Enterovirus PCR, Other

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Enterovirus PCR, Other
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

EVPCO

Test Workstation :

MAYO

Specimen Type:

Body Fluid, Eye, Lesion, Respiratory

Tube Type:

Sterile container or swab in M4 Viral transport medium

Collection Volume:

Collect 0.5 mL (minimum 0.3 mL) Body fluids (pericardial, peritoneal); or Collect swab specimens in M4 Viral transport medium (Eye or Lesion swabs); 1.5mL Bronchial washing, bronchoalveolar lavage, nasopharyngeal aspirate or washing, pleural fluid, sputum, or tracheal aspirate

Cause for Rejection:

Calcium alginatetipped swab Wood swab Transport swab containing gel Heatinactivated specimen

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

Real-Time Polymerase Chain Reaction (PCR)/RNA Probe Hybridization

Lab/Phone:

330-543-8418

TAT:

2-3 days

Additional Info:

Reference Value: Negative

CPT Code:

87498

Synonyms:

Enterovirus

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Enterovirus PCR, Other

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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