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.

Glomerular Basement Membrane IgG Ab

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. Glomerular Basement Membrane IgG Ab
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

GBMG/MAYO

Specimen Type:

Blood

Tube Type:

Serum Separator Tube (SST-no anticoagulant) tube

Collection Volume:

1.5 mL (minimum 1.0 mL)

Cause for Rejection:

Gross hemolysis, Gross lipemia

Storage:

Refrigerated

Availability:

Sent to Reference Lab

Methodology:

Multiplex flow Immunoassay

Special Instructions:

Detects the presence of circulating glomerular basement membrane-specific antibodies in Goodpasture's Syndrome.

Lab/Phone:

ext 38418

TAT:

1-3 days

Additional Info:

Reference Range:

<1.0 U (negative)

> or = 1.0 U (positive)

CPT Code:

83516

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...