Cryoglobulin
| 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. Cryoglobulin | |
| 2. | |
| 3. | |
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| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
CRYQN
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
12.5 mL
Minimum Volume:
8.0 mL
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Quantitation and Qualitative Typing Precipitation at 1 Degree C.
Special Instructions:
1. Tube must remain at 37 degrees C.
2. Allow blood to clot at 37 degrees C.
3. Centrifuge at 37 degrees C. (Do not use a refrigerated centrifuge. If absolutely necessary ambient temperature is acceptable). It is very important that the specimen remain at 37 degrees C until after separation of serum from red cells.
Analysis can't be performed with < 3 mL of serum
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
2 days
Additional Info:
Reference range: Negative
CPT Code:
82595
