HCG, Urine
| PATIENT INFO |
| Patient Name: |
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| BD: / / Sex: F M |
| PHYSICIAN INFO |
| Physician Name : |
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| Ph: ( ) - Fax: ( ) - |
| Additional Report to: |
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| TESTS REQUESTED | |
| Test Name: | ICD9 Code: (required) |
| 1. HCG, Urine | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
HCGUR
Test Workstation :
MMUA
Specimen Type:
Urine
Tube Type:
Urine Container
Collection Volume:
2.0 mL (minimum 1.0 mL)
Minimum Volume:
1.0 mL
Preferred Volume:
2.0 mL
Storage:
Refrigerated
Availability:
Daily, 24 hours; STAT
Methodology:
Antibody Reaction by Chromatographic Immunoassay
Special Instructions:
First Morning void (preferred) or random
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference range is not applicable
CPT Code:
81025
Synonyms:
Urine Pregnancy Test
