Catecholamine Fractioned Free Urine

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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. Catecholamine Fractioned Free Urine
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CATEC

Test Workstation :

MAYO

Specimen Type:

Urine

Tube Type:

24 hr Urine container with 25.0 mL of 50% acetic acid (15.0 mL of 50% acetic acid for children < 5 years)

Collection Volume:

2.0 mL from a 24 hour collection

Storage:

Refrigerated

Availability:

Sent to reference lab

Methodology:

Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)

Special Instructions:

For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Beeghly) 2.0 mL aliquot from a 24 hour urine collection. Instruct patient on 24 hour urine collection. To begin the urine collection, have the patient void. DISCARD THIS URINE SPECIMEN. This is best done with the first morning specimen. Note the time and record on the requisition. From then on collect all the urine that is voided and place in container. If more than one container is needed, please mark the first as #1 of 2 and retain on the floor until the collection is complete. The final void should be made 24 hours after the first void described earlier. The specimen should be included with the collection. Refrigerate 24 hour urines during collection.

Lab/Phone:

330-543-8418

TAT:

2-4 days

Additional Info:

Ref. range is age dependent; available on patient report

CPT Code:

82384

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Catecholamine Fractioned Free Urine

Centralized Core Laboratory - Mayo Clinic Laboratories : Send Out

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