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. Hepatitis C Virus Genotype
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HCVG
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Serum Separator Tube (SST),Serum
Collection Volume:
12.5 mL (minimum 4.0 mL)
Cause for Rejection:
Specimen rejected: Heparinized specimen, redtop tube, or plasma
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Reverse Transcriptase-Polymerase Chain Reaction(RT-PCR)followed by Hybridization with sequence-specific, Flourescent-labeled Olig. probes
Special Instructions:
Centrifuge blood collection tube and pour off serum within 2 hours into aliquot tube. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Mahoning Valley)
Lab/Phone:
330-543-8418
TAT:
1-6 days
Additional Info:
Reference Range: Undetected
CPT Code:
87902
Synonyms:
HCV Genotype
Hepatitis C Virus Genotype
Test ID/Workstation :
HCVG
Specimen Type:
Blood
Tube Type:
Serum Separator Tube (SST),Serum
Collection Volume:
12.5 mL (minimum 4.0 mL)
Cause for Rejection:
Specimen rejected: Heparinized specimen, redtop tube, or plasma
Storage:
Frozen
Availability:
Sent to reference lab
Methodology:
Reverse Transcriptase-Polymerase Chain Reaction(RT-PCR)followed by Hybridization with sequence-specific, Flourescent-labeled Olig. probes
Special Instructions:
Centrifuge blood collection tube and pour off serum within 2 hours into aliquot tube. For Outpatients, test should only be drawn in outpatient locations within a Hospital (Akron or Mahoning Valley)
Lab/Phone:
330-543-8418
TAT:
1-6 days
Additional Info:
Reference Range: Undetected
CPT Code:
87902
Synonyms:
HCV Genotype
By using this site, you consent to our use of cookies. To learn more, read our
privacy policy.