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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

Hepatitis B Core IgM Antibody

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. Hepatitis B Core IgM Antibody  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HEPBC
Test Workstation :
E8011
Specimen Type:
Blood
Tube Type:
SST (serum separator tube,no anticoagulant)
Collection Volume:
3.0 mL (minimum 1.5 mL)
Minimum Volume:
1.5 mL
Preferred Volume:
3 mL
Storage:
Shipping- Send Refrigerated; Storage- Refrigerated: 7 days; Frozen: 3 months
Availability:
24 hours/day, 7 days/week
Methodology:
Roche- u-capture test principle
Lab/Phone:
330-543-8418
TAT:
4 hours
Additional Info:
Reference range available on patient report
CPT Code:
86705

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