Pyruvic Acid, CSF
| 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. Pyruvic Acid, CSF | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
PYRCF
Test Workstation :
MAYO
Specimen Type:
CSF
Tube Type:
CSF container
Collection Volume:
0.6 mL (minimum 0.3 mL)
Cause for Rejection:
Gross hemolysis
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Spectrophotometry (SP)
Lab/Phone:
330-543-8418
TAT:
4-8 days
Additional Info:
Reference range: 0.06-0.19 mmol/L
CPT Code:
84210
