CK Isoenzymes
| 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. CK Isoenzymes | |
| 2. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
CKISO
Test Workstation :
CLEVE
Specimen Type:
Blood
Tube Type:
Gold top SST (serum separator tube, no anticoagulant)
Alternate Tube Type:
Red Top Serum
Collection Volume:
2.5 mL
Minimum Volume:
1.5 mL
Cause for Rejection:
Grossly hemolyzed specimens will be rejected. Specimens preserved in citrate, EDTA, fluoride, heparin, or iodoacetate are unacceptable.
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Electrophoresis; Enzymatic
Special Instructions:
Total CK should be > 100 U/L to provide meaningful isoenzyme results.
Remove serum from cells ASAP
CKMB and CKBB are temperature labile. Repeated freeze/thaw cycles destroy CK activity.
Lab/Phone:
330-543-8418
TAT:
3-4 days
Additional Info:
See patient report for Reference Range.
CPT Code:
82550, 82552
Panel Includes:
Creatine Kinase, % CKMB, % CKMM, % CKBB
