Protein, CSF
| 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. Protein, CSF | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
PRCSF
Test Workstation :
MACH3
Specimen Type:
CSF
Tube Type:
CSF container
Collection Volume:
500 uL (minimum 300 uL)
Minimum Volume:
300 uL
Preferred Volume:
500 uL
Cause for Rejection:
Blood in a CSF specimen invalidates the protein value
Storage:
Storage: Room Temp: 1 day; Refrigerated: 6 days; Frozen: 1 year
Availability:
24 Hours/day, 7 days/week
Methodology:
Turbidometric method
Special Instructions:
Deliver to lab immediately.
Lab/Phone:
330-746-9623
TAT:
1 hour
Additional Info:
Reference range: 15-45 mg/dL
CPT Code:
84157
