We are experiencing exceptionally high volumes in our emergency rooms.
Every patient is important to us, and we are doing all we can to provide care quickly and efficiently.

TORCH IgM Panel

Centralized Core Laboratory : Chemistry

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. TORCH IgM Panel
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

TRCHM / MAYO, CLEVE and VIR4

Specimen Type:

Blood

Tube Type:

Red Top (no anticoagulant) tube

Collection Volume:

11.0 mL (minimum 5.5 mL)

Storage:

Refrigerated

Availability:

Some tests performed in-house and some tests sent to Reference Laboratory

Methodology:

Varies by test

Lab/Phone:

330-543-8418

TAT:

Varies by test

Additional Info:

See Patient Report for Reference Values.

CPT Code:

86778, 86645, 86694, 86762

Panel Includes:

Toxoplasma IgM Ab CMV IgM Ab HSV IgM Ab Rubella IgM Ab

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...