Arbovirus Ab Panel (IgG and IgM)
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
| Address: |
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| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. Arbovirus Ab Panel (IgG and IgM) | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
ARBOP
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Gold top SST (Serum Separator) tube
Alternate Tube Type:
Red Top
Collection Volume:
1.5 mL
Minimum Volume:
0.5 mL
Cause for Rejection:
Gross lipemia; Gross hemolysis
Storage:
Refrigerated
Availability:
Sent to Reference Laboratory
Methodology:
Immunofluorescence Assay (IFA)
Lab/Phone:
330-543-8418
TAT:
1-4 days
Additional Info:
All Arbovirus IgG and IgM Panel orders will also have a West Nile Virus IgG and IgM Panel ordered as well.
CPT Code:
88651x2, 86652x2, 86653x2, 86654x2
Panel Includes:
LaCrosse Enceph. IgG
LaCrosse Enceph. IgM
St. Louis Enceph. IgG
St. Louis Enceph. IgM
East. Eq. Enceph. IgG
East Eq. Enceph. IgM
West. Eq Enceph. IgG
West. Eq Enceph. IgM
