Lab Test Ordering Guide GlycoMark® Test

The following information is provided as reference for ordering the GlycoMark test, which can be ordered alone, with A1C, or as a reflex
test to A1C when within a specified A1C range. For additional information or questions, please contact GlycoMark or the laboratory.

Preferred Laboratories

Laboratory GlycoMark Sample Type GlycoMark Test A1C with GlycoMark* A1C with Reflex to GlycoMark* A1C Range to Reflex GlycoMark*
SSTGLYM119 and GLYMX397A1C, 6% – 8%
SST6115280 and 6115

Additional Testing Laboratories

Laboratory GlycoMark Sample Type GlycoMark Test A1C with GlycoMark A1C with Reflex to GlycoMark* A1C Range to Reflex GlycoMark*
SST010660310 and 0106603218A1C, >5.7%
SST or EDTA00813350070426 and 0081335
SSTJ114-0J218-9A1C, ≥7%
SST or EDTAC155C145 and C155C522A1C, 6% – 8%
SST or EDTA70251108 and 7025
SST5421542
SST or EDTAGMARKHBA1CX and GMARK
SST or EDTA119RContact laboratory for range
SST or EDTA500115502226503205A1C, 6% – 8%
SST or EDTAGLYCOHA1C and GLYCOHA1CGMA1C, 6% – 8%
SST2707 or MD DiabeticPro**
SST or EDTA19599496 and 1959916715A1C, 6.5% – 8%
SST9027579230 and 902757
SST or EDTAE035S10743C115A1C, >5.6%
SST or EDTA8094827 and 8094

The GlycoMark test is indicated for use in patients with diabetes.

  • 1,5-AG is covered by most federal, state and private payors
  • CPT Code 84378, without the same frequency limitations as A1C
  • Diabetes related ICD10 codes are as follows:
    • E08: Diabetes mellitus due to underlying condition
    • E09: Drug or chemical induced diabetes mellitus
    • E10: Type 1 diabetes mellitus
    • E11: Type 2 diabetes mellitus
    • E13: Other specified diabetes mellitus
  • Given the significant health risks associated with hyperglycemia, the GlycoMark test is a low-cost, high-value test

For the latest updates on available laboratories and testing information, please contact GlycoMark Technical Support at info@glycomark.com or 1-888-744-0221.