Ordering OVA1

OVA1 is available nationwide through Quest Diagnostics,Inc.

TEST CODE:

16991(X), 16992(X) (includes FSH and LH to help determine menopausal status so that the appropriate reference range can be applied)

SPECIMEN REQUIREMENTS:

Test code 16991(X): 2.2 mL refrigerated serum; 1.1 mL minimum
Test code 16992(X): 2.5 mL refrigerated serum; 1.3 mL minimum

CPT CODES*:

Test code 16991(X): 81503
Test code 16992(X): 81503, 83001, 83002

 

 

ICD-9 CODES**:

789.33 Abdominal or pelvic swelling, mass, or lump; right lower quadrant
789.34 Abdominal or pelvic swelling, mass, or lump; left lower quadrant

*The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed.

**This is provided for informational purposes only and is not a guarantee of coverage.  It is the provider's responsibility to determine the appropriate codes.

OVA1 is intended for use in women meeting the following criteria:

  • Are over 18 years of age
  • Have an ovarian adnexal mass
  • Have surgery planned
  • Have not yet been referred to a gynecologic oncologist
  • Have not had cancer in the past 5 years; and
  • Have a rheumatoid factor concentration < 250 IU/mL

OVA1 test for evaluating the ovarian mass for cancer is available nationwide through Quest Diagnostics. To contact Quest Diagnostics directly, please call 1866 MY QUEST. To find the nearest Patient Service Center near you, please follow this link:  Quest Patient Service Center.

Reimbursement Information

Vermillion, Inc. is working closely with our commercialization partner, Quest Diagnostics Incorporated, to secure coverage and reimbursement for OVA1. As OVA1 is a new technology, health plans require time to make their coverage decisions. OVA1 is reimbursed by Medicare for Medicare beneficiaries, and may be covered by some private health plans. For additional information on payor coverage, please visit the Insurance Coverage page.