Lead, Capillary
| 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. Lead, Capillary | |
| 2. | |
| 3. | |
| 4. | |
| 5. | |
| 6. | |
| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
LEADC
Test Workstation :
ICPMS
Specimen Type:
Blood
Tube Type:
Purple top (EDTA) tube - no gel separator
Collection Volume:
0.5 mL (minimum 0.2 mL)
Cause for Rejection:
Specimen rejected: Clotted, Specimen collected in gel separator tube
Storage:
Refrigerated
Availability:
Mon-Fri (0800-1600)
Methodology:
Inductively Coupled Plasma Mass Spectrometry (ICPMS)
Special Instructions:
Wash the collection site well with soap and water before cleansing with Chlorhexadine wipe. Notify lab if patient is being chelated. Please call the Laboratory as soon as possible if a clinical situation warrants testing outside of routine hours. Testing outside of routine hours requires Pathologist approval and is subject to staff availability.
Lab/Phone:
330-543-4870
TAT:
3 days
Additional Info:
Reference range: 0-4 ug/dL
CPT Code:
83655
Synonyms:
Pb
