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Manganese, Serum

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. Manganese, Serum
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

MANG MAYO

Specimen Type:

Blood - Serum

Tube Type:

NAVY BLUE(TRACE ELEMENT-SERUM NO ADDITIVE)

Collection Volume:

4.0 mL (minimum 2.0 mL)

Cause for Rejection:

Gross hemolysis, Grossly icteric

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Dynamic Reaction Cell-Inductively Coupled-Mass Spectrometry

Special Instructions:

LAB - INSTRUCTIONS ON PG 525 MAYO BOOK

Lab/Phone:

330-543-8418

TAT:

1-6 days

Additional Info:

Reference range:

0-15 years: Not established

> or = 16 years: 0.6-2.3 ng/mL

CPT Code:

83785

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