Last Modified:
6/10/2019 3:44:32 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
1.0 mL Fluid in a Clear Red Top Tube - No Clot Activator
Collection Instructions:
No perservatives
If multiple Fluid tests are being requested please specify order of importance on the order
Order must include the site and/or source of collection
Minimum Volume:
0.5 mL Fluid
Transport & Storage: Temperature/Stability:
24 hours Refrigerated
Reference Range:
Reference Range Not Established
Critical Ranges:
Test Comments:
Methodology:
Refactometer
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 Hospital, Parkview Warsaw
PHL Test Code:
FSGR
EPIC Test Code:
LAB2129
Included Tests:
CPT Coding:
84315
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