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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Glomerular Basement Membrane IgG Ab

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. Glomerular Basement Membrane IgG Ab  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
GBMG
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.5 mL (minimum 1.0 mL)
Cause for Rejection:
Gross hemolysis; Gross lipemia
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Multiplex Flow Immunoassay
Special Instructions:
Evaluating patients with rapid onset renal failure or pulmonary hemorrhage, as an aid in the diagnosis of Goodpasture syndrome
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
  • Reference range:
  • <1.0 U (negative)
  • > or = 1.0 U (positive)
  • CPT Code:
    83516
    Synonyms:
    AntiGBM Glomerular Basement Membrane Ab

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