Pseudocholinesterase

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. Pseudocholinesterase
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PCHOL CLEVE

Specimen Type:

Blood

Tube Type:

Gold top SST (serum separator tube, no anticoagulant)

Collection Volume:

1.5 mL (minimum 1.0 mL)

Cause for Rejection:

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Photometric

Special Instructions:

Remove serum from cells ASAP. Plasma values are slightly lower than serum values. Specimens must be drawn prior to surgery or greater than two days following surgery. Do not draw in the recovery room. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly).

Lab/Phone:

330-543-8418

TAT:

3-8 days

Additional Info:

Reference Range:

Male 0-99 years : 5,320 - 12,920 U/L

Female 0-15 years: 5,320 - 12,920 U/L

Female 16-39 years: 4,260 - 11,250 U/L

Female 40 -41 years: 5,320 - 12,920 U/L

Female 42 years & older: 5,320 - 12,920 U/L

Females who are pregnant or taking hormonal contraceptives: 18-41 years: 3,650 - 9,120 U/L

Days Performed: Sun-Sat

CPT Code:

82480

Synonyms:

Dibucaine NO

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Pseudocholinesterase

Centralized Core Laboratory : Chemistry

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