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St. John Health System
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Index:

Ovarian Malignancy Risk-ROMA

Order Name Ovarian Risk
Test Number: 5195163
Revision Date 10/30/2024
Test Name Methodology LOINC Code
CA 125 Assay
Chemiluminescence Assay 10334-1 
HE4, Ovarian Cancer Monitoring
Quantitative Electrochemiluminescent Immunoassay 55180-4 
Roma Premenopausal ROMA
Interpretive information. 69569-2 
Roma Postmenopausal ROMA
Interpretive information. 69570-0 
Roma Risk Comment
Interpretive information. 77202-0 
SPECIMEN REQUIREMENTS
Specimen Specimen Volume (min) Specimen Type Specimen Container Transport Environment
Preferred 1.75 mL (1 mL) Serum Clot Activator (SST or Red No-Gel) Refrigerated
Instructions Specimen: Serum
Storage requirements: Refrigerate; stable for 5 days at room temperature or 14 days refrigerated.
?Causes for Rejection: Gross hemolysis
GENERAL INFORMATION
Expected TAT 1-3 days 
Clinical Use The ROMA™ (Risk of Ovarian Malignancy Algorithm) calculation combines the results of the Roche Elecsys HE4 assay, Elecsys CA 125 II assay and menopausal status into a numerical score (Roche). The ROMA value is intended to aid in assessing whether a premenopausal or postmenopausal woman who presents with an ovarian adnexal mass is at high or low likelihood of finding malignancy on surgery. ROMA Calculation is indicated for women who meet the following criteria: over age 18; ovarian adnexal mass present for which surgery is planned, and not yet referred to an oncologist. ROMA values must be interpreted in conjunction with an independent clinical and radiological assessment. The test is not intended as a screening or stand-alone diagnostic assay. 
Notes Reflex Table for Risk of Ovarian Malignancy Algorithm (ROMA)
Order Code Reflex Name Result Code Result Name
5196993 .Rflx Premenopausal Interp: LOW 5196989 Roma Pre Int Low
5196994 .Rflx Premenopausal Interp: HIGH 5196990 Roma Pre Int High
5196995 .Rflx Postmenopausal Interp: LOW 5196991 Roma Post Int Low
5196996 .Rflx Postmenopausal Interp: HIGH 5196992 Roma Post Int High
CPT Code(s) 81500
Internal Comments 9.9.2024    This test was d/c'd.   This test is Temporaily Discontinued to fix some structural issues with the test.
This test can be ordered as a Miscellaneous test for LCA Tc# 140045
Service Provided By Labcorp Oklahoma, Inc.
Lab Section Reference Lab