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.

Enterovirus PCR, Plasma

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

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

EVPCP / MAYO

Specimen Type:

Blood

Tube Type:

Purple Top (EDTA) tube

Collection Volume:

2.5 mL (minimum 1.0 mL)Plasma in a Purple top (EDTA) tube

Storage:

Refrigerated

Availability:

Sent to Reference Laboratory

Methodology:

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

Special Instructions:

Spin down specimen ASAP.

Lab/Phone:

330-543-8418

TAT:

1-5 days

Additional Info:

Reference Value: Negative

CPT Code:

87498

Synonyms:

Enterovirus

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