Melanoma - Associated Retinopathy (MAR) Panel

Label Mnemonic:	MARP
Epic code:	LAB8710
Order form:	Epic Req
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 RCP
356-8593

Specimen(s):

Serum

Collection Medium:

	and
Red top tube 5 mL (Clot Activator)	and	Red top tube 5 mL (Clot Activator)

Minimum:

Preferred Minimum: 5 mL serum collected in TWO red top tubes
Absolute Minimum: 3 mL serum

Turn Around Time:

Anticipated turnaround time for routine cases is two to four weeks upon receipt at reference laboratory.

Comments:

Submit the completed Requisition Form with specimen that must include all of the following items:
• Patient's name, gender and birthday
• Specimen collection date
• Referring clinic or physician name and contact information,
including fax number
• Clinical history and findings (attach clinical notes)
• Clearly marked name of test requested

Note: A specimen will not be processed without a fully completed requisition form.

MAR Panel Includes Transducin, Arrestin, Recoverin, Aldolase, Enolase, TRPM1, and Immunohistochemistry of the retina for labeling of bipolar cells.

Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen.

Methodology:

Immunoblot and Immunohistochemistry (IHC)

CPT Code:

84182 x6