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.

Protein, CSF

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. Protein, CSF
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PRCSF MACH3

Specimen Type:

CSF

Tube Type:

CSF container

Collection Volume:

0.5 mL (minimum 0.3 mL)

Cause for Rejection:

Blood in a CSF specimen invalidates the protein value

Storage:

Storage: Room Temp: 1 day; Refrigerated: 6 days; Frozen: 1 year

Availability:

24 Hours/day, 7 days/week

Methodology:

Turbidometric method

Special Instructions:

Deliver to lab immediately.

Lab/Phone:

330-746-9623

TAT:

1 hour

Additional Info:

Reference range: 15-45 mg/dL

CPT Code:

84157

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