Pseudocholinesterase

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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 :

PCHOL

Test Workstation :

CLEVE

Specimen Type:

Blood

Tube Type:

Gold top SST (serum separator tube, no anticoagulant)

Alternate Tube Type:

Red Top Serum

Collection Volume:

2.5 mL

Minimum Volume:

1.0 mL

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Colorimetry

Special Instructions:

Remove serum from cells within 2 hours. 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:

2-3 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

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Pseudocholinesterase

Centralized Core Laboratory - Cleveland Clinic Laboratories : Send Out

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