

CORRESPONDING QUEST TESTS

Streptococcus Group B DNA,
PCR with Broth Enrichment

TEST CODE

91768

CORRESPONDING QUEST TESTS

Streptococcus Group B DNA, PCR with Broth Enrichment and Reflex to Susceptibility^e

TEST CODE

91770

RECOMMENDED LABORATORY SCREENING

Chlamydia (if patient tested positive or is high risk due to age or lifestyle)

CORRESPONDING QUEST TEST

Chlamydia trachomatis RNA, TMA, Urogenital

TEST CODE

11361

RECOMMENDED LABORATORY SCREENING

Gonorrhea (if patient tested positive or high risk due to age or lifestyle)

CORRESPONDING QUEST TEST

Neisseria gonorrhoeae RNA, TMA, Urogenital

TEST CODE

11362

RECOMMENDED LABORATORY SCREENING

Chlamydia and gonorrhea (if patient tested positive or high risk due to age or lifestyle)

CORRESPONDING QUEST TEST

Chlamydia/Neisseria gonorrhoeae
RNA, TMA, Urogenital

TEST CODE

11363

RECOMMENDED LABORATORY SCREENING

RPR (if patient tested positive or high risk due to age or lifestyle)

CORRESPONDING QUEST TEST

RPR (Diagnosis) with Reflex to Titer and Confirmatory Testing^e

TEST CODE

36126

RECOMMENDED LABORATORY SCREENING

HIV testing (if patient is high risk due to lifestyle)

CORRESPONDING QUEST TEST

HIV-1/2 Antigen and Antibodies, Fourth Generation, with Reflexes^b

TEST CODE

91431

Retesting for chlamydia and gonorrhea is important for those at increased risk

Those aged <25 years and those at increased risk* for chlamydia or gonococcal infection should be retested during their 3rd trimester.²

*Patients are women with a history of multiple sexual partners or a sexual partner with multiple contacts, sexual contact with individuals with culture-proven STDs, a history of repeated episodes of STDs, or attendance at clinics for STDs.

^a The age-based offerings are based on ACOG recommendations and include image-guided Pap tests. Non-imaged Paps as well as conventional Paps are also available at Quest Diagnostics. Test codes may vary by location. Please contact your local laboratory or go to QuestDiagnostics.com/TestCenter for more information.

^b Reflex testing may be performed at an additional charge.

^c Risk factors include known HIV infection; close contact with individuals known or suspected to have TB; medical risk factors such as diabetes, lupus, cancer, alcoholism, and drug addiction; birth in or emigration from countries with high prevalence; being medically underserved; homelessness; living or working in long-term care facilities, such as correctional institutions, mental health institutions, and nursing homes.

^d If positive, test-of-cure should be performed within 3-4 weeks post-treatment.

^e If Antibody Screen is positive, Antibody Identification, Titer, and Antigen Typing will be performed at an additional charge. If RPR screen is reactive, RPR Titer and FTA Confirmatory testing will be performed at an additional charge. When only a single test, Hepatitis B Surface Antigen, is ordered to diagnose Hepatitis B in a pregnant woman, additional tests such as liver enzymes should be ordered to confirm the diagnosis.

Test codes may vary by location. Please contact your local laboratory for more information.