Succinyladenosine, CSF
| PATIENT INFO |
| Patient Name: |
| Medical Record #: |
| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
| Ph: ( ) - Fax: ( ) - |
| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Succinyladenosine, CSF | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
SACSF
Test Workstation :
MAYO
Specimen Type:
Cerebral Spinal Fluid
Tube Type:
Spinal Fluid(CSF) in sterile container
Collection Volume:
1.0mL
Minimum Volume:
0.5 mL
Cause for Rejection:
Lab Specimen not frozen
Storage:
Critical Frozen
Availability:
Sent to Reference Laboratory
Methodology:
High Performance Liquid Chromatography-Electrochemistry
Special Instructions:
Submit 1 mL of spinal fluid (CSF) in a sterile, plastic screwcap vial. Freeze specimen after collection and ship at frozen temperature.
Lab/Phone:
330-543-8418
TAT:
10-20 days
Additional Info:
Reference Range: 0.74 – 4.92 umol/L
CPT Code:
82542
Synonyms:
Adenylosuccinate Lyase Deficiency
