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

Mycoplasma pneumoniae Abs IgG and IgM

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. Mycoplasma pneumoniae Abs IgG and IgM  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MYCPN
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
2.5 mL (minimum 1.5 mL)
Cause for Rejection:
Gross Hemolysis, Gross lipemia
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Enzyme Immunoassay (EIA) and Indirect Immunofluorescence Assay (IFA) if reflexed
Lab/Phone:
330-543-8418
TAT:
1-3 days
CPT Code:
86738 x 2 (additional 86738 if IFA performed)
Panel Includes:
Mycoplasma pneumoniae IgG Mycoplasma pneumoniae IgM Mycoplasma pneumonia Interpretation If Mycoplasma pneumoniae IgM is positive or equivocal, test will reflex to Mycoplasma IgM by IFA.

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