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Acid Phosphatase, Total

Last Modified: 8/6/2010 9:00:33 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:

Acid Posphatase Total ABN Form: For acceptable narrative descriptions and ICD-9 information see Addendum C
Specimen Requirements: 2.0 mL Serum from a Red Top Tube in a Plastic Vial
Collection Instructions:

Do not use serum separator tube (SST)

Centrifuge, separate from cells and freeze immediately

Avoid Thaw/Freeze Cycles
Minimum Volume: 0.8 mL
Temperature & Stability: 1 month Frozen
(Do not use frost free units that undergo repeated freeze/thaw cycles)
Reference Range:

0.0 - 4.3 U/L
Methodology: Enzymatic
Custom Panel: No

PRODUCTION SCHEDULE

Turn Around Time: 5 to 8 days
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: South Bend Medical Foundation
Other Testing Facility: To ARUP
PHL Test Code: MSOT
Send Out Test Code: SBMF 44458 / ARUP 0020544
Alternate Test Names: ACP
CPT Coding: 84060

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