Last Modified:
11/11/2023 11:43:20 AM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
20.0 mL in Five (5) Whole Blood in a Green Top Tubes - Na Heparin
Collection Instructions:
Date and time of collection are required.
Ordering physician name and phone number are required.
Minimum Volume:
<3 months: 1.0 mL Whole Blood | 3-24 months: 3.0 m
Transport & Storage: Temperature/Stability:
Reference Range:
Critical Ranges:
Test Comments:
Additional Flow Stimulant as needed
Methodology:
Flow Cytometry
Clinical Significance:
Documentation:
Custom Panel:
No
PRODUCTION SCHEDULE
Turn Around Time:
8 to 11 days
Days Performed:
Monday, Tuesday, Wednesday, Thursday, Friday
Sites Performed:
Mayo Laboratory
PHL Test Code:
MSOT
EPIC Test Code:
MISC
Send Out Test Code:
LPMGF
Included Tests:
CPT Coding:
86353 (Reflex 86353, if appropriate)
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