Anti-Optic Antibodies by Western Blot
Label Mnemonic: OPTICWB
Epic code: LAB7574
Downtime form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Commercial Mail-out Laboratory
5231 RCP
356-8593
Specimen(s):
Serum
Collection Medium:
and
Red top tube 5 mL (Clot Activator) Red top tube 5 mL (Clot Activator)
Minimum:
Preferred Minimum: Submit TWO red top tubes to yield 5 mL serum.
Absolute Minimum: 3 mL in a red top tube
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.

Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen.
Methodology:
Western blot
CPT Code:
84181