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Toxoplasma IGG & IGM (Prenatal Screen)

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. Toxoplasma IGG & IGM (Prenatal Screen)
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

TSLPN TSL

Specimen Type:

Blood

Tube Type:

Red top (no anticoagulant) tube

Collection Volume:

2.5 mL (minimum 1.5 mL)

Cause for Rejection:

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Dyes, Enzyme-Linked Immunosorbent Assay

Special Instructions:

Lab/Phone:

330-543-8418

TAT:

5-7 Days

Additional Info:

Reference range:

Toxoplasma IgG: <1:16

Toxoplasma IgM (ELISA):

0.0-1.6 = Negative

1.7-1.9 = Equivocal

>= 2.0 = Positive

CPT Code:

86777, 86778

Panel Includes:

Toxoplasma IgG (Dye Test), Toxoplasma IgM ELISA

Synonyms:

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...