Growth Hormone Ab
| 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. Growth Hormone Ab | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
GHAB
Test Workstation :
Quest
Specimen Type:
Blood - Serum
Tube Type:
Red Top Tube
Collection Volume:
1.5 mL
Minimum Volume:
0.5 mL
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Radiobinding Assay
Special Instructions:
Do not administer isotopes 24 hours prior to collection.
For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).
Lab/Phone:
330-543-8418
TAT:
4-11 days
Additional Info:
Reference range available on patient report
CPT Code:
86277
Panel Includes:
Growth Hormone Antibody and Growth Hormone Antibody, Titer
