Coxsackie A9 Ab

- : 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. Coxsackie A9 Ab
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

COXA9

Test Workstation :

CLEVE

Specimen Type:

Blood

Tube Type:

Gold top SST (serum separator tube, no anticoagulant)

Collection Volume:

2.5 mL (minimum 1.0 mL)

Cause for Rejection:

Plasma, urine, or severely lipemic, hemolyzed or contaminated samples are unacceptable.

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Complement Fixation

Special Instructions:

Separate serum from cells ASAP. Acute and convalescent samples must be labeled as such. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).

Lab/Phone:

330-543-8418

TAT:

2-4 Days

Additional Info:

Reference range: <1:8 No antibody detected

CPT Code:

86658

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Coxsackie A9 Ab

- : Immunology

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