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CCP Antibody, IgG

Infectious Disease Laboratories : Immunology

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. CCP Antibody, IgG
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

CCPIG VIR4

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

3.0mL (minimum 1.0 mL)

Cause for Rejection:

Hemolyzed, lipemic, or grossly contaminated specimen, drawn in incorrect tube, QNS

Storage:

Refrigerated

Availability:

Wed

Methodology:

Indirect Enzyme Immunoassay

Special Instructions:

Separate serum from cells ASAP

Lab/Phone:

330-543-8576

TAT:

1-7 days

Additional Info:

Reference range is available on patient report

CPT Code:

86200

Synonyms:

Cyclic Citrullinated Peptide Antibody, IgG

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