Last Modified:
3/25/2019 4:06:42 PM
Medical Necessity Documentation:
Client Notes:
Please contact PHL Client Reponse at 266-1500 (Option 2) to request a Stat courier pick up
Patient Preparation:
Specimen Requirements:
1.0 mL Fluid in a Clear Red Top Tube - No Clot Activator
and
3.0 mL Fluid in a Lavender Top Tube - EDTA
and
3.0 mL Fluid in a Green Top Tube - Li Heparin in a Plastic Vial
Collection Instructions:
If multiple Fluid tests are being requested please specify order of importance and submit in the Clear Red Top Tube only
Order must include the site and/or source of collection
Do not centrifuge specimen
Minimum Volume:
1.0 mL Fluid
Transport & Storage: Temperature/Stability:
24 hours Refrigerated
Reference Range:
Reference Range Not Established, and will vary on the type of fluid
Critical Ranges:
Test Comments:
Methodology:
Multiple
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Days Performed:
Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed:
Parkview Regional Medical Center, Parkview Wabash
PHL Test Code:
FLPRO
EPIC Test Code:
LAB2292
Included Tests:
Cell Count, Fluid; Crystals, Fluid; Glucose, Fluid; pH, Fluid; Protein, Fluid; Specific Gravity, Fluid
CPT Coding:
82945, 83986, 84157, 84315, 89060
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