Amino Acids, QN, CSF
| 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. Amino Acids, QN, CSF | |
| 2. | |
| 3. | |
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| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
AACSF
Test Workstation :
MAYO
Specimen Type:
Spinal Fluid
Tube Type:
Sterile vial
Collection Volume:
0.2 mL
Minimum Volume:
0.1 mL
Cause for Rejection:
All specimens will be evaluated at Mayo Clinic Laboratories for test suitability.
Storage:
Strict Frozen
Availability:
Monday through Friday; 9:00 a.m. and 1 p.m.
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Portions of this test are covered by patents held by Quest Diagnostics.
Special Instructions:
Collect specimen from second vial.
Lab/Phone:
330-543-4853
TAT:
3-5 days
Additional Info:
Patient's age is required. Include family history, clinical condition (asymptomatic or acute episode), diet and drug therapy information.
CPT Code:
82139
