Cortisol,Free, Random,Urine
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Cortisol,Free, Random,Urine | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
COCRU
Test Workstation :
MAYO
Specimen Type:
Urine
Tube Type:
Urine Container
Collection Volume:
5.0mL (minimum 3.0 mL)
Storage:
Refrigerated
Availability:
Sent to Mayo Medical Laboratory
Methodology:
Enzymatic Colorimetric Assay
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Special Instructions:
Collect a random Urine Specimen
Lab/Phone:
330-746-9623
TAT:
2-4 days
Additional Info:
Reference ranges available on Patient Report.
CPT Code:
82530, 83789
