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.

Pancreatic Enzyme Panel

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. Pancreatic Enzyme Panel
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PEP JOLI

Specimen Type:

Duodenal Fluid

Tube Type:

Fluid container

Collection Volume:

1.0 mL (minimum 0.5 mL)

Cause for Rejection:

Storage:

Frozen

Availability:

Sent to reference lab

Methodology:

See individual tests

Special Instructions:

Check pH of fluid to make sure the pH is 6.5 or higher.

Lab/Phone:

330-543-8418

TAT:

5 days

Additional Info:

Reference range is available on patient report

CPT Code:

83519

Panel Includes:

pH, Trypsin, Amylase, Lipase, Chymotrypsin, Protein

Synonyms:

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...