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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

SC5b-9

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. SC5b-9  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
SC5B9
Test Workstation :
CINCI
Specimen Type:
Whole Blood
Tube Type:
Purple Top (EDTA)
Collection Volume:
3.0 mL(minimum 1.0 mL)
Cause for Rejection:
Incorrect anticoagulant, Hemolyzed, clotted, or older than 2 hours unspun.
Storage:
Send to lab at Room Temperature
Availability:
Sent to Reference Laboratory
Methodology:
Enzyme immunoassay (EIA)
Special Instructions:
Whole blood stable for 2 hours at room temperature. Can only be drawn at Akron or Mahoning Valley Hospital. LabMinimum for testing: 0.5 mL plasma in one aliquot, frozen within 2 hours of collection. Two 0.5ml plasma aliquots preferred. Ship frozen plasma on dry ice.
Lab/Phone:
330-543-8418
TAT:
4-7 days
CPT Code:
86160
Synonyms:
MAC (SC5b9) Eculizumab Monitor (SC5b9) Membrane Attack Complex (SC5b9) Soluble Terminal Complement Complex (SC5b9)

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