Centralized Core Laboratory - Mayo Clinic Laboratories :
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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. Rubeola IgG Ab
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SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
MESGG
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.5 mL (minimum 1.0 mL)
Cause for Rejection:
Specimens with Gross hemolysis, Gross lipemia or Gross icterus. Drawn in incorrect tube, QNS
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Multiplex Flow Immunoassay (MFI)
Special Instructions:
If exposure to measles has occurred, collect blood within 1 week of exposure to determine immune status. This test is primarily used to establish immunity by testing a single specimen for IgG Abs to Rubeola virus.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Values:
Vaccinated: positive (> or = 1.1 AI)
Unvaccinated: negative (< or = 0.8 AI)
Reference values apply to all ages
CPT Code:
86765
Synonyms:
Measles Immune Status, Rubeola Screen
Rubeola IgG Ab
Test ID/Workstation :
MESGG
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
1.5 mL (minimum 1.0 mL)
Cause for Rejection:
Specimens with Gross hemolysis, Gross lipemia or Gross icterus. Drawn in incorrect tube, QNS
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Multiplex Flow Immunoassay (MFI)
Special Instructions:
If exposure to measles has occurred, collect blood within 1 week of exposure to determine immune status. This test is primarily used to establish immunity by testing a single specimen for IgG Abs to Rubeola virus.
Lab/Phone:
330-543-8418
TAT:
1-3 days
Additional Info:
Reference Values:
Vaccinated: positive (> or = 1.1 AI)
Unvaccinated: negative (< or = 0.8 AI)
Reference values apply to all ages
CPT Code:
86765
Synonyms:
Measles Immune Status, Rubeola Screen
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