Protein C Antigen
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Protein C Antigen | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
PRCAG
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Blue top (sodium citrate) tube
Collection Volume:
2.7 mL (minimum 1.8mL) - properly filled tube. Must use appropriate sodium citrate tube based on volume of blood drawn(1.8mL or 2.7mL)
Cause for Rejection:
Gross Hemolysis
Gross Lipemia
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Enzyme-Linked Immunosorbent Assay (ELISA)
Special Instructions:
- Days Performed: Mon Fri
- Centrifuge, remove plasma, centrifuge again.
- Please send 1 mL frozen plasma.
Lab/Phone:
330-543-8418
TAT:
3-7 days
Additional Info:
- Reference Range:
- Adults: 72-160%
- Normal, full-term newborn infants or healthy premature infants may have decreased levels of protein C antigen (15%-50%), which may not reach adult levels until later in childhood or early adolescence
CPT Code:
85302
