Homocysteine, Total Plasma

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. Homocysteine, Total Plasma
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

HOM MAYO

Specimen Type:

Blood

Tube Type:

Purple top (EDTA) tube - Plasma

Collection Volume:

1.0 mL (minimum 0.5 mL)

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) Stable Isotope Dilution Analysis

Special Instructions:

Fasting (12 hours preferred but not required). Immediately place specimen on wet ice. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly)

Lab/Phone:

330-543-8418

TAT:

2 days

Additional Info:

Reference range: Adults - <13 umol/L (fasting specimen only)

CPT Code:

83090

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Homocysteine, Total Plasma

Centralized Core Laboratory : Chemistry

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