Free Fatty Acids, Total, Serum
| 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. Free Fatty Acids, Total, Serum | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
FFAM
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
2.5 mL (minimum 1.5 mL)
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Enzymatic Colorimetric
Special Instructions:
Collect following an overnight (1214 hour) fast.
Deliver to lab immediately. Specimen must be spun down within 45 minutes of draw.
Patients must not consume any alcohol for 24 hours before the specimen is drawn.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference range: 0.00-0.72 mmol/L (> or = 18 years).
Reference values have not been established for patients who are <18 years of age
CPT Code:
82725
