Anti-Retinal Antibodies by Western Blot

Label Mnemonic:	RETWB
Epic code:	LAB7570
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 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)	and	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 #3724. 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.

Methodology:

Western Blot (WB)

CPT Code:

84182