Insulin Antibodies
| 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. Insulin Antibodies | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
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Test ID :
INSAB
Test Workstation :
MAYO
Specimen Type:
Blood
Tube Type:
Red top (no anticoagulant) tube
Collection Volume:
4.0 mL (minimum 2.5 mL)
Cause for Rejection:
Gross hemolysis, Grossly lipemia, Gross icterus
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Radioimmunoassay (RIA)
Special Instructions:
Do not administer isotopes 24 hours prior to collection.
TAT:
3-9 days
Additional Info:
Reference range: < or = 0.02 nmol/L
CPT Code:
86337
Synonyms:
Human Insulin Antibodies
