Rheumatoid Factor

Infectious Disease Laboratories : Immunology

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. Rheumatoid Factor
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Test ID/Workstation :

RFACT VIR4

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

3.0mL (minimum 1.0mL)

Cause for Rejection:

Grossly hemolyzed or lipemic specimen

Storage:

Refrigerated

Availability:

Mon-Fri (0800-1700)

Methodology:

Latex agglutination

Special Instructions:

All patient serum are screened and all positives are titered

Lab/Phone:

330-543-8576

TAT:

24-72 hrs

CPT Code:

86430

Panel Includes:

Reference range: <1:10 titer

Synonyms:

Rheumatoid Arthritis; RF or RA Latex

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Rheumatoid Factor

Infectious Disease Laboratories : Immunology

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