pH, Stool

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. pH, Stool
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID/Workstation :

PHSTL MCHM

Specimen Type:

Stool

Tube Type:

Stool container

Collection Volume:

1 gram stool specimen

Cause for Rejection:

Urine or barium contamination

Storage:

Frozen

Availability:

Daily (0730-1600)

Methodology:

pH paper

Special Instructions:

Patient should not take laxatives or have barium procedures one week prior to specimen collection.

Lab/Phone:

330-543-8418

TAT:

4 hours

Additional Info:

Reference range: 6.0 is normal stool pH

CPT Code:

83986

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...