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Need Help?
Operator
330-543-1000
Ask Children's
8 a.m. - 4:30 p.m. M-F
330-543-2000
Providers
EpiCare
Referrals to Akron Children's
Advanced Practice Center
Medical Missions
Continuing Professional Development
Wellness Resources
Mary A. Hower Medical Library
Nurses
Nursing Overview
Research Institute
Quicklinks
COVID-19 Updates
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Operator
330-543-1000
Laboratory Services
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:
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:
-
View and print a requisition form for this test
View and print ONLY the info for this test
Pancreatic Enzyme Panel
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:
-