Copper Urine, 24hr

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. Copper Urine, 24hr
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

CU24H CLEVE

Specimen Type:

Urine

Tube Type:

Urine container

Collection Volume:

24 hour urine collection

Cause for Rejection:

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Inductively Coupled Plasma/Mass Spectrometry (ICP-MS)

Special Instructions:

10.0 mL (minimum 5.0 mL) aliquot from 24-hour urine collection. Instruct patient on 24 hour urine collection. To begin the urine collection, have the patient void. DISCARD THIS URINE SPECIMEN. This is best done with the first morning specimen. Note the time and record on the requisition. From then on collect all the urine that is voided and place in container. If more than one container is needed, please mark the first as #1 of 2 and retain on the floor until the collection is complete. The final void should be made 24 hours after the first void described earlier. The specimen should be included with the collection. Do not allow specimen to come into contact with metal or rubber.

Lab/Phone:

330-543-8418

TAT:

1-7 days: performed 1 day per week

Additional Info:

Reference range: <60ug/24 hrs

CPT Code:

82525

Synonyms: