Test ID: Z6377
CPT code: 84182
Specimen Type: Red or EDTA
Frequency: Setup: Batched; Analysis time 2-4 weeks
Instructions: 5.0mL serum from red or gel clot, refrigerated. Min 3.0mL. Alt/ plasma
from lavender tube. Clinical and ocular history forms required.
Text: Complete and submit with specimen:
Completed OHSU Ocular request form
Referring physician information (name & phone number)
NOTE: Without this information, testing cannot be completed
Methodology: Western Blot (WB) performed at Oregon Health and Science University
Ocular Immunology Laboratory.