Galactose 1 Phosphate Uridyltransferase, RBC

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. Galactose 1 Phosphate Uridyltransferase, RBC
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

G1PUT

Test Workstation :

MAYO

Specimen Type:

Whole Blood

Tube Type:

Purple top (EDTA) tube: Whole Blood

Alternate Tube Type:

Green top (Sodium Heparin) tube or Yellow Top (ACD) tube: Whole Blood

Collection Volume:

5.0 mL (minimum 2.0 mL)

Cause for Rejection:

A frozen specimen

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Enzyme Reaction followed by Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Lab/Phone:

330-543-8418

TAT:

3-6 days

Additional Info:

Reference range is available on patient report

CPT Code:

82775

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Galactose 1 Phosphate Uridyltransferase, RBC

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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