Anti-Retinal Antibodies by Western Blot
Label Mnemonic: RETWB
Epic Lab Code: LAB7570
Downtime Form: A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery
Commercial Mail-out Laboratory
5231 RCP
356-8593
Specimen(s):
Serum
Specimen Instructions:
Include clinical history and referring physician information (name & phone number) with specimen. NOTE: Without this information, testing cannot be completed.
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 serum in a red top tube
Turn Around Time:
3-5 weeks upon receipt at reference laboratory
Reference Range:
An interpretive report will be faxed or mailed under separate cover.
Comments:
This mailout test requires pathologist approval for orders during inpatient encounters. Mailouts staff will not process order without approval. The pathologist covering mailouts approval can be reached at pager #5379. If approval is given, the name of the pathologist can be selected in the drop-down menu to the right of the approval warning in Epic when ordering the test.

Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen and the A-1a Miscellaneous Request or Epic Req.
Methodology:
Western Blot (WB)
CPT Code:
84182