We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

Ceruloplasmin

Centralized Core Laboratory : Chemistry

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. Ceruloplasmin
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

CERUL MAYO

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant)tube

Collection Volume:

2.5 mL (minimum 1.5 mL)

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Immunoturbidimetric Assay

Special Instructions:

Oral contraceptives may cause increased values.

Lab/Phone:

330-543-8418

TAT:

1-3 days Not reported on Sundays

Additional Info:

Reference Range:

Males:0-17 years: 14.0-41.0 mg/dL

> or = 18 years: 15.0-30.0 mg/dL

Females: 0-17 years: 14.0-41.0 mg/dL

> or = 18 years: 16.0 -45.0 mg/dL

CPT Code:

82390

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