Autoimmune Retinopathy Panel
| Label Mnemonic: | ARETP |
| Epic code: | LAB8708 |
| Order form: | Epic Req |
| Downtime form: | A-1a Doctor/Provider Orders - Pathology Core and Specialty Care Nursery |
Commercial Mailout Laboratory
6240-8 RCP
356-8593
6240-8 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: 5 mL serum collected in TWO red top tubes
Absolute Minimum: 3 mL serum
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.
(ARP) - Autoimmune Retinopathy Panel includes CAII (carbonic anhydrase II), HSP27 (heat shock protein 27), GAPDH (glyceraldehyde 3-phosphate degydrogenase), Aldolase, Enolase, Arrestin, Tubulin, PKM2 (pyruvate kinase M2).
Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen.
• 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.
(ARP) - Autoimmune Retinopathy Panel includes CAII (carbonic anhydrase II), HSP27 (heat shock protein 27), GAPDH (glyceraldehyde 3-phosphate degydrogenase), Aldolase, Enolase, Arrestin, Tubulin, PKM2 (pyruvate kinase M2).
Please print, complete, and submit the Ocular Immunology Laboratory, Oregon Health & Science University Test Requisition from Mayo Medical Laboratories with the specimen.
Methodology:
Immunoblot
CPT Code:
84182 X8