VMA & HVA, Random Urine
| 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. VMA & HVA, Random Urine | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
VMHVA
Test Workstation :
MAYO
Specimen Type:
Urine
Tube Type:
Urine container
Collection Volume:
5.0 mL Random urine
Minimum Volume:
2.0 mL Random Urine
Storage:
Refrigerated
Availability:
Sent to reference lab
Methodology:
Liquid Chromatography-Tandem Mass Spectrometry
Special Instructions:
Urine pH will be adjusted to between pH 1.0 and pH 5.0 with 50% acetic or HCl acid.
Lab/Phone:
330-543-8418
TAT:
3-5 days
Additional Info:
Ref. range is age dependent; available on patient report
CPT Code:
83150, 84585
